2015-05-14T10:46:28-05:00 2014-06-30 BKD LLP 14241 DALLAS PKWY STE 1100 DALLAS TX 75254 990 2013-07-01 750818167 Mother Frances Hospital Regional Health Care Center % MOTHER FRANCES HOSP ACCT DEP MOTH 9036065783 1315 Doctors Drive Suite Tyler TX 75701 ELIZABETH PULLIAM CFO 9036065783 2015-05-15 true Jeanette Verrelli P00742631 9036065783 2013 2016-02-25 16:41:14Z JOHN MCGREEVY 800 E DAWSON STREET TYLER TX 75701 641521192 false X WWW.TMFHc.ORG X 1958 TX TO PROVIDE THE COMMUNITY WITH A FULL range of comprehensive health care services without regard to race, creed, sex, national origin, handicap, age, or ability to pay. 9 4 3743 276 1945843 6805963 1536021 517199854 567303149 13973070 5632580 7124020 8348799 545102907 582820549 14135481 16569076 0 0 173665473 175628692 0 0 0 326833378 341567068 514634332 533764836 30468575 49055713 695128742 744985551 330441467 341239077 364687275 403746474 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 446007798 16569076 567650484 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. 446007798 true true false true false false false false false true true false false true true false false true false true true false false false false false true true true false true true false false false false false false false false true false false false false false false true true true false false true 225 0 true 3743 true true true true CJ false false false false false false false false X 9 4 false false false false true true true true true false false true true true true true true true true true true X MOTHER FRANCES HOSP ACCT DEP 9036065783 1315 DOCTORS DRIVE TYLER TX 75701 X RAY THOMPSON SYS EXEC VP/DIRECTOR/ASST Sec 16.0 24.0 X X 591468 887201 25752 BEN FITZGERALD DIRECTOR/CHAIRMAN 1.0 0.0 X X 0 0 0 FAGG SANFORD MD DIRECTOR 20.0 20.0 X 0 858797 16577 SISTER MALGORZATA MAJSZCZYK DIRECTOR 1.0 0.0 X 0 0 0 SISTER IRENE ASZTEMBORSKA DIRECTOR/SECRETARY/TREASURER 1.0 1.0 X X 0 0 0 ANDY KIRKPATRICK MD DIRECTOR 1.0 40.0 X 0 659049 29781 PATRICK THOMAS MD DIRECTOR 1.0 1.0 X 53729 0 0 CC BAKER DIRECTOR/VICE CHAIR 1.0 0.0 X X 0 0 0 JOHN MCGREEVY SR. VP/CEO OF MFH 40.0 0.0 X X 369307 0 23914 J LINDSEY BRADLEY JR SYSTEM PRESIDENT 9.0 31.0 X 381671 1314643 25752 JOYCE HESTER SR. VP/CFO 10.0 30.0 X 109418 328252 23252 ROBERT ROSE SR. VP, PATIENT CARE SERVICES 40.0 0.0 X 273695 0 27232 TODD HANCOCK VP 40.0 0.0 X 272603 0 28375 LEE PORTWOOD VP 40.0 0.0 X 249658 0 22648 CHRISTY BUSH VP 40.0 0.0 X 112351 0 14103 LAURA OWEN SR VP/CEO 40.0 0.0 X 640979 0 16296 MARTIN URBAN CRNA 40.0 0.0 X 260742 0 23862 DAVID CORRIoR CRNA 40.0 0.0 X 262104 0 18375 WILLIAM SANDBERG CRNA 40.0 0.0 X 284316 0 16518 ROBERT BIENERT CRNA 40.0 0.0 X 305669 0 12717 Tawonda Felton CRNA 40.0 0.0 X 388318 0 15217 STEVEN KEUER MD SYSTEM PRESIDENT/CMO 0.0 40.0 X 0 895986 29838 GIFFORD ECKHOUT MD EXECUTIVE VICE PRESIDENT 0.0 40.0 X 0 755892 10563 DAVID TEEGARDEN SYSTEM PRESIDENT/CMO 0.0 0.0 X 0 100806 22516 CHRIS GLENNEY VP OPERATIONS 0.0 40.0 X 0 303940 28768 WILLIAM BELLENFANT SR SR VP/CFO/DIRECTOR/TREASURER 0.0 0.0 X 0 213528 0 4556028 6318094 432056 84 true true false HURON CONSULTING 4795 payshere circle CHICAGO IL 60674 consulting services 6032749 sodexo inc and affiliates po box 536922 ATLANTA GA 30353 housekeeping/dietary 2231803 mayo collaborative services inc po box 9146 MINNEAPOLIS MN 55480 lab services 1953904 health carousel llc po box 44743 MIDDLETOWN OH 45044 employment services 1712794 capstone personnel services inc po box 8744 TYLER TX 75711 employment services 1627457 56 X 1199360 336661 1536021 NET PATIENT SERVICE REVENUE 621110 519017456 519017456 UPL MEDICAID 900099 21548199 21548199 EHR INCENTIVE REVENUE 900099 3630403 3630403 OTHER OPERATING REVENUE 900099 23107091 23107091 567303149 4828166 4828166 0 0 3896584 3896584 0 3896584 162745 3733839 59103834 10000 57379569 929851 1724265 -919851 804414 804414 0 0 750676 391223 359453 347335 12118 CAFETERIA REVENUE 722210 2189716 2189716 FITNESS CENTERS 713940 1770980 1770980 VENDING MACHINE REVENUE 722210 132066 132066 4092762 582820549 567650484 1945843 11688201 X 16569076 16569076 0 0 0 2109973 1947995 161978 28152 26130 2022 141212649 130059080 11153569 6942099 6176042 