2017-05-15T11:05:05-05:00 2016-06-30 BKD LLP 14241 DALLAS PKWY STE 1100 DALLAS TX 75254 990 2015-07-01 752616975 CHRISTUS Trinity Mother Frances Health System % CHRISSY RAMSEY CHRI 9036065639 1315 Doctors Drive Tyler TX 75701 ELIZABETH PULLIAM VP of Finance 9035615764 2017-05-15 true Jeanette Verrelli P00742631 9727028262 2015 2021-01-29 14:40:06Z J LINDSEY BRADLEY JR 910 E HOUSTON TYLER TX 75701 94988393 false X WWW.TMFHC.ORG X 1995 TX COORDINATING PARENT OF CHARITABLE HEALTHCARE SYSTEM GUIDING ACTIVITIES OF AFFILIATED ENTITIES TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE COMMUNITY. 12 6 718 12 86714 24000 0 85556776 94598297 0 0 253708 388589 85834484 94986886 226328 2000090 0 0 45996285 72282541 0 0 0 39590736 46242967 85813349 120525598 21135 -25538712 32191206 36082242 79533707 117841704 -47342501 -81759462 COORDINATING PARENT OF CHARITABLE HEALTHCARE SYSTEM GUIDING ACTIVITIES OF AFFILIATED ENTITIES TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE COMMUNITY. false false 108673050 2000090 94597726 AS THE PARENT COMPANY OF TAX-EXEMPT HOSPITALS, THE SYSTEM MONITORS AND GUIDES THE ACTIVITIES OF AFFILIATED ENTITIES TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES TO THE COMMUNITY THROUGH AN EFFICIENT, ECONOMICAL, AND COORDINATED DELIVERY SYSTEM. THE SYSTEM MEASURES ITS ACCOMPLISHMENTS THROUGH ITS SUPPORT AND PROVIDING BUSINESS OFFICES FOR ITS AFFILIATED ENTITIES. 108673050 true false false false false false false false false true false false false true true true false true false false false false false false false false false true false true false false false false false false false false false false false false true true true true false false true X 65 0 true 718 true true true false false false false false false false false false X 12 6 true false true false true true true true true false false true true true true true true true true true true X CHRISSY RAMSEY 9036065639 1315 DOCTORS DRIVE TYLER TX 75701 X Sister Loretta Rose Tallas Director 1.0 0.0 X 0 0 0 Jeff Buford Vice Chair 1.0 0.0 X X 0 0 0 Preston Smith Chairman 1.0 0.0 X X 0 0 0 Don Arnwine Director 1.0 0.0 X 68250 0 0 Randy Childress Director 1.0 1.0 X 0 0 0 Bobby Curtis Director 1.0 0.0 X 0 0 0 J Lindsey Bradley Jr System president/director 29.0 11.0 X X 1554448 589621 33736 Mark Anderson MD Director 1.0 39.0 X 0 493539 15928 Steven Keuer MD President/director 20.0 20.0 X X 823401 823401 19726 Dick Stone Director 1.0 1.0 X 0 0 0 Ray Thompson Sys exec VP/director/secretary 16.0 24.0 X X 758801 1138204 33736 Scott Smith MD Executive Vice President 24.0 16.0 X X 386152 257435 14426 Joyce Hester Sr. Vice President/CFO 13.0 27.0 X 194683 404342 31236 John Webb VP, Managed Care/Reg Svc 40.0 0.0 X 260416 0 21055 Elizabeth Pulliam VP Finance/CFO of MFH Reg 24.0 16.0 X 195751 130500 11673 Jeffrey Pearson VP 40.0 0.0 X 306917 0 17176 Darin Szilagyi VP 40.0 0.0 X 322246 0 14005 Thomas Wilken Sr VP 40.0 0.0 X 358404 0 17216 Andrew von Eschenbach VP Revenue Cycle 40.0 0.0 X 272799 0 17526 Ali Birjandi VP 40.0 0.0 X 231759 0 10347 Mary Jackson VP 40.0 0.0 X 293861 0 10901 Linda Moore VP/Attorney 40.0 0.0 X 351011 0 8684 Scott Fossey VP 20.0 20.0 X 272864 0 11176 Jessica Saldivar Assoc General Counsel Comp 40.0 0.0 X 157492 0 6901 Christina Ramsey System Controller 40.0 0.0 X 165027 0 12003 Robert Jehling Associate VP 40.0 0.0 X 192146 0 10251 Theresa Irons Director Internal Audit 40.0 0.0 X 157655 0 11880 Bryan Pannagl Executive Finance Director 40.0 0.0 X 157235 0 8718 Lee Portwood Former VP 0.0 40.0 X 0 304828 14233 7481318 4141870 352533 40 true true false Huron Consulting Services LLC 4795 Payshere Circle CHICAGO IL 60674 CONSULTING SERVICES 1131548 Briggs and Caldwell LP 9801 Westheimer Rd 701 HOUSTON TX 77042 ADVERTISING SERVICES 1052700 AISA Advisors Ltd 312 South 4th Street 700 LOUISVILLE KY 40202 CONSULTING SERVICES 865504 RelayHealth Inc PO Box 98347 CHICAGO IL 60693 BILLING SERVICES 760839 Polsinelli LLP 1000 Louisiana Street 53rd Floor HOUSTON TX 77002 LEGAL SERVICES 720206 29 X 0 OTHER OPERATING REVENUE 621110 93909062 93909062 EHR INCENTIVE REVENUE 900099 689235 689235 94598297 0 0 0 0 0 0 0 0 0 936 1507 -571 -571 LAUNDRY 812300 86714 86714 Rebate Income 900099 298425 298425 Miscellaneous Income 900099 4021 4021 389160 94986886 94597726 86714 302446 X 2000090 2000090 0 0 0 12423795 11181416 1242379 0 48119681 43307712 4811969 740178 666160 74018 6068947 5462053 606894 4929940 4436946 492994 0 2033182 1829864 203318 149212 134291 14921 0 0 150 135 15 17891355 16102220 1789135 1109583 998625 110958 3564543 3208089 356454 8729150 7856235 872915 0 489612 440651 48961 147951 133156 14795 0 530346 477311 53035 368122 331310 36812 0 7484500 6736050 748450 78126 70313 7813 REPAIRS AND MAINTENANCE 711827 640644 71183 RECRUITMENT 1870875 1683788 187088 LAUNDRY AND LINEN 321929 289736 32193 FOOD 364629 328166 36463 397875 358089 39785 120525598 108673050 11852548 0 0 0 412 262 0 0 0 0 0 0 0 0 0 0 0 0 2537889 2280333 0 0 0 0 0 0 0 0 0 29652905 33801647 32191206 36082242 2595213 4379954 0 0 0 0 0 0 0 0 0 0 7957505 7539573 0 0 68980989 105922177 79533707 117841704 X -56572010 -81759462 7177884 0 2051625 0 -47342501 -81759462 32191206 36082242 X -25538712 -8878249 X false true X true false X X 2 MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER 750818167 3 true 54336525 0 TRINITY CLINIC 752616977 3 true 54336525 0 2 108673050 true false false false false true false false false false false false false false false false SCHEDULE A, PART IV, SECTION C, LINE 1 MANAGEMENT OF SUPPORTING ORGANIZATION: THE MANAGEMENT OF CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM (CTMFHS) IS VESTED IN THE SAME PERSONS THAT MANAGE THE MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER (HOSPITAL) AND TRINITY CLINIC (CLINIC). THE SYSTEM EXECUTIVES MANAGE THE DAILY BUSINESS OF ALL OF THE ORGANIZATIONS WITHIN THE SYSTEM. THE SYSTEM EXECUTIVES ARE SHARED AMONG THE HOSPITAL AND ITS AFFILIATES, SO THE MANAGEMENT OF THE SUPPORTED ORGANIZATIONS ARE THE SAME AS THE PERSONS MANAGING THE SUPPORTING ORGANIZATIONS. SCHEDULE A, PART IV, SECTION A, LINE 6 SUPPORT TO ENTITY OTHER THAN SUPPORTED ORGANIZATION: CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM PROVIDED SUPPORT IN THE AMOUNT OF $2,000,000 TO SISTERS OF THE HOLY FAMILY OF NAZARETH, ALSO KNOWN AS CSFN MISSION & MINISTRY, INC, THE SOLE MEMBER ORGANIZATION OF THE SYSTEM UNTIL MAY 1, 2016, FOR CAPITAL NEEDS. 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 INVESTMENT IN UNCONSOL SUB 2808208 DUE FROM AFFILIATES 30908387 DEFERRED FINANCING COSTS 34147 DUE FROM Third-PARTY PAYERS 50905 33801647 0 DUE TO AFFILIATES 101959345 LONG-TERM CARE OBLIGATION 3962832 105922177 X 96313299 1624838 1624838 94688461 298425 298425 94986886 120227530 -298068 -298068 120525598 120525598 SCHEDULE D, PART V, LINE 4 INTENDED USE OF 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 FINANCIAL STATEMENTS WITH RETURN: Change in financial interest of affiliate - Foundation $3,111,132 Equity in earnings of affiliate - Foundation (1,486,294) ------------ TOTAL $1,624,838 SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Rebate income $298,425 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Rebate income $(298,425) Equity in income of consolidated subsidiary 357 ----------- TOTAL $(298,068) true CSFN MISSION AND MINISTRY INC 4001 GRANT AVENUE PHILADELPHIA PA 19114 205728802 501(c)(3) 2000000 Capital needs 1 SCHEDULE I, PART I, LINE 2 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. X true true X X X X X false true false false false false false false false J Lindsey Bradley Jr System president/director 589703 223681 869530 329822 95215 36118 12489 4737 11970 4540 1578907 598898 0 0 Mark Anderson MD Director 0 488397 0 0 0 5142 0 9938 0 5990 0 509467 0 0 Steven Keuer MD President/director 273658 273659 192356 192356 357387 357386 8613 8613 1250 1250 833264 833264 300730 300730 Ray Thompson Sys exec VP/director/secretary 256172 384259 441072 661609 61557 92336 6890 10336 6603 9907 772294 1158447 0 0 Scott Smith MD Executive Vice President 286672 191115 91500 61000 7980 5320 7155 4771 1500 1000 394807 263206 0 0 Joyce Hester Sr. Vice President/CFO 123026 255515 66686 138503 4971 10324 5598 11628 4553 9457 204834 425427 0 0 John Webb VP, Managed Care/Reg Svc 194062 0 53551 0 12803 0 7768 0 13287 0 281471 0 0 0 Elizabeth Pulliam VP Finance/CFO of MFH Reg 143489 95659 45261 30174 7001 4667 4737 3158 2267 1511 202755 135169 0 0 Jeffrey Pearson VP 223984 0 71598 0 11335 0 7520 0 9656 0 324093 0 0 0 Darin Szilagyi VP 236260 0 74625 0 11361 0 6677 0 7328 0 336251 0 0 0 Thomas Wilken Sr VP 264446 0 82171 0 11787 0 8613 0 8603 0 375620 0 0 0 Andrew von Eschenbach VP Revenue Cycle 201310 0 60212 0 11277 0 7698 0 9828 0 290325 0 0 0 Ali Birjandi VP 176488 0 39564 0 15707 0 3019 0 7328 0 242106 0 0 0 Mary Jackson VP 226469 0 52000 0 15392 0 8721 0 2180 0 304762 0 0 0 Linda Moore VP/Attorney 257229 0 80253 0 13529 0 3273 0 5411 0 359695 0 0 0 Jessica Saldivar Assoc General Counsel Comp 141532 0 15798 0 162 0 2289 0 4612 0 164393 0 0 0 Christina Ramsey System Controller 140364 0 24457 0 206 0 4936 0 7067 0 177030 0 0 0 Robert Jehling Associate VP 152220 0 32501 0 7425 0 1980 0 8271 0 202397 0 0 0 Scott Fossey VP 208493 0 52000 0 12371 0 5757 0 5419 0 284040 0 0 0 Theresa Irons Director Internal Audit 142695 0 12551 0 2409 0 1898 0 9982 0 169535 0 0 0 Bryan Pannagl Executive Finance Director 139928 0 17002 0 305 0 2626 0 6092 0 165953 0 0 0 Lee Portwood Former VP 0 227039 0 64658 0 13131 0 9738 0 4495 0 319061 0 0 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 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 HOUSING ALLOWANCES ARE INCLUDED AS TAXABLE COMPENSATION FOR ALI BIRJANDI AND THERESA IRONS. 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 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE GOVERNING DOCUMENTS WERE AMENDED EFFECTIVE MAY 1, 2016. THE DOCUMENTS WERE AMENDED TO REFLECT THE CHANGE OF THE ORGANIZATION'S NAME FROM TRINITY MOTHER FRANCES HEALTH SYSTEM TO CHRISTUS TRINITY MOTHER FRANCES HEALTH SYSTEM. THE AMENDED DOCUMENTS ALSO DESCRIBE THE TRANSFER OF MEMBERSHIP TO THE NEW SOLE MEMBER, CHRISTUS HEALTH. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: THE SOLE MEMBER WAS THE CONGREGATION OF THE SISTERS OF THE HOLY FAMILY OF NAZARETH, ALSO KNOWN AS CSFN MISSION & MINISTRY, INC, A RELIGIOUS ORDER OF THE ROMAN CATHOLIC CHURCH. EFFECTIVE MAY 1, 2016, THE SOLE MEMBER BECAME CHRISTUS HEALTH. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS WHO MAY ELECT MEMBERS OF THE GOVERNING BODY: THE MEMBER HAS THE SOLE RIGHT AND AUTHORITY TO APPOINT THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL BY THE MEMBER: THE NEW 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 EMPLOYEES: 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 V, LINE 1A 1099S REPORTED BY ORGANIZATION: THE ORGANIZATION'S 1099S ARE ISSUED BY A RELATED ORGANIZATION, MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER, WHO REPORTS ALL 1099S FOR THE ENTIRE SYSTEM AND ALLOCATES EXPENSES TO THE APPROPRIATE RELATED ORGANIZATION. 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: Change in financial interest - temp restricted $(7,177,884) Change in financial interest - Foundation 3,111,132 Change in financial interest - perm restricted (2,051,625) Equity in earnings of affiliate - Foundation (1,486,294) Transfer to affiliate (1,273,221) Equity in income of consolidated subsidiary (357) ------------ TOTAL $(8,878,249) FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:4426001 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:8663793 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:1384051 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:468223 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:11975346 FORM 990 PART IX LINE 11G DESCRIPTION:SPONSORSHIPS TOTAL FEES:161100 FORM 990 PART IX LINE 11G DESCRIPTION:CORPORATE ALLOCATION TOTAL FEES:-9187159 TRINITY MOTHER FRANCES CARE COMPACT LLC 1315 DOCTORS DRIVE TYLER TX 75701 465764798 ACUTE CARE TX -894874 0 CTMFHS TMF - ES INVESTMENT LLC 1315 DOCTORS DRIVE TYLER TX 75701 471407192 INVESTMENT TX 0 0 CTMFHS 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 MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 HOSPITAL TX 501(C)(3) 3 CTMFHS true TRINITY CLINIC 1315 DOCTORS DRIVE TYLER TX 75701 752616977 HEALTHCARE TX 501(C)(3) 3 CTMFHS true MOTHER FRANCES HOSPITAL REGIONAL HC CTR 1315 DOCTORS DRIVE TYLER TX 75701 750818167 HOSPITAL TX 501(C)(3) 3 CTMFHS true 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 CHRISTUS HEALTH CENTRAL LOUISIANA 330 MASONIC DRIVE ALEXANDRIA LA 71301 720408984 HLTHCARE SVCS LA 501(C)(3) 3 CH true CHRISTUS HEALTH GULF COAST PO BOX 922037 HOUSTON TX 77292 760591592 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH NORTHERN LOUISIANA ONE SAINT MARY PLACE SHREVEPORT LA 71101 720408982 HLTHCARE SVCS LA 501(C)(3) 3 CH true CHRISTUS SPOHN HEALTH SYSTEM CORPORATION 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 741109836 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH SOUTHEAST TEXAS 2830 CALDER STREET BEAUMONT TX 77726 760591590 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH SOUTHWESTERN LOUISIANA 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 720411322 HLTCHARE SVCS LA 501(C)(3) 3 CH true CHRISTUS SANTA ROSA HEALTH CARE CORP 333 N SANTA ROSA STREET SAN ANTONIO TX 78207 741109665 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS CONTINUING CARE 1700 WEST LOOP SOUTH STE 1100 HOUSTON TX 77027 742898615 HLTHCARE SVCS TX 501(C)(3) 3 CH true CH WILKINSON PHYSICIAN NETWORK 1700 WEST LOOP SOUTH STE 400B HOUSTON TX 77027 760422435 HLTCHARE SVCS TX 501(C)(3) 11, TYPE I CH true DUBIUS HEALTH SYSTEM INC 1700 WEST LOOP SOUTH STE 1100A HOUSTON TX 77027 721270964 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS HEALTH LIABILITY RETENTION TRST 919 HIDDEN RIDGE IRVING TX 75038 760259623 SELF INS.TRST TX 501(C)(3) 11, TYPE I CH true CHRISTUS HEALTH FOUNDATION 919 HIDDEN RIDGE IRVING TX 75038 611500100 SPT HLTH SVCS TX 501(C)(3) 11, TYPE I CH true CHRISTUS HEALTH STRATEGIC GROWTH 919 HIDDEN RIDGE IRVING TX 75038 462798043 SPT HLTH SVCS TX 501(C)(3) 11, TYPE I CH true CHRISTUS HEALTH PLAN LOUISIANA 919 HIDDEN RIDGE IRVING TX 75038 464617988 MEDICAID HMO LA 501(C)(3) 9 CH true CHRISTUS HEALTH PLAN NEW MEXICO 919 HIDDEN RIDGE IRVING TX 75038 464487295 MEDICAID HMO NM 501(C)(3) 9 CH true CHRISTUS PEDIATRIC PHYSICIAN GROUP 919 HIDDEN RIDGE IRVING TX 75038 465203505 HLTHCARE SVCS TX 501(C)(3) 3 CH true CHRISTUS CONNECTED CARE NETWORK 919 HIDDEN RIDGE IRVING TX 75038 473403356 SPT HLTH SVCS TX 501(C)(3) 11, TYPE I CH true CHRISTUS HOPKINS HEALTH ALLIANCE 115 AIRPORT ROAD SULPHUR SPRINGS TX 75482 811708177 HEALTH SVCS TX 501(C)(3) 3 CH true ETMF JV LLC 8686 NEW TRAILS DR SPRING TX 77381 INACTIVE TX CTMFHS INACTIVE 0 0 false 0 false 0.51000 TRI-STATE FINANCIAL LLC 1315 DOCTORS DRIVE TYLER TX 75701 752728318 DORMANT TX CTMFHS C-CORPORATION 0 0 1.00000 true TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 RETAIL HEALTH SVC TX CTMFHS C-CORPORATION 497117 2380451 1.00000 true HEALTHPLAN OF TEXAS INC 1315 DOCTORS DRIVE TYLER TX 75701 752636832 THIRD PARTY ADMIN TX CTMFHS C-CORPORATION -356 87434 1.00000 true THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752484109 PREFER PROVIDER TX CTMFHS C-CORPORATION 0 0 1.00000 true TEXAS HEALTH FACILITY INSUR CORP LTD PO BOX 1109 BWI CJ 980136025 INSURANCE CJ MFH REG C-CORPORATION 0 0 true CHRISTUS MUGUERZA SAPI DE CV HIDALGO PTE 2525 64060 COL OBISPADO MONTERREY, N.L. MX HLTHCARE SVCS MX CH C-CORPORATION 0 0 true EMERALD ASSURANCE CAYMAN LTD PO BOX 1051 GRAND CAYMAN CJ KY1 1102 980407545 INSURANCE CJ CH C-CORPORATION 0 0 true CHRISTUS LOUISIANA QUALITY ALLIANCE 919 HIDDEN RIDGE DRIVE IRVING TX 75038 474618648 ACO LA CH C-CORPORATION 0 0 true false true false false false true false false false false false true false true true true true true true ALIGNED PROVIDERS OF EAST TEXAS L 1108159 CASH VALUE MOTHER FRANCES HOSPITAL - JACKSONVILLE L 3604484 CASH VALUE MOTHER FRANCES HOSPITAL - JACKSONVILLE S 3595847 CASH VALUE TRINCARE INC L 544520 CASH VALUE TRINCARE INC P 1036924 CASH VALUE TRINCARE INC S 1309174 CASH VALUE TRINITY CLINIC L 14696947 CASH VALUE TRINITY CLINIC P 75723 CASH VALUE TRINITY CLINIC Q 1866338 CASH VALUE TRINITY CLINIC R 507679 CASH VALUE TRINITY CLINIC S 5429065 CASH VALUE MOTHER FRANCES HOSPITAL REGIONAL HC CENTER L 69123050 CASH VALUE MOTHER FRANCES HOSPITAL REGIONAL HC CENTER P 3363829 CASH VALUE MOTHER FRANCES HOSPITAL REGIONAL HC CENTER Q 60493277 CASH VALUE MOTHER FRANCES HOSPITAL REGIONAL HC CENTER R 11852095 CASH VALUE MOTHER FRANCES HOSPITAL REGIONAL HC CENTER S 57924052 CASH VALUE MOTHER FRANCES HOSPITAL - WINNSBORO L 1757913 CASH VALUE MOTHER FRANCES HOSPITAL - WINNSBORO S 73186 CASH VALUE CHRISTUS CONTINUING CARE F 3111132 CASH VALUE SCHEDULE R, PART II, COLUMN F & PART IV, COLUMN D 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, "CH", "CTMFHS"MFH REG", ARE ALSO THE CONTROLLING ENTITIES FOR THE CORPORATIONS LISTED IN PART IV.