CHRISTUS TRINITY CLINIC TEXAS: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- CHRISTUS TRINITY CLINIC TEXAS (EIN 75-2616977)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201131339349300523
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T07:30:33-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 Post Oak Blvd Ste 3200 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77056 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752616977 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRINITY CLINIC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TRIN | NameControl |
| Phone | 9035315764 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1021 E IDEL | AddressLine1 |
| City | TYLER | City |
| State | TX | State |
| ZIP Code | 75701 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOYCE HESTER | Name |
| Title | VP OF FINANCIAL OPERATIONS | Title |
| Date Signed | 2011-05-16 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | M Paige Gerich | Name |
| Phone | 7134994600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID TEEGARDEN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E HOUSTON | AddressLine1 |
| City | TYLER | City |
| State | TX | State |
| ZIP Code | 75701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 126839468 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.TMFHS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE PHYSICIAN SERVICES WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO THE PATIENT'S RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1269 | TotalNbrEmployees |
| Total Nbr Volunteers | 2 | TotalNbrVolunteers |
| Total Gross UBI | -68169 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -84696 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 142253883 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 125907687 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -595938 | InvestmentIncomePriorYear |
| Investment Income Current Year | 188027 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -864399 | OtherRevenuePriorYear |
| Other Revenue Current Year | -165225 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 140793546 | TotalRevenuePriorYear |
| Total Revenue Current Year | 125930489 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 31505217 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 23583713 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 130291163 | OtherExpensePriorYear |
| Other Expenses Current Year | 124099321 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 161796380 | TotalExpensesPriorYear |
| Total Expenses Current Year | 147688034 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -21002834 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -21757545 | RevenuesLessExpensesCY |
| Total Assets BOY | 78021144 | TotalAssetsBOY |
| Total Assets EOY | 81057788 | TotalAssetsEOY |
| Total Liabilities BOY | 85497233 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 93327362 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -7476089 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -12269574 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE PHYSICIAN SERVICES WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO THE PATIENT'S RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 132241883 | Expense |
| Grants | 5000 | Grants |
| Revenue | 125825560 | Revenue |
| Description | OUR COMMITMENT TO OUR COMMUNITY EXTENDS TO FREE OR SUBSIDIZED INDIVIDUAL CARE, SUBSIDIZED EDUCATION OF HEALTHCARE PROFESSIONALS, DISCOUNTED FEES FOR PARTICIPANTS IN GOVERNMENT PROGRAMS, COMMUNITY HEALTH EDUCATION, AND DONATIONS TO OTHER COMMUNITY AGENCIES. SPECIFIC COMMUNITY SERVICES AND PROGRAMS INCLUDE: WELLNESS AND PREVENTION EDUCATION PROGRAMS, COMMUNITY DIAGNOSTIC SCREENING PROGRAMS, SENIOR CITIZEN HEALTH AWARENESS PROGRAMS, AWARENESS PROGRAMS FOR YOUTH AT RISK, AWARENESS PROGRAMS FOR PERSONS WITH SPECIAL PHYSICAL OR MENTAL NEEDS, CHILDREN WITH DIABETES SUMMER CAMP, SPORTS CARE PROGRAMS, SAFETY TRAINING FOR LOCAL BUSINESSES, AND RESEARCH PROGRAMS. | Description |