766057 11610396 12060235 -449839 13725423 12210828 1514595 4768172 253392 4514780 0 0 0 0 1903 1903 119111912 56650966 62460946 35861 35861 2713855 2276807 437048 1651165 884482 766683 0 6278973 5497274 781699 85594 70852 14742 0 189767 157711 32056 8224893 8224893 0 23828899 23828302 597 4702508 4702508 MEDICAL SUPPLIES 106517165 106222001 295164 BAD DEBT EXPENSE 44985302 44985302 REPAIRS AND MAINTENANCE 7382683 7315909 66774 FOOD 3150917 3135967 14950 7937500 7416790 520709 533764836 446007798 87757038 0 46087616 73485852 4216869 5528758 0 0 68432110 54159296 0 0 0 0 0 0 5697256 6883909 3010233 2827494 698097195 379210783 336425803 318886412 152995025 194316861 4542791 3375713 0 0 0 0 73721039 85521256 695128742 744985551 62214706 66658256 0 0 69226 104694 202238753 190368073 0 0 0 0 649751 521179 0 0 65269031 83586875 330441467 341239077 X 364687275 403746474 0 0 0 0 364687275 403746474 695128742 744985551 X 49055713 7045062 -17041576 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X true false false false false false true 37082 false false false 37082 false Grants for lobbying purposes: 23.65% OF AHA DUES WERE EXPENDED FOR SPECIFIC LOBBYING PURPOSES BASED ON MEDICARE DEFINITION OF UNALLOWABLE EXPENSES. 2414694 360569 13191 2762072 2408876 163752 157934 2414694 2350337 30875 27664 2408876 2209013 50 141274 2350337 414414 1790794 4305 500 2209013 0.74260 0.25740 false true true 26832152 26832152 231329602 87334990 143994612 139583427 87543463 52039964 299140935 204332330 94808605 1211079 1211079 318886412 DUE FROM AFFILIATES 83930234 DEFERRED FINANCING COSTS 1580409 INTEREST RATE SWAP AGREEMENT 10613 85521256 0 PENSION LIABILITY 50198234 INTEREST RATE SWAP AGREEMENT 1151720 ESTIMATED SELF INSURANCE COSTS 10316034 DUE TO AFFILIATES 20014408 DUE TO THIRD-PARTY PAYERS 1906479 83586875 X 552271628 7045062 -37683277 -30638215 582909843 1903 -91197 -89294 582820549 492088522 1048241 1048241 491040281 1903 42722652 42724555 533764836 schedule d, part v, line 4 Intended use of the organization's endowment funds: THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN ITS PURCHASING POWER. schedule d, part x, line 2 liability for uncertain tax positions: The System, the Hospital, RMSA, the Clinic, Jacksonville and Winnsboro have been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code (IRC) and a similar provision of state law. However, these entities are subject to federal income tax on any unrelated business taxable income. 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 $(44,985,302) Equity in earnings of affiliate 5,039,375 Other Classification Differences 2,262,650 ---------------- total $(37,683,277) schedule d, part xi, line 4b reconciliation of revenue per audited financial statements with return: loss on asset disposal $(919,851) contributions included in net assets 828,654 -------------- total $(91,197) schedule d, part xii, line 2d reconciliation of expense per audited financial statements with return: loss on asset disposal $ 919,851 change in fair value int rate swap 92,588 equity in income of consolidated sub 35,802 ------------- total $ 1,048,241 schedule d, part xii, line 4b reconciliation of expense per audited financial statements with return: bad debt expense $ 44,985,302 other classification differences (2,262,650) ------------------- total $ 42,722,652 Central America and the Caribbean 1 Program Services INSURANCE 35802 1 1 35802 35802 true false true false false false true true X true X true X true true true false true true 18819324 18819324 0.04960 38954566 57718159 -8763593 16197529 8976209 7221320 0.01480 73971419 66694368 17277051 0.06440 417912 417912 0.00090 70231 70231 0.00030 1059239 1059239 0.00220 62898 62898 0.00010 14591277 14591277 0.02990 16201557 16201557 0.03340 90172976 66694368 33478608 0.09780 true 44985302 173426089 143975080 29451009 X true true Tyler Rehab Assoc LP Rehabilitation hospital 0.50000 0.00000 0.00000 1 1 MOTHER FRANCES HOSPITAL REG HC CENTER 1315 DOCTORS DRIVE TYLER TX 75701 WWW.TMFHC.ORG 000286 X X X MOTHER FRANCES HOSPITAL REG HC CENTER 1 true X X X X X X X X X 12 true false true X SEE PART V, SECTION C X X X false false true true 200. true 400. true