MOTHER FRANCES HOSPITAL JACKSONVILLE: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: MOTHER FRANCES HOSPITAL JACKSONVILLE (EIN 75-1976930)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-16
IRS object ID: 201631379349308678
Schema version: 2014v6.0
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-16T15:09:29-05:00	ReturnTs
Tax Period End	2015-06-30	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	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	751976930	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mother Frances Hospital - Jacksonville	BusinessNameLine1Txt

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	CFO of MFH Regional	PersonTitleTxt
Phone	9036065783	PhoneNum
Signature	2016-05-16	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	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	THOMAS N CAMMACK JR	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2026 SOUTH JACKSON	AddressLine1Txt
City	JACKSONVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75766	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$38,159,336	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TMFHC.ORG/JACKSONVILLE	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2000	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTHCARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	175	TotalEmployeeCnt
Total Volunteers	8	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$46,642,153	PYProgramServiceRevenueAmt
CY Program Service Revenue	$38,157,700	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$1,636	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$46,642,153	PYTotalRevenueAmt
CY Total Revenue	$38,159,336	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,501,907	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,861,094	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$9,933,345	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$9,608,169	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$29,292,962	PYOtherExpensesAmt
CY Other Expenses	$26,658,184	CYOtherExpensesAmt
PY Total Expenses	$42,728,214	PYTotalExpensesAmt
CY Total Expenses	$38,127,447	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,913,939	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$31,889	CYRevenuesLessExpensesAmt
Total Assets BOY	$24,763,091	TotalAssetsBOYAmt
Total Assets EOY	$25,390,734	TotalAssetsEOYAmt
Total Liabilities BOY	$5,136,917	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,732,671	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$19,626,174	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$19,658,063	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTHCARE SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$33,380,672	ExpenseAmt
Grant	$1,861,094	GrantAmt
Revenue	$38,157,700	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.	Desc
Total Program Service Expenses	$33,380,672	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	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	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	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	false	TaxExemptBondsInd
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
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	16	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	175	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
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	7	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	false	InvestmentInJointVentureInd
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 (15 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
THOMAS N CAMMACK JR
CEO/DIRECTOR/SECRETARY/TREAS	40.0	0.0	Yes (X)	Yes (X)	$286,577	$0	$14,195
MATTHEW A VIERKANT MD
DIRECTOR	40.0	0.0	Yes (X)		$442,207	$0	$21,584
RAY THOMPSON
SYS EXEC/VP/DIRECTOR/CHAIR	1.0	39.0	Yes (X)	Yes (X)	$45,025	$1,755,980	$30,207
GLEN T HAMILTON
VICE CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM MILAWSKI MD
DIRECTOR	40.0	0.0	Yes (X)		$243,390	$0	$13,526
DICK STONE
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
RANDY GORHAM
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
J LINDSEY BRADLEY JR
SYSTEM PRESIDENT	1.0	39.0		Yes (X)	$50,566	$1,972,093	$30,207
MICHAEL LEWIS
COO	30.0	10.0		Yes (X)	$100,772	$33,590	$11,693
JOYCE HESTER
SR. VICE PRESIDENT/CFO	4.0	36.0		Yes (X)	$48,300	$434,699	$27,707
BARRY L THIBODEAUX
CRNA	40.0	0.0			$263,866	$0	$9,910	Yes (X)
JACK CAPPS
CRNA	40.0	0.0			$259,569	$0	$17,335	Yes (X)
BEN BEATHARD
RN	40.0	0.0			$119,173	$0	$12,676	Yes (X)
KEITH MARTIN
RN	40.0	0.0			$125,718	$0	$7,118	Yes (X)
DAVID YARBROUGH
PHARMACIST	40.0	0.0			$149,471	$0	$10,499	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,134,634	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,196,362	TotReportableCompRltdOrgAmt
Total Other Compensation	$206,657	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	9	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Field	Value	IRS element (for citing)
Person	SIEMENS MEDICAL SOLUTIONS USA INC	PersonNm

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	40 LIBERTY BOULEVARD	AddressLine1Txt
City	MALVERN	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19355	ZIPCd

Field	Value	IRS element (for citing)
Services	EQUIP MAINTENANCE	ServicesDesc
Compensation	$410,515	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	621110	$34,030,780	$34,030,780
UPL MEDICAID REVENUE	900099	$2,390,455	$2,390,455
EHR INCENTIVE REVENUE	900099	$72,922	$72,922
PHARMACY REVENUE	446110	$1,581,540	$1,581,540
