2018-05-10T13:58:21-05:00 2017-06-30 990 2016-07-01 752028241 CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION % CHRISSY RAMSEY CHRI 9036065639 1315 DOCTORS DRIVE TYLER TX 75701 ELIZABETH PULLIAM SYSTEM CFO 9036065639 2018-05-07 2016 2022-09-23 18:48:47Z SCOTT FOSSEY 1315 DOCTORS DRIVE TYLER TX 75701 53038173 false X WWW.TMFHC.ORG X 1984 TX THE FOUNDATION'S PRIMARY MISSION IS TO RECEIVE FUNDS FOR THE BENEFIT OF CTMFHS. THE FOUNDATION SEEKS FUNDING FROM THE COMMUNITY TO SUPPORT ACTIVITIES FOR HOSPITAL GROWTH. 16 13 0 14 0 57223754 12681717 82500 0 266491 309910 -502 0 57572243 12991627 2007284 1839229 0 0 0 0 0 0 0 419094 207338 2426378 2046567 55145865 10945060 65391944 70229722 1278561 990099 64113383 69239623 X CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION HAS AS ITS PRIMARY MISSION TO RECEIVE FUNDS FOR THE BENEFIT OF MOTHER FRANCES REGIONAL HOSPITAL HEALTH CARE CENTER. AS PART OF MEETING THAT MISSION, THE FOUNDATION SEEKS FUNDING FROM THE COMMUNITY AT LARGE TO SUPPORT ACTIVITIES SUCH AS CHILDREN'S MIRACLE NETWORK, PEARLS AND PROMISES GALA, AND CAPITAL CAMPAIGNS FOR HOSPITAL GROWTH. false false 1858275 1839229 THE CHRISTUS TRINITY MOTHER FRANCES FOUNDATION SUPPORTS MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER AND TRINITY CLINIC THROUGH CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM. 1858275 true true false false false false false false false true false false false true true true false true false false false false false false true false false true true true false false false false false false false false false false false false false true true true false false true X 4 0 true 0 false false false false false false false false false false X 16 13 false false false false true true true true true false false true true true true true true true false false X CHRISSY RAMSEY 9036065639 1315 DOCTORS DRIVE TYLER TX 75701 X MARY LAUREN FAULKNER DIRECTOR 1.0 0.0 X 0 0 0 ALAN JONES DIRECTOR 1.0 0.0 X 0 0 0 BISHOP JOSEPH STRICKLAND DIRECTOR 1.0 0.0 X 0 0 0 DAVID DYKES DIRECTOR 1.0 0.0 X 0 0 0 DENNIS BOX DIRECTOR 1.0 0.0 X 0 0 0 JAMES CACCITOLO MD DIRECTOR 1.0 39.0 X 0 1073765 22509 JOHN WILLIAMS DIRECTOR 1.0 0.0 X 0 0 0 LUIS HARO MD DIRECTOR 1.0 0.0 X 0 0 0 MARILYN HARDY DIRECTOR 1.0 0.0 X 0 0 0 PAT THOMAS MD DIRECTOR 1.0 0.0 X 0 53729 0 RANDY CHILDRESS DIRECTOR/CHAIR 1.0 0.0 X X 0 0 0 SISTER IRENE ASZTEMBORKSA DIRECTOR 1.0 0.0 X 0 0 0 STEVE HELLMUTH DIRECTOR 1.0 0.0 X 0 0 0 TERRY GILES DIRECTOR 1.0 0.0 X 0 0 0 THOMAS BROWN DIRECTOR 1.0 0.0 X 0 0 0 CLAYTON WHITNEY MD DIRECTOR 1.0 39.0 X 0 777469 33878 SCOTT FOSSEY VP / EXEC. DIRECTOR 20.0 20.0 X 0 302028 11396 MARY JACKSON VP 0.0 40.0 X 0 316989 13601 0 2523980 81384 0 true true false 0 X 235090 10025000 24009 2397618 12681717 0 20024 20024 0 0 0 0 0 40336432 40046546 289886 289886 0 235090 0 0 0 0 0 0 0 0 0 12991627 20024 1607429 1607429 231800 231800 0 0 0 0 0 0 0 0 0 0 0 0 0 172763 172763 0 0 0 15529 15529 0 0 0 0 0 2061 2061 0 0 0 0 OTHER 16985 16985 2046567 1858275 188292 0 0 0 2031221 3138318 2934528 4473083 0 674 0 0 0 0 0 0 0 0 0 0 0 0 20375480 32617647 0 0 0 0 0 0 40050715 30000000 65391944 70229722 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1278561 990099 1278561 990099 X 49870556 51528727 11738931 15202579 2503896 