X X X X X X X X true true X X X X X X true false X X X true X false false schedule h, part v, section b, line 3 representatives from the community: MOTHER FRANCES HOSPITAL - TYLER CONDUCTED 17 INTERVIEWS WITH THE THREE GROUPS OUTLINED IN IRS NOTICE 2011-52. THE HOSPITAL CONSULTED INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: BETHESDA CLINIC, LITERACY COUNCIL OF TYLER, BETHESDA HEALTH CLINIC, TISD HEAD START PROGRAM, BEN AND MAYTEE FISCH FOUNDATION, TYLER TODAY MAGAZINE, JUNIOR LEAGUE OF TYLER, RAMEY AND FLOCK PC, SAMARITAN COUNSELING CENTER, CATHOLIC CHARITIES OF EAST TEXAS, TEXAS DEPARTMENT OF STATE HEALTH SERVICES, ETCOg AREA AGENCY ON AGING, UNITED WAY OF SMITH COUNTY, EAST TEXAS CRISIS CENTER, MEALS ON WHEELS EAST TEXAS, NORTH EAST TEXAS PUBLIC HEALTH DISTRICT, AND MOTHER FRANCES HOSPITAL - tYLER. schedule h, part v, section b, line 5 chna available to the public: the chna and implementation strategy is available upon request and at the following website: http://www.tmfhc.org/comprehensive-community-health-needs-assessments schedule h, part v, section b, line 7 needs identified in chna not addressed: MOTHER FRANCES HOSPITAL - TYLER 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. schedule h, part v, section b, lines 16, 17, & 18 billing and collections: NEITHER MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER, NOR THIRD PARTIES AUTHORIZED BY MFH-REGIONAL HEALTH CARE CENTER, 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 20D 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. 1 MFH OUTPATIENT SURGERY CENTER 415 South Fleishel Tyler TX 75702 Ambulatory Surgical Center 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 $44,985,302. schedule h, part iii, section a, line 2 bad debt expense: THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. schedule h, part iii, section a, line 3 bad debt as a 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 Systems allowance for doubtful accounts was approximately 98% of self-pay accounts receivable at June 30, 2014 and 2013. The current year decrease in allowance for doubtful accounts is primarily the result of a reduction in gross accounts receivable and changes in the age and payer mix of accounts receivable at June 30, 2014, as compared to 2013. 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 & 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-TYLER 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 OBTAINING 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: THE HOSPITAL OWNS AND OPERATES A 476 LICENSED BED GENERAL ACUTE CARE HOSPITAL AND RELATED HEALTHCARE FACILITIES IN TYLER, TEXAS. THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF SMITH COUNTY WITH A POPULATION OF APPROXIMATELY 200,000. THE SECONDARY SERVICE AREA OF THE HOSPITAL CONSISTS OF ANDERSON, CHEROKEE, GREGG, HENDERSON, RAINS, RUSK, UPSHUR, WOOD, AND VAN ZANDT COUNTIES WITH A TOTAL POPULATION OF APPROXIMATELY 500,000. schedule h, part vi, line 5 promotion of community health: MOTHER FRANCES HOSPITAL-TYLER 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: Tyler FamilyCARE Center - Women's Services - The clinic offers prenatal services to all Medicaid patients, Title V recipients, many self-pay, underinsured, and anyone who presents for prenatal services. Patient education is an integral part of patient care offering classes in English and Spanish. In addition to regular prenatal education, car seat education is also offered. This program receives TMF support for these services. The primary objective is to reduce the number of women who delivered babies with no prenatal care or childbirth education and reduce the number of sick infants born. Social workers help clients become eligible for Medicaid, WIC, and other financial assistance. Additionally, case management and diabetic counseling is provided. FamilyCARE Center - Children's Services - The Center serves the largest number of Medicaid and CHIP patients in the area. This patient population has a high percentage of at-risk ethnic groups. It is the largest provider of services to Medicaid and CHIP services for children in east Texas. A special reach out and read program with book distribution