2016-05-16T15:28:08-05:00 2015-06-30 BKD LLP 14241 DALLAS PKWY STE 1100 DALLAS TX 75254 990 2014-07-01 752028241 Mother Frances Hospital Foundation % 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 SCOTT FOSSEY 100 E FERGUSON ST TYLER TX 75702 9535068 false X WWW.TMFHC.ORG X 1984 TX THE FOUNDATION'S PRIMARY MISSION IS TO RECEIVE FUNDS FOR THE BENEFIT OF MOTHER FRANCES REGIONAL HEALTHCARE CENTER. THE FOUNDATION SEEKS FUNDING ...(SEE SCHEDULE O) 17 13 0 14 0 0 1957749 1884112 0 44499 439256 595679 0 0 2397005 2524290 1365358 2646933 0 0 0 0 0 0 0 232644 144632 1598002 2791565 799003 -267275 10681941 10114196 1051621 884686 9630320 9229510 X MOTHER FRANCES HOSPITAL FOUNDATION HAS AS ITS PRIMARY MISSION TO RECEIVE FUNDS FOR THE BENEFIT OF THE PARENT ORGANIZATION, MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER. AS PART OF MEETING THAT MISSION, THE FOUNDATION SEEKS FUNDING FROM THE COMMUNITY AT LARGE TO SUPPORT ACTIVITIES SUCH AS CHILDREN'S MIRACLE NETWORK, PEARLS AND PROMISES GALA, AND CAPITAL CAMPAIGNS FOR HOSPITAL GROWTH. false false 2723152 2646933 44499 MOTHER FRANCES HOSPITAL FOUNDATION SUPPORTS MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER AND TRINITY CLINIC THROUGH TRINITY MOTHER FRANCES HEALTH SYSTEM. 2723152 true true false false false false false false false true false false false false true false true false false false false false false false true false false true false true false false false false false false false false true false false false false true true true false false true X 0 0 0 false false false false false false false false false false X 17 13 true false false false false false false true true false false true true true true true true false false false X CHRISSY RAMSEY 9036065639 1315 DOCTORS DRIVE TYLER TX 75701 X RANDALL CHILDRESS CHAIRMAN 1.0 1.0 X X 0 0 0 DAVID DYKES MD SECRETARY START DATE: 5/1/15 1.0 0.0 X X 0 0 0 MARY FAULKNER DIRECTOR 1.0 0.0 X 0 0 0 TERRY GILES DIRECTOR 1.0 0.0 X 0 0 0 SISTER IRENE ASZTEMBORSKA DIRECTOR 1.0 1.0 X 0 0 0 DANIEL SALEH SECRETARY TERM DATE: 2/14/15 1.0 0.0 X X 0 0 0 BISHOP JOSEPH STRICKLAND DIRECTOR 1.0 0.0 X 0 0 0 JOHN WILLIAMS DIRECTOR 1.0 0.0 X 0 0 0 CLAYTON WHITNEY MD DIRECTOR 1.0 39.0 X 0 751532 11283 JAMES CACCITOLO MD DIRECTOR 1.0 39.0 X 0 1008176 15623 LUIS HARO MD DIRECTOR 1.0 39.0 X 0 520920 15623 PATRICK THOMAS MD DIRECTOR 1.0 1.0 X 0 49596 0 DENNIS BOX DIRECTOR 1.0 0.0 X 0 0 0 THOMAS BROWN DIRECTOR 1.0 0.0 X 0 0 0 MARILYN HARDY DIRECTOR 1.0 0.0 X 0 0 0 STEVE HELLMUTH DIRECTOR 1.0 0.0 X 0 0 0 ALAN JONES DIRECTOR 1.0 0.0 X 0 0 0 MARY JACKSON VP 20.0 20.0 X 0 240736 9996 SCOTT FOSSEY EXECUTIVE DIRECTOR/PRES OF FDN 20.0 20.0 X 0 97910 7982 0 2668870 60507 0 false true false 0 X 249908 75000 55320 1503884 106221 1884112 SYMPOSIUM REVENUE 900099 44499 44499 44499 54805 54805 0 0 0 0 0 7460725 6919851 540874 540874 540874 90927 249908 90927 0 0 0 0 0 2524290 44499 595679 2646933 2646933 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56177 56177 0 0 0 0 0 0 0 0 50211 50211 0 0 0 0 BAD DEBT EXPENSE 26008 26008 BANK FEES 12236 12236 2791565 2723152 68413 0 0 0 1495123 1521653 638228 541819 0 0 0 0 0 0 0 0 0 0 0 0 0 8479703 7991801 0 0 0 0 0 0 68887 58923 10681941 10114196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1051621 884686 1051621 884686 X 35264 46347 7543930 7124267 2051126 2058896 9630320 9229510 10681941 10114196 -267275 -133535 X false true X true false X X 2 MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER 750818167 3 true 2378616 0 TRINITY CLINIC 752616977 3 false 75613 0 2 2454229 false false false false false true false false false false false false false false false true false SCHEDULE A, PART IV, SECTION A, LINE 1 ORGANIZATIONS NOT LISTED BY NAME IN THE GOVERNING DOCUMENTS: THE FOUNDATION'S ARTICLES OF INCORPORATION ONLY LIST MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER BY NAME. THE ARTICLES ALSO STATE THAT THE FOUNDATION SUPPORTS ANY ORGANIZATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) WHICH QUALIFIES TRINITY CLINIC AS A SUPPORTED ORGANIZATION. TRINITY CLINIC HAS A HISTORIC AND CONTINUING RELATIONSHIP WITH THE FOUNDATION THROUGH THE COMMON CONTROL OF TRINITY MOTHER FRANCES HEALTH SYSTEM. SCHEDULE A, PART IV, SECTION A, LINE 6 SUPPORT TO OTHER ORGANIZATIONS: THE FOUNDATION PROVIDED SUPPORT TO TRINITY MOTHER FRANCES HEALTH SYSTEM, A TYPE II SUPPORTING ORGANIZATION. THE SYSTEM IS A RELATED ORGANIZATION REPORTED ON SCHEDULE R THAT PROVIDES SUPPORT TO THE SAME ORGANIZATIONS THE FOUNDATION SUPPORTS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2762072 124881 1000 2885953 2414694 360569 13191 2762072 2408876 163752 157934 2414694 2350337 30875 27664 2408876 2209013 50 141274 2350337 0.71342 0.28658 false false 0 DUE TO AFFILIATES 884686 884686 X 2481682 -133535 -133535 2615217 -90927 -90927 2524290 2882492 90927 90927 2791565 2791565 SCHEDULE D, PART V, LINE 4 INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS: THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN ITS PURCHASING POWER. SCHEDULE D, PART X, LINE 2 LIABILITY FOR UNCERTAIN TAX POSITIONS: THE FOUNDATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE FOUNDATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE FOUNDATION FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. WITH A FEW EXCEPTIONS, THE FOUNDATION IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2012. SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: FUNDRAISING EXPENSES $(90,927) SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: FUNDRAISING EXPENSES $90,927 P&P GALA 265795 233747 32048 3910 22428 2100 3609 JEWELRY SALE 57767 9496 48271 48271 1 17273 6665 10608 10609 340835 249908 90927 3910 22428 2100 62489 90927 true MOTHER FRANCES HOSPITAL REGIONAL HC CTR 1315 DOCTORS DRIVE TYLER TX 75701 750818167 501(c)(3) 2378616 HOSPITAL EQPMT TRINITY CLINIC 1315 DOCTORS DRIVE TYLER TX 75701 752616977 501(C)(3) 75613 RESPITE PROGRAM TRINITY MOTHER FRANCES HEALTH SYSTEM 1315 DOCTORS DRIVE TYLER TX 75701 752616975 501(C)(3) 24000 NTREC GRANT 3 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: THE FOUNDATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA. false false false false false false false false false CLAYTON WHITNEY MD DIRECTOR 0 729592 0 0 0 21940 0 9750 0 1533 0 762815 0 0 JAMES CACCITOLO MD DIRECTOR 0 1003736 0 0 0 4440 0 9750 0 5873 0 1023799 0 0 LUIS HARO MD DIRECTOR 0 499980 0 0 0 20940 0 9750 0 5873 0 536543 0 0 MARY JACKSON VP 0 197918 0 27724 0 15094 0 7872 0 2124 0 250732 0 0 SCHEDULE J, PART I , LINE 3 EXECUTIVE COMPENSATION: A RELATED ORGANIZATION DETERMINES COMPENSATION OF THE FOUNDATION'S EXECUTIVE DIRECTOR THROUGH THE USE OF THE FOLLOWING: - COMPENSATION COMMITTEE - WRITTEN EMPLOYMENT CONTRACT - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE X 1 106221 FMV false false false 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 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 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 V, LINE 1A 1099S REPORTED BY ORGANIZATION: NO 1099S WERE ISSUED BY THE FILING ORGANIZATION. THE ORGANIZATION'S 1099S ARE ISSUED BY A RELATED ORGANIZATION, MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER, WHO REPORTS ALL 1099S FOR THE ENTIRE SYSTEM AND ALLOCATES EXPENSES TO THE APPROPRIATE RELATED ORGANIZATION; THEREFORE, THIS QUESTION IS ANSWERED AS "NONE" FOR THIS FILING ORGANIZATION. FORM 990, PART I, LINE 1 ... (CONTINUED FROM PART I) FROM THE COMMUNITY TO SUPPORT ACTIVITIES FOR HOSPITAL GROWTH. FORM 990, PART VI, SECTION A, LINE 2 RELATIONSHIPS BETWEEN OFFICERS & DIRECTORS: THE OFFICERS AND DIRECTORS REPORTED ON PART VII WITH COMPENSATION FROM RELATED ORGANIZATIONS HAVE BUSINESS RELATIONSHIPS WITH EACHOTHER THROUGH THEIR EMPLOYMENT WITH THE RELATED ORGANIZATIONS. MOTHER FRANCES HOSPITAL - JACKSONVILLE 1315 DOCTORS DRIVE TYLER TX 75701 751976930 HOSPITAL TX 501(C)(3) 3 TMFHS true MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 HOSPITAL TX 501(C)(3) 3 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 true true false false false false false false false false false false false true true true true true TRINITY CLINIC C 75613 FMV MOTHER FRANCES HOSPITAL REGIONAL HC CTR B 75000 FMV MOTHER FRANCES HOSPITAL REGIONAL HC CTR C 2378616 FMV MOTHER FRANCES HOSPITAL REGIONAL HC CTR R 857083 FMV MOTHER FRANCES HOSPITAL REGIONAL HC CTR S 656064 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 - JACKSONVILLE TRINITY CLINIC MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER 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").