2016-05-16T15:09:29-05:00 2015-06-30 BKD LLP 14241 DALLAS PKWY STE 1100 DALLAS TX 75254 990 2014-07-01 751976930 Mother Frances Hospital - Jacksonville % CHRISSY RAMSEY MOTH 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 THOMAS N CAMMACK JR 2026 SOUTH JACKSON JACKSONVILLE TX 75766 38159336 false X WWW.TMFHC.ORG/JACKSONVILLE X 2000 TX 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. 7 3 175 8 0 0 0 0 46642153 38157700 0 1636 0 0 46642153 38159336 3501907 1861094 0 0 9933345 9608169 0 0 0 29292962 26658184 42728214 38127447 3913939 31889 24763091 25390734 5136917 5732671 19626174 19658063 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. false false 33380672 1861094 38157700 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. 33380672 true false false true false false false false false true true false false true true false false true false false false false false false false false true true true false true false false false false false false true false false false false false false true true true false false true X 16 0 true 175 true false false false false false false false false false false X 7 3 true false false false true true true true true false false true true true true true true true true false X CHRISSY RAMSEY 9036065639 1315 DOCTORS DRIVE TYLER TX 75701 X THOMAS N CAMMACK JR CEO/DIRECTOR/SECRETARY/TREAS 40.0 0.0 X X 286577 0 14195 MATTHEW A VIERKANT MD DIRECTOR 40.0 0.0 X 442207 0 21584 RAY THOMPSON SYS EXEC/VP/DIRECTOR/CHAIR 1.0 39.0 X X 45025 1755980 30207 GLEN T HAMILTON VICE CHAIR 1.0 0.0 X X 0 0 0 WILLIAM MILAWSKI MD DIRECTOR 40.0 0.0 X 243390 0 13526 DICK STONE DIRECTOR 1.0 1.0 X 0 0 0 RANDY GORHAM DIRECTOR 1.0 0.0 X 0 0 0 J LINDSEY BRADLEY JR SYSTEM PRESIDENT 1.0 39.0 X 50566 1972093 30207 MICHAEL LEWIS COO 30.0 10.0 X 100772 33590 11693 JOYCE HESTER SR. VICE PRESIDENT/CFO 4.0 36.0 X 48300 434699 27707 BARRY L THIBODEAUX CRNA 40.0 0.0 X 263866 0 9910 JACK CAPPS CRNA 40.0 0.0 X 259569 0 17335 BEN BEATHARD RN 40.0 0.0 X 119173 0 12676 KEITH MARTIN RN 40.0 0.0 X 125718 0 7118 DAVID YARBROUGH PHARMACIST 40.0 0.0 X 149471 0 10499 2134634 4196362 206657 9 false true false SIEMENS MEDICAL SOLUTIONS USA INC 40 LIBERTY BOULEVARD MALVERN PA 19355 EQUIP MAINTENANCE 410515 1 0 NET PATIENT REVENUE 621110 34030780 34030780 UPL MEDICAID REVENUE 900099 2390455 2390455 EHR INCENTIVE REVENUE 900099 72922 72922 PHARMACY REVENUE 446110 1581540 1581540 RELATED RENTAL REVENUE 532000 70622 70622 11381 11381 38157700 0 0 0 0 0 0 1636 1636 1636 1636 0 0 0 0 38159336 38157700 1636 X 1861094 1861094 0 0 0 1261530 1029314 232216 63684 51636 12048 6649188 5418105 1231083 77240 68744 8496 557188 412657 144531 999339 904692 94647 61913 61913 0 0 0 0 0 10397721 10140291 257430 28219 28219 127319 28955 98364 99558 85793 13765 0 2663883 407986 2255897 5607 5119 488 0 12945 3761 9184 0 0 317049 317049 -91149 -91149 BAD DEBT EXPENSE 8873398 8873398 MEDICAL SUPPLIES 3354578 3329812 24766 FOOD 109938 106878 3060 REPAIRS AND MAINTENANCE 549498 538066 11432 147707 114371 33336 38127447 33380672 4746775 0 1849 -115427 0 0 0 0 4282611 3786351 0 0 0 0 0 0 167997 132951 83193 56283 5572194 4642044 1140927 930150 0 0 0 0 0 0 0 0 19086514 20600426 24763091 25390734 1440221 2300300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3696696 3432371 5136917 5732671 X 19626174 19658063 0 0 0 0 19626174 19658063 24763091 25390734 31889 X false true X true false X false false false false false true 630 false false false 630 false SCHEDULE C, PART II-B, LINE 1F GRANTS FOR LOBBYING PURPOSES: 22.8% OF AHA DUES WERE EXPENDED FOR SPECIFIC LOBBYING PURPOSES BASED ON MEDICARE DEFINITION OF UNALLOWABLE EXPENSES. 