and mentors is also provided. This program receives financial and in-kind from TMF for these services. This facility provides access to well baby care and sick baby care for new mothers who were provided care at the FamilyCARE Center - Women's Service and for the medically underserved children of east Texas. Trinity Clinic Special Needs Program - The Special Needs Program believes that all children should have access to health care services; a medical home: which are continuous, comprehensive, coordinated, compassionate and culturally competent. Medical and social services are provided to children with special needs. The purpose of the program is To provide health care services to over 525 patients ranging from neonates to 21 years serving 35 communities encompassing a 12 county area. Services offered without charge include MOMS support group, Respite Care Program support, Annual Special Needs Children's Celebration for families, and other local community activities. Sickle Cell Clinic - The Tyler FamilyCare Center Pediatric Clinic provides the facility and support for patients with Sickle Cell. Joining forces with UT Southwestern Medical Center through a grant, a registered nurse works as the liaison between pediatricians and the Sickle Cell Clinic in Dallas to coordinate the care of patients. Additionally, a hematologist specializing in the care of sickle cell patients conducts a clinic four times a year on site. TMFHC joins with TFCC and serves as the site in collaboration with UT Southwestern Medical Center in Dallas to provide care for Sickle Cell patients in the Smith and surrounding counties. This program eliminates the need for families to travel to Dallas to receive care. It provides frontline information to parents and families on the disease and the need for medical care. Emergency Education - Detailed instruction and hands on participation is offered for certification in areas including CPR, first aid, and AED use. Courses are offered to school district and sponsors for UIL programs on an as needed basis. Over 400 people were trained. The purpose of the program is To improve the ability of people to respond to an emergency situation regardless of where it occurs. The benefit to the public includes more rapid response by a trained person which should increase the potential for positive outcomes. TeleCare Plus-Your Health Information Resource - TeleCare Plus is a medical call center available for FREE to the public 24 hours a day. Registered nurses provide callers with answers to health questions over the telephone, can send health information via the mail, provide physician referrals, give information on community and hospital resources and do symptom based triage. Examples of the types of calls in 2014 would be: FamilyCARE Center - Pediatrics/ Obstetrics, cardiac, neuro, endocrinology, geriatric, education calls, and general information and health care questions or nurse triage. TeleCare Plus is designed to provide a central, confidential resource for the community to turn to for health information and assist callers in seeking out the appropriate level of medical resources at the appropriate time. Bethesda Clinic Support - Bethesda Clinic is a "free" medical clinic, which is supported financially and by support services from the community. Mother Frances Hospital provides support in all areas and on special projects as requested. the purpose is To provide a site for patients where they can receive acute medical care. Services are paid for on a sliding scale as determined by their board of directors. This provides another access point for vulnerable populations and has bilingual staff. Trinity Mother Frances Health System Website - The TMFHS website at www.tmfhs.org provides a large amount of information about the health system, Trinity Physicians, upcoming classes and events and a wealth of health information. This now includes the implementation of MYCHART for personal health information directly. The website is designed as an access point to TMFHS resources. Using the web people can access information about the many services TMFHS provides, find information about physicians, register for classes