RELATED RENTAL REVENUE	532000	$70,622	$70,622

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,381	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,381	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$38,157,700	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,636	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$1,636	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,636	TotalRevenueColumnAmt
Exclusion	$1,636	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

Net Income Or Loss NetIncomeOrLossGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,159,336	TotalRevenueColumnAmt
Related Or Exempt Func Income	$38,157,700	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,636	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	$1,861,094	TotalAmt
Program Services	$1,861,094	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	$1,261,530	TotalAmt
Program Services	$1,029,314	ProgramServicesAmt
Management And General	$232,216	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$63,684	TotalAmt
Program Services	$51,636	ProgramServicesAmt
Management And General	$12,048	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,649,188	TotalAmt
Program Services	$5,418,105	ProgramServicesAmt
Management And General	$1,231,083	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$77,240	TotalAmt
Program Services	$68,744	ProgramServicesAmt
Management And General	$8,496	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$557,188	TotalAmt
Program Services	$412,657	ProgramServicesAmt
Management And General	$144,531	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$999,339	TotalAmt
Program Services	$904,692	ProgramServicesAmt
Management And General	$94,647	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$61,913	TotalAmt
Management And General	$61,913	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	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,397,721	TotalAmt
Program Services	$10,140,291	ProgramServicesAmt
Management And General	$257,430	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$28,219	TotalAmt
Management And General	$28,219	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$127,319	TotalAmt
Program Services	$28,955	ProgramServicesAmt
Management And General	$98,364	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$99,558	TotalAmt
Program Services	$85,793	ProgramServicesAmt
Management And General	$13,765	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,663,883	TotalAmt
Program Services	$407,986	ProgramServicesAmt
Management And General	$2,255,897	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,607	TotalAmt
Program Services	$5,119	ProgramServicesAmt
Management And General	$488	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	$12,945	TotalAmt
Program Services	$3,761	ProgramServicesAmt
Management And General	$9,184	ManagementAndGeneralAmt

Interest InterestGrp

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

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$317,049	TotalAmt
Management And General	$317,049	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	-$91,149	TotalAmt
Management And General	-$91,149	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$8,873,398	$8,873,398
MEDICAL SUPPLIES	$3,354,578	$3,329,812	$24,766
FOOD	$109,938	$106,878	$3,060
REPAIRS AND MAINTENANCE	$549,498	$538,066	$11,432

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$147,707	TotalAmt
Program Services	$114,371	ProgramServicesAmt
Management And General	$33,336	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$38,127,447	TotalAmt
Program Services	$33,380,672	ProgramServicesAmt
Management And General	$4,746,775	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,849	BOYAmt
EOY	-$115,427	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$4,282,611	BOYAmt
EOY	$3,786,351	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	$167,997	BOYAmt
EOY	$132,951	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$83,193	BOYAmt
EOY	$56,283	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$5,572,194	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,642,044	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,140,927	BOYAmt
EOY	$930,150	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$19,086,514	BOYAmt
EOY	$20,600,426	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,763,091	BOYAmt
EOY	$25,390,734	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,440,221	BOYAmt
EOY	$2,300,300	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	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$0	BOYAmt
EOY	$0	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	$3,696,696	BOYAmt
EOY	$3,432,371	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,136,917	BOYAmt
EOY	$5,732,671	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,626,174	BOYAmt
EOY	$19,658,063	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$19,626,174	BOYAmt
EOY	$19,658,063	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$24,763,091	BOYAmt
EOY	$25,390,734	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$31,889	ReconcilationRevenueExpnssAmt
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 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	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$630	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$630	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 1F	FormAndLineReferenceDesc
Explanation	GRANTS FOR LOBBYING PURPOSES: 22.8% 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	$2,762,072	BeginningYearBalanceAmt