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 5572194 4642044 930150 930150 DUE FROM AFFILIATES 20124901 Due from third-party payers 475525 20600426 0 Due to third-party payers 3042486 Due To Affiliates 218885 Est Self-Insurance Costs 171000 3432371 X 29284302 -8873398 -8873398 38157700 1636 1636 38159336 29252413 -1636 -1636 29254049 8873398 8873398 38127447 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) true true X true X true X true true true false true true 1313538 1313538 0.04490 3436385 4398435 1309203 728979 580224 0.01980 6059126 5127414 1893762 0.06470 13666 13666 0.00050 31074 31074 0.00110 1861094 1861094 0.06360 1905834 1905834 0.06520 7964960 5127414 3799596 0.12990 true 8873398 9444848 8002745 1442103 X true true 1 1 MOTHER FRANCES HOSPITAL-JACKSONVILLE 1026 JACKSON STREET JACKSONVILLE TX 75766 WWW.TMFHC.ORG/JACKSONVILLE 007254 X X X X MOTHER FRANCES HOSPITAL-JACKSONVILLE 1 false false true X X X X X X X X X 12 true false false true X SEE PART V, SECTION C X true 12 true SEE PART V, SECTION C false false true X 200. 400. X X X X X X true true X X X X true X SEE PART V, SECTION C X X X true X false X X X true X false false 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. 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. true SERVICE ORGANIZATION OF PINEY WOODS 2950 50TH STREET LUBBOCK TX 79314 300630886 501(C)(3) 1321300 COMMUNITY HEALTHCARE SERVICE ORGANIZATION OF NORTH EAST TEXAS 2950 50TH STREET LUBBOCK TX 79314 260468622 501(C)(3) 539794 COMMUNITY HEALTHCARE 2 SCHEDULE I, PART I, LINE 2 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. X X X X X false true false false false false false false false THOMAS N CAMMACK JR CEO/DIRECTOR/SECRETARY/TREAS 236224 0 33895 0 16458 0 9839 0 4356 0 300772 0 0 0 MATTHEW A VIERKANT MD DIRECTOR 424822 0 0 0 17385 0 10995 0 10589 0 463791 0 12476 0 RAY THOMPSON SYS EXEC/VP/DIRECTOR/CHAIR 19152 746914 25873 1009066 0 0 274 10664 481 18788 45780 1785432 0 0 WILLIAM MILAWSKI MD DIRECTOR 239275 0 0 0 4115 0 9227 0 4299 0 256916 0 0 0 J LINDSEY BRADLEY JR SYSTEM PRESIDENT 22732 886583 27834 1085510 0 0 274 10664 481 18788 51321 2001545 0 0 JOYCE HESTER SR. VICE PRESIDENT/CFO 33839 304549 14461 130150 0 0 1093 9844 1677 15093 51070 459636 0 0 BARRY L THIBODEAUX CRNA 261174 0 0 0 2692 0 9169 0 741 0 273776 0 0 0 JACK CAPPS CRNA 256877 0 0 0 2692 0 9582 0 7753 0 276904 0 0 0 DAVID YARBROUGH PHARMACIST 148359 0 0 0 1112 0 4415 0 6084 0 159970 0 0 0 SCHEDULE J, PART I, LINE 4B PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN 457(F) REPORTED IN W-2 -------------------- --------------- MATTHEW A VIERKANT MD $12,476 DEANNA HAMILTON FAMILY MEMBER OF DIRECTOR 63684 SALARIES/WAGES false 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 MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 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 TRINITY CLINIC 1315 DOCTORS DRIVE TYLER TX 75701 752616977 HEALTHCARE TX 501(C)(3) 3 TMFHS true MOTHER FRANCES HOSPITAL REGIONAL HC CTR 1315 DOCTORS DRIVE TYLER TX 75701 750818167 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 false false false false false false false true true false true true true true true true true TRINCARE INC Q 335518 FMV TRINCARE INC S 375403 FMV TRINITY CLINIC S 5558618 FMV MOTHER FRANCES HOSPITAL REGIONAL HC CENTER P 453462 FMV MOTHER FRANCES HOSPITAL REGIONAL HC CENTER Q 21585482 FMV MOTHER FRANCES HOSPITAL REGIONAL HC CENTER R 14429166 FMV MOTHER FRANCES HOSPITAL REGIONAL HC CENTER S 30064525 FMV MOTHER FRANCES HOSPITAL - WINNSBORO R 220641 FMV TRINITY CLINIC Q 5494212 FMV 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 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").