or upcoming events, find a job and more. The health information module provides a vast amount of information regarding diseases, medications, labs, tests and also links to disease communities or support groups and resources. Lifeline-Personal Emergency Response System - Lifeline provides independence to patients needing quick access to emergency assistance in their home. Customers wear a waterproof button on their wrist or around their neck that they can press to activate the Lifeline Call Center in case of incapacitating event such as a fall or stroke. The Lifeline Call Center will attempt to speak to the patient via the Lifeline speakerphone or send out a predetermined contact such as a friend or neighbor or activate emergency personnel to assist the caller. The Lifeline program allows some people to stay at home that might otherwise need to be in an assisted living facility. Scholarships are provided to a number of patients as requested to meet the needs of those who cannot afford the service and request financial support. Community Partnerships - Assistance was provided both financially and with staffing for groups and organizations to provide collaborative programs, services, and health information. Projects included over 75 opportunities, including school-based programs, youth programs, and general public events. The purpose is To provide assistance and support and to educate the public on programs offered by Komen Foundation, American Heart Association, American Cancer Society, Alzheimer Association, Bethesda Health Clinic, Bethesda Health Clinic, Boy Scouts, Children's Advocacy Center, nursing programs, and public and private schools. United Way - TMFHS and our employees provided financial support of over $75,000. The purpose is To assist with the design, development, funding, and mission development of over 30 non-profit agencies in the community providing services to children and families at-risk regardless of their ability to pay for those services. Share the Spirit - This is an annual fund raising campaign within the health system for employees. It is organized and implemented by employees with all proceeds going to help with health related programs. Over $ 160,000 was raised in 2014. To assist with the funding for the following projects: Heart care, Cancer care, Children's Miracle Network, diabetes education and services, and the employee CrisisCare Fund. Anyone is eligible to receive assistance based on need or program needs. Children's Miracle Network - This is a designation for hospitals that focus on children's care and their needs. It provides a support system for fundraising benefiting children's services. Mother Frances Hospital is the only hospital between Dallas and Houston so designated. The purpose of the network is To improve the medical services for pediatric patients and their families. Medical equipment for pediatric services is purchased for both the Tyler and Jacksonville locations. A board oversees the outlay of the funds raised in the community during the year. In 2014 over $1 million was raised for this program. Health Education /Screening Programs - Community education for healthy life styles was offered throughout the region for a variety of con schedule h, part vi, line 6 affiliated health care system: MOTHER FRANCES HOSPITAL-TYLER 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-TYLER 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 true SERVICE ORGANIZATION OF PINEY WOODS 2950 50TH ST LUBBOCK TX 79314 300630886 501(C)(3) 10076250 COMMUNITY HEALTHCARE SERVICE ORGANIZATION OF NORTH & EAST TEXAS 2950 50TH ST LUBBOCK TX 79314 260468622 501(C)(3) 4515027 COMMUNITY HEALTHCARE Trinity Mother Frances Health System Fdn 1315 DOCTORS DRIVE TYLER TX 75701 752028241 501(C)(3) 58180 COMMUNITY HEALTHCARE tyler family circle of care 214 east houston tyler TX 75702 452578435 501(c)(3) 1800325 community healthcare 4 schedule i, part i, line 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: GRANT RECIPIENTS ARE REQUIRED TO ACKNOWLEDGE PRIOR TO THE ISSUANCE OF GRANT FUNDS THAT THE GRANT WILL BE USED IN ACCORDANCE WITH THE STATED PURPOSE OF THE GRANT APPLICATION AND ANY UNUSED FUNDS