| Total Program Service Expense | 132241883 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1269 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MOTHER FRANCES HOSP ACCTG DEPT | NamePerson |
| Telephone Number | 9035315764 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1315 DOCTORS DRIVE | AddressLine1 |
| City | TYLER | City |
| State | TX | State |
| ZIP Code | 75701 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| STEVEN KEUER MD | ||||||||
| EXECUTIVE VP | 20.0 | X | X | 357429 | 238286 | 2999546 | ||
| DAVID TEEGARDEN MD | ||||||||
| PRESIDENT & CMO | 20.0 | X | X | 512840 | 341893 | 15851 | ||
| ROBERT MCKINNEY MD | ||||||||
| DIRECTOR | 40.0 | X | 533955 | 0 | 4900 | |||
| GIFFORD ECKHOUT MD | ||||||||
| DIRECTOR | 40.0 | X | 616287 | 0 | 16762 | |||
| MELISSA GERDES MD | ||||||||
| DIRECTOR | 40.0 | X | 224544 | 0 | 17288 | |||
| ROGER FOWLER MD | ||||||||
| DIRECTOR | 40.0 | X | 363746 | 0 | 15144 | |||
| KENT WEBB MD | ||||||||
| DIRECTOR | 40.0 | X | 780289 | 0 | 4900 | |||
| WILLIAM HOBBS MD | ||||||||
| DIRECTOR | 40.0 | X | 667922 | 0 | 4900 | |||
| JIM STANFORD MD | ||||||||
| DIRECTOR | 40.0 | X | 324491 | 0 | 18062 | |||
| GREGORY STOVALL | ||||||||
| MEDICAL DIRECTOR | 40.0 | X | 415505 | 0 | 18062 | |||
| KAI XIA MD | ||||||||
| DIRECTOR | 40.0 | X | 983161 | 0 | 4900 | |||
| JAMES CACCITOLO MD | ||||||||
| DIRECTOR | 40.0 | X | 400871 | 0 | 4900 | |||
| HAMPTON WILLIAMS MD | ||||||||
| PHYSICIAN | 40.0 | X | 561941 | 0 | 15851 | |||
| JAMES ROGERS MD | ||||||||
| PHYSICIAN | 40.0 | X | 246626 | 0 | 17643 | |||
| STEVEN HELF MD | ||||||||
| PHYSICIAN | 40.0 | X | 209223 | 0 | 16899 | |||
| ORAN FERRELL | ||||||||
| SR VP & CAO | 40.0 | X | 319157 | 0 | 15412 | |||
| LORETTA SWAN | ||||||||
| VP OPERATIONS | 40.0 | X | 169256 | 0 | 12925 | |||
| KIRT WOOLSEY | ||||||||
| BUSINESS DIRECTOR | 40.0 | X | 143457 | 0 | 13607 | |||
| DAVID LINDZEY MD | ||||||||
| SENIOR VP | 40.0 | X | 413663 | 0 | 18062 | |||
| RICHARD KRONENBERG MD | ||||||||
| SENIOR VP | 40.0 | X | 261401 | 0 | 4967 | |||
| JAMES CABELL MD | ||||||||
| PHYSICIAN | 40.0 | 1179022 | 0 | 4900 | X | |||
| VIVEK MEHTA MD | ||||||||
| PHYSICIAN | 40.0 | 1788286 | 0 | 4900 | X | |||
| PETER SIRIANNI MD | ||||||||
| PHYSICIAN | 40.0 | 1084693 | 0 | 18062 | X | |||
| SAUYU LIN MD | ||||||||
| PHYSICIAN | 40.0 | 1127448 | 0 | 4900 | X | |||
| LAURA O'HALLORAN | ||||||||
| PHYSICIAN | 40.0 | 1061313 | 0 | 4900 | X | |||
| MATTHEW VIERKANT MD | ||||||||
| FORMER DIRECTOR | 30.0 | 507270 | 0 | 18062 | X | |||
| STEVE WALLING MD | ||||||||
| FORMER DIRECTOR | 40.0 | 204720 | 0 | 14740 | X | |||
| MARK HIATT MD | ||||||||
| FORMER DIRECTOR | 40.0 | 315133 | 0 | 4900 | X | |||
| BRIAN ROBINSON | ||||||||
| FORMER DIRECTOR | 40.0 | 218568 | 0 | 13642 | X | |||
| MEG REITMEYER | ||||||||
| FORMER DIRECTOR | 40.0 | 248138 | 0 | 20918 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 16240355 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 580179 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 3350505 | TotalOtherCompensation |
| Number Individuals GT100 K | 256 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| THOMAS CURTIS MD | |||||
| 5879 HWY 64 W | HENDERSON | TX | 75652 | PHYSICIAN SERVICES | 372150 |
| CLINTON CARTER MD PA | |||||
| 4048 CHARLESTON PARK | TYLER | TX | 75652 | PHYSICIAN SERVICES | 328950 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 841725 | DALLAS | TX | 75284 | TESTING/LAB SERVICES | 384002 |
| ARAMARK MANAGEMENT SERVICES | |||||
| 101 MARKET ST 19TH FLOOR | PHILADELPHIA | PA | 19107 | MANAGEMENT SERVICES | 243237 |
| SUHEL PATEL MD | |||||
| 2249 HOMESTEAD LANE | TYLER | TX | 75701 | PHYSICIAN SERVICES | 201360 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 31 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621500 | 117355302 | 117273175 | 82127 |
