2016-05-16T15:01:29-05:00 2015-06-30 BKD LLP 14241 DALLAS PKWY STE 1100 DALLAS TX 75254 990 2014-07-01 752616977 Trinity Clinic % CHRISSY RAMSEY TRIN 9036065639 1315 Doctors Drive Tyler TX 75701 Elizabeth Pulliam CFO of MFH Regional 9036065783 2016-05-16 true Jeanette Verrelli P00742631 9727028262 2014 2016-08-17 19:52:53Z STEVEN KEUER MD 910 E HOUSTON TYLER TX 75701 153732700 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. 13 0 644 35 0 0 45998 75613 166762561 152865218 2896684 791869 -583 0 169704660 153732700 0 0 0 0 43086747 42094361 0 0 0 155474932 135150127 198561679 177244488 -28857019 -23511788 42788352 41300592 84792323 89858550 -42003971 -48557958 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 171568552 0 152865218 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. 171568552 true true false false false false false false false true true false false true true false 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 89 0 true 644 true false false false false false false false false false false X 13 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 20.0 20.0 X X 713248 713248 27531 MARK ANDERSON MD CHAIR 39.0 1.0 X X 468933 0 18123 WILLIAM HOBBS MD PHYSICIAN 40.0 0.0 X 821801 0 19620 JAMES STANFORD MD VICE CHAIR 40.0 0.0 X X 351963 0 17572 JAMES CACCITOLO MD SECRETARY 39.0 1.0 X X 1008176 0 15623 HAMPTON WILLIAMS MD PHYSICIAN 40.0 0.0 X 482831 0 16449 OLADIMEJI AKIODE MD PHYSICIAN 40.0 0.0 X 402523 0 12772 BARBARA ALLEN MD PHYSICIAN 34.0 6.0 X 408435 0 14644 BRYAN LOWERY MD PHYSICIAN 40.0 0.0 X 595464 0 8992 JANET HURLEY MD PHYSICIAN 40.0 0.0 X 191378 0 11962 JOSEPH ZASIK DO PHYSICIAN 40.0 0.0 X 546094 0 9995 BRENDA MORRIS MD PHYSICIAN 40.0 0.0 X 399558 0 9750 FAGG SANFORD MD PHYSICIAN 38.0 2.0 X 878349 0 13473 TODD PATRICK MD PHYSICIAN 40.0 0.0 X 1379791 0 15623 ANDRIA CARDINALLI-STEIN MD PHYSICIAN 40.0 0.0 X 116037 0 1825 JAYESH PATEL MD PHYSICIAN 40.0 0.0 X 782827 0 8597 BRENT WADLE MD PHYSICIAN 40.0 0.0 X 401833 0 14874 JOYCE HESTER SR. VICE PRESIDENT/CFO 7.0 33.0 X 84525 398474 27706 SCOTT SMITH MD EXECUTIVE VICE PRESIDENT 30.0 10.0 X 154409 51470 1083 ANN GILBERT VP 40.0 0.0 X 257272 0 13638 CHRIS GLENNEY CHIEF ADMIN. OFFICER 40.0 0.0 X 374470 0 28468 WILLIAM DOOLEY VP 40.0 0.0 X 46363 0 641 KAI XIA MD PHYSICIAN 40.0 0.0 X 1519450 0 10950 LAURA O'HALLORAN MD PHYSICIAN 40.0 0.0 X 1570410 0 9750 NEELAN DOOLABH MD PHYSICIAN 40.0 0.0 X 1640743 0 8829 MING LU MD PHYSICIAN 40.0 0.0 X 1573694 0 16823 JOHN SIMS MD PHYSICIAN 40.0 0.0 X 1199528 0 16723 GIFFORD ECKHOUT MD FORMER EXECUTIVE VP/DIRECTOR 0.0 0.0 X 0 434833 15185 THOMAS HARGROVE PHYSICIAN/FORMER VP 40.0 0.0 X 415063 0 22221 WILLIAM MCCRADY MD PHYSICIAN/FORMER VP 40.0 0.0 X 264999 0 10436 GREGORY STOVALL MD PHYSICIAN/FORMER OFFICER 40.0 0.0 X 367504 0 12798 ROGER FOWLER MD PHYSICIAN/FORMER OFFICER 40.0 0.0 X 332756 0 12956 19750427 1598025 445632 40 true true false DELTA LOCUM TENENS LLC PO BOX 202940 DALLAS TX 75320 PHYSICIAN SERVICES 1799569 EAGLE HOSPITAL PHYSICIANS INC 16000 NORTH DALLAS PARKWAY STE 450 DALLAS TX 75248 HOSPITALIST MGMT 1161566 HOSPITALIST CONNECTIONS LLC 16000 NORTH DALLAS PARKWAY STE 450 DALLAS TX 75248 PHYSICIAN SERVICES 803489 PATRICK DAUS DO 817 WHITE BUFFALO LANE HEATH TX 75032 PHYSICIAN SERVICES 610250 QUEST HEALTHCARE SOLUTIONS 2002 SUMMIT BLVD NE ATLANTA GA 30319 PHYSICIAN SERVICES 548992 28 75613 75613 NET PATIENT SERVICE REVENUE 621500 117799032 117799032 OTHER OPERATING REVENUE 900099 35066135 35066135 EHR INCENTIVE REVENUE 900099 51 51 152865218 737673 737673 0 0 0 0 0 54196 0 54196 54196 54196 0 0 0 0 153732700 152865218 791869 X 0 0 0 0 10210826 9080217 1130609 2022125 1830289 191836 16307584 14428301 1879283 2850448 2802420 48028 5183445 4945406 238039 5519933 5085206 434727 3336381 3331908 4473 5754 5754 0 0 0 150 150 106803412 105666570 1136842 0 69778 33391 36387 453611 257888 195723 9339 7687 1652 0 1039393 860456 178937 124228 62669 61559 0 910723 894199 16524 127227 127227 0 276872 216832 60040 402013 386527 15486 MEDICAL SUPPLIES 2740668 2740668 BAD DEBT EXPENSE 7490498 7490498 EDUCATION 106385 95408 10977 PERFORMANCE STANDARDS 940413 940026 387 10313282 10284759 28523 177244488 171568552 5675936 0 11844 -112710 0 0 0 0 14932738 11469727 0 0 0 0 1831241 0 131330 96536 498508 502769 2758445 1576070 1384445 1182375 22876242 24198257 82544 79766 0 0 310786 260595 728674 3623277 42788352 41300592 28834722 27324129 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55957601 62534421 84792323 89858550 X -42003971 -48557958 0 0 0 0 -42003971 -48557958 42788352 41300592 X -23511788 16957801 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2762072 124881 1000 2885953 2414694 360569 13191 2762072 2408876 163752 157934 2414694 2350337 30875 27664 2408876 2209013 50 141274 2350337 0.71342 0.28658 false true true 0 0 0 0 1090482 275991 814491 0 1667075 1300079 366996 888 888 1182375 DUE FROM AFFILIATES 3562777 OTHER ASSETS 60500 3623277 0 DUE TO AFFILIATES 34119905 ACCRUED PENSION LIABILITY 16636464 ESTIMATED SELF INSURANCE COSTS 3400000 DEFERRED COMPENSATION 8378052 62534421 X 144904585 -7490498 -7490498 152395083 1337617 1337617 153732700 168416373 -1337617 -1337617 169753990 7490498 7490498 177244488 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 SYSTEM, THE HOSPITAL, RMSA, THE CLINIC, JACKSONVILLE AND WINNSBORO HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE (IRC) AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THESE ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. APET WILL BE APPLYING FOR TAX-EXEMPT STATUS. THFIC IS NOT CONSIDERED TO BE ENGAGED IN A UNITED STATES TRADE OR BUSINESS AND, THEREFORE, IS NOT SUBJECT TO UNITED STATES INCOME TAXES. IF THFIC WERE TO BE CONSIDERED ENGAGED IN A UNITED STATES TRADE OR BUSINESS, IT COULD BE SUBJECT TO FEDERAL INCOME TAX. THFIC IS CURRENTLY EXEMPT FROM INCOME TAXES IN THE CAYMAN ISLANDS. ACCORDINGLY, NO PROVISION FOR TAXES HAS BEEN MADE. WITH A FEW EXCEPTIONS, THE HEALTH SYSTEM IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011. SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANICAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $(7,490,498) SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: INTEREST INCOME $736,350 SEQUESTER REDUCTION REVENUE 545,792 REBATE INCOME 1,279 GAIN ON SALE OF PROPERTY 54,196 ------------- TOTAL $1,337,617 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: INTEREST INCOME $(736,350) SEQUESTER REDUCTION REVENUE (545,792) REBATE INCOME (1,279) GAIN ON SALE OF PROPERTY (54,196) -------------- TOTAL $(1,337,617) SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $7,490,498 X X X X X false true false false false true false false false STEVEN KEUER MD SYSTEM PRESIDENT/CMO 312157 312157 162240 162240 238851 238851 5469 5469 8296 8297 727013 727014 230601 230601 GIFFORD ECKHOUT MD FORMER EXECUTIVE VP/DIRECTOR 0 368109 0 66724 0 0 4463 0 10722 0 450018 0 0 MARK ANDERSON MD CHAIR 464493 0 0 0 4440 0 9750 0 8373 0 487056 0 0 0 WILLIAM HOBBS MD PHYSICIAN 790288 0 0 0 31513 0 11050 0 8570 0 841421 0 9573 0 JAMES STANFORD MD VICE CHAIR 311817 0 0 0 40146 0 9607 0 7965 0 369535 0 18206 0 KAI XIA MD PHYSICIAN 1490510 0 0 0 28940 0 9750 0 1200 0 1530400 0 0 0 JAMES CACCITOLO MD SECRETARY 1003736 0 0 0 4440 0 9750 0 5873 0 1023799 0 0 0 HAMPTON WILLIAMS MD PHYSICIAN 478391 0 0 0 4440 0 9750 0 6699 0 499280 0 0 0 LAURA O'HALLORAN MD PHYSICIAN 1565970 0 0 0 4440 0 9750 0 0 0 1580160 0 0 0 OLADIMEJI AKIODE MD PHYSICIAN 383563 0 5000 0 13960 0 7190 0 5582 0 415295 0 0 0 BARBARA ALLEN MD PHYSICIAN 384695 0 0 0 23740 0 9750 0 4894 0 423079 0 0 0 BRYAN LOWERY MD PHYSICIAN 577181 0 0 0 18283 0 8992 0 0 0 604456 0 0 0 JOYCE HESTER SR. VICE PRESIDENT/CFO 59218 279170 25307 119304 0 0 1914 9023 2935 13834 89374 421331 0 0 JANET HURLEY MD PHYSICIAN 188116 0 0 0 3262 0 6089 0 5873 0 203340 0 0 0 JOSEPH ZASIK DO PHYSICIAN 524154 0 0 0 21940 0 9750 0 245 0 556089 0 0 0 THOMAS HARGROVE PHYSICIAN/FORMER VP 398516 0 0 0 16547 0 11050 0 11171 0 437284 0 12107 0 WILLIAM MCCRADY MD PHYSICIAN/FORMER VP 218350 0 5000 0 41649 0 7570 0 2866 0 275435 0 27022 0 BRENDA MORRIS MD PHYSICIAN 395118 0 0 0 4440 0 9750 0 0 0 409308 0 0 0 FAGG SANFORD MD PHYSICIAN 858527 0 0 0 19822 0 8450 0 5023 0 891822 0 0 0 SCOTT SMITH MD EXECUTIVE VICE PRESIDENT 109409 36470 45000 15000 0 0 812 271 0 0 155221 51741 0 0 TODD PATRICK MD PHYSICIAN 1375351 0 0 0 4440 0 9750 0 5873 0 1395414 0 0 0 NEELAN DOOLABH MD PHYSICIAN 1619803 0 0 0 20940 0 8829 0 0 0 1649572 0 0 0 ANN GILBERT VP 203527 0 40830 0 12915 0 5885 0 7753 0 270910 0 0 0 CHRIS GLENNEY CHIEF ADMIN. OFFICER 283222 0 91248 0 0 0 8661 0 19807 0 402938 0 0 0 JAYESH PATEL MD PHYSICIAN 759387 0 0 0 23440 0 8450 0 147 0 791424 0 0 0 BRENT WADLE MD PHYSICIAN 397393 0 0 0 4440 0 9001 0 5873 0 416707 0 0 0 MING LU MD PHYSICIAN 1569254 0 0 0 4440 0 8450 0 8373 0 1590517 0 0 0 JOHN SIMS MD PHYSICIAN 1177588 0 0 0 21940 0 8450 0 8273 0 1216251 0 0 0 GREGORY STOVALL MD PHYSICIAN/FORMER OFFICER 301134 0 2067 0 64303 0 6925 0 5873 0 380302 0 42789 0 ROGER FOWLER MD PHYSICIAN/FORMER OFFICER 266932 0 20690 0 45134 0 10733 0 2223 0 345712 0 23195 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 $458,028 NONE PARTICIPANTS IN 457(F) REPORTED IN W-2 ---------------------- ----------------- GIFFORD ECKHOUT MD NONE FAGG SANFORD MD NONE OLADIMEJI AKIODE MD NONE STEVEN KEUER MD $3,174 WILLIAM HOBBS MD $9,573 JAMES STANFORD MD $18,206 THOMAS HARGROVE MD $12,107 ROGER FOWLER MD $23,195 WILLIAM MCCRADY MD $27,022 GREGORY STOVALL MD $42,789 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. KAREN ZASIK WIFE OF DIRECTOR 67773 SALARIES/WAGES false JOSHUA STEIN HUSBAND OF DIRECTOR 725437 SALARIES/WAGES false FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: 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. FORM 990, PART VI, SECTION B, LINE 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 TRINITY MOTHER FRANCES HEALTH SYSTEM. THE MOST RECENT REVIEW OF OFFICER COMPENSATION WAS CONDUCTED IN 2015 BY LAURA LOCKHART, TMFHS DIRECTOR OF TOTAL REWARDS, AND JARED SEIGER, TMFHS BENEFIT SPECIALIST. 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. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: TRANSFERS FROM AFFILIATE $16,957,801 FORM 990, PART VII, SECTION A, LINE 1A & SCHEDULE J, PART II COMPENSATION FROM RELATED ORGANIZATIONS: THE GOVERNING BOARD OF 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 VI, SECTION A, LINE 2 RELATIONSHIPS BETWEEN OFFICERS & DIRECTORS: THE MEMBERS OF THE EXECUTIVE TEAM ALL HAVE BUSINESS RELATIONSHIPS WITH EACHOTHER THROUGH THEIR EMPLOYMENT WITH RELATED ORGANIZATIONS. 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:209263 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:1882 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:41118 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:1266128 FORM 990 PART IX LINE 11G DESCRIPTION:CORPORATE ALLOCATION TOTAL FEES:-1179172 FORM 990 PART IX LINE 11G DESCRIPTION:DIRECTOR FEES TOTAL FEES:1639347 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:49750 MOTHER FRANCES HOSPITAL REGIONAL HC CTR 1315 DOCTORS DRIVE TYLER TX 75701 750818167 HOSPITAL TX 501(C)(3) 3 TMFHS true MOTHER FRANCES HOSPITAL - JACKSONVILLE 1315 DOCTORS DRIVE TYLER TX 75701 751976930 HOSPITAL TX 501(C)(3) 3 TMFHS true TRINITY MOTHER FRANCES HEALTH SYSTEM FDN 1315 DOCTORS DRIVE TYLER TX 75701 752028241 SUPPORT TX 501(C)(3) 11, TYPE I TMFHS true REGIONAL MEDICAL SERVICES ASSOCIATION 1315 DOCTORS DRIVE TYLER TX 75701 752511459 HEALTHCARE TX 501(C)(3) 3 MFH REG true TRINITY MOTHER FRANCES HEALTH SYSTEM 1315 DOCTORS DRIVE TYLER TX 75701 752616975 SUPPORT TX 501(C)(3) 11, TYPE II CSFN false MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 HOSPITAL TX 501(C)(3) 3 TMFHS true ALIGNED PROVIDERS OF EAST TEXAS 1315 DOCTORS DRIVE TYLER TX 75701 465720165 HEALTHCARE TX 501(C)(3) 3 MFH REG true CSFN MISSION & MINISTRY INC 4001 GRANT AVENUE PHILADELPHIA PA 19114 205728802 SPONSORSHIP PA 501(C)(3) 1 NA false TRI-STATE FINANCIAL LLC 1315 DOCTORS DRIVE TYLER TX 75701 752728318 DORMANT TX TMFHS C-CORPORATION true TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 RETAIL HEALTH SVC TX TMFHS C-CORPORATION true HEALTHPLAN OF TEXAS INC 1315 DOCTORS DRIVE TYLER TX 75701 752636832 THIRD PARTY ADMIN TX TMFHS C-CORPORATION true THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752484109 PREFER PROVIDER TX TMFHS C-CORPORATION true CONCORDIUM HEALTH LLC 1315 DOCTORS DRIVE TYLER TX 75701 702811022 INACTIVE TX NA C-CORPORATION false TEXAS HEALTH FACILITIES INSUR CORP LTD PO BOX 1109 BWI CJ 980136025 INSURANCE CJ MFH REG C-CORPORATION true false false true false true false true false false false true true true true true true true true true TRINITY MOTHER FRANCES HEALTH SYSTEM FDN C 75613 CASH VALUE MOTHER FRANCES HOSPITAL - JACKSONVILLE Q 5494212 CASH VALUE MOTHER FRANCES HOSPITAL - JACKSONVILLE R 5558618 CASH VALUE MOTHER FRANCES HOSPITAL REGIONAL HC CENTER P 31683709 CASH VALUE MOTHER FRANCES HOSPITAL REGIONAL HC CENTER Q 9714701 CASH VALUE MOTHER FRANCES HOSPITAL REGIONAL HC CENTER R 36316356 CASH VALUE MOTHER FRANCES HOSPITAL REGIONAL HC CENTER S 19927937 CASH VALUE MOTHER FRANCES HOSPITAL - WINNSBORO P 3210063 CASH VALUE MOTHER FRANCES HOSPITAL - WINNSBORO R 338337 CASH VALUE SCHEDULE R, PART II, COLUMN F DIRECT CONTROLLING ENTITY THE FOLLOWING RELATED ORGANIZATIONS REPORTABLE IN PART II ARE DIRECTLY CONTROLLED BY TRINITY MOTHER FRANCES HEALTH SYSTEM ("TMFHS"): MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER MOTHER FRANCES HOSPITAL - JACKSONVILLE MOTHER FRANCES HOSPITAL - WINNSBORO TRINITY MOTHER FRANCES HEALTH SYSTEM FOUNDATION REGIONAL MEDICAL SERVICES ASSOCIATION AND ALIGNED PROVIDERS OF EAST TEXAS ARE DIRECTLY CONTROLLED BY MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER ("MFH REG").