2508317 64113383 69239623 65391944 70229722 X 10945060 1408953 -7227773 X false true X true false X X 2 MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER 750818167 3 true 1313656 0 TRINITY CLINIC 752616977 3 false 62196 0 2 1375852 0 false false false false false true false false false false false false false false false true false ORGANIZATIONS NOT LISTED BY NAME IN THE GOVERNING DOCUMENTS: SCHEDULE A, PART IV, SCTION A, LINE 1 ORGANIZATIONS NOT LISTED BY NAME IN THE GOVERNING DOCUMENTS: THE FOUNDATION'S ARTICLES OF INCORPORATION ONLY LIST MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER BY NAME. THE ARTICLES ALSO STATE THAT THE FOUNDATION SUPPORTS ANY ORGANIZATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) WHICH QUALIFIES TRINITY CLINIC AS A SUPPORTED ORGANIZATION. TRINITY CLINIC HAS A HISTORIC AND CONTINUING RELATIONSHIP WITH THE FOUNDATION THROUGH THE COMMON CONTROL OF CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM. SUPPORT PROVIDED TO OTHER THAN THE SUPPORTED ORGANIZATIONS: SCHEDULE A, PART IV, SECTION A, LINE 6 SUPPORT PROVIDED TO OTHER THAN THE SUPPORTED ORGANIZATIONS: THE ORGANIZATION ALSO PROVIDES GRANTS TO INDIVIDUALS FOR EMERGENCY HARDSHIP, TRANSPORTATION AND TRAINING REGISTRATION FEES. THE INDIVIDUALS WHO RECEIVED THESE GRANTS ARE EMPLOYEES OF THE SUPPORTED ORGANIZATION, AND THEREFORE SUPPORTING THEM FALLS UNDER THE PURPOSE OF THE FOUNDATION. MEDICAL BILLS ARE PAID FOR PATIENTS WHO RECEIVED CARE FROM THE SUPPORTED ORGANIZATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3185371 345766 9101 3522036 2885950 445000 -118741 26838 3185371 2762072 124878 1000 2885950 2414694 360569 13191 2762072 2408876 163752 157934 2414694 0.71220 0.28780 false false DUE FROM AFFILIATES 30000000 30000000 0 DUE TO AFFILIATES 989425 OTHER 674 990099 X INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS: SCHEDULE D, PART V, LINE 4 INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS: THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN ITS PURCHASING POWER. LIABILITY FOR UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 LIABILITY FOR UNCERTAIN TAX POSITIONS: THE AUTORITATIVE GUIDANCE IN ACCOUNTING STANDARDS CODIFICATION TOPIC 740, INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDANCE, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. THE HEALTH SYSTEM HAS INTEREST IN VARIOUS TAXABLE ENTITIES WHICH MAY GIVE RISE TO U.S. TAX EXPOSURES. THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2017 AND 2016. TOAST EAST TX 147944 147944 MIRACLES BEGIN 87146 87146 0 235090 235090 true OVERTON ISD 111 EAST MCKAY STREET OVERTON TX 75684 756002177 501(C)(3) 20000 ATHLETIC TRAINER CHRISTUS TRINITY MOTHER FRANCES HOSPITAL 1315 DOCTORS DRIVE TYLER TX 75701 750818167 501(C)(3) 1313656 HOSPITAL EQUIPMENT MINEOLA FOUNDATION POBOX 684 MINEOLA TX 75773 752852822 501(C)(3) 10000 HEALTHCARE TRAINING TRINITY CLINIC 1315 DOCTORS DRIVE TYLER TX 75701 752616977 501(C)(3) 62196 RESPITE PROGRAM 4 OVERTON ISD 20000 DONOR SUPPORT 2 231800 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS FORM 990, SCHEDULE I, PART I, LINE 2 THE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVES NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATION". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINSTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AND IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST, CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHEIVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFITS BUT FOR PUBLIC BENEFITS. CONTIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FROR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE. X X X X X false true false false false false false false false JAMES CACCITOLO MD DIRECTOR 1069325 4440 11263 11246 1096274 SCOTT FOSSEY VP / EXEC. DIRECTOR 225721 64988 11319 5912 5484 313424 CLAYTON WHITNEY MD DIRECTOR 773029 4440 27938 5940 811347 MARY JACKSON VP 228406 73107 15476 8839 4762 330590 EXECUTIVE COMPENSATION: SCHEDULE J, PART I, LINE 3 EXECUTIVE COMPENSATION: A RELATED ORGANIZATION DETERMINES COMPENSATION OF THE FOUNDATION'S EXECUTIVE DIRECTOR THROUGH THE USE OF THE FOLLOWING: - COMPENSATION COMMITTEE - WRITTEN EMPLOYMENT CONTRACT - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE COMPENSATION FROM RELATED ORGANIZATIONS SCHEDULE J, PART II COMPENSATION FROM RELATED ORGANIZATIONS: THE GOVERNING BOARD OF CHRISTUS 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 RTIREMENT 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. INDIVIDUALS WHO MAY ELECT MEMBERS OF THE GOVENING BODY FORM 990, PART VI, LINE 7A INDIVIDUALS WHO MAY ELECT MEMBERS OF THE GOVERNING BODY: CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM, THE SUPPORTED ORGANIZATION, HAS THE POWER TO APPOINT THE MAJORITY OF THE DIRECTORS WITHIN THE GOVERNING BODY. DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY THE MEMBER FORM 990, PART VI, LINE 7B THE MEMBER HAS THE AUTHORITY TO APPROVE OR DISAPPROVE CERTAIN MATTERS PREVIOUSLY APPROVED BY THE BOARD OF DIRECTORS. PROCESS TO REVIEW THE FORM 990 FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE CHRISTUS HEALTH TAX DEPARTMENT. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH THE TAX DEPARTMENT IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATIONS CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS WAS REVIEWD PRIOR TO FILING WITH THE IRS IN THE SPRING 2018 BY THE ORGANIZATIONS PRESIDENT AND SECRETARY, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. AT A BOARD MEETING SUBSEQUENT TO FILING WITH THE IRS, THE PRESIDENT AND SECRETARY WILL REPORT TO THE FULL BOARD ON THE FORM 990. PROCESS TO MONITOR AND ENFORCE CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C THE BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE THROUGHOUT THE YEAR IN ACCORDANCE WITH POLICY STANDARDS. THE ORGANIZATIONS INTERNAL ACCOUNTANTS DISTRIBUTE AND REVIEW ANNUAL QUESTIONNAIRES TO IDENTIFY ANY POTENTIAL CONFLICTS OF THE BOARD MEMBERS, OFFICERS AND THE HIGHEST COMPENSATED EMPLOYEES. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, THE INDIVIDUAL IS REMOVED FROM DISCUSSIONS AND CANNOT VOTE ON ANY TRANSACTIONS INVOLVING THE CONFLICT. REVIEW OF COMPENSATION OF CEO, OFFICER, OR KEY EMPOLYEES FORM 990, PART VI, LINE 15A & 15B THE ORGANIZATION USES COMPENSATION CONSULTANTS AND NATIONAL COMPENSATION SURVEYS TO DETERMINE COMPENSATION OF EMPLOYEES. COMPENSATION IS APPROVED BY THE ORGANIZATIONS GOVERNING BODY AND ULTIMATELY APPROVED BY CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM. LAURA