| OTHER OPERATING REVENUE | 900099 | 8552385 | 8552385 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 125907687 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 236320 | TotalRevenueColumn |
| Exclusion | $236,320 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 503669 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 668894 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -165225 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -165225 | TotalRevenueColumn |
| Unrelated Business Revenue | -165225 | UnrelatedBusinessRevenue |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 191792 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 240085 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -48293 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -48293 | TotalRevenueColumn |
| Unrelated Business Revenue | 14929 | UnrelatedBusinessRevenue |
| Exclusion | -$63,222 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 125930489 | TotalRevenueColumn |
| Related Or Exempt Function Income | 125825560 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -68169 | UnrelatedBusinessRevenue |
| Exclusion | $173,098 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5000 | Total |
| Program Services | 5000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10540186 | Total |
| Program Services | 6948498 | ProgramServices |
| Management And General | 3591688 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 809994 | Total |
| Program Services | 403421 | ProgramServices |
| Management And General | 406573 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 358188 | Total |
| Program Services | 358188 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8929874 | Total |
| Program Services | 7998732 | ProgramServices |
| Management And General | 931142 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2945471 | Total |
| Program Services | 2921791 | ProgramServices |
| Management And General | 23680 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 993270 | Total |
| Program Services | 823007 | ProgramServices |
| Management And General | 170263 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24639 | Total |
| Program Services | 5451 | ProgramServices |
| Management And General | 19188 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 476 | Total |
| Management And General | 476 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96288788 | Total |
| Program Services | 90480925 | ProgramServices |
| Management And General | 5807863 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 608285 | Total |
| Program Services | 60317 | ProgramServices |
| Management And General | 547968 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1144271 | Total |
| Program Services | 946315 | ProgramServices |
| Management And General | 197956 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2400608 | Total |
| Program Services | 46896 | ProgramServices |
| Management And General | 2353712 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2026069 | Total |
| Program Services | 1223044 | ProgramServices |
| Management And General | 803025 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133770 | Total |
| Program Services | 59317 | ProgramServices |
| Management And General | 74453 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 796924 | Total |
| Program Services | 792794 | ProgramServices |
| Management And General | 4130 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 201234 | Total |
| Program Services | 198619 | ProgramServices |
| Management And General | 2615 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2470652 | Total |
| Program Services | 2278089 | ProgramServices |
| Management And General | 192563 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 831153 | Total |
| Program Services | 803045 | ProgramServices |
| Management And General | 28108 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 7448817 | 7448817 | |
| BAD DEBT EXPENSE | 6509694 | 6509694 | |
