2017-05-15T10:41:31-05:00 2016-06-30 BKD LLP 14241 DALLAS PKWY STE 1100 DALLAS TX 75254 990 2015-07-01 752616977 Trinity Clinic % CHRISSY RAMSEY TRIN 9036065639 1315 Doctors Drive Tyler TX 75701 ELIZABETH PULLIAM VP of Finance 9035315764 2017-05-15 true Jeanette Verrelli P00742631 9727028262 2015 2021-01-29 14:40:06Z CHRISTUS Trinity Clinic STEVEN KEUER MD 910 E HOUSTON TYLER TX 75701 154138940 false X WWW.TMFHC.ORG/TRINITYCLINIC X 1995 TX TO PROVIDE PHYSICIAN SERVICES WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. 14 0 642 25 0 0 75613 55401 152865218 154044019 791869 0 0 39520 153732700 154138940 0 1000 0 0 42094361 43212411 0 0 0 135150127 139435475 177244488 182648886 -23511788 -28509946 41300592 46974731 89858550 104244722 -48557958 -57269991 X TO PROVIDE PHYSICIAN SERVICES WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. false false 176697793 1000 154044019 OUR COMMITMENT TO OUR COMMUNITY EXTENDS TO FREE OR SUBSIDIZED INDIVIDUAL CARE, SUBSIDIZED EDUCATION OF HEALTHCARE PROFESSIONALS, DISCOUNTED FEES FOR PARTICIPANTS IN GOVERNMENT PROGRAMS, COMMUNITY HEALTH EDUCATION, AND DONATIONS TO OTHER COMMUNITY AGENCIES. SPECIFIC COMMUNITY SERVICES AND PROGRAMS INCLUDE: WELLNESS AND PREVENTION EDUCATION PROGRAMS, COMMUNITY DIAGNOSTIC SCREENING PROGRAMS, SENIOR CITIZEN HEALTH AWARENESS PROGRAMS, AWARENESS PROGRAMS FOR YOUTH AT RISK, AWARENESS PROGRAMS FOR PERSONS WITH SPECIAL PHYSICAL OR MENTAL NEEDS, CHILDREN WITH DIABETES SUMMER CAMP, SPORTS CARE PROGRAMS, SAFETY TRAINING FOR LOCAL BUSINESSES, AND RESEARCH PROGRAMS. CHRISTUS TRINITY CLINIC IS THE AREA'S PREFERRED MULTI-SPECIALTY MEDICAL GROUP, WITH MORE THAN 400 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS PRESENTING 36 SPECIALTIES IN 34 LOCATIONS SERVING NORTHEAST TEXAS ACROSS 41 COUNTIES. 176697793 true true false false false false false false false true true false false true true true false true false false false false false false false false false false false true false false false false false false true false false false false false false true true true false false true X 81 0 true 642 true false false false false false false false false false false X 14 0 true false false false true false true true true false false false true true true true true true true true true X CHRISSY RAMSEY 9036065639 1315 DOCTORS DRIVE TYLER TX 75701 X STEVEN KEUER MD SYSTEM PRESIDENT/CMO/DIRECTOR 20.0 20.0 X X 823401 823401 19726 MARK ANDERSON MD CHAIR 39.0 1.0 X X 493539 0 15928 JAMES CACCITOLO MD SECRETARY 39.0 1.0 X X 931932 0 15928 HAMPTON WILLIAMS MD VICE CHAIR 40.0 0.0 X X 449227 0 14433 JANET HURLEY MD PHYSICIAN 40.0 0.0 X 217747 0 14235 JOSEPH ZASIK DO PHYSICIAN 40.0 0.0 X 578901 0 16823 BRENDA MORRIS MD PHYSICIAN 40.0 0.0 X 400558 0 9938 FAGG SANFORD MD PHYSICIAN 38.0 2.0 X 945411 0 15909 TODD PATRICK MD PHYSICIAN 40.0 0.0 X 1361013 0 15928 ANDRIA CARDINALLI-STEIN MD PHYSICIAN 40.0 0.0 X 130082 0 4447 JAYESH PATEL MD PHYSICIAN 40.0 0.0 X 748931 0 10369 BRENT WADLE DO PHYSICIAN 40.0 0.0 X 408430 0 15661 JAMES STANFORD MD PHYSICIAN 40.0 0.0 X 341187 0 18181 BARBARA ALLEN MD PHYSICIAN 34.0 6.0 X 389744 0 10278 JOYCE HESTER SR. VICE PRESIDENT/CFO 7.0 33.0 X 104830 494195 31236 SCOTT SMITH MD EXECUTIVE VICE PRESIDENT 16.0 24.0 X 257435 386152 14425 CHRIS GLENNEY CHIEF ADMIN OFFICER 40.0 0.0 X 393970 0 38836 WILLIAM DOOLEY VP 40.0 0.0 X 235753 0 13101 KAI XIA MD PHYSICIAN 40.0 0.0 X 1508644 0 13763 LAURA O'HALLORAN MD PHYSICIAN 40.0 0.0 X 1588062 0 11263 NEELAN DOOLABH MD PHYSICIAN 40.0 0.0 X 1518633 0 15449 MING LU MD PHYSICIAN 40.0 0.0 X 1767366 0 18428 RAMON KUMAR PHYSICIAN 40.0 0.0 X 1399639 0 14603 ANN GILBERT FORMER VP 40.0 0.0 X 108180 0 6886 THOMAS HARGROVE MD PHYSICIAN/FORMER VP 40.0 0.0 X 397462 0 22551 J GREGORY STOVALL MD PHYSICIAN/FORMER OFFICER 40.0 0.0 X 321106 0 11243 ROGER FOWLER MD PHYSICIAN/FORMER OFFICER 40.0 0.0 X 336938 0 19055 18158121 1703748 428623 143 true true false Delta Locum Tenens LLC PO Box 202940 DALLAS TX 75320 physician services 2671746 University of Texas Health Center 11937 US Hwy 271 TYLER TX 75708 physician services 699692 Cejka Search 4 Cityplace Dr 300 ST LOUIS MO 63141 Recruitment services 520554 Ricardo Vega DO 5414 S Broadway Ave TYLER TX 75703 physician services 379140 ABEO 7301 N State Hwy 161 Suite 136 IRVING TX 75039 billing services 371062 12 55401 55401 NET PATIENT SERVICE REVENUE 621500 117232945 117232945 OTHER OPERATING REVENUE 900099 36811074 36811074 154044019 0 0 0 0 0 0 0 0 0 0 ARO Accretion 900099 39520 39520 39520 154138940 154044019 39520 X 1000 1000 0 0 0 9840379 8910559 929820 2010107 1836891 173216 17325223 15643597 1681626 3352363 3302141 50222 4509890 4139629 370261 6174449 5696626 477823 2708150 2705667 2483 34 34 0 0 0 150 150 109298056 107660638 1637418 54670 43476 11194 376083 217589 158494 6942 5140 1802 0 1198372 970135 228237 191715 80959 110756 0 894502 884621 9881 117764 117764 0 262536 204476 58060 2386987 2384055 2932 MEDICAL SUPPLIES 2654384 2654384 0 BAD DEBT EXPENSE 6654855 6654855 0 EDUCATION 90967 83968 6999 PERFORMANCE STANDARDS 1505694 1503603 2091 11033614 10996020 37594 182648886 176697793 5951093 0 -112710 17095 0 0 0 0 11469727 11548233 0 0 0 0 0 0 96536 100594 502769 445562 2910697 1772453 1182375 1138244 24198257 26754170 79766 2256 0 0 260595 536672 3623277 6431905 41300592 46974731 27324129 25560999 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62534421 78683723 89858550 104244722 X -48557958 -57269991 0 0 0 0 -48557958 -57269991 41300592 46974731 X -28509946 -357958 20155871 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2885950 445000 -118741 26838 3185371 2762072 124878 1000 2885950 2414694 360569 13191 2762072 2408876 163752 157934 2414694 2350337 30875 27664 2408876 0.00000 0.78610 0.21390 false true true 1090482 342076 748406 1820215 1430377 389838 1138244 DUE FROM AFFILIATES 6396405 OTHER ASSETS 35500 6431905 0 DUE TO AFFILIATES 43193599 ACCRUED PENSION LIABILITY 22506962 ESTIMATED SELF INSURANCE COSTS 5333996 DEFERRED COMPENSATION 7649166 78683723 X 146532142 -357958 -6654660 -7012618 153544760 594180 594180 154138940 175400046 -594180 -594180 175994226 6654660 6654660 182648886 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 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 D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANICAL STATEMENTS WITH RETURN: Bad debt expense $(6,654,855) Investment return 195 ------------ TOTAL $(6,654,660) SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Sequester reduction revenue 535,974 Rebate income 18,686 Accretion income 39,520 ---------- TOTAL $594,180 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Sequester reduction revenue (535,974) Rebate income (18,686) Accretion income (39,520) ------------ TOTAL $(594,180) SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Bad debt expense $6,654,855 Investment return (195) ------------ TOTAL $6,654,660 X true true X X X X X false true false false false true false false false STEVEN KEUER MD SYSTEM PRESIDENT/CMO/DIRECTOR 273658 273659 192356 192356 357387 357386 8613 8613 1250 1250 833264 833264 300730 300730 MARK ANDERSON MD CHAIR 488397 0 0 0 5142 0 9938 0 5990 0 509467 0 0 0 JAMES CACCITOLO MD SECRETARY 875547 0 51945 0 4440 0 9938 0 5990 0 947860 0 0 0 HAMPTON WILLIAMS MD VICE CHAIR 444387 0 0 0 4840 0 10048 0 4385 0 463660 0 0 0 JANET HURLEY MD PHYSICIAN 175214 0 39271 0 3262 0 7705 0 6530 0 231982 0 0 0 JOSEPH ZASIK DO PHYSICIAN 555461 0 0 0 23440 0 9938 0 6885 0 595724 0 0 0 BRENDA MORRIS MD PHYSICIAN 395118 0 0 0 5440 0 9938 0 0 0 410496 0 0 0 FAGG SANFORD MD PHYSICIAN 925371 0 0 0 20040 0 8613 0 7296 0 961320 0 0 0 TODD PATRICK MD PHYSICIAN 930309 0 426264 0 4440 0 9938 0 5990 0 1376941 0 0 0 JAYESH PATEL MD PHYSICIAN 563147 0 162144 0 23640 0 9165 0 1204 0 759300 0 0 0 BRENT WADLE DO PHYSICIAN 312026 0 91423 0 4981 0 9671 0 5990 0 424091 0 0 0 JOYCE HESTER SR. VICE PRESIDENT/CFO 66245 312296 35908 169281 2677 12618 3014 14212 2452 11558 110296 519965 0 0 SCOTT SMITH MD EXECUTIVE VICE PRESIDENT 191115 286672 61000 91500 5320 7980 4770 7155 1000 1500 263205 394807 0 0 ANN GILBERT FORMER VP 98778 0 3000 0 6402 0 3235 0 3651 0 115066 0 0 0 CHRIS GLENNEY CHIEF ADMIN OFFICER 262024 0 112654 0 19292 0 17226 0 21610 0 432806 0 0 0 WILLIAM DOOLEY VP 180215 0 39970 0 15568 0 3273 0 9828 0 248854 0 0 0 KAI XIA MD PHYSICIAN 702847 0 775857 0 29940 0 11263 0 2500 0 1522407 0 0 0 LAURA O'HALLORAN MD PHYSICIAN 968655 0 614967 0 4440 0 11263 0 0 0 1599325 0 0 0 NEELAN DOOLABH MD PHYSICIAN 786080 0 711613 0 20940 0 9938 0 5511 0 1534082 0 0 0 MING LU MD PHYSICIAN 878930 0 883996 0 4440 0 9938 0 8490 0 1785794 0 0 0 RAMON KUMAR PHYSICIAN 607896 0 786366 0 5377 0 8613 0 5990 0 1414242 0 0 0 JAMES STANFORD MD PHYSICIAN 184419 0 128155 0 28613 0 10099 0 8082 0 359368 0 5673 0 BARBARA ALLEN MD PHYSICIAN 279088 0 92373 0 18283 0 9938 0 340 0 400022 0 0 0 THOMAS HARGROVE MD PHYSICIAN/FORMER VP 339101 0 28099 0 30262 0 11263 0 11288 0 420013 0 7010 0 J GREGORY STOVALL MD PHYSICIAN/FORMER OFFICER 205153 0 0 0 115953 0 6858 0 4385 0 332349 0 0 0 ROGER FOWLER MD PHYSICIAN/FORMER OFFICER 284352 0 24834 0 27752 0 11263 0 7792 0 355993 0 5312 0 SCHEDULE J, PART I, LINE 6A COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION: SOME PHYSICIANS ARE PAID BASED ON THE COMPENSATION FORMULA OF THEIR INDIVIDUAL RESPECTIVE DEPARTMENTS. 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 JAMES STANFORD MD $5,673 THOMAS HARGROVE MD $7,010 ROGER FOWLER MD $5,312 FAGG SANFORD MD NONE 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 HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: THE AMOUNT PAID FOR THE HOUSING ALLOWANCE IS INCLUDED AS TAXABLE COMPENSATION FOR WILLIAM DOOLEY. JOSHUA STEIN HUSBAND OF DIRECTOR 800646 SALARIES/WAGES false FORM 990, PART VI, SECTION A, LINE 2 RELATIONSHIPS BETWEEN OFFICERS AND DIRECTORS: THE MEMBERS OF THE EXECUTIVE TEAM ALL HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER THROUGH THEIR EMPLOYMENT WITH RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM IS THE SOLE MEMBER OF TRINITY CLINIC. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY THE MEMBER: THE MEMBER HAS THE AUTHORITY TO APPROVE OR DISAPPROVE CERTAIN MATTERS 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 MADE AVAILABLE TO THE BOARD OF DIRECTORS UPON THEIR REQUEST. 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 EMPLOYEES: THE ORGANIZATION USES COMPENSATION CONSULTANTS AND NATIONAL COMPENSATION SURVEYS TO DETERMINE COMPENSATION OF EMPLOYEES. COMPENSATION IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY AND ULTIMATELY APPROVED BY CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM. THE MOST RECENT REVIEW OF OFFICER COMPENSATION WAS CONDUCTED IN 2016 BY LAURA LOCKHART, CTMFHS DIRECTOR OF TOTAL REWARDS, AND CANDY LAND, CTMFHS COMPENSATION ANALYST. ALL REVIEWS ARE DOCUMENTED IN THE MARKET ADJUSTMENT FILES. THE ORGANIZATION UTILIZES MGMA NATIONAL COMPENSATION SURVEYS TO DETERMINE THE COMPENSATION OF PROVIDERS (PHYSICIANS AND ADVANCED PRACTICE PROVIDERS). ON A BI-ANNUAL BASIS, THE ORGANIZATION ENGAGES AN OUTSIDE, NATIONAL PROVIDER COMPENSATION CONSULTING FIRM TO CONDUCT A FAIR MARKET VALUE ASSESSMENT OF THE TOTAL COMPENSATION OF ALL PROVIDERS. 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 V, LINE 1A 1099S REPORTED BY ORGANIZATION: GENERALLY, THE ORGANIZATION'S FORMS 1099-MISC ARE ISSUED BY A RELATED ORGANIZATION, MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER, WHICH REPORTS ALL FORMS 1099-MISC FOR THE ENTIRE SYSTEM AND ALLOCATES EXPENSES TO THE APPROPRIATE RELATED ORGANIZATION. THE NUMBER OF 1099S REPORTED ON PART V, LINE 1A IS THE NUMBER OF 1099S RELATED TO THE FILING ORGANIZATION. 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: TRANSFERS FROM AFFILIATE $20,155,871 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:DIRECT CARE FEES TOTAL FEES:592092 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:63513 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:177836 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:1608490 FORM 990 PART IX LINE 11G DESCRIPTION:DIRECTOR FEES TOTAL FEES:1595449 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:73714 FORM 990 PART IX LINE 11G DESCRIPTION:CORPORATE ALLOCATION TOTAL FEES:-5175605 MOTHER FRANCES HOSPITAL REGIONAL HC CTR 1315 DOCTORS DRIVE TYLER TX 75701 750818167 HOSPITAL TX 501(C)(3) 3 CTMFHS true MOTHER FRANCES HOSPITAL - JACKSONVILLE 1315 DOCTORS DRIVE TYLER TX 75701 751976930 HOSPITAL TX 501(C)(3) 3 CTMFHS true CHRISTUS-TRINITY MOTHER FRANCES FDN 1315 DOCTORS DRIVE TYLER TX 75701 752028241 SUPPORT TX 501(C)(3) 11, TYPE I CTMFHS true REGIONAL MEDICAL SERVICES ASSOCIATION 1315 DOCTORS DRIVE TYLER TX 75701 752511459 HEALTHCARE TX 501(C)(3) 3 MFH REG true CHRISTUS TRINITY MF HEALTH SYSTEM 1315 DOCTORS DRIVE TYLER TX 75701 752616975 SUPPORT TX 501(C)(3) 11, TYPE II CH false MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 HOSPITAL TX 501(C)(3) 3 CTMFHS true ALIGNED PROVIDERS OF EAST TEXAS 1315 DOCTORS DRIVE TYLER TX 75701 465720165 HEALTHCARE TX 501(C)(3) 3 MFH REG true CSFN MISSION 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 TRI-STATE FINANCIAL LLC 1315 DOCTORS DRIVE TYLER TX 75701 752728318 DORMANT TX CTMFHS C-CORPORATION true TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 RETAIL HEALTH SVC TX CTMFHS C-CORPORATION true HEALTHPLAN OF TEXAS INC 1315 DOCTORS DRIVE TYLER TX 75701 752636832 THIRD PARTY ADMIN TX CTMFHS C-CORPORATION true THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752484109 PREFER PROVIDER TX CTMFHS C-CORPORATION true TEXAS HEALTH FACILITY INSUR CORP LTD PO BOX 1109 BWI CJ 980136025 INSURANCE CJ MFH REG C-CORPORATION true false false true false false false false false false false true true true true true true true true true CHRISTUS-TRINITY MOTHER FRANCES FDN C 55401 CASH VALUE ALIGNED PROVIDERS OF EAST TEXAS Q 1329533 CASH VALUE ALIGNED PROVIDERS OF EAST TEXAS R 4754872 CASH VALUE ALIGNED PROVIDERS OF EAST TEXAS S 3448702 CASH VALUE MOTHER FRANCES HOSPITAL - JACKSONVILLE P 5412235 CASH VALUE MOTHER FRANCES HOSPITAL - JACKSONVILLE R 96200 CASH VALUE MOTHER FRANCES HOSPITAL - JACKSONVILLE S 5430067 CASH VALUE MOTHER FRANCES HOSPITAL REGIONAL HC CENTER P 33195365 CASH VALUE MOTHER FRANCES HOSPITAL REGIONAL HC CENTER Q 3680853 CASH VALUE MOTHER FRANCES HOSPITAL REGIONAL HC CENTER R 9562191 CASH VALUE MOTHER FRANCES HOSPITAL REGIONAL HC CENTER S 47621714 CASH VALUE MOTHER FRANCES HOSPITAL - WINNSBORO P 3212281 CASH VALUE MOTHER FRANCES HOSPITAL - WINNSBORO S 397868 CASH VALUE SCHEDULE R, PART II, COLUMN F DIRECT CONTROLLING ENTITY: CHRISTUS HEALTH ("CH") IS THE TOP LEVEL ORGANIZATION WHICH DIRECTLY OR INDIRECTLY CONTROLS ALL OF THE LOWER TIERED 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.