Investment Earnings Or Losses	$124,881	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,000	GrantsOrScholarshipsAmt
End Year Balance	$2,885,953	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,209,013	BeginningYearBalanceAmt
Contributions	$50	ContributionsAmt
Investment Earnings Or Losses	$141,274	InvestmentEarningsOrLossesAmt
End Year Balance	$2,350,337	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.71342	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.28658	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd
Land		LandGrp
Buildings		BuildingsGrp
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,572,194	OtherCostOrOtherBasisAmt
Depreciation	$4,642,044	DepreciationAmt
Book Value	$930,150	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$930,150	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$20,124,901
Due from third-party payers	$475,525

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$20,600,426	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Due to third-party payers	$3,042,486
Due To Affiliates	$218,885
Est Self-Insurance Costs	$171,000

Field	Value	IRS element (for citing)
Total Liability	$3,432,371	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$29,284,302	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$8,873,398	OtherRevenueAmt
Revenue Not Reported	-$8,873,398	RevenueNotReportedAmt
Revenue Subtotal	$38,157,700	RevenueSubtotalAmt
Other Revenues Not Included	$1,636	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,636	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$38,159,336	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$29,252,413	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$1,636	OtherExpensesIncludedAmt
Expenses Not Reported	-$1,636	ExpensesNotReportedAmt
Expenses Subtotal	$29,254,049	ExpensesSubtotalAmt
Other Expenses Not Included	$8,873,398	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$8,873,398	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$38,127,447	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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 FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $(8,873,398)
SCHEDULE D, PART XII, LINE 4B	RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $8,873,398
SCHEDULE D, PART XI, LINE 4B	RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: GAIN ON SALE OF PROPERTY $1,636
SCHEDULE D, PART XII, LINE 2D	RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: GAIN ON SALE OF PROPERTY $(1,636)

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	$1,313,538	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,313,538	NetCommunityBenefitExpnsAmt
Total Expense	0.04490	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,436,385	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,398,435	DirectOffsettingRevenueAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,309,203	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$728,979	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$580,224	NetCommunityBenefitExpnsAmt
Total Expense	0.01980	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,059,126	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,127,414	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,893,762	NetCommunityBenefitExpnsAmt
Total Expense	0.06470	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,666	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,666	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,074	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,074	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,861,094	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,861,094	NetCommunityBenefitExpnsAmt
Total Expense	0.06360	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,905,834	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,905,834	NetCommunityBenefitExpnsAmt
Total Expense	0.06520	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,964,960	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,127,414	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,799,596	NetCommunityBenefitExpnsAmt
Total Expense	0.12990	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,873,398	BadDebtExpenseAmt
Reimbursed By Medicare	$9,444,848	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$8,002,745	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,442,103	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	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MOTHER FRANCES HOSPITAL-JACKSONVILLE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1026 JACKSON STREET	AddressLine1Txt
City	JACKSONVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75766	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.TMFHC.ORG/JACKSONVILLE	WebsiteAddressTxt
State License	007254	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MOTHER FRANCES HOSPITAL-JACKSONVILLE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	REPRESENTATIVES FROM THE COMMUNITY: MOTHER FRANCES HOSPITAL - JACKSONVILLE CONDUCTED 8 INTERVIEWS WITH THE THREE GROUPS OUTLINED IN IRS NOTICE 2011-52. DURING THESE INTERVIEWS THE HOSPITAL DISCUSSED THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. THE INTERVIEWEES WERE INDIVIDUALS FROM THE FOLLOWING GROUPS: BEN AND MAYTEE FISCH FOUNDATION, SENIOR CARE JACKSONVILLE, TEXAS DEPARTMENT OF STATE HEALTH SERVICES, ETCOG AREA AGENCY ON AGING, CHEROKEE COUNTY FAMILY SERVICES BOARD, NORTHEAST TEXAS PUBLIC HEALTH DISTRICT, UNITED FUND OF CHEROKEE COUNTY, AND CHEROKEE COUNTY PUBLIC HEALTH DEPARTMENT.
SCHEDULE H, PART V, SECTION B, LINES 7A & 10A	CHNA AVAILABLE TO THE PUBLIC: THE HOSPITAL'S CHNA AND IMPLEMENTATION STRATEGY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: HTTP://WWW.TMFHC.ORG/COMPREHENSIVE-COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
SCHEDULE H, PART V, SECTION B, LINE 11	NEEDS IDENTIFIED IN CHNA ADDRESSED AND NOT ADDRESSED: MOTHER FRANCES HOSPITAL - JACKSONVILLE IDENTIFIED AND ADDRESSED THE FOLLOWING PRIORITIES THROUGH ITS IMPLEMENTATION PLAN: - FRAGMENTED CONTINUUM OF CARE - ACCESS TO HEALTH SERVICES FOR SPECIFIC POPULATIONS - ACCESS TO SPECIALTY PROVIDERS AND SERVICES - PREVENTION, EDUCATION, AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC CONDITIONS AND UNHEALTHY LIFESTYLES - ACCESS TO MENTAL HEALTH SERVICES - TRANSPORTATION BARRIERS PROPOSED COMMUNITY PROGRAMS INCLUDE: -COLLABORATION WITH MFH - TYLER FOR THE IMPLEMENTATION OF THE MEDICAID WAIVER -CANCER AWARENESS AND PREVENTION THROUGH CANCER RELAY FOR LIFE -PREVENTION SCREENING AND WELLNESS PROGRAMS AT THE COUNTY FAIR -COLLABORATION WITH LOCAL NON-PROFIT COMMUNITY GROUPS PROVIDING ESSENTIAL SERVICES MOTHER FRANCES HOSPITAL - JACKSONVILLE DECIDED NOT TO SPECIFICALLY ADDRESS THE NEED FOR "ACCESS TO DENTAL SERVICES," LARGELY DUE TO ITS POSITION (LAST) ON THE PRIORITIZED LIST AND THE HOSPITAL'S CAPACITY TO ADDRESS THAT NEED. DENTAL SERVICES ARE NOT A CORE BUSINESS FUNCTION OF THE HOSPITAL AND THE LEADERSHIP TEAM FELT THAT RESOURCES AND EFFORTS WOULD BE BETTER SPENT ADDRESSING THE FIRST SIX PRIORITIZED NEEDS. FURTHERMORE, AT LEAST ONE LOCAL DENTAL PROVIDER ACCEPTS MEDICAID AND CHIP.
SCHEDULE H, PART V, SECTION B, LINES 17, 18, & 19	BILLING AND COLLECTIONS: NEITHER MOTHER FRANCES HOSPITAL - JACKSONVILLE, NOR THIRD PARTIES AUTHORIZED BY MFH-J, 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, LINE 22D	DETERMINATION OF FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY AND OTHER MEDICAL CARE: FOR SELFPAY PATIENTS THAT SHOW TO BE FAP ELIGIBLE, WE DISCOUNT BASED UPON THEIR PROVEN FPL PERCENTAGE (100%, 75% OR 50%). THESE AMOUNTS COMBINED WITH THE AUTO-SELFPAY DISCOUNT OF 45% GETS US TO A RATE COMPARABLE TO LOWEST MANAGED CARE OR MEDICARE RATES.
SCHEDULE H, PART V, SECTION B, LINE 16B	FAP APPLICATION AVAILABLE TO THE PUBLIC: THE HOSPITAL'S FAP APPLICATION FORM IS AVAILABLE AT THE FOLLOWING WEBSITE: http://www.tmfhc.org/patients-visitors/financial-assistance/
SCHEDULE H, PART V, SECTION B, LINE 13B	INCOME LEVEL USED FOR FAP ELIGIBILITY: MFH - JACKSONVILLE PROVIDES CHARITY FOR PATIENTS ABOVE 400% UNDER THE CATASTROPHIC CAP PROVISION. THIS PROVISION ALLOWS MFH - JACKSONVILLE TO DISCOUNT THE CARE RECEIVED TO NO MORE THAN 30% OF THE PATIENT'S YEARLY INCOME.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT EXPENSE: THE AMOUNT REPORTED ON LINE 2 IS BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3	BAD DEBT AS 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, 2015 AND 2014. THE CURRENT YEAR DECREASE IN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS PRIMARILY THE RESULT OF THE CHANGES IN THE AGE AND PAYER MIX OF ACCOUNTS RECEIVABLE AT JUNE 30, 2015, AS COMPARED TO 2014.
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.
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-JACKSONVILLE 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 OBTAIN 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: MOTHER FRANCES HOSPITAL-JACKSONVILLE IS A 25-BED ACUTE CARE MEDICARE CERTIFIED CRITICAL ACCESS HOSPITAL. CHEROKEE COUNTY, THE PRIMARY SERVICE AREA FOR MFH-JACKSONVILLE, HAS A POPULATION OF APPROXIMATELY 57,000 AND IS PRIMARILY 48,000 IN A 1,052 SQUARE MILE AREA. THE MEDIAN INCOME OF CHEROKEE COUNTY IS $38,465. THE SECONDARY SERVICE AREA INCLUDES THE SOUTHERN PART OF SMITH COUNTY.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: MOTHER FRANCES HOSPITAL-JACKSONVILLE 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: CHEROKEE COUNTY RELAY FOR LIFE - PROVIDED SPONSORSHIP AND STAFFING SUPPORT FOR CHEROKEE COUNTY RELAY FOR LIFE. STAFF PLANNED ACTIVITIES FOR THE ALL-NIGHT EVENT AND MANNED THE EVENT. THE PURPOSE OF THE PROGRAM IS TO INCREASE AWARENESS ABOUT CANCER AND TO HELP IN FUNDRAISING EFFORTS FOR A COUNTY THAT HAS AN ABOVE AVERAGE RATE OF CANCER. EDUCATIONAL PROGRAMS TARGETED THE COMMUNITY AT LARGE BUT EFFORTS WERE MADE TO REACH THE UNINSURED. JACKSONVILLE CHAMBER OF COMMERCE - JOB SHADOWING - STUDENTS PARTICIPATED IN JOB SHADOWING PROJECTS AND HEARD FROM HEALTH CARE PROFESSIONALS ABOUT THEIR JOBS. THEY SPENT TIME IN THE AREAS TO SEE FIRSTHAND WHAT THE JOBS ENTAILED. THE PURPOSE OF THE PROGRAM IS TO PROVIDE YOUNG HIGH SCHOOL STUDENTS THE OPPORTUNITY TO LEARN MORE ABOUT HEALTH CARE PROFESSIONALS AND THE HEALTHCARE WORK ENVIRONMENT. INFORMATION WAS GIVEN ON JOB OPPORTUNITIES AND PROJECTED SHORTAGES OF WORKERS. JACKSONVILLE RODEO - HANDED OUT FANS AND WATER TO PARTICIPANTS AND SPECTATORS AT THE RODEO. PROVIDED VOLUNTEERS TO INTERACT ON ISSUES FOR 3 HOURS EACH OF 3 NIGHTS. THE PURPOSE OF THE PROGRAM IS TO HELP EDUCATE PARTICIPANTS ABOUT THE DANGERS OF HEAT AND INJURIES CAUSED BY EXTENSIVE HEAT. REACHED OVER 1,000 PEOPLE WITH HEAT PREVENTION INFORMATION AND MEDICAL SUPPORT ON SITE. JACKSONVILLE ROTARY, ACCESS, AND OTHERS - PROVIDED SPONSORSHIP, STAFFING, AND DEVELOPMENT OF PROGRAMS AND EVENTS FOR THE LOCAL COMMUNITY. ORGANIZATIONS INCLUDED LIONS CLUB, ROTARY, KIWANIS, ACCESS, HOPE CENTER, UNITED FUND, AND AMERICAN CANCER SOCIETY, JACKSONVILLE CHAMBER OF COMMERCE, AND JACKSONVILLE LITERACY COUNCIL. MEMBERS OF THE STAFF SERVE IN LEADERSHIP POSITIONS AND AS VOLUNTEERS FOR PROGRAMS ON VARIOUS BOARDS AND NONPROFITS IN THE COMMUNITY. THESE PROGRAMS BENEFIT THE RESIDENTS OF THE AREA AND ORGANIZATIONS THAT PROVIDE SERVICES WHICH ARE NOT PROVIDED BY THE HOSPITAL BUT IMPACT THE HEALTH OF THE RESIDENTS IN ANDERSON/CHEROKEE COUNTIES. FINDING LEADERSHIP TALENT FOR VOLUNTEER POSITIONS IS AN EVER GROWING PROBLEM FOR ALL COMMUNITIES. TARGET POPULATION FOR SERVICES IS THE GENERAL PUBLIC. HEALTH EDUCATION PROGRAMS - COMMUNITY EDUCATION FOR HEALTHY LIFE STYLES FOCUSED TO WOMEN WITH HEART DISEASE WAS PROVIDED. DINNER AND RECOGNITION FOR WOMEN ACROSS THE REGION WHO WERE SELECTED AS CHAMPIONS FOR WOMEN AFFECTED BY HEART DISEASE WERE RECOGNIZED. HEALTH FAIR AND SCREENINGS WERE ALSO DONE AT THE TOMATO FEST. 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. THE NEED TO EDUCATE WOMEN ON HEART DISEASE WAS TARGETED. COMMUNITY NON PROFITS AND RURAL HOSPITAL SUPPORT PROGRAMS - MOTHER FRANCES HOSPITAL - JACKSONVILLE PROVIDES DIRECT FINANCIAL SUPPORT TO NOT-FOR-PROFIT ORGANIZATIONS INCLUDING THE CHAMBER OF COMMERCE, AMERICAN CANCER SOCIETY, AND LITERACY COUNCIL. THE HOSPITAL SUPPORTED OTHER HOSPITALS WITHIN THE REGION TO HELP PROVIDE NEEDED SERVICES TO THE COMMUNITY. PRIORITY IS GIVEN TO AGENCIES OR ORGANIZATIONS THAT PROVIDE SUPPORT OR DIRECT HEALTH RELATED SERVICES OR BENEFITS AND HAVE A MISSION TO SERVE THE UNDERINSURED AND UNINSURED. THESE ORGANIZATIONS OR AGENCIES PROVIDE SERVICES THAT OTHERWISE WOULD HAVE TO BE PROVIDED BY MOTHER FRANCES HOSPITAL - JACKSONVILLE OR COULD BE PREVENTING PATIENTS FROM ENTERING OUR FACILITIES, PARTICULARLY THE EMERGENCY ROOM. MANY PROVIDE EDUCATION OR RESEARCH PROGRAMS WHICH ARE NOT AVAILABLE AT MFH - J OR IT MAY BE TOO FAR FOR THEIR PATIENTS TO TRAVEL TO RECEIVE SERVICES AT OUR PRIMARY FACILITIES. COMMUNITY DISASTER PREPAREDNESS - MOTHER FRANCES HOSPITAL - JACKSONVILLE PARTICIPATED IN THE COUNTYWIDE DISASTER DRILL. IT REQUIRED STAFF TO LEAVE THEIR REGULAR JOB TASKS AND TAKE ON A COMMUNITY NEED AND INTERACT WITH LAW ENFORCEMENT, FIRE DEPARTMENTS, GOVERNMENTAL AGENCIES AND EMS SERVICES. OVER 500 PEOPLE PARTICIPATED. THE GOAL OF THE DRILL WAS TO ENSURE COMMUNITY SAFETY AND READINESS IN THE EVENT A DISASTER OCCURS THAT REQUIRES DIRECT OR INDIRECT MEDICAL SERVICES. HOW PATIENTS WOULD APPEAR AND BE TRIAGED AS WELL AS TRANSFERRED OR ADMITTED WAS INCLUDED. FUNDRAISING FOR NOT-FOR-PROFITS - MFH - JACKSONVILLE SUPPORTS THE UNITED WAY FUND DRIVE WITH AN IN-HOUSE PROGRAM AS WELL AS CHILDREN'S MIRACLE NETWORK BY RAISING MONEY THROUGH DIRECT FINANCIAL DONATIONS, BAKE SALES, JEAN DAYS, SPECIAL LUNCH OFFERINGS, ETC. THE GOAL IS TO RAISE MONEY FOR SERVICES THAT OTHERWISE WOULD NOT BE AVAILABLE FOR THE COMMUNITY UNLESS THESE MONIES WERE RAISED. THE PROGRAMS OFTEN TARGET THOSE LESS FORTUNATE OR HAVE AN OPEN DOOR POLICIES FOR ALL THOSE WHO NEED THE CARE. ADDITIONALLY, THESE PROGRAMS PROVIDE NEW LEADERSHIP OPPORTUNITIES FOR THE STAFF. Special Youth Programs - MFH-Jacksonville sponsored the Region XIV Basketball Tournament, Holiday photos with Santa, and Trunk or Treat to provide opportunities for education, safe community events, and promoting physical exercise. The purpose was to provide healthy choices for children during the Halloween Holidays, hosting a healthy snack program for the Christmas season, and supporting a major athletic program to encourage fitness and post-secondary education opportunities. Miracle on Jackson Street Blood Drive - MFH-Jacksonville hosted an annual blood drive in the community that included participation not only within the health system but it was open to the community. The purpose of the blood drives are an integral part of securing the much needed blood supplies in east Texas. Our regional hospitals are often in a crisis for blood and supporting those needs is a way of giving back to our community and our transfer receiving hospitals.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: MOTHER FRANCES HOSPITAL - JACKSONVILLE IS PART OF AN AFFILIATED HEALTH CARE SYSTEM CALLED TRINITY MOTHER FRANCES HEALTH SYSTEM. TRINITY MOTHER FRANCES IS A FAITH-BASED ORGANIZATION DEDICATED TO CREATING HEALTHY LIVES FOR PEOPLE AND COMMUNITIES. MFH-JACKSONVILLE 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 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 $8,873,398.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
SERVICE ORGANIZATION OF PINEY WOODS
2950 50TH STREET	LUBBOCK	TX	79314	300630886	501(C)(3)	$1,321,300	COMMUNITY HEALTHCARE
SERVICE ORGANIZATION OF NORTH EAST TEXAS
2950 50TH STREET	LUBBOCK	TX	79314	260468622	501(C)(3)	$539,794	COMMUNITY HEALTHCARE

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCESS 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)
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 (9 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
THOMAS N CAMMACK JR
CEO/DIRECTOR/SECRETARY/TREAS	$236,224	$0	$33,895	$0	$16,458	$0	$9,839	$0	$4,356	$0	$300,772	$0	$0	$0
MATTHEW A VIERKANT MD
DIRECTOR	$424,822	$0	$0	$0	$17,385	$0	$10,995	$0	$10,589	$0	$463,791	$0	$12,476	$0
RAY THOMPSON
SYS EXEC/VP/DIRECTOR/CHAIR	$19,152	$746,914	$25,873	$1,009,066	$0	$0	$274	$10,664	$481	$18,788	$45,780	$1,785,432	$0	$0
WILLIAM MILAWSKI MD
DIRECTOR	$239,275	$0	$0	$0	$4,115	$0	$9,227	$0	$4,299	$0	$256,916	$0	$0	$0
J LINDSEY BRADLEY JR
SYSTEM PRESIDENT	$22,732	$886,583	$27,834	$1,085,510	$0	$0	$274	$10,664	$481	$18,788	$51,321	$2,001,545	$0	$0
JOYCE HESTER
SR. VICE PRESIDENT/CFO	$33,839	$304,549	$14,461	$130,150	$0	$0	$1,093	$9,844	$1,677	$15,093	$51,070	$459,636	$0	$0
BARRY L THIBODEAUX
CRNA	$261,174	$0	$0	$0	$2,692	$0	$9,169	$0	$741	$0	$273,776	$0	$0	$0
JACK CAPPS
CRNA	$256,877	$0	$0	$0	$2,692	$0	$9,582	$0	$7,753	$0	$276,904	$0	$0	$0
DAVID YARBROUGH
PHARMACIST	$148,359	$0	$0	$0	$1,112	$0	$4,415	$0	$6,084	$0	$159,970	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN 457(F) REPORTED IN W-2 -------------------- --------------- MATTHEW A VIERKANT MD $12,476	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	DEANNA HAMILTON	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF DIRECTOR	RelationshipDescriptionTxt
Transaction	$63,684	TransactionAmt
Transaction	SALARIES/WAGES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS OR STOCKHOLDERS: TRINITY MOTHER FRANCES HEALTH SYSTEM IS THE SOLE MEMBER OF MOTHER FRANCES HOSPITAL - JACKSONVILLE.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS WHO MAY ELECT MEMBERS OF THE GOVERNING BOARD: THE SOLE MEMBER, TRINITY MOTHER FRANCES HEALTH SYSTEM, APPOINTS 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 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.
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 2015 BY LAURA LOCKHART, TMFHS DIRECTOR OF TOTAL REWARDS, AND JARED SEIGER, TMFHS BENEFIT SPECIALIST.
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 VI, SECTION A, LINE 1A	DELEGATION OF AUTHORITY: THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE GOVERNING BOARD, DURING THE PERIOD BETWEEN THE MEETINGS OF THE GOVERNING BOARD. THE COMMITTEE SHALL BE SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD AND WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE BOARD AT THE NEXT MEETING.
FORM 990, PART V, LINE 1A	1099S REPORTED BY ORGANIZATION: 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 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, SECITON 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:CONTRACT LABOR TOTAL FEES:14059
FORM 990 PART IX LINE 11G	DESCRIPTION:CORPORATE EXPENSE TOTAL FEES:3351487
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:1327882
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:5704293

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 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	TMFHS	Yes (true)
TRINITY MOTHER FRANCES HEALTH SYSTEM FDN
1315 DOCTORS DRIVE	TYLER	TX	75701	752028241	SUPPORT	TX	501(C)(3)	11, TYPE I	TMFHS	Yes (true)
REGIONAL MEDICAL SERVICES ASSOCIATION
1315 DOCTORS DRIVE	TYLER	TX	75701	752511459	HEALTHCARE	TX	501(C)(3)	3	MFH REG	Yes (true)
TRINITY MOTHER FRANCES HEALTH SYSTEM
1315 DOCTORS DRIVE	TYLER	TX	75701	752616975	SUPPORT	TX	501(C)(3)	11, TYPE II	CSFN	false
TRINITY CLINIC
1315 DOCTORS DRIVE	TYLER	TX	75701	752616977	HEALTHCARE	TX	501(C)(3)	3	TMFHS	Yes (true)
MOTHER FRANCES HOSPITAL REGIONAL HC CTR
1315 DOCTORS DRIVE	TYLER	TX	75701	750818167	HOSPITAL	TX	501(C)(3)	3	TMFHS	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 & MINISTRY INC
4001 GRANT AVENUE	PHILADELPHIA	PA	19114	205728802	SPONSORSHIP	PA	501(C)(3)	1	NA	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 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	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
TRI-STATE FINANCIAL LLC
1315 DOCTORS DRIVE	TYLER	TX	75701	752728318	DORMANT	TX	TMFHS	C-CORPORATION	Yes (true)
TRINCARE INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752161369	RETAIL HEALTH SVC	TX	TMFHS	C-CORPORATION	Yes (true)
HEALTHPLAN OF TEXAS INC
1315 DOCTORS DRIVE	TYLER	TX	75701	752636832	THIRD PARTY ADMIN	TX	TMFHS	C-CORPORATION	Yes (true)
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVE	TYLER	TX	75701	752484109	PREFER PROVIDER	TX	TMFHS	C-CORPORATION	Yes (true)
CONCORDIUM HEALTH LLC
1315 DOCTORS DRIVE	TYLER	TX	75701	702811022	INACTIVE	TX	NA	C-CORPORATION	false
TEXAS HEALTH FACILITIES INSUR CORP LTD
				980136025	INSURANCE		MFH REG	C-CORPORATION	Yes (true)	PO BOX 1109 BWI	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	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	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	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 (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
TRINCARE INC
Q	$335,518	FMV
TRINCARE INC
S	$375,403	FMV
TRINITY CLINIC
S	$5,558,618	FMV
MOTHER FRANCES HOSPITAL REGIONAL HC CENTER
P	$453,462	FMV
MOTHER FRANCES HOSPITAL REGIONAL HC CENTER
Q	$21,585,482	FMV
MOTHER FRANCES HOSPITAL REGIONAL HC CENTER
R	$14,429,166	FMV
MOTHER FRANCES HOSPITAL REGIONAL HC CENTER
S	$30,064,525	FMV
MOTHER FRANCES HOSPITAL - WINNSBORO
R	$220,641	FMV
TRINITY CLINIC
Q	$5,494,212	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART II, COLUMN F	FormAndLineReferenceDesc
Explanation	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 HEALTH CARE CENTER TRINITY MOTHER FRANCES HEALTH SYSTEM 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").	ExplanationTxt