| REPAIRS & MAINTENANCE | 615269 | 601618 | 13651 |
| PERFORMANCE STANDARDS | 376929 | 376929 | |
| REGIONAL DEVELOPMENT | 276972 | 276972 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 951501 | Total |
| Program Services | 951376 | ProgramServices |
| Management And General | 125 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147688034 | Total |
| Program Services | 132241883 | ProgramServices |
| Management And General | 15446151 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2813717 | BOY |
| EOY | 1788938 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11246667 | BOY |
| EOY | 11019876 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 642423 | BOY |
| EOY | 327818 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18552 | BOY |
| EOY | 67085 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 262875 | BOY |
| EOY | 406733 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11450668 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4471940 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8092124 | BOY |
| EOY | 6978728 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16129832 | BOY |
| EOY | 18113542 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 802519 | BOY |
| EOY | 577039 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38012435 | BOY |
| EOY | 41778029 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78021144 | BOY |
| EOY | 81057788 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12545925 | BOY |
| EOY | 12637326 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8789526 | BOY |
| EOY | 6431813 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64161782 | BOY |
| EOY | 74258223 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85497233 | BOY |
| EOY | 93327362 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -7476089 | BOY |
| EOY | -12269574 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -7476089 | BOY |
| EOY | -12269574 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78021144 | BOY |
| EOY | 81057788 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 414414 | BeginningOfYearBalance |
| Contributions | 1790794 | Contributions |
| Investment Earnings Or Losses | 4305 | InvestmentEarningsOrLosses |
| Other Expenditures | 500 | OtherExpenditures |
| End Of Year Balance | 2209013 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 413932 | BeginningOfYearBalance |
| Contributions | 239 | Contributions |
| Investment Earnings Or Losses | 243 | InvestmentEarningsOrLosses |
| End Of Year Balance | 414414 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.04858 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.95142 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4749991 | OtherCostOrOtherBasis |
| Depreciation | 1187498 | Depreciation |
| Book Value | 3562493 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 486988 | OtherCostOrOtherBasis |
| Depreciation | 93240 | Depreciation |
| Book Value | 393748 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6211589 | OtherCostOrOtherBasis |
| Depreciation | 3191202 | Depreciation |
| Book Value | 3020387 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2100 | OtherCostOrOtherBasis |
| Book Value | 2100 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6978728 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 41690217 |
| OTHER ASSETS | 87812 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 41778029 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $53,482,102 |
| ACCRUED PENSION LIABILITY | $8,132,563 |
| ESTIMATED SELF INSURANCE COSTS | $4,289,433 |
| DEFERRED COMPENSATION | $8,354,125 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 74258223 | TotalOfAmounts |
| Total Revenue | 125930489 | TotalRevenue |
| Total Expenses | 147688034 | TotalExpenses |
| Excess Or Deficit For Year | -21757545 | ExcessOrDeficitForYear |
| Other | $228,319 | OtherAmount |
| Total Adjustments | 228319 | TotalAdjustments |