RELATED TO THE SPECIFIC PURPOSE OF THE GRANT WILL BE RETURNED TO THE ORGANIZATION. THE ORGANIZATION MONITORS AND REVIEWS THE FINANCIAL DATA OF RECIPIENTS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED PROPERLY. X true true X X X X X true true false false false false false false false RAY THOMPSON SYS EXEC VP/DIRECTOR/ASST Sec 295700 443550 295768 443651 0 0 4335 6503 5966 8948 601769 902652 0 0 FAGG SANFORD MD DIRECTOR 0 832428 0 0 0 26369 0 8287 0 8290 0 875374 0 0 ANDY KIRKPATRICK MD DIRECTOR 0 625214 0 0 0 33835 0 10837 0 18944 0 688830 0 8719 JOHN MCGREEVY SR. VP/CEO OF MFH 305141 0 53292 0 10875 0 7726 0 16188 0 393221 0 0 0 J LINDSEY BRADLEY JR SYSTEM PRESIDENT 196885 678160 184786 636483 0 0 2439 8399 3356 11558 387466 1334600 0 0 JOYCE HESTER SR. VP/CFO 80449 241347 28969 86905 0 0 2710 8128 3104 9310 115232 345690 0 0 STEVEN KEUER MD SYSTEM PRESIDENT/CMO 0 202179 0 260000 0 433807 0 27338 0 2500 0 925824 0 433807 GIFFORD ECKHOUT MD EXECUTIVE VICE PRESIDENT 0 612504 0 133450 0 9938 0 8063 0 2500 0 766455 0 9938 ROBERT ROSE SR. VP, PATIENT CARE SERVICES 232588 0 30217 0 10890 0 7673 0 19559 0 300927 0 0 0 TODD HANCOCK VP 222273 0 39515 0 10815 0 7709 0 20666 0 300978 0 0 0 LEE PORTWOOD VP 219930 0 18913 0 10815 0 9341 0 13307 0 272306 0 0 0 MARTIN URBAN CRNA 242178 0 0 0 18564 0 7470 0 16392 0 284604 0 0 0 DAVID CORRIoR CRNA 257099 0 0 0 5005 0 3473 0 14902 0 280479 0 0 0 WILLIAM SANDBERG CRNA 283047 0 0 0 1269 0 8084 0 8434 0 300834 0 0 0 ROBERT BIENERT CRNA 305429 0 0 0 240 0 6069 0 6648 0 318386 0 0 0 Tawonda Felton CRNA 387632 0 0 0 686 0 8088 0 7129 0 403535 0 0 0 LAURA OWEN SR VP/CEO 170206 0 0 0 470773 0 6455 0 9841 0 657275 0 0 0 DAVID TEEGARDEN SYSTEM PRESIDENT/CMO 0 97133 0 0 0 3673 0 2250 0 20266 0 123322 0 0 CHRIS GLENNEY VP OPERATIONS 0 251415 0 41650 0 10875 0 9663 0 19105 0 332708 0 0 WILLIAM BELLENFANT SR SR VP/CFO/DIRECTOR/TREASURER 0 0 0 0 0 213528 0 0 0 0 0 213528 0 0 schedule j, part i, line 1a TAX INDEMNIFICATION AND GROSS UP PAYMENTS: AMOUNTS PAID FOR "GROSSED UP" GIFT CARDS ARE INCLUDED AS TAXABLE COMPENSATION FOR THE FOLLOWING individuals: ROBERT ROSE, TODD HANCOCK, LEE PORTWOOD, CHRISTY BUSH, MARTIN URBAN, DAVID CORRIOR, WILLIAM SANDBERG, ROBERT BIENERT, and TAWONDA FELTON schedule j, part i, line 4a SEVERANCE & change of control payments: LAURA OWEN $464,398 william bellenfant sr $213,528 SCHEDULE J, PART I, LINE 4B PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- --------------- --------------------- STEVEN KEUER MD $426,080 NONE PARTICIPANTS IN 457(F) REPORTED IN W-2 ---------------------- --------------- STEVEN KEUER MD $7,727 GIFFORD ECKHOUT MD $9,938 ANDY KIRKPATRICK MD $8,719 A TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION 521315814 902261HP4 2011-10-12 51735000 CAPITAL DEVELOPMENT false false false B TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION 521315814 902261GN0 2007-05-16 66789990 CAPITAL DEVELOPMENT false false false C TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION 521315814 902261GP5 2007-05-30 23053130 CAPITAL DEVELOPMENT false false false D TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION 521315814 xxxxxxxxx 2012-10-19 57429494 refinancing 1992 & 1997B Bonds false false false A 0 0 51735000 5173500 0 45260090 873700 0 0 0 0 0 2013 false false true true B 0 0 66789990 288280 0 64699862 1801848 0 0 0 0 0 false true true true C 0 0 23053130 2300000 0 0 386250 0 0 20366880 0 0 2012 false false true true D 0 0 57429494 0 0 57170774 258720 0 0 0 0 0 true false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false true false false 0.00700 0.00700 false false false true A false true false false false false 0 false 0 false true B true false false 0 false 0 false true C true false false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true schedule k, part i REFINANCED BONDS: SERIES 1992 REVENUE BOND ISSUE DATE 05/27/1992 SERIES 1997B REVENUE BOND ISSUE DATE 12/01/1997 SERIES 2001 REVENUE BOND ISSUE DATE 10/30/2001 SERIES 2003 REVENUE BOND ISSUE DATE 05/08/2003 A tyler health facilities development corporation 521315814 902261FP6 2003-05-08 60753954 capital development false false false A 0 0 60753954 669419 0 40532