LOCKHART, CTMFHS DIRECTOR OF TOTAL REWARDS, AND CANDY LAND, CTMFHS COMPENSATION ANALYST, CONDUCTED THE MOST RECENT REVIEW OF OFFICER COMPENSATION IN 2016. ALL REVIEWS ARE DOCUMENTED IN THE MARKET ADJUSTMENT FILES. THE ORGANIZATION UTILIZES MGMA NATIONAL COMPENSATION SURVEY TO DETERMINE THE COMPENSATION OF PROVIDERS (PHYSICIANS AND ADVANCED PRACTICE PROVIDERS). ON A BI-ANNUAL BASIS, THE ORGANIZATION ENGAGES AN OUTSIDE, NATIONAL PROVIDER COMPENSATION CONSULTING FIRM TO CONDUCT A FAIR MARKET VALUE ASSESSMENT OF THE TOTAL COMPENSATION OF ALL PROVIDERS. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER CHANGES IN NET ASSETS FROM 990, PART XI, LINE 9 TRANSFER OF RESTRICTED DONATIONS $1,932,537 ASSETS RELEASED FROM RESTRICTIONS ($1,813,655) CONTRIBUTION ($7,346,655) ------------ TOTAL ($7,227,773) TRINITY CLINIC 1315 DOCTORS DRIVE TYLER TX 75701 752616977 HEALTHCARE TX 501(C)(3) 3 CTMFHS true MOTHER FRANCES HOSPITAL REGIONAL HC CTR 1315 DOCTORS DRIVE TYLER TX 75701 750818167 HOSPITAL TX 501(C)(3) 3 CTMFHS true MOTHER FRANCES HOSPITAL - JACKSONVILLE 1315 DOCTORS DRIVE TYLER TX 75701 751976930 HOSPITAL TX 501(C)(3) 3 CTMFHS true REGIONAL MEDICAL SERVICES ASSOCIATION 1315 DOCTORS DRIVE TYLER TX 75701 752511459 HEALTHCARE TX 501(C)(3) 3 MFH REG true CHRISTUS TRINITY MF HEALTH SYSTEM 1315 DOCTORS DRIVE TYLER TX 75701 752616975 SUPPORT TX 501(C)(3) 12, TYPE I CH false MOTHER FRANCES HOSPITAL -WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 HOSPITAL TX 501(C)(3) 3 CTMFHS true ALIGNED PROVIDERS OF EAST TEXAS 1315 DOCTORS DRIVE TYLER TX 75701 465720165 HEALTHCARE TX 501(C)(3) 3 MFH REG true CSFN MISSION & MINISTRY INC 4001 GRANT AVENUE PHILADELPHIA PA 19114 205728802 SPONSORSHIP PA 501(C)(3) 1 NA false CHRISTUS HEALTH 919 HIDDEN RIDGE IRVING TX 75038 760590551 SPT HLTH SVCS TX 501(C)(3) 10 NA false TRI-STATE FINANCIAL LLC 1315 DOCTORS DRIVE TYLER TX 75701 752728318 DORMANT TX CTMFHS C-CORPORATION true TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 RETAIL HEALTH SVC TX CTMFHS C-CORPORATION true HEALTHPLAN OF TEXAS INC 514 S BECKHAM TYLER TX 75701 752636832 THIRD PARTY ADMIN TX CTMFHS C-CORPORATION true THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752484109 PREFER PROVIDER TX CTMFHS C-CORPORATION true TEXAS HEALTH FACILITY INSUR CORP LTD POBOX 1109 BWI CJ 980136025 INSURANCE CJ MFH REG C-CORPORATION true CHARITABLE REMAINDER TRUST (1) TRUST TX NA TRUST DIRECT CONTROLLING ENTITY: SCHEDULE R, PART II, COLUMN F DIRECT CONTROLLING ENTITY: CHRISTUS HEALTH ("CH") IS THE TOP LEVEL ORGANIZATION WHICH DIRECTLY OR INDIRECTLY CONTROLS ALL OF THE LOWER TIERED ORGANIZATION. THE FOLLOWING RELATED ORGANIZATIONS REPORTABLE IN PART II ARE DIRECTLY CONTROLLED BY CHRISTUS TRINITY MOTHER HEALTH SYSTEM ("CTMFHS"): MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER MOTHER FRANCES HOSPITAL - JACKSONVILLE CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION TRINITY CLINIC MOTHER FRANCES HOSPITAL - WINNSBORO REGIONAL MEDICAL SERVICES ASSOCIATION AND ALIGNED PROVIDERS OF EAST TEXAS ARE DIRECTLY CONTROLLED BY MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER ("MFH REG"). THE ABOVE DIRECT CONTROLLING ENTITIES, "CTMFHS"MFH REG", ARE ALSO THE CONTROLLING ENTITIES FOR THE CORPORATIONS LISTED IN PART IV.