CHRISTUS TRINITY CLINIC TEXAS: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CHRISTUS TRINITY CLINIC TEXAS (EIN 75-2616977)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-10
IRS object ID
201841309349303109
Schema version
2016v3.1
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

FieldValueIRS element (for citing)
Return2018-05-10T13:58:21-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752616977EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRINITY CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CHRISSY RAMSEYInCareOfNm
Business Name ControlTRINBusinessNameControlTxt
Phone9036065639PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11315 DOCTORS DRIVEAddressLine1Txt
CityTYLERCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELIZABETH PULLIAMPersonNm
Person TitleSYSTEM CFOPersonTitleTxt
Phone9036065639PhoneNum
Signature2018-05-01SignatureDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSTEVEN KEUER MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11315 DOCTORS DRIVEAddressLine1Txt
CityTYLERCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$168,960,733GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TMFHC.ORG/TRINITYCLINICWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTO PROVIDE PHYSICIAN SERVICES WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee700TotalEmployeeCnt
Total Volunteers34TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$55,401PYContributionsGrantsAmt
CY Contributions Grants$75,070CYContributionsGrantsAmt
PY Program Service Revenue$154,044,019PYProgramServiceRevenueAmt
CY Program Service Revenue$164,856,293CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$296CYInvestmentIncomeAmt
PY Other Revenue$39,520PYOtherRevenueAmt
CY Other Revenue$4,029,074CYOtherRevenueAmt
PY Total Revenue$154,138,940PYTotalRevenueAmt
CY Total Revenue$168,960,733CYTotalRevenueAmt
PY Grants And Similar Paid$1,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$43,212,411PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$167,070,642CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$139,435,475PYOtherExpensesAmt
CY Other Expenses$42,271,976CYOtherExpensesAmt
PY Total Expenses$182,648,886PYTotalExpensesAmt
CY Total Expenses$209,342,618CYTotalExpensesAmt
PY Revenues Less Expenses-$28,509,946PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$40,381,885CYRevenuesLessExpensesAmt
Total Assets BOY$46,974,731TotalAssetsBOYAmt
Total Assets EOY$46,332,852TotalAssetsEOYAmt
Total Liabilities BOY$104,244,722TotalLiabilitiesBOYAmt
Total Liabilities EOY$92,996,865TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$57,269,991NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$46,664,013NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE PHYSICIAN SERVICES WITH A FULL RANGE OF COMPREHENSIVE HEALTHCARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$189,943,256ExpenseAmt
Revenue$164,856,293RevenueAmt
DescOUR 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 SCREEING 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. CHRISTUS TRINITY CLINIC IS THE AREAS PREFERERD MULTI-SPECIALTY MEDICAL GROUP, WITH MORE THAN 400 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS PRESENTING 36 SPECIALTIES IN 34 LOCATIONS SERVING NORTHEAST TEXAS ACROSS 41 COUNTIES.Desc
Total Program Service Expenses$189,943,256TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document60IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee700EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHRISSY RAMSEYPersonNm
Phone9036065639PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11315 DOCTORS DRIVEAddressLine1Txt
CityTYLERCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75701ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANDRIA CARDINALLI-STEIN MD
DIRECTOR14.00.0Yes (X)$161,002$0$6,093
BRENDA MORRIS MD
DIRECTOR40.00.0Yes (X)$399,558$0$14,378
BRENT ROY WADLE DO
DIRECTOR40.00.0Yes (X)$428,067$0$21,637
FAGG SANFORD MD
DIRECTOR38.02.0Yes (X)$846,908$0$26,612
HAMP WILLIAMS MD
DIRECTOR/VICE-CHAIR40.00.0Yes (X)$464,736$0$20,741Yes (X)
JAMES CACCITOLO MD
DIRECTOR/SECRETARY39.01.0Yes (X)$1,073,765$0$22,508Yes (X)
JAMES STANFORD MD
DIRECTOR40.00.0Yes (X)$411,588$0$42,430
JANET HURLEYMD
DIRECTOR40.00.0Yes (X)$286,943$0$18,871
JAYESH PATELMD
DIRECTOR40.00.0Yes (X)$917,160$0$32,528
JOE ZASIK MD
DIRECTOR40.00.0Yes (X)$543,492$0$39,037
JOHN LANE SCHNELLMD
DIRECTOR (EFF 01/2017)40.00.0Yes (X)$503,815$0$21,184
MARK ANDERSONMD
DIRECTOR/CHAIR39.01.0Yes (X)$518,467$0$23,734Yes (X)
SCOTT SMITHMD
DIRECTOR16.024.0Yes (X)$320,724$481,085$11,163Yes (X)
STEVE KEUERMD
DIRECTOR/PRESIDENT16.024.0Yes (X)$1,134,411$0$36,852Yes (X)
TODD PATRICKMD
DIRECTOR (TERMED 12/2016)40.00.0Yes (X)$1,670,240$0$21,184
J CHRIS GLENNEY
CAO1.039.0$910,490$0$19,243Yes (X)
WILLIAM DOOLEY
VP (TERMED 2/18/17)40.00.0$293,824$0$15,967Yes (X)
FADI NASRALLAH MD
SR VP40.00.0$810,541$0$15,453Yes (X)
KAI XIAMD
PHYSICIAN40.00.0$1,440,017$0$34,402Yes (X)
LAURA O'HALLORANMD
PHYSICIAN40.00.0$1,503,831$0$15,702Yes (X)
MING LUMD
PHYSICIAN40.00.0$1,760,694$0$23,734Yes (X)
PETER SIRIANNIMD
PHYSICIAN40.00.0$1,533,692$0$22,508Yes (X)
RAMON KUMARMD
PHYSICIAN40.00.0$1,314,002$0$19,858Yes (X)
THOMAS HARGROVEMD
PHYSICIAN/FORMER VP8.032.0$383,235$0$44,826Yes (X)
JOYCE HESTER
SVP/CFO (TERMED 04/2016)7.033.0$292,384$1,378,382$1,498Yes (X)
JAMES GREGORY STOVALL
FORMER OFFICER40.00.0$241,981$0$16,651Yes (X)
ROGER FOWLER
FORMER OFFICER40.00.0$384,805$0$36,253Yes (X)
WILLIAM MCCRADY MD
FORMER VP1.00.0$156,735$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$20,707,107TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,859,467TotReportableCompRltdOrgAmt
Total Other Compensation$625,047TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K335IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DELTA LOCUM TENENS LLC
POBOX 202940DALLASTX75320PHYSICIAN SERVICES$2,112,126
DAVID HARRISON MD
4330 GILBERT AVE UNIT DDALLASTX75219PHYSICIAN SERVICES$517,585
RICARDO VEGA DO
19225 OAKBROOK RDTYLERTX75703PHYSICIAN SERVICES$378,510
UT HEALTH CENTER AT TYLER
11937 US HWY 271TYLERTX75708PHYSICIAN SERVICES$900,183
JONATHAN W PINO MD
4412 KELL W BLVDWICHITA FALLSTX76309PHYSICIAN SERVICES$278,738
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt
Related Organizations$62,196RelatedOrganizationsAmt
All Other Contributions$12,874AllOtherContributionsAmt
Total Contributions$75,070TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621500$127,379,827$127,379,827
WELLNESS CENTER REVENUE900099$48,000$48,000
ER COVERAGE NET CHARGE900099$37,428,466$37,428,466
FieldValueIRS element (for citing)
Total Program Service Revenue$164,856,293TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$296TotalRevenueColumnAmt
Exclusion$296ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
LIFE & HEALTH INSURANCE900099$3,651,750$3,651,750
WELLNESS SERVICE FEE900099$276,693$276,693
PEDIATRIC TEACHING SERVICE900099$100,617$100,617

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14TotalRevenueColumnAmt
Exclusion$14ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,029,074OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$168,960,733TotalRevenueColumnAmt
Related Or Exempt Func Income$164,856,293RelatedOrExemptFuncIncomeAmt
Exclusion$4,029,370ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$11,852,466TotalAmt
Program Services$10,925,011ProgramServicesAmt
Management And General$927,455ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$2,077,481TotalAmt
Program Services$1,914,918ProgramServicesAmt
Management And General$162,563ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$138,386,504TotalAmt
Program Services$127,557,573ProgramServicesAmt
Management And General$10,828,931ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,939,598TotalAmt
Program Services$12,939,598ProgramServicesAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,814,593TotalAmt
Program Services$1,154,903ProgramServicesAmt
Management And General$659,690ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$11,868,479TotalAmt
Program Services$11,868,479ProgramServicesAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$676TotalAmt
Management And General$676ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$150TotalAmt
Management And General$150ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,548,247TotalAmt
Program Services$4,408,511ProgramServicesAmt
Management And General$4,139,736ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$31,685TotalAmt
Program Services$2,714ProgramServicesAmt
Management And General$28,971ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,167,038TotalAmt
Program Services$317,078ProgramServicesAmt
Management And General$849,960ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$262,002TotalAmt
Management And General$262,002ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,473,430TotalAmt
Program Services$499,584ProgramServicesAmt
Management And General$973,846ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$170,601TotalAmt
Program Services$29,927ProgramServicesAmt
Management And General$140,674ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,154,995TotalAmt
Program Services$1,138,020ProgramServicesAmt
Management And General$16,975ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$104,983TotalAmt
Program Services$104,983ProgramServicesAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$329,315TotalAmt
Program Services$80,569ProgramServicesAmt
Management And General$248,746ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,687,884TotalAmt
Program Services$2,603,480ProgramServicesAmt
Management And General$84,404ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$3,561,740$3,552,624$9,116
PROV FOR UNCOLLECTIBLE ACCOUNT$9,006,364$9,006,364
INTERCOMPANY ALLOCATION$1,441,361$1,441,361
OTHER EXPENSES$463,026$397,559$65,467

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$209,342,618TotalAmt
Program Services$189,943,256ProgramServicesAmt
Management And General$19,399,362ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,095BOYAmt
EOY$96,016EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,548,233BOYAmt
EOY$13,052,970EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$985,547EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$100,594BOYAmt
EOY$178,598EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$445,562BOYAmt
EOY$1,413,798EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,345,564LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$378,165LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,138,244BOYAmt
EOY$967,399EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$26,754,170BOYAmt
EOY$28,787,188EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,256BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$536,672BOYAmt
EOY$435,207EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,431,905BOYAmt
EOY$416,129EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$46,974,731BOYAmt
EOY$46,332,852EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$25,560,999BOYAmt
EOY$37,166,275EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$78,683,723BOYAmt
EOY$55,830,590EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$104,244,722BOYAmt
EOY$92,996,865EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$57,269,991BOYAmt
EOY-$46,664,013EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$57,269,991BOYAmt
EOY-$46,664,013EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$46,974,731BOYAmt
EOY$46,332,852EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$40,381,885ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$50,987,863OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,185,371BeginningYearBalanceAmt
Investment Earnings Or Losses$345,766InvestmentEarningsOrLossesAmt
Grants Or Scholarships$9,101GrantsOrScholarshipsAmt
End Year Balance$3,522,036EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,885,950BeginningYearBalanceAmt
Contributions$445,000ContributionsAmt
Investment Earnings Or Losses-$118,741InvestmentEarningsOrLossesAmt
Grants Or Scholarships$26,838GrantsOrScholarshipsAmt
End Year Balance$3,185,371EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,762,072BeginningYearBalanceAmt
Investment Earnings Or Losses$124,878InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,000GrantsOrScholarshipsAmt
End Year Balance$2,885,950EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,414,694BeginningYearBalanceAmt
Investment Earnings Or Losses$360,569InvestmentEarningsOrLossesAmt
Grants Or Scholarships$13,191GrantsOrScholarshipsAmt
End Year Balance$2,762,072EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,408,876BeginningYearBalanceAmt
Investment Earnings Or Losses$163,752InvestmentEarningsOrLossesAmt
Grants Or Scholarships$157,934GrantsOrScholarshipsAmt
End Year Balance$2,414,694EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.71220PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.28780TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,063OtherCostOrOtherBasisAmt
Depreciation$12,322DepreciationAmt
Book Value$46,741BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,286,501OtherCostOrOtherBasisAmt
Depreciation$365,843DepreciationAmt
Book Value$920,658BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$967,399TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PENSION LIABILITY$14,336,229
INTERCOMPANY LIABILITY$34,055,105
RESERVE FOR MALPRACTICE SELF-INSURANCE$7,438,449
SALES TAX PAYABLE$807
FieldValueIRS element (for citing)
Total Liability$55,830,590TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS:FORM 990, SCHEDULE D, PART V, LINE 4: THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT 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 POSITIONSFORM 990, SCHEDULE D, PART X, LINE 2: THE AUTHORITATIVE GUIDANCE IN ACCOUNTING STANDARDS CODIFICATION TOPIC 740, INCOME TAXES, CREARES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THERSHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDENCE, 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
ANDRIA CARDINALLI-STEIN MD
DIRECTOR$160,213$789$5,304$789$167,095
BRENDA MORRIS MD
DIRECTOR$395,118$4,440$9,938$4,440$413,936
BRENT ROY WADLE DO
DIRECTOR$423,627$4,440$10,391$11,246$449,704
J CHRIS GLENNEY
CAO$369,959$11,263$7,980$929,733$540,531
FAGG SANFORD MD
DIRECTOR$842,468$4,440$26,612$873,520
HAMP WILLIAMS MD
DIRECTOR/VICE-CHAIR$460,296$4,440$11,262$9,479$485,477
JAMES CACCITOLO MD
DIRECTOR/SECRETARY$1,069,325$4,440$11,262$11,246$1,096,273
JAMES STANFORD MD
DIRECTOR$407,188$4,400$29,092$13,338$454,018
JANET HURLEYMD
DIRECTOR$283,681$3,262$8,803$10,068$305,814
JAYESH PATELMD
DIRECTOR$911,520$5,640$27,938$4,590$949,688
JOE ZASIK MD
DIRECTOR$539,052$4,440$27,938$11,099$582,529
JOHN LANE SCHNELLMD
DIRECTOR (EFF 01/2017)$464,375$4,440$9,938$11,246$524,999$35,000
MARK ANDERSONMD
DIRECTOR/CHAIR$514,027$4,440$9,938$13,796$542,201
SCOTT SMITHMD
DIRECTOR$259,724$3,445$1,020$325,189$61,000$389,585$91,500$5,168$1,530$487,783
STEVE KEUERMD
DIRECTOR/PRESIDENT$641,694$108,005$29,263$7,589$1,171,263$384,712$108,005
TODD PATRICKMD
DIRECTOR (TERMED 12/2016)$1,665,800$4,440$9,938$11,246$1,691,424
WILLIAM DOOLEY
VP (TERMED 2/18/17)$213,955$11,141$7,237$8,730$309,791$68,728
KAI XIAMD
PHYSICIAN$1,428,577$11,440$28,762$5,640$1,474,419
LAURA O'HALLORANMD
PHYSICIAN$1,499,391$4,440$11,262$4,440$1,519,533
MING LUMD
PHYSICIAN$1,756,254$4,440$9,938$13,796$1,784,428
PETER SIRIANNIMD
PHYSICIAN$1,529,252$4,440$11,262$11,246$1,556,200
THOMAS HARGROVEMD
PHYSICIAN/FORMER VP$378,570$4,665$29,262$15,564$428,061$225
RAMON KUMARMD
PHYSICIAN$1,309,562$4,440$8,612$11,246$1,333,860
JOYCE HESTER
SVP/CFO (TERMED 04/2016)$30,317$262$292,646$262,067$142,922$1,235,460$1,236$1,379,618
JAMES GREGORY STOVALL
FORMER OFFICER$237,967$4,014$7,598$9,053$258,632
ROGER FOWLER
FORMER OFFICER$378,991$5,814$29,263$6,990$421,058$3,474
FADI NASRALLAH MD
SR VP$712,801$15,240$8,613$6,840$825,994$82,500
WILLIAM MCCRADY MD
FORMER VP$54,000$102,735$156,735$102,735

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USEFORM 990, SCHEDULE J, LINE 1A: THE AMOUNT PAID FOR THE HOUSING ALLOWANCE IS INCLUDED AS TAXABLE COMPENSATION FOR WILLIAM DOOLEY.
COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATIONFORM 990, SCHEDULE J, PART I, LINE 6A SOME PHYSICIANS ARE PAID BASED ON THE COMPENSATION FORMULA OF THEIR INDIVIDUAL RESPECTIVE DEPARTMENTS.
COMPENSATION FROM RELATED ORGANIZATIONSFORM 990, SCHEDULE J, PART II 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 RETIREMENT BENEFIT FOR SENIOR EXECUTIVES THAT SERVE 20 YEARS OR MORE. THIS PROGRAM HAS BOTH RETENTIONAND NON-COMPETITION CLAUSES THAT A RISK OF FORFEITURE. DEFERRED COMPENSATION IS SUBJECT TO A RISK OF FOEREITURE BASED ON RETENTION, NON-COMPETITION AND OTHER CONTRACTUAL FACTORS. ACCRULAS 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.
PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANPARTICIPANTS IN 457(F) REPORTED IN W-2 --------------------------------------- STEVEN KEUER $108,005 WILLIAM MCCRADY $102,735 ROGER FOWLER $ 3,474 THOMAS HARGROVE $ 225 FAGG SANFORD NONE
SEVERANCEFORM 990, SCHEDULE J, PART I, LINE 4A DURING CALENDAR YEAR 2016, JOYCE HESTER WAS PAID $1,198,050 AS SEVERANCE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJOSHUA STEINPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionANDRIA CARDINALLI-STEIN, DIRECTORRelationshipDescriptionTxt
Transaction$775,076TransactionAmt
TransactionSEE SUPPLEMENTAL INFORMATIONTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceBUSINESS TRANSACTIONS WITH INTERESTED PERSONSFormAndLineReferenceDesc
ExplanationSCHEDULE L, PART IV: WAGES OF $775,076 WERE PAID TO JOSHUA STEIN, HUSBAND OF DR. CARDINALLI-STEIN, FOR SERVICES TO TRINITY CLINIC DURING FY2017.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DOING BUSINESS ASFORM 990, PAGE1, ITEM C, TRINITY CLINIC OPERATES UNDER THE FOLLOWING NAMES: TRINITY PATHOLOGY ASSOCIATES CHRISTUS TRINITY CLINIC
MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINE 6: CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM IS THE SOLE MEMBER OF TRINITY CLINIC.
DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY THE MEMBERMEMBERS WHO MAY ELECT MEMBERS OF THE GOVERNING BODY FORM 990, PART VI, LINE 7A THE SOLE MEMBER, MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER, HAS THE POWER TO APPOINT ALL DIRECTORS AND THEIR SUCCESSORS TO THE GOVERNING BOARD. 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 990FORM 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. ONCE PREPARED AND FILED, A COPY OF THE RETURN IS MADE AVAILABLE TO THE BOARD OF DIRECTORS UPON THEIR REQUEST.
PROCESS TO MONITOR AND ENFORCE CONFLICT OF INTEREST POLICYFORM 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 EMPLOYEESFORM 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. THE MOST RECENT REVIEW OF OFFICER COMPENSATION WAS CONDUCTED IN 2016 BY LAURA LOCKHART, CTMFHS DIRECTOR OF TOTAL REWARDS, AND CANDY LAND, CTMFHS COMPENSATION ANALYST. 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 DOCUMENTSFORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
COMPENSATION FROM RELATED ORGANIZATIONSFORM 990, PART VII, LINE 1A 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 RETIREMENT BENEFIT FOR SENIOR EXECUTIVES THAT SERVE 20 YEARS OR MORE. THIS PROGRAM HAS BOTH RETENTIONAND NON-COMPETITION CLAUSES THAT A RISK OF FORFEITURE. DEFERRED COMPENSATION IS SUBJECT TO A RISK OF FOEREITURE BASED ON RETENTION, NON-COMPETITION AND OTHER CONTRACTUAL FACTORS. ACCRULAS 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.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9 TRANSFERS FROM AFFILIATE $50,987,863

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MOTHER FRANCES HOSPITAL REGIONAL HC CTR
1315 DOCTORS DRIVETYLERTX75701750818167HOSPITALTX501(C)(3)3CTMFHSYes (true)
MOTHER FRANCES HOSPITAL - JACKSONVILLE
1315 DOCTORS DRIVETYLERTX75701751976930HOSPITALTX501(C)(3)3CTMFHSYes (true)
CHRISTUS-TRINITY MOTHER FRANCES FDN
1315 DOCTORS DRIVETYLERTX75701752028241SUPPORTTX501(C)(3)12, TYPE ICTMFHSYes (true)
REGIONAL MEDICAL SERVICES ASSOCIATION
1315 DOCTORS DRIVETYLERTX75701752511459HEALTHCARETX501(C)(3)3MFH REGYes (true)
CHRISTUS TRINITY MF HEALTH SYSTEM
1315 DOCTORS DRIVETYLERTX75701752616975SUPPORTTX501(C)(3)12, TYPE IICHfalse
MOTHER FRANCES HOSPITAL - WINNSBORO
1315 DOCTORS DRIVETYLERTX75701752771569HOSPITALTX501 (C)(3)3CTMFHSYes (true)
ALIGNED PROVIDERS OF EAST TEXAS
1315 DOCTORS DRIVETYLERTX75701465720165HEALTHCARETX501(C)(3)3MFH REGYes (true)
CSFN MISSION AND MINISTRY INC
4001 GRANT AVENUEPHILADELPHIAPA19114205728802SPONSORSHIPPA501(C)(3)1NAfalse
CHRISTUS HEALTH
919 HIDDEN RIDGEIRVINGTX75038760590551SPT HLTH SVCSTX501(C)(3)10NAfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
TRI-STATE FINANCIAL LLC
1315 DOCTORS DRIVETYLERTX75701752728318DORMANTTXCTMFHSC-CORPORATIONYes (true)
TRINCARE INC
1315 DOCTORS DRIVETYLERTX75701752161369RETAIL HEALTH SVCTXCTMFHSC-CORPORATIONYes (true)
HEALTHPLAN OF TEXAS INC
1315 DOCTORS DRIVETYLERTX752636832752636832THIRD PARTY ADMINTXCTMFHSC-CORPORATIONYes (true)
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVETYLERTX75701752484109PREFER PROVIDERTXCTMFHSC-CORPORATIONYes (true)
TEXAS HEALTH FACILITY INSUR CORP LTD
980136025INSURANCEMFH REGC-CORPORATIONYes (true)POBOX 1109BWICJCJ

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CH WILKINSON PHYSICIAN NETWORK
O$74,919ACCRUAL
CH WILKINSON PHYSICIAN NETWORK
Q$6,041ACCRUAL
CHRISTUS HOPKINS HEALTH ALLIANCE
O$248,245ACCRUAL
CHRISTUS HOPKINS HEALTH ALLIANCE
Q$100,997ACCRUAL
CHRISTUS HEALTH
P$109,385ACCRUAL
GSHS INC
O$21,971ACCRUAL
GSHS INC
Q$1,983ACCRUAL
CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM
K$904,560ACCRUAL
CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM
M$1,441,361ACCRUAL

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