| Excess Or Deficit Per FS | -21529226 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 126352810 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 732116 | OtherRevenues |
| Revenue Not Rptd F990 | 732116 | RevenueNotRptdF990 |
| Revenue Subtotal | 125620694 | RevenueSubtotal |
| Other Revenues Not Included | 309795 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 309795 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 125930489 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 147882036 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 732116 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 732116 | ExpensesNotRptdF990 |
| Expenses Subtotal | 147149920 | ExpensesSubtotal |
| Other Expenses Not Included | 538114 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 538114 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 147688034 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF CHANGES IN NET ASSETS | SCH D, PART XI, LINE 8 | LOSS ON DISCONTINUED OPERATIONS NOT INCLUDED IN AUDIT 228,319 |
| RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 | SCH D, PART XII AND XIII | REVENUE ON BOOKS, NOT ON RETURN: LOSS ON SALE OF ASSETS IN EXPENSE PER AUDIT, REVENUE PER RETURN 63,222 RENTAL EXPENSES INCLUDED WITH REVENUE ON RETURN 668,894 ----------- 732,116 REVENUE ON RETURN, NOT ON BOOKS: MISC CLASSIFICATION DIFFERENCES 75,695 DONATION EXPENSE INCLUDED IN REVENUE PER AUDIT 5,000 INTEREST INCOME NETTED WITH EXPENSE PER AUDIT 229,100 ---------- 309,795 EXPENSES ON BOOKS, NOT ON RETURN: LOSS ON SALE OF ASSETS IN EXP PER AUDIT, REV PER RETURN 63,222 RENTAL EXPENSES INCLUDED WITH REVENUE ON RETURN 668,894 ----------- 732,116 EXPENSES ON RETURN, NOT ON BOOKS: MISC CLASSIFICATION DIFFERENCES 75,695 LOSS ON DISCONTINUED OPERATIONS NOT INCLUDED ON AUDIT 228,319 DONATION EXPENSE INCLUDED IN REVENUE PER AUDIT 5,000 INTEREST INCOME NETTED WITH EXPENSE PER AUDIT 229,100 --------- 538,114 |
| FIN 48 DISCLOSURE | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | |
| INTENDED USES OF THE ORGANIZATIN'S ENDOWMENT FUNDS | SCH D, PART V, QUESTION 4 | THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICATBLE STREAM OF FUNDING TO PROGRAMS AND ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN ITS PURCHASING POWER. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (30 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN KEUER MD | |||||||||||||
| 211410 | 232517 | 137366 | 0 | 8653 | 5769 | 1793158 | 1195438 | 6570 | 4380 | 2157157 | 1438104 | 0 | |
| DAVID TEEGARDEN MD | |||||||||||||
| 260042 | 336252 | 244337 | 0 | 8461 | 5641 | 2940 | 1960 | 6570 | 4380 | 522350 | 348233 | 0 | |
| ROBERT MCKINNEY MD | |||||||||||||
| 533955 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 0 | 0 | 538855 | 0 | 0 | 0 |
| GIFFORD ECKHOUT MD | |||||||||||||
| 616287 | 0 | 0 | 0 | 0 | 0 | 3600 | 0 | 13162 | 0 | 633049 | 0 | 0 | 0 |
| MATTHEW VIERKANT MD | |||||||||||||
| 507270 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 13162 | 0 | 525332 | 0 | 0 | 0 |
| STEVE WALLING MD | |||||||||||||
| 204720 | 0 | 0 | 0 | 0 | 0 | 3790 | 0 | 10951 | 0 | 219461 | 0 | 0 | 0 |
| MELISSA GERDES MD | |||||||||||||
| 224544 | 0 | 0 | 0 | 0 | 0 | 4126 | 0 | 13162 | 0 | 241832 | 0 | 0 | 0 |
| ROGER FOWLER MD | |||||||||||||
| 363746 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 10244 | 0 | 378890 | 0 | 0 | 0 |
| KENT WEBB MD | |||||||||||||
| 780289 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 0 | 0 | 785189 | 0 | 0 | 0 |
| WILLIAM HOBBS MD | |||||||||||||
| 667922 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 0 | 0 | 672822 | 0 | 0 | 0 |
| JIM STANFORD MD | |||||||||||||
| 324491 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 13162 | 0 | 342553 | 0 | 0 | 0 |
| GREGORY STOVALL | |||||||||||||
| 365732 | 0 | 49773 | 0 | 0 | 0 | 4900 | 0 | 13162 | 0 | 433567 | 0 | 0 | 0 |
| KAI XIA MD | |||||||||||||
| 983161 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 0 | 0 | 988061 | 0 | 0 | 0 |
| MARK HIATT MD | |||||||||||||
| 315133 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 0 | 0 | 320033 | 0 | 0 | 0 |
| JAMES CACCITOLO MD | |||||||||||||
| 400871 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 0 | 0 | 405771 | 0 | 0 | 0 |
| ORAN FERRELL | |||||||||||||
| 280307 | 0 | 38850 | 0 | 0 | 0 | 4900 | 0 | 10512 | 0 | 334569 | 0 | 0 | 0 |
| LORETTA SWAN | |||||||||||||
| 147572 | 0 | 21684 | 0 | 0 | 0 | 3030 | 0 | 9896 | 0 | 182182 | 0 | 0 | 0 |
| JAMES CABELL MD | |||||||||||||
| 1179022 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 0 | 0 | 1183922 | 0 | 0 | 0 |
| VIVEK MEHTA MD | |||||||||||||
| 1788286 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 0 | 0 | 1793186 | 0 | 0 | 0 |
| PETER SIRIANNI MD | |||||||||||||
| 1084693 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 13162 | 0 | 1102755 | 0 | 0 | 0 |
| SAUYU LIN MD | |||||||||||||
| 1127448 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 0 | 0 | 1132348 | 0 | 0 | 0 |
| LAURA O'HALLORAN | |||||||||||||
| 1061313 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 0 | 0 | 1066213 | 0 | 0 | 0 |
| BRIAN ROBINSON | |||||||||||||
| 218568 | 0 | 0 | 0 | 0 | 0 | 2840 | 0 | 10802 | 0 | 232210 | 0 | 0 | 0 |
| MEG REITMEYER | |||||||||||||
| 248138 | 0 | 0 | 0 | 0 | 0 | 4538 | 0 | 16380 | 0 | 269056 | 0 | 0 | 0 |
| HAMPTON WILLIAMS MD | |||||||||||||
| 561941 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 10951 | 0 | 577792 | 0 | 0 | 0 |
| JAMES ROGERS MD | |||||||||||||
| 246626 | 0 | 0 | 0 | 0 | 0 | 4481 | 0 | 13162 | 0 | 264269 | 0 | 0 | 0 |
| STEVEN HELF MD | |||||||||||||
| 209223 | 0 | 0 | 0 | 0 | 0 | 3737 | 0 | 13162 | 0 | 226122 | 0 | 0 | 0 |
| KIRT WOOLSEY | |||||||||||||
| 136713 | 0 | 6744 | 0 | 0 | 0 | 2824 | 0 | 10782 | 0 | 157063 | 0 | 0 | 0 |
| DAVID LINDZEY MD | |||||||||||||
| 364163 | 0 | 49500 | 0 | 0 | 0 | 4900 | 0 | 13162 | 0 | 431725 | 0 | 0 | 0 |
| RICHARD KRONENBERG MD | |||||||||||||
| 261401 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 67 | 0 | 266368 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCH J, PART 1, QUESTION 4B | PARTICIPANTS IN 457(F) REPORTED IN W-2 ---------------------- ----------------- STEVEN KEUER MD NONE DAVID TEEGARDEN MD NONE PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- ---------------- --------------------- STEVEN KEUER MD NONE 2,983,696 DAVID TEEGARDEN MD NONE NONE |
| COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION | SCH J, PART I, QUESTION 6A | SOME PHYSICIANS ARE PAID BASED ON THE COMPENSATION FORMULA OF THEIR INDIVIDUAL RESPECTIVE DEPARTMENTS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIBE REVIEW PROCESS OF FORM 990 | FORM 990, PART VI, QUESTION 11A | THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND BOARD PRIOR TO FILING. |
| DESCRIBE THE ORGANIZATION'S MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, QUESTION 6 | TRINITY MOTHER FRANCES HEALTH SYSTEM IS THE SOLE MEMBER OF TRINITY CLINIC. |
| DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBER | FORM 990, PART VI, QUESTION 7B | THE MEMBER HAS THE AUTHORITY TO APPROVE OR DISAPPROVE CERTAIN MATTERS PREVIOUSLY APPROVED BY THE BOARD OF DIRECTORS. |
| HOW DOES THE ORGANIZATION MONITOR AND ENFORCE COMPLIANCE WITH THE POLICY | FORM 990, PART VI, QUESTION 12C | THE BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE THROUGHOUT THE YEAR IN ACCORDANCE WITH POLICY STANDARDS. |
| DESCRIBE WHETHER THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE TO PUBLIC | FORM 990, PART VI, QUESTION 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| PROCESS FOR DETERMINING COMPENSATION OF CEO, OFFICERS, OR KEY EMPLOYEES | FORM 990, PART VI, QUESTIONS 15A & 15B | THE ORGANIZATION USES COMPENSATION CONSULTANTS AND NATIONAL COMPENSATION SURVEYS TO DETERMINE COMPENSATION OF EMPLOYEES. COMPENSATION IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY AND ULTIIMATELY APPROVED BY TRINITY MOTHER FRANCES HEALTH SYSTEM. |
| COMPENSATION FROM RELATED ORGANIZATION | FORM 990, PART VII & SCH J | THE GOVERNING BOARD OF TRINITY MOTHER FRANCES HEALTH SYSTEM UPON ADVICE FROM NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS, WHO PERIODICALLY REVIEW ALL EXECUTIVE COMPENSATION, APPROVED A DEFERRED COMPENSATION PLAN THAT PROVIDES A 65% TOTAL RETIREMENT BENEFIT FOR SENIOR EXECUTIVES THAT SERVE 20 YEARS OR MORE. THIS PROGRAM HAS BOTH RETENTION AND NON-COMPETITION CLAUSES THAT CREATE A RISK OF FORFEITURE. DEFERRED COMPENSATION IS SUBJECT TO A RISK OF FORFEITURE BASED ON RETENTION, NON-COMPETITION AND OTHER CONTRACTUAL FACTORS. ACCRUALS OF DEFERRED COMPENSATION ARE NOT INCLUDIBLE IN W-2 COMPENSATION UNTIL PAID. OTHER EMPLOYEE BENEFITS INCLUDE QUALIFIED PENSION PLANS, HEALTH, DENTAL AND LIFE INSURANCE PLANS, DISABILITY INSURANCE, ETC. TAXABLE EXPENSES ARE INCLUDED IN THE W-2 PAID COMPENSATION SALARY AMOUNT. |
| AVERAGE HOURS WORKED FOR RELATED ORGANIZATIONS | FORM 990, PART VII | AVG HOURS WORKED FOR RELATED ORG STEVEN KEUER MD 21 DAVID TEEGARDEN MD 21 |
| 1099S REPORTED BY ORGANIZATION | FORM 990, PART V, QUESTION 1 | NO 1099S WERE ISSUED BY THE FILING ORGANIZATION. THE ORGANIZATION'S 1099S ARE ISSUED BY A RELATED ORGANIZATION, MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER, WHO REPORTS ALL 1099S FOR THE ENTIRE SYSTEM AND ALLOCATES EXPENSES TO THE APPROPRIATE RELATED ORGANIZATION; THEREFORE, THIS QUESTION IS ANSWERED AS "NONE" FOR THIS FILING ORGANIZATION. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| CHAMPION EMERGENCY SERVICES LLC | |||||||||
| 2201 S MOBBERLY AVE | LONGVIEW | TX | 75602 | 752747708 | AMBULANCE SVC | TX | 501(C)(3) | 11 | NA |
| MOTHER FRANCES HOSPITAL REGIONAL HC CTR | |||||||||
| 1021 E IDEL | TYLER | TX | 75701 | 750818167 | HOSPITAL | TX | 501(C)(3) | 3 | NA |
| MOTHER FRANCES HOSPITAL- JACKSONVILLE | |||||||||
| 1021 E IDEL | TYLER | TX | 75701 | 751976930 | HOSPITAL | TX | 501(C)(3) | 3 | NA |
| TRINITY MOTHER FRANCES HEALTH SYSTEM FDN | |||||||||
| 1021 E IDEL | TYLER | TX | 75701 | 752028241 | SUPPORT | TX | 501(C)(3) | 11 | NA |
| REGIONAL MEDICAL SERVICES ASSOCIATION | |||||||||
| 1021 E IDEL | TYLER | TX | 75701 | 752511459 | HEALTHCARE | TX | 501(C)(3) | 3 | NA |
| TRINITY MOTHER FRANCES HEALTH SYSTEM | |||||||||
| 1021 E IDEL | TYLER | TX | 75701 | 752616975 | HEALTHCARE | TX | 501(C)(3) | 11 | NA |
| MOTHER FRANCES HOSPITAL- WINNSBORO | |||||||||
| 1021 E IDEL | TYLER | TX | 75701 | 752771569 | Hospital | TX | 501(c)(3) | 3 | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRI-STATE FINANCIAL LLC | |||||||||||||||
| 1021 E IDEL | TYLER | TX | 75701 | 752728318 | COLLECTION AGENCY | TX | NA | C-CORPORATION | 0 | 0 | 0.00000 | ||||
| TRINCARE INC | |||||||||||||||
| 1021 E IDEL | TYLER | TX | 75701 | 752161369 | MANAGEMENT SVCS | TX | NA | C-CORPORATION | 0 | 0 | 0.00000 | ||||
| HEALTHPLAN OF TEXAS INC | |||||||||||||||
| 514 S BECKHAM | TYLER | TX | 75701 | 752636832 | THIRD PARTY ADMIN | TX | NA | C-CORPORATION | 0 | 0 | 0.00000 | ||||
| THE REGIONAL HEALTHCARE ALLIANCE | |||||||||||||||
| 1021 E IDEL | TYLER | TX | 75701 | 752484109 | PREFER. PROVIDER | TX | NA | C-CORPORATION | 0 | 0 | 0.00000 | ||||
| TEXAS HEALTH FACILITIES INSUR CORP LTD | |||||||||||||||
| 980136025 | INSURANCE | NA | C-CORPORATION | 0 | 0 | 0.00000 | PO Box 1109 BWI | CAYMAN ISLANDS | CJ | CJ | |||||
| CONCORDIUM HEALTH LLC | |||||||||||||||
| 1021 E IDEL | TYLER | TX | 75701 | 702811022 | INACTIVE | TX | NA | C-CORPORATION | 0 | 0 | 0.00000 | ||||
| EMPLOYERS SERVICES INC | |||||||||||||||
| 1021 E IDEL | TYLER | TX | 75701 | 752602556 | INACTIVE | TX | NA | C-CORPORATION | 0 | 0 | 0.00000 | ||||
| HERITAGE HEALTH PLANS OF TX | |||||||||||||||
| 1021 E IDEL | TYLER | TX | 75701 | 752622622 | INACTIVE | TX | NA | C-CORPORATION | 0 | 0 | 0.00000 | ||||
| QUALITY CARE ALLIANCE | |||||||||||||||
| 1021 E IDEL | TYLER | TX | 75701 | 752662965 | INACTIVE | TX | NA | C-CORPORATION | 0 | 0 | 0.00000 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | true | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |