MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER (EIN 75-0818167)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-15
IRS object ID: 201701359349304090
Schema version: 2015v3.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-15T10:50:35-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	14241 DALLAS PKWY STE 1100	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75254	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	750818167	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mother Frances Hospital Regional Health	BusinessNameLine1Txt
Business Name Line2	Care Center	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% CHRISSY RAMSEY	InCareOfNm
Business Name Control	MOTH	BusinessNameControlTxt
Phone	9036065639	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1315 Doctors Drive	AddressLine1Txt
City	Tyler	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75701	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ELIZABETH PULLIAM	PersonNm
Person Title	VP of Finance	PersonTitleTxt
Phone	9035315764	PhoneNum
Signature	2017-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jeanette Verrelli	PreparerPersonNm
PTIN	P00742631	PTIN
Phone	9727028262	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTUS Trinity MF Tyler	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ELIZABETH PULLIAM	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 E DAWSON STREET	AddressLine1Txt
City	TYLER	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75701	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,060,478,587	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TMFHC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1958	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE THE COMMUNITY 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 Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	4109	TotalEmployeeCnt
Total Volunteers	268	TotalVolunteersCnt
Total Gross UBI	$2,218,636	TotalGrossUBIAmt
PY Contributions Grants	$2,831,335	PYContributionsGrantsAmt
CY Contributions Grants	$2,538,984	CYContributionsGrantsAmt
PY Program Service Revenue	$620,936,007	PYProgramServiceRevenueAmt
CY Program Service Revenue	$638,428,005	CYProgramServiceRevenueAmt
PY Investment Income	$12,071,903	PYInvestmentIncomeAmt
CY Investment Income	$3,316,219	CYInvestmentIncomeAmt
PY Other Revenue	$8,447,895	PYOtherRevenueAmt
CY Other Revenue	$8,467,847	CYOtherRevenueAmt
PY Total Revenue	$644,287,140	PYTotalRevenueAmt
CY Total Revenue	$652,751,055	CYTotalRevenueAmt
PY Grants And Similar Paid	$23,095,342	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$27,555,482	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$183,265,791	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$198,596,294	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$354,692,309	PYOtherExpensesAmt
CY Other Expenses	$367,353,967	CYOtherExpensesAmt
PY Total Expenses	$561,053,442	PYTotalExpensesAmt
CY Total Expenses	$593,505,743	CYTotalExpensesAmt
PY Revenues Less Expenses	$83,233,698	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$59,245,312	CYRevenuesLessExpensesAmt
Total Assets BOY	$807,350,395	TotalAssetsBOYAmt
Total Assets EOY	$860,312,990	TotalAssetsEOYAmt
Total Liabilities BOY	$348,205,022	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$380,407,924	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$459,145,373	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$479,905,066	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$480,294,638	ExpenseAmt
Grant	$27,555,482	GrantAmt
Revenue	$638,833,688	RevenueAmt
Desc	THE HOSPITAL'S OPERATING PLAN INCORPORATES PROVISIONS FOR INDIVIDUALS WHO DO NOT POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. 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, AND AWARENESS PROGRAMS FOR PERSONS WITH SPECIAL PHYSICAL OR MENTAL NEEDS. INDIVIDUALS SERVED AMOUNTED TO 25,685 INPATIENTS ADMITTED RESULTING IN 112,381 PATIENT DAYS; 523,354 OUTPATIENTS ADMITTED RESULTING IN 341,548 PATIENT DAYS; AND 71,761 EMERGENCY ROOM VISITS RESULTING IN 9,650 PATIENT DAYS.	Desc
Total Program Service Expenses	$480,294,638	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	145	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4109	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CHRISSY RAMSEY	PersonNm
Phone	9036065639	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1315 DOCTORS DRIVE	AddressLine1Txt
City	TYLER	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75701	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RAY THOMPSON
SYS EXEC VP/DIRECTOR/ASST SEC	16.0	24.0	Yes (X)	Yes (X)	$758,801	$1,138,203	$33,736
BEN FITZGERALD
CHAIRMAN	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
FAGG SANFORD MD
DIRECTOR	1.0	39.0	Yes (X)		$0	$945,411	$15,909
SISTER MALGORZATA MAJSZCZYK
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SISTER IRENE ASZTEMBORSKA
SECRETARY/TREASURER	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
ANDY KIRKPATRICK
DIRECTOR	1.0	39.0	Yes (X)		$0	$663,678	$20,047
PATRICK THOMAS MD
DIRECTOR	1.0	1.0	Yes (X)		$49,596	$0	$0
JOHN MCGREEVY
SR VP/CEO OF MFH REG	39.0	1.0	Yes (X)	Yes (X)	$497,497	$0	$33,736
NOAH ISRAEL MD
PHYSICIAN	1.0	0.0	Yes (X)		$10,950	$0	$0
J LINDSEY BRADLEY
SYSTEM PRESIDENT	9.0	31.0		Yes (X)	$482,415	$1,661,654	$33,736
STEVEN KEUER MD
SYS PRESIDENT/CMO/DIRECTOR	1.0	39.0		Yes (X)	$0	$1,646,802	$19,726
SCOTT SMITH MD
EXECUTIVE VICE PRESIDENT	1.0	39.0		Yes (X)	$0	$643,587	$14,426
JOYCE HESTER
SR. VICE PRESIDENT/CFO	10.0	30.0		Yes (X)	$149,756	$449,269	$31,236
ROBERT ROSE
SR. VP, PATIENT CARE SERVICES	40.0	0.0		Yes (X)	$329,480	$0	$17,068
TODD HANCOCK
SR. VP/COO	40.0	0.0		Yes (X)	$336,501	$0	$16,018
LEE PORTWOOD
VP	40.0	0.0		Yes (X)	$304,828	$0	$14,233
PATRICK SIMONSON
VP	40.0	0.0		Yes (X)	$233,707	$0	$6,943
JASON PROCTOR
VP	40.0	0.0		Yes (X)	$243,479	$0	$9,456
ELIZABETH PULLIAM
VP OF FINANCE/CFO OF MFH REG	15.0	25.0		Yes (X)	$122,344	$203,907	$11,673
WILLIAM SANDBERG
CRNA	40.0	0.0			$276,259	$0	$11,928	Yes (X)
ROBERT BIENERT
CRNA	40.0	0.0			$363,110	$0	$8,760	Yes (X)
TAWONDA FELTON
CRNA	40.0	0.0			$387,949	$0	$11,081	Yes (X)
DUSTIN VIDRINE
CRNA	40.0	0.0			$280,528	$0	$16,025	Yes (X)
TIMOTHY CLARK
CRNA	40.0	0.0			$273,070	$0	$15,170	Yes (X)
CHRIS GLENNEY
VP OPERATIONS/FORMER OFFICER	0.0	40.0			$0	$393,970	$38,836		Yes (X)
SCOTT FOSSEY
VP/FORMER OFFICER	0.0	40.0			$0	$272,864	$11,176		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,100,270	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,019,345	TotReportableCompRltdOrgAmt
Total Other Compensation	$390,919	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	143	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Sound Inpatient Physicians of Texas
1301 Solana Blvd 2200	WESTLAKE	TX	76262	management services	$10,810,041
Sodexo Inc and affiliates
PO Box 536922	ATLANTA	GA	30353	housekeeping/dietary	$3,020,117
CSFN MISSION AND MINISTRY INC
800 E Dawson	TYLER	TX	75701	contract labor	$2,350,000
Miller Weisbrod LLP
11551 Forest Central Dr 300	DALLAS	TX	75243	legal fees	$1,800,000
Tyler Neurosurgical Associates PA
700 Olympic Plaza Circle	TYLER	TX	75701	physician services	$1,789,500

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	45	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$1,730,062	RelatedOrganizationsAmt
All Other Contributions	$808,922	AllOtherContributionsAmt
Total Contributions	$2,538,984	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$588,467,187	$588,467,187
UPL MEDICAID	900099	$25,775,279	$25,775,279
EHR INCENTIVE REVENUE	900099	$1,963,865	$1,963,865
OTHER OPERATING REVENUE	900099	$22,221,674	$22,221,674

Field	Value	IRS element (for citing)
Total Program Service Revenue	$638,428,005	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,702,282	TotalRevenueColumnAmt
Exclusion	$6,702,282	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,634,038	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,634,038	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,634,038	TotalRevenueColumnAmt
Unrelated Business Revenue	$285,088	UnrelatedBusinessRevenueAmt
Exclusion	$3,348,950	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$402,927,226	SecuritiesAmt
Other	$1,091,097	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$407,277,384	SecuritiesAmt
Other	$127,002	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$4,350,158	SecuritiesAmt
Other	$964,095	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,386,063	TotalRevenueColumnAmt
Exclusion	-$3,386,063	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$740,986	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$323,146	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$417,840	TotalRevenueColumnAmt
Related Or Exempt Func Income	$405,683	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,157	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA REVENUE	722514	$2,440,096	$2,440,096
FITNESS CENTERS	713940	$1,921,391		$1,921,391
Vending Machine Revenue	722515	$54,482	$54,482

Field	Value	IRS element (for citing)
Other Revenue Total	$4,415,969	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$652,751,055	TotalRevenueColumnAmt
Related Or Exempt Func Income	$638,833,688	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,218,636	UnrelatedBusinessRevenueAmt
Exclusion	$9,159,747	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$27,555,482	TotalAmt
Program Services	$27,555,482	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,778,147	TotalAmt
Program Services	$6,181,288	ProgramServicesAmt
Management And General	$596,859	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$27,532	TotalAmt
Program Services	$25,162	ProgramServicesAmt
Management And General	$2,370	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$156,283,193	TotalAmt
Program Services	$142,329,561	ProgramServicesAmt
Management And General	$13,953,632	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,974,014	TotalAmt
Program Services	$6,563,861	ProgramServicesAmt
Management And General	$1,410,153	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,010,873	TotalAmt
Program Services	$15,854,077	ProgramServicesAmt
Management And General	$156,796	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,522,535	TotalAmt
Program Services	$9,960,119	ProgramServicesAmt
Management And General	$1,562,416	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,345,140	TotalAmt
Program Services	$268,557	ProgramServicesAmt
Management And General	$1,076,583	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$367,137	TotalAmt
Program Services	$97,480	ProgramServicesAmt
Management And General	$269,657	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$132,786,421	TotalAmt
Program Services	$53,136,016	ProgramServicesAmt
Management And General	$79,650,405	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$19,106	TotalAmt
Program Services	$19,106	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,944,414	TotalAmt
Program Services	$2,327,338	ProgramServicesAmt
Management And General	$617,076	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,234,625	TotalAmt
Program Services	$238,964	ProgramServicesAmt
Management And General	$995,661	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,237,252	TotalAmt
Program Services	$6,082,085	ProgramServicesAmt
Management And General	$155,167	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$145,014	TotalAmt
Program Services	$126,578	ProgramServicesAmt
Management And General	$18,436	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$284,341	TotalAmt
Program Services	$203,155	ProgramServicesAmt
Management And General	$81,186	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,977,059	TotalAmt
Program Services	$7,977,059	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,913,312	TotalAmt
Program Services	$21,643,174	ProgramServicesAmt
Management And General	$1,270,138	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$9,942,669	TotalAmt
Program Services	$3,183	ProgramServicesAmt
Management And General	$9,939,486	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$116,508,416	$116,481,575	$26,841
BAD DEBT EXPENSE	$43,265,631	$43,265,631	$0
REPAIRS AND MAINTENANCE	$8,626,380	$7,938,777	$687,603
FOOD	$3,552,425	$3,540,623	$11,802

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,204,625	TotalAmt
Program Services	$8,475,787	ProgramServicesAmt
Management And General	$728,838	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$593,505,743	TotalAmt
Program Services	$480,294,638	ProgramServicesAmt
Management And General	$113,211,105	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$89,168,491	BOYAmt
EOY	$39,775,155	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,831,700	BOYAmt
EOY	$6,561,307	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$60,336,428	BOYAmt
EOY	$61,022,470	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,362,520	BOYAmt
EOY	$6,337,430	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,498,209	BOYAmt
EOY	$2,617,742	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$631,079,648	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$326,215,482	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$302,660,187	BOYAmt
EOY	$304,864,166	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$237,769,064	BOYAmt
EOY	$302,110,179	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,527,805	BOYAmt
EOY	$4,747,805	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,679,974	BOYAmt
EOY	$2,679,974	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$94,516,017	BOYAmt
EOY	$129,596,762	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$807,350,395	BOYAmt
EOY	$860,312,990	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$68,656,758	BOYAmt
EOY	$59,330,887	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$81,960	BOYAmt
EOY	$1,487,012	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$188,120,099	BOYAmt
EOY	$181,261,874	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$434,872	BOYAmt
EOY	$876,514	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$90,911,333	BOYAmt
EOY	$137,451,637	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$348,205,022	BOYAmt
EOY	$380,407,924	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$459,145,373	BOYAmt
EOY	$479,262,111	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$642,955	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$459,145,373	BOYAmt
EOY	$479,905,066	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$807,350,395	BOYAmt
EOY	$860,312,990	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$59,245,312	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,681,714	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$42,167,333	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$9,405	OtherActivitiesAmt
Total Lobbying Expenditures	$9,405	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1i	FormAndLineReferenceDesc
Explanation	OTHER ACTIVITIES: A PERCENTAGE OF AHA DUES WERE EXPENDED FOR SPECIFIC LOBBYING PURPOSES BASED ON MEDICARE DEFINITION OF UNALLOWABLE EXPENSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,408,876	BeginningYearBalanceAmt
Investment Earnings Or Losses	$163,752	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$157,934	GrantsOrScholarshipsAmt
End Year Balance	$2,414,694	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,350,337	BeginningYearBalanceAmt
Contributions	$30,875	ContributionsAmt
Investment Earnings Or Losses	$27,664	InvestmentEarningsOrLossesAmt
End Year Balance	$2,408,876	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.78610	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.21390	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,208,000	OtherCostOrOtherBasisAmt
Book Value	$29,208,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$227,992,132	OtherCostOrOtherBasisAmt
Depreciation	$94,542,382	DepreciationAmt
Book Value	$133,449,750	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$114,775,951	OtherCostOrOtherBasisAmt
Depreciation	$66,027,486	DepreciationAmt
Book Value	$48,748,465	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$251,305,282	OtherCostOrOtherBasisAmt
Depreciation	$165,645,614	DepreciationAmt
Book Value	$85,659,668	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,798,283	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$7,798,283	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$304,864,166	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$128,304,978
DEFERRED FINANCING COSTS	$1,291,784

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$129,596,762	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
PENSION LIABILITY	$73,543,316
ESTIMATED SELF INSURANCE COSTS	$7,879,143
DUE TO AFFILIATES	$37,729,902
EST. AMOUNTS TO 3RD PARTY PAYERS	$18,299,276

Field	Value	IRS element (for citing)
Total Liability	$137,451,637	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$614,168,640	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$3,681,714	NetUnrealizedGainsInvstAmt
Other Revenue	-$38,448,893	OtherRevenueAmt
Revenue Not Reported	-$34,767,179	RevenueNotReportedAmt
Revenue Subtotal	$648,935,819	RevenueSubtotalAmt
Investment Expenses Not Incld	$367,137	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$3,448,099	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$3,815,236	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$652,751,055	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$548,162,716	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$1,710,259	OtherExpensesIncludedAmt
Expenses Not Reported	-$1,710,259	ExpensesNotReportedAmt
Expenses Subtotal	$549,872,975	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$367,137	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$43,265,631	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$43,632,768	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$593,505,743	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS: 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.
SCHEDULE D, PART XI, LINE 2D	RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Bad debt expense $(43,265,631) Equity in earnings of affiliate 4,816,738 --------------- Total $(38,448,893)
SCHEDULE D, PART XI, LINE 4B	RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Contributions in net assets $1,699,126 Gain on sale of assets 964,095 Other classification differences 784,878 ------------ Total $3,448,099
SCHEDULE D, PART XII, LINE 2D	RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Gain on sale of assets $(964,095) Other classification differences (784,878) Equity in income of consolidated sub 38,714 ----------- Total $(1,710,259)
SCHEDULE D, PART XII, LINE 4B	RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Bad debt expense $43,265,631
SCHEDULE D, PART X, LINE 2	LIABILITY FOR UNCERTAIN TAX POSITIONS: The authoritative 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, 2016.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	1	OfficesCnt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	INSURANCE	SpecificServicesProvidedTxt
Region Total Expenditures	$38,875	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Total Office	1	TotalOfficeCnt
Subtotal Spent	$38,875	SubtotalSpentAmt
Total Spent	$38,875	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,997,506	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,997,506	NetCommunityBenefitExpnsAmt
Total Expense	0.04110	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,508,924	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,066,243	DirectOffsettingRevenueAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,289,442	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$981,285	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$308,157	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,795,872	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,047,528	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,305,663	NetCommunityBenefitExpnsAmt
Total Expense	0.04170	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$430,861	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$430,861	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$165,642	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$165,642	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,152,058	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,152,058	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,954	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$58,954	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,555,482	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,555,482	NetCommunityBenefitExpnsAmt
Total Expense	0.04920	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,362,997	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$29,362,997	NetCommunityBenefitExpnsAmt
Total Expense	0.05250	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$93,158,869	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,047,528	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,668,660	NetCommunityBenefitExpnsAmt
Total Expense	0.09420	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$43,265,631	BadDebtExpenseAmt
Reimbursed By Medicare	$182,000,991	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$173,521,854	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$8,479,137	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd
Mother Frances Hospital Reg HC Center
1	1315 Doctors Drive	Tyler	TX	75701	www.tmfhc.org	000286	Yes (X)	Yes (X)	Yes (X)
Tyler Rehab Associates LP
2	3131 Troup Highway	Tyler	TX	75701	www.tmfrehabhospital.com	000692	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	FAP Notice DisplayedFAPNoticeDisplayedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	No Emergency CareNoEmergencyCareInd
Mother Frances Hospital Reg HC Center
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	false	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	15	Yes (true)	SEE PART V, SECTION C	false	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Tyler Rehab Associates LP
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	false	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	15	Yes (true)	SEE PART V, SECTION C	false	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)			Yes (X)	see part v, section c	Yes (X)	see part v, section c	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	Yes (X)	false	false	Yes (X)

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, FACILITIES 1 & 2, LINE 5	REPRESENTATIVES FROM THE COMMUNITY: BOTH MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER (MFH TYLER) AND TYLER REHAB ASSOCIATES, LP COVER THE SAME COMMUNITY AND ARE WITHIN THE SAME HEALTH CARE SYSTEM; THEREFORE, THEY USED THE SAME COMMUNITY REPRESENTATIVES. THEY CONDUCTED 48 INTERVIEWS WITH THE TWO GROUPS OUTLINED IN IRS FINAL REGULATIONS ISSUED DECEMBER 29, 2014. DURING THESE INTERVIEWS, THE HOSPITAL DISCUSSED THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS, AND ISSUES RELATED TO SPECIFIC POPULATIONS. THE INTERVIEWEES INCLUDED, BUT WERE NOT LIMITED TO, INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: TYLER FAMILY CIRCLE OF CARE CLINIC, ST. PAUL CHILDREN'S FOUNDATION, WHISPERING PINES NURSING HOME, LITERACY COUNCIL OF TYLER, NORTHEAST CHILD ADVOCACY CENTER, BETHESDA HEALTH CLINIC, YOUR PHILANTHROPY, EAST TEXAS HUMAN NEEDS NETWORK (ETHNN), PEOPLE ATTEMPTING TO HELP (PATH), SAMARITAN COUNSELING CENTER, EAST TEXAS COUNCIL OF GOVERNMENTS AREA AGENCY ON AGING, AND VARIOUS OTHERS. ADDITIONALLY, A SURVEY WAS SENT TO A SELECT GROUP OF 940 INDIVIDUALS OR ORGANIZATIONS WHO ARE MEMBERS OF THE ETHNN. OUT OF THE SELECTED GROUP, 120 RESPONSES WERE COLLECTED AND ANALYZED. SURVEY QUESTIONS RELATED TO A VARIETY OF HEALTH PROBLEMS AS WELL AS BARRIERS FOR LOW INCOME RESIDENTS. A PAPER SURVEY WAS ALSO CONDUCTED AT THREE TYLER FAMILY CIRCLE OF CARE CLINIC LOCATIONS. THE SURVEY WAS PROVIDED TO PATIENTS AT CHECK-OUT AND SURVEYED ITEMS SUCH AS LOCATION OF CARE, PROBLEMS SEEING A DOCTOR, AND LIKELINESS OF RETURNING TO CLINICS.
SCHEDULE H, PART V, SECTION B, FACILITIES 1 & 2, LINES 7A & 10A	CHNA AVAILABLE TO THE PUBLIC: THE CHNAS AND IMPLEMENTATION STRATEGIES FOR EACH ORGANIZATION ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: HTTP://WWW.TMFHC.ORG/COMPREHENSIVE-COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
SCHEDULE H, PART V, SECTION B, FACILITY 1, LINE 11	NEEDS IDENTIFIED IN CHNA ADDRESSED AND NOT ADDRESSED: MOTHER FRANCES HOSPITAL - TYLER IDENTIFIED AND ADDRESSED THE FOLLOWING PRIORITIES THROUGH ITS IMPLEMENTATION PLAN: - ACCESS TO PRIMARY CARE SERVICES - NEED FOR INCREASED EMPHASIS ON A COLLABORATIVE CONTINUUM OF CARE - PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES - ACCESS TO SPECIALTY CARE SERVICES - ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE - ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS PROPOSED PROGRAMS TO ADDRESS THE PRIORITIZED NEEDS: - Support development and implementation in Region 1 of the Medicaid Waiver Program in order to accomplish the following: -- Expand Primary Care Access -- Expand Specialty Care Access -- Develop Telemedicine Program for NICU -- Establish and re-certify 19 Medical Homes -- Develop a Palliative Care Project that includes outpatient services -- Develop a Patient Navigation Project for Breast Cancer Patients -- Develop a Care Transition Program - Provide support for the Literacy Council, Alzheimers, Diabetes, American Heart Association, Cancer Foundation For Life, American Cancer Society, Hospice of East Texas, and Health Fitness Programs - Provide support and expand the following programs: -- Tyler Family Circle of Care/Womens Services -- Tyler Family Circle of Care/Primary Care Services -- Trinity Clinic, Pediatric Special Needs Program -- TeleCARE Plus Your Health Information Resource -- Bethesda Clinic Support -- St. Pauls Clinic -- Rural hospital support program through donations -- Health Screening & Preventative Program -- Neonatal Services -- Trauma & Emergency Room Services -- Ross Breast Center Mobile Unit -- MediCab, EMS -- Literacy Council -- Alzheimers Association - Support of a new behavioral health community project - Participation in the Episcopal Foundation Community Health Collaboration Forums - Northeast Texas Public Health District Fit City Challenge Sponsorship - Provide support for the Susan G Komen Race for the Cure - Tyler Junior College Foundation to support Nursing and Health Sciences Center - Texas Health and Human Services Regional Advisory Council MOTHER FRANCES HOSPITAL - TYLER DECIDED NOT TO ADDRESS "ACCESS TO DENTAL SERVICES" LARGELY DUE TO THE FACT THAT IT IS NOT A CORE BUSINESS FUNCTION OF THE HOSPITAL AND THE LIMITED CAPACITY OF THE HOSPITAL TO ADDRESS THIS NEED. HOSPITAL LEADERSHIP FELT THAT RESOURCES AND EFFORTS WOULD BE BETTER SPENT ADDRESSING THE SIX PRIORITIZED NEEDS ABOVE.
SCHEDULE H, PART V, SECTION B, FACILITY 2, LINE 11	NEEDS IDENTIFIED IN CHNA ADDRESSED AND NOT ADDRESSED: TYLER REHAB IDENTIFIED AND ADDRESSED THE FOLLOWING PRIORITIES THROUGH ITS IMPLEMENTATION PLAN: - NEED FOR INCREASED EMPHASIS ON A COLLABORATIVE CONTINUUM OF CARE - PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES - ACCESS TO SPECIALTY CARE SERVICES - ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS THE REHAB HOSPITAL DECIDED NOT TO ADDRESS "ACCESS TO DENTAL SERVICES", "ACCESS TO PRIMARY CARE SERVICES", AND "ACCESS TO MENTAL AND BEHAVIORAL HEALTHCARE". THIS IS LARGELY DUE TO THE FACT THAT THESE ARE NOT CORE BUSINESS FUNCTIONS OF THE HOSPITAL AND THE LIMITED CAPACITY OF THE HOSPITAL TO ADDRESS THESE NEEDS. HOSPITAL LEADERSHIP FELT THAT RESOURCES AND EFFORTS WOULD BE BETTER SPENT ADDRESSING THE FOUR PRIORITIZED NEEDS ABOVE.
SCHEDULE H, PART V, SECTION B, FACILITY 1, LINE 13B	INCOME LEVEL USED FOR FAP ELIGIBILITY: MFH REGIONAL PROVIDES CHARITY FOR PATIENTS ABOVE 400% UNDER THE CATASTROPHIC CAP PROVISION. THIS PROVISION ALLOWS MFH REGIONAL TO DISCOUNT THE CARE RECEIVED TO NO MORE THAN 30% OF THE PATIENT'S YEARLY INCOME.
SCHEDULE H, PART V, SECTION B, FACILITY 1, LINES 16A, 16B, AND 16C	FAP DOCUMENTS AVAILABLE TO THE PUBLIC: THE HOSPITAL'S FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.TMFHC.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/
SCHEDULE H, PART V, SECTION B, FACILITY 2, LINES 16B & 16C	FAP DOCUMENTS AVAILABLE TO THE PUBLIC: THE HOSPITAL'S FAP APPLICATION FORM AND A PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.TMFREHABHOSPITAL.COM/EN/PATIENTS-AND-FAMILY/FINANCIAL-ASSISTANC E
SCHEDULE H, PART V, SECTION B, FACILITIES 1 & 2, LINES 18, 19 & 20	BILLING AND COLLECTIONS: NEITHER MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER, TYLER REHAB, NOR THIRD PARTIES AUTHORIZED BY MFH-REGIONAL HEALTH CARE CENTER, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART V, SECTION B, FACILITY 1, LINE 22D	DETERMINATION OF FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE: CHRISTUS USES THE PROSPECTIVE MEDICARE METHOD TO DETERMINE AGB, BY USING THE BILLING AND CODING PROCESS IT WOULD USE IF THE INDIVIDUAL WERE A MEDICARE FEE-FOR-SERVICE BENEFICIARY AND SETTING AGB FOR THE CARE AT THE AMOUNT IT DETERMINES MEDICARE AND THE MEDICARE BENEFICIARY TOGETHER WOULD BE EXPECTED TO PAY FOR THE CARE.
SCHEDULE H, PART V, SECTION B, FACILITY 2, LINE 22D	DETERMINATION OF FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE: PATIENTS WHO'S FAMILY INCOME IS EQUAL TO OR LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES ARE GENERALLY ELIGIBLE FOR FREE EMERGENCY AND MEDICALLY NECESSARY CARE. PATIENTS WHOSE FAMILY INCOME IS BETWEEN 200% AND 400% OF THE FEDERAL POVERTY GUIDELINES ARE GENERALLY ELIGIBLE FOR A SLIDING SCALE DISCOUNT RANGING FROM 50% TO 75% FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE. GOING FORWARED THE REHABILITATION HOSPITAL WILL USE THE PROSPECTIVE MEDICARE METHOD TO DETERMINE AGB.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MFH Outpatient Surgery Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	415 South Fleishel	AddressLine1Txt
City	Tyler	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75702	ZIPCd

Field	Value	IRS element (for citing)
Facility	ambulatory surgical center	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT EXPENSE: THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3	BAD DEBT AS A COMMUNITY BENEFIT: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. BAD DEBT EXPENSE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THIS IS UNCOMPENSATED HEALTHCARE PROVIDED TO RESIDENTS OF THE COMMUNITY.
SCHEDULE H, PART III, SECTION A, LINE 4	FOOTNOTE TO THE FINANCIAL STATEMENTS DESCRIBING BAD DEBT: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HEALTH SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTH SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). THE HOSPITAL RECORDS AN AUTOMATIC DISCOUNT OF ITS STANDARD CHARGES FOR UNINSURED PATIENTS. FOR THE REMAINING RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE HEALTH SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. THIS INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE REDUCED STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HEALTH SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS APPROXIMATELY 98% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2016.
SCHEDULE H, PART III, SECTION B, LINE 8	COSTING METHODOLOGY: THE MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION POLICY: THE ORGANIZATION HAS A WRITTEN POLICY COVERING PROCEDURES FOR COLLECTING AND WRITING OFF BAD DEBTS. ACCORDING TO THE POLICY, IF A PATIENT APPEARS TO BE INDIGENT, ACCOUNTS SHOULD BE REVIEWED, AT ANY TIME DURING THE COLLECTION PROCESS, FOR POSSIBLE CONSIDERATION AS A CHARITY CASE IN ACCORDANCE WITH THE ORGANIZATION'S CHARITY CARE POLICY. Unpaid discounted balances of patients who qualify for the Financial Assistance Program are considered uncollectible bad debts. CHRISTUS does not conduct, or permit collection agencies to conduct on its behalf, Extraordinary Collection Actions (ECAs), as defined under Internal Revenue Code Section 501(r), against individuals before reasonable efforts have been made to determine whether the patient is eligible for the Financial Assistance Program. Reasonable efforts include the hospital making a determination that the patient is ineligible for the Financial Assistance Program because the patient is covered by Medicare or commercial insurance. THE SYSTEM DIRECTOR OF PATIENT FINANCIAL SERVICES MAINTAINS OVERSIGHT AND RESPONSIBILITY FOR DETERMINING IF CHRISTUS HAS MADE REASONABLE EFFORTS AND WHETHER AN ECA IS APPROPRIATE.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: THE HOSPITAL'S COMMUNITY HEALTH PROFILES PROVIDE A SNAPSHOT OF SUBURBAN, URBAN, AND RURAL SERVICE AREAS WITHIN TEXAS USING KEY HEALTH INDICATORS, WHICH FACILITATE COMPARISONS LOCALLY, REGIONALLY, AND OVER TIME. COMMUNITY HEALTH PROFILES ARE INTENDED TO ASSIST INTERNAL STAKEHOLDERS, COMMUNITY HEALTH COUNCIL MEMBERS, AND THE COMMUNITY HEALTH IMPROVEMENT DEPARTMENT IN DECIDING WHERE TO ALLOCATE RESOURCES AND ADDRESS HEALTH INEQUALITIES. ALL ENTITY ADVOCATES USE NATIONAL, STATE, AND LOCAL SECONDARY AND PRIMARY DATA SOURCES TO PROVIDE A CURRENT OVERVIEW OF LOCAL HEALTH NEEDS, FACTORS IMPACTING DISEASE AND INJURY BURDEN, SOCIOECONOMIC STATUS, ACCESS TO HEALTH CARE, AGE DISTRIBUTION, INDICATORS AND LIFESTYLE BEHAVIORS. THIS DATA IS USED TO GALVANIZE JOINT COMMUNITY HEALTH EFFORTS TO IMPROVE HEALTH AND REDUCE HEALTH INEQUALITIES AND TO EMPOWER THE GREATER COMMUNITY.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND CONTACT INFORMATION IS POSTED IN VARIOUS AREAS OF THE HOSPITAL INCLUDING ADMISSIONS AND REGISTRATION, EMERGENCY, AND OUTPATIENT DEPARTMENTS. ADDITIONALLY, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED, VERBALLY AND IN WRITTEN BROCHURES, TO ALL SELF-PAY PATIENTS BY FINANCIAL COUNSELORS. FINANCIAL ASSISTANCE INFORMATION IS ALSO INCLUDED IN EVERY PATIENT BILL. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO THE PATIENT BY FINANCIAL COUNSELORS WHO ALSO SCREEN SELF-PAY PATIENTS FOR POTENTIAL ELIGIBILITY FOR OTHER GOVERNMENTAL ASSISTANCE PROGRAMS. IF IT IS DETERMINED THAT THE PATIENT IS POTENTIALLY ELIGIBLE FOR GOVERNMENTAL ASSISTANCE, THE FINANCIAL COUNSELOR WILL ASSIST THE PATIENT IN COMPLETING ANY FORMS NECESSARY TO APPLY FOR THE ASSISTANCE. AT THE SAME TIME, THE PATIENTS ARE PROVIDED WITH A CHARITY CARE APPLICATION AND INFORMATIONAL FLYER. THE PATIENT IS INFORMED THAT MOTHER FRANCES HOSPITAL-TYLER IS A NON-PROFIT CHARITABLE ORGANIZATION OFFERING FINANCIAL ASSISTANCE TO PATIENTS WHO ARE DEEMED MEDICALLY OR FINANCIALLY INDIGENT. THE FINANCIAL COUNSELORS WILL THEN ASSIST THE PATIENT IN COMPLETING THE CHARITY CARE APPLICATION AND OBTAINING ANY AVAILABLE VERIFICATIONS. ONCE THE PATIENT IS DISCHARGED, THE FINANCIAL COUNSELORS WILL CONTINUE TO CONTACT THE PATIENT TO ENSURE ALL NEEDED FORMS AND VERIFICATIONS NEEDED TO FILE AN APPLICATION FOR GOVERNMENTAL ASSISTANCE AND CHARITY CARE HAVE BEEN PROVIDED.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: THE HOSPITAL OWNS AND OPERATES A 476 LICENSED BED GENERAL ACUTE CARE HOSPITAL AND RELATED HEALTHCARE FACILITIES IN TYLER, TEXAS. THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF SMITH COUNTY WITH A POPULATION OF APPROXIMATELY 200,000. THE SECONDARY SERVICE AREA OF THE HOSPITAL CONSISTS OF ANDERSON, CHEROKEE, GREGG, HENDERSON, RAINS, RUSK, UPSHUR, WOOD, AND VAN ZANDT COUNTIES WITH A TOTAL POPULATION OF APPROXIMATELY 500,000.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: MOTHER FRANCES HOSPITAL-TYLER PROMOTES HEALTHCARE AND WELLNESS EDUCATION BY OFFERING OUTREACH PROGRAMS AND SPECIAL INITIATIVES THAT IMPROVE THE QUALITY OF LIFE AND HEALTH IN THE COMMUNITIES SERVED. COMMUNITY BENEFIT IS PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS TO THE COMMUNITY. THESE SERVICES ARE ESSENTIAL TO PROVIDE COMPLETE HEALTHCARE TO THE COMMUNITIES SERVED. SOME OF THESE PROGRAMS INCLUDE THE FOLLOWING: Name: Tyler Family Circle of Care Womens Services Description: The clinic offers prenatal services to all Medicaid patients, self-pay, underinsured, and anyone who presents for prenatal services. Patient education is an integral part of patient care offering classes in English and Spanish. In addition to regular prenatal education, car seat education, and nutritional counseling to non-diabetic patients is also offered. This program receives CHRISTUS Trinity Mother Frances support for these services. Purpose: The primary objective is to reduce the number of women who delivered babies with no prenatal care or childbirth education and reduce the number of sick infants born. Social workers help clients become eligible for Medicaid, WIC, and other financial assistance. Additionally, case management and diabetic counseling, as well as, nutrition counseling to non-diabetic patients is also provided. Name: Tyler Family Circle of Care Childrens Services Description: The Center serves the largest number of Medicaid and CHIP patients in the area. This patient population has a high percentage of at-risk ethnic groups. It is the largest provider of services to Medicaid and CHIP services for children in east Texas. A special reach out and read program with book distribution and mentors is provided. This program receives financial and in-kind from CHRISTUS Trinity Mother Frances for these services. Purpose: This facility provides access to well baby care and sick baby care for new mothers who were provided care at the Tyler Family Circle of Care Womens Service and for the medically underserved children of east Texas. Name: Tyler Family Circle of Care Family Medicine Description: This clinic provides medical care services to all ages of patients. The clinic sees Medicaid, Medicare, CHIP/CHIP Perinatal, self-pay, uninsured/underserved, and serving those without the ability to pay regardless of their county of residence. Purpose: The goal is to ensure that all patients have a primary care home and do not have to use the emergency department for non-urgent issues. The long-term goal is to have all the clinics receive their medical home status. Name: CHRISTUS Trinity Clinic Special Needs Program Description: The Special Needs Program believes that all children should have access to continuous, comprehensive, coordinated, compassionate and culturally competent healthcare services through a medical home. Medical and social services are provided to children with special needs. Purpose: To provide health care services to over 680 patients ranging from neonates to 21 years serving 20 counties. Services offered without charge include MOMS support group, Respite Care Program support, Annual Special Needs Childrens Celebration for families, and other local community activities. Name: Emergency Education Description: Detailed instruction and hands on participation is offered for certification in areas including CPR, first aid, and AED use. Courses are offered to school district and sponsors for UIL programs on an as needed basis. Nearly 650 people were trained across multiple counties, school districts, and churches. Purpose: To improve the ability of people to respond to an emergency regardless of where it occurs. The benefit to the public includes more rapid response by a trained person, which should increase the potential for positive outcomes. Name: TeleCare Plus-Your Health Information Resource Description: TeleCare Plus is a medical call center available FREE to the public 24 hours a day. Examples of the types of calls in 2016 would be: Tyler Family Circle of Care Pediatrics/Obstetrics, cardiac, neuro, endocrinology, geriatric, education calls, and general information and health care questions or nurse triage. Purpose: TeleCare Plus is designed to provide a central, confidential resource for the community to turn to for health information and assist callers in seeking out the appropriate level of medical resources at the appropriate time. Name: Bethesda Clinic Support Description: Bethesda Clinic is a free medical clinic, which is supported financially and by support services from the community. CHRISTUS Mother Frances Hospital-Tyler provides support in all areas and on special projects as requested. Purpose: To provide a site for patients where they can receive acute medical care. Services are paid for on a sliding scale as determined by their board of directors. This provides another access point for vulnerable populations and has bilingual staff. Name: CHRISTUS Trinity Mother Frances Health System Website Description: The CHRISTUS Trinity Mother Frances Health System website at www.christustmf.org provides a large amount of information about the health system, CHRISTUS Trinity Clinic Physicians, upcoming classes and events and a wealth of health information. This now includes the implementation of MYCHART for personal health information directly. Purpose: The website is designed as an access point to CHRISTUS Trinity Mother Frances Health System resources. Using the web people can access information about the many services CHRISTUS Trinity Mother Frances Health System provides, information about physicians, registration for classes or upcoming events, careers and more. The health information module provides a vast amount of information regarding diseases, medications, labs, tests and links to disease communities or support groups and resources. Name: Community Partnerships Description: Assistance was provided both financially and with staffing for groups and organizations to provide collaborative programs, services, and health information. Projects included over 80 opportunities, including school-based programs, youth programs, and general public events. Purpose: To provide assistance and support and to educate the public on programs offered by Komen Foundation, American Heart Association, American Cancer Society, Alzheimer Association, Bethesda Health Clinic, Boy Scouts, Childrens Advocacy Center, nursing programs, and public and private schools. Name: United Way Description: CTMFHS and our employees provided financial support of over $60,000. Purpose: To assist with the design, development, funding, and mission development of over 30 non-profit agencies in the community, and to provide services to children and families at-risk regardless of their ability to pay for those services. Name: Share the Spirit Description: This is an annual fund raising campaign within the health system for designated programs by the employees. It is organized and implemented by employees with all proceeds going to help with health related programs. The amount raised was $207,000. Purpose: To assist with the funding for the following projects: Heart care, Cancer care, Childrens Miracle Network, diabetes education and services, and the employee CrisisCare Fund. Anyone is eligible to receive assistance based on need or program needs. Name: Childrens Miracle Network Description: This is a designation for hospitals that focus on childrens care and their needs. It provides a support system for fundraising benefiting childrens services. Mother Frances Hospital is the only hospital between Dallas and Houston so designated. Purpose: To improve the medical services for pediatric patients and their families. Medical equipment for pediatric services is purchased for both the Tyler and Jacksonville locations. A board oversees the outlay of the funds raised in the community during the year. In 2016, nearly $1.3 million was allocated for services. Name: Health Education /Screening Programs Description: Community education for healthy life styles was offered throughout the region for a variety of conditions. The Fit City Tyler Program and various walks are included as well as stress management, diabetes education, heart health, and cancer awareness screenings. The Women with Heart program also offered education on heart disease in four counties. Purpose: East Texas has an extremely high rate for diabetes, stroke, heart disease, and pulmonary disease. This east Texas region of the state has one of the fastest growing aging groups and high risk for ethnic minorities; both were targeted. NAME: School Assistance Description: Over 4,881 high school physicals and pre-participation exams were done at no cost to the schools. Additionally, over 259 student athletes were seen for free in Saturday sports clinics. All programs are open to anyone to participate provided they have parental approval. Support for on-site trainers is also provide
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS
SCHEDULE H, PART I, LINE 7, COLUMN F	PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE, TOTALING $43,265,631.
SCHEDULE H, PART I, LINE 3C	FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING FACTORS IN ITS DETERMINATON: - ASSET LEVEL - MEDICAL INDIGENCY - INSURANCE STATUS - UNDERINSURANCE STATUS - GREATER THAN 400% UNDER THE CATASTROPHIC CAP PROVISION - RESIDENCY
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: MOTHER FRANCES HOSPITAL-TYLER IS PART OF AN AFFILIATED HEALTH CARE SYSTEM CALLED CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM. CHRISTUS TRINITY MOTHER FRANCES IS A FAITH-BASED ORGANIZATION DEDICATED TO CREATING HEALTHY LIVES FOR PEOPLE AND COMMUNITIES. MFH-TYLER AND ITS AFFILIATES PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY PROVIDING ACUTE CARE FACILITIES AND CRITICAL ACCESS FACILITIES WHOSE OPERATIONS CONSIST PRIMARILY OF PROVIDING INPATIENT AND OUTPATIENT ACUTE CARE AND MEDICAL SERVICES TO PATIENTS RESIDING IN EAST TEXAS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752028241	501(c)(3)	$80,000	SPONSORSHIP
SERVICE ORGANIZATION OF PINEY WOODS
2950 50TH ST	LUBBOCK	TX	79314	300630886	501(C)(3)	$20,226,447	COMMUNITY HEALTHCARE
SISTERS OF THE HOLY FAMILY OF NAZARETH
800 E DAWSON	TYLER	TX	75701	205728802	501(C)(3)	$250,000	DONATION
SERVICE ORGANIZATION OF NORTH & EAST TEXAS
2950 50TH STREET	LUBBOCK	TX	79314	260468622	501(C)(3)	$7,026,660	COMMUNITY HEALTHCARE
CANCER FOUNDATION FOR LIFE
218 N COLLEGE AVE	TYLER	TX	75702	752957440	501(C)(3)	$25,000	community healthcare
AMERICAN CANCER SOCIETY
1301 S BROADWAY AVE	TYLER	TX	75701	131788491	501(C)(3)	$20,000	community healthcare
ST GREGORY CATHEDRAL SCHOOL
500 S COLLEGE AVE	TYLER	TX	75702	272769354	501(C)(3)	$20,000	community healthcare
AMERICAN HEART ASSOCIATION
PO Box 4002903	Des Moines	IA	50340	135613797	501(C)(3)	$30,000	community healthcare
TYLER ECONOMIC DEVELOPMENT COUNCIL INC
315 N BROADWAY AVE 300	TYLER	TX	75702	752254467	501(C)(3)	$15,000	community healthcare
TEXAS ROSE FESTIVAL
PO BOX 8224	TYLER	TX	75711	751171774	501(C)(3)	$6,000	community healthcare
ALZHEIMERS ALLIANCE OF SMITH COUNTY
211 WINCHESTER DR	TYLER	TX	75701	752486061	501(C)(3)	$6,000	community healthcare
SAMARITAN COUNSELING CENTER OF TYLER
218 N COLLEGE AVE	TYLER	TX	75702	452047833	501(C)(3)	$7,500	community healthcare
TYLER AREA CHAMBER OF COMMERCE
315 N BROADWAY AVE 100	TYLER	TX	75702	750624670	501(C)(3)	$11,940	community healthcare

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: GRANT RECIPIENTS ARE REQUIRED TO ACKNOWLEDGE PRIOR TO THE ISSUANCE OF GRANT FUNDS THAT THE GRANT WILL BE USED IN ACCORDANCE WITH THE STATED PURPOSE OF THE GRANT APPLICATION AND ANY UNUSED FUNDS RELATED TO THE SPECIFIC PURPOSE OF THE GRANT WILL BE RETURNED TO THE ORGANIZATION. THE ORGANIZATION MONITORS AND REVIEWS THE FINANCIAL DATA OF RECIPIENTS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED PROPERLY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RAY THOMPSON
SYS EXEC VP/DIRECTOR/ASST SEC	$256,172	$384,259	$441,072	$661,609	$61,557	$92,335	$6,890	$10,336	$6,603	$9,907	$772,294	$1,158,446	$0	$0
FAGG SANFORD MD
DIRECTOR	$0	$925,371	$0	$0	$0	$20,040	$0	$8,613	$0	$7,296	$0	$961,320	$0	$0
ANDY KIRKPATRICK
DIRECTOR	$0	$629,516	$0	$0	$0	$34,162	$0	$11,263	$0	$8,784	$0	$683,725	$0	$11,722
JOHN MCGREEVY
SR VP/CEO OF MFH REG	$334,849	$0	$138,842	$0	$23,806	$0	$17,226	$0	$16,510	$0	$531,233	$0	$0	$0
J LINDSEY BRADLEY
SYSTEM PRESIDENT	$183,011	$630,373	$269,854	$929,498	$29,550	$101,783	$3,876	$13,350	$3,715	$12,795	$490,006	$1,687,799	$0	$0
STEVEN KEUER MD
SYS PRESIDENT/CMO/DIRECTOR	$0	$547,317	$0	$384,712	$0	$714,773	$0	$17,226	$0	$2,500	$0	$1,666,528	$0	$601,460
SCOTT SMITH MD
EXECUTIVE VICE PRESIDENT	$0	$477,787	$0	$152,500	$0	$13,300	$0	$11,926	$0	$2,500	$0	$658,013	$0	$0
JOYCE HESTER
SR. VICE PRESIDENT/CFO	$94,635	$283,906	$51,297	$153,892	$3,824	$11,471	$4,306	$12,920	$3,502	$10,508	$157,564	$472,697	$0	$0
ROBERT ROSE
SR. VP, PATIENT CARE SERVICES	$246,113	$0	$71,651	$0	$11,716	$0	$8,857	$0	$8,211	$0	$346,548	$0	$0	$0
TODD HANCOCK
SR. VP/COO	$252,852	$0	$72,245	$0	$11,404	$0	$9,226	$0	$6,792	$0	$352,519	$0	$0	$0
LEE PORTWOOD
VP	$227,039	$0	$64,658	$0	$13,131	$0	$9,738	$0	$4,495	$0	$319,061	$0	$0	$0
PATRICK SIMONSON
VP	$173,086	$0	$44,666	$0	$15,955	$0	$3,061	$0	$3,882	$0	$240,650	$0	$0	$0
JASON PROCTOR
VP	$182,425	$0	$50,002	$0	$11,052	$0	$3,173	$0	$6,283	$0	$252,935	$0	$0	$0
ELIZABETH PULLIAM
VP OF FINANCE/CFO OF MFH REG	$89,680	$149,468	$28,288	$47,147	$4,376	$7,292	$2,961	$4,934	$1,417	$2,361	$126,722	$211,202	$0	$0
WILLIAM SANDBERG
CRNA	$274,334	$0	$0	$0	$1,925	$0	$7,928	$0	$4,000	$0	$288,187	$0	$0	$0
ROBERT BIENERT
CRNA	$362,840	$0	$0	$0	$270	$0	$6,580	$0	$2,180	$0	$371,870	$0	$0	$0
TAWONDA FELTON
CRNA	$387,278	$0	$0	$0	$671	$0	$8,475	$0	$2,606	$0	$399,030	$0	$0	$0
DUSTIN VIDRINE
CRNA	$280,309	$0	$0	$0	$219	$0	$6,940	$0	$9,085	$0	$296,553	$0	$0	$0
TIMOTHY CLARK
CRNA	$272,817	$0	$0	$0	$253	$0	$6,797	$0	$8,373	$0	$288,240	$0	$0	$0
CHRIS GLENNEY
VP OPERATIONS/FORMER OFFICER	$0	$262,024	$0	$112,654	$0	$19,292	$0	$17,226	$0	$21,610	$0	$432,806	$0	$0
SCOTT FOSSEY
VP/FORMER OFFICER	$0	$208,493	$0	$52,000	$0	$12,371	$0	$5,757	$0	$5,419	$0	$284,040	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4B	PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- --------------- --------------------- STEVEN KEUER MD $493,455 NONE PARTICIPANTS IN 457(F) REPORTED IN W-2 --------------------- --------------- STEVEN KEUER MD $108,005 ANDY KIRKPATRICK MD $11,722
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 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.
SCHEDULE J, PART I, LINE 1A	DESCRIPTION OF BENEFITS: THE HOUSING ALLOWANCE IS INCLUDED AS TAXABLE COMPENSATION FOR PATRICK SIMONSON. THE COUNTRY CLUB DUES ARE INCLUDED AS TAXABLE COMPENSATION FOR SCOTT FOSSEY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION
A	521315814	902261HP4	2011-10-12	$51,735,000	CAPITAL DEVELOPMENT	false	false	false
TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION
B	521315814	902261FP6	2003-05-08	$60,753,954	CAPITAL DEVELOPMENT	false	false	false
TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION
C	521315814	902261GP5	2007-05-30	$23,053,130	CAPITAL DEVELOPMENT	false	false	false
TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION
D	521315814	XXXXXXXXX	2012-10-19	$57,429,494	REFINANCING 1992 AND 1997B BONDS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$51,735,000	$5,173,500	$0	$45,260,090	$873,700	$0	$0	$0	$0	$0	2013	false	false	Yes (true)	Yes (true)
B	$25,653,954	$0	$60,753,954	$669,419	$0	$40,532,637	$771,361	$0	$0	$18,780,537	$0	$0	2005	Yes (true)	false	Yes (true)	Yes (true)
C	$122,499	$0	$23,053,130	$2,300,000	$0	$0	$386,250	$0	$0	$20,366,880	$0	$0	2012	false	false	Yes (true)	Yes (true)
D	$43,419,395	$0	$57,429,494	$0	$0	$57,170,774	$258,720	$0	$0	$0	$0	$0	2001	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	false	false	0.02300	0.00600	0.02900	false	false	false	Yes (true)
B	false	false	false	false	0.00000	0.00000	0.00000	false	false	false	Yes (true)
C	false	false	false	false	0.00000	0.00000	0.00000	false	false	false	Yes (true)
D	false	Yes (true)	false	false	0.00647	0.00000	0.00647	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
B	Yes (true)				false	false	false	0	false	Yes (true)
0
C	Yes (true)				false	false	false	0	false	Yes (true)
0
D	false	Yes (true)	false	false	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I	FormAndLineReferenceDesc
Explanation	REFINANCED BONDS: SERIES 1992 REVENUE BOND ISSUE DATE 05/27/1992 SERIES 1997B REVENUE BOND ISSUE DATE 12/01/1997 SERIES 2001 REVENUE BOND ISSUE DATE 10/30/2001 SERIES 2003 REVENUE BOND ISSUE DATE 05/08/2003	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	521315814	BondIssuerEIN
CUSIP	902261gn0	CUSIPNum
Bond Issued	2007-05-16	BondIssuedDt
Issue Price	$66,789,990	IssuePriceAmt
Purpose	CAPITAL DEVELOPMENT	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$2,028,538	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$66,789,990	TotalProceedsAmt
In Reserve Fund	$288,280	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$64,699,862	RefundingEscrowAmt
Issuance Costs From Proceeds	$1,801,848	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2003	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	Yes (true)	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	Yes (true)	Form8038TFiledInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SUSAN RIPPY	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	DAUGHTER OF DIRECTOR	RelationshipDescriptionTxt
Transaction	$27,532	TransactionAmt
Transaction	SALARIES/WAGES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS OR STOCKHOLDERS: CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM IS THE SOLE MEMBER OF MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS WHO MAY ELECT MEMBERS OF THE GOVERNING BODY: THE SOLE MEMBER, CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM, HAS THE POWER TO APPOINT ALL DIRECTORS AND THEIR SUCCESSORS TO THE GOVERNING BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY THE MEMBER: THE MEMBER HAS THE RIGHT TO APPROVE OR DISAPPROVE CERTAIN ACTIONS THAT HAVE BEEN PREVIOUSLY APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW THE FORM 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND A COPY IS PROVIDED TO THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR AND ENFORCE CONFLICT OF INTEREST POLICY: THE BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE THROUGHOUT THE YEAR IN ACCORDANCE WITH POLICY STANDARDS. THE ORGANIZATION'S 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.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	REVIEW OF COMPENSATION OF CEO, OFFICER, OR KEY EMPLOYEE: THE ORGANIZATION USES COMPENSATION CONSULTANTS AND NATIONAL COMPENSATION SURVEYS TO DETERMINE COMPENSATION OF EMPLOYEES. COMPENSATION IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY. 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.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABILITY OF DOCUMENTS: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1A	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 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.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: CHANGE IN PENSION PLAN LIABILITY $(27,786,785) TRANSFER TO AFFILIATE (18,882,650) EQUITY IN EARNINGS OF AFFILIATE 4,816,738 NET ASSETS RELEASED FROM RESTRICTION (275,922) EQUITY IN INCOME OF CONSOLIDATED SUBSIDIARY (38,714) ------------- TOTAL $(42,167,333)
FORM 990, PART VI, SECTION A, LINE 2	RELATIONSHIPS BETWEEN OFFICERS & DIRECTORS: THE MEMBERS OF THE EXECUTIVE TEAM ALL HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER THROUGH THEIR EMPLOYMENT WITH RELATED ORGANIZATIONS.
FORM 990 PART IX LINE 11G	DESCRIPTION:CORPORATE ALLOCATION EXPENSE TOTAL FEES:63965057
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:36791770
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:24102675
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR TOTAL FEES:7260819
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:362599
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN ADVISOR TOTAL FEES:69200
FORM 990 PART IX LINE 11G	DESCRIPTION:TRANSCRIPTION SERVICES TOTAL FEES:234301

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MOTHER FRANCES HOSPITAL - WINNSBORO
1315 DOCTORS DRIVE	TYLER	TX	75701	752771569	HOSPITAL	TX	501(C)(3)	3	CTMFHS	Yes (true)
CHRISTUS-TRINITY MOTHER FRANCES FDN
1315 DOCTORS DRIVE	TYLER	TX	75701	752028241	SUPPORT	TX	501(C)(3)	11, TYPE I	CTMFHS	Yes (true)
REGIONAL MEDICAL SERVICES ASSOCIATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752511459	HEALTHCARE	TX	501(C)(3)	3	MFH REG	Yes (true)
CHRISTUS TRINITY MF HEALTH SYSTEM
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	SUPPORT	TX	501(C)(3)	11, TYPE II	CH	false
TRINITY CLINIC
1315 DOCTORS DRIVE	TYLER	TX	75701	752616977	HEALTHCARE	TX	501(C)(3)	3	CTMFHS	Yes (true)
MOTHER FRANCES HOSPITAL - JACKSONVILLE
1315 DOCTORS DRIVE	TYLER	TX	75701	751976930	HOSPITAL	TX	501(C)(3)	3	CTMFHS	Yes (true)
ALIGNED PROVIDERS OF EAST TEXAS
1315 DOCTORS DRIVE	TYLER	TX	75701	465720165	HEALTHCARE	TX	501(C)(3)	3	MFH REG	Yes (true)
CSFN MISSION AND 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)	9	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	TYLER RADIATION EQUIPMENT LEASING LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10101 WOODLOCH FOREST DRIVE	AddressLine1Txt
City	THE WOODLANDS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77380	ZIPCd

Field	Value	IRS element (for citing)
EIN	262554738	EIN
Primary Activities	EQUIPMENT LEASING	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MFH REG	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	UNRELATED	PredominantIncomeTypeTxt
Share Of Total Income	$285,088	ShareOfTotalIncomeAmt
Share Of EOY Assets	$523,811	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$285,088	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.51000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
TRI-STATE FINANCIAL LLC
1315 DOCTORS DRIVE	TYLER	TX	75701	752728318	DORMANT	TX	CTMFHS	C-CORPORATION	Yes (true)
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	RETAIL HEALTH SVC	TX	CTMFHS	C-CORPORATION	Yes (true)
HEALTHPLAN OF TEXAS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752636832	THIRD PARTY ADMIN	TX	CTMFHS	C-CORPORATION	Yes (true)
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVE	TYLER	TX	75701	752484109	PREFER PROVIDER	TX	CTMFHS	C-CORPORATION	Yes (true)
TEXAS HEALTH FACILITY INSUR CORP LTD
				980136025	INSURANCE		MFH REG	C-CORPORATION	Yes (true)	PO BOX 1109	BWI	CJ	CJ	-$38,714	$172,509	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (28 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ALIGNED PROVIDERS OF EAST TEXAS
Q	$8,661,989	CASH VALUE
ALIGNED PROVIDERS OF EAST TEXAS
S	$1,614,336	CASH VALUE
ALIGNED PROVIDERS OF EAST TEXAS
P	$483,824	CASH VALUE
ALIGNED PROVIDERS OF EAST TEXAS
R	$10,947,109	CASH VALUE
CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION
B	$80,000	CASH VALUE
CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION
C	$855,654	CASH VALUE
CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION
S	$1,356,114	CASH VALUE
CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION
P	$929,470	CASH VALUE
CHRISTUS-TRINITY MOTHER FRANCES FOUNDATION
R	$231,904	CASH VALUE
MOTHER FRANCES HOSPITAL - JACKSONVILLE
Q	$130,103	CASH VALUE
MOTHER FRANCES HOSPITAL - JACKSONVILLE
S	$40,598,137	CASH VALUE
MOTHER FRANCES HOSPITAL - JACKSONVILLE
P	$11,295,525	CASH VALUE
MOTHER FRANCES HOSPITAL - JACKSONVILLE
R	$25,097,921	CASH VALUE
TRINITY CLINIC
Q	$38,571,811	CASH VALUE
TRINITY CLINIC
S	$9,390,707	CASH VALUE
TRINITY CLINIC
P	$10,275,356	CASH VALUE
TRINITY CLINIC
R	$38,802,853	CASH VALUE
MOTHER FRANCES HOSPITAL - WINNSBORO
S	$18,048,338	CASH VALUE
MOTHER FRANCES HOSPITAL - WINNSBORO
P	$6,580,799	CASH VALUE
MOTHER FRANCES HOSPITAL - WINNSBORO
R	$7,582,410	CASH VALUE
REGIONAL MEDICAL SERVICES ASSOCIATION
Q	$591,133	CASH VALUE
REGIONAL MEDICAL SERVICES ASSOCIATION
P	$390,107	CASH VALUE
REGIONAL MEDICAL SERVICES ASSOCIATION
R	$337,673	CASH VALUE
REGIONAL MEDICAL SERVICES ASSOCIATION
L	$130,228	CASH VALUE
TRINCARE INC
S	$4,066,756	CASH VALUE
TRINCARE INC
P	$2,518,483	CASH VALUE
TRINCARE INC
R	$893,114	CASH VALUE
MOTHER FRANCES HOSPITAL - JACKSONVILLE
A	$2,251,235	CASH VALUE

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART II, COLUMN F & PART III, COLUMN D	FormAndLineReferenceDesc
Explanation	DIRECT CONTROLLING ENTITY: CHRISTUS HEALTH ("CH") IS THE TOP LEVEL ORGANIZATION WHICH DIRECTLY OR INDIRECTLY CONTROLS ALL OF THE LOWER TIERED ORGANIZATIONS. THE FOLLOWING RELATED ORGANIZATIONS REPORTABLE IN PART II ARE DIRECTLY CONTROLLED BY CHRISTUS TRINITY MOTHER FRANCES 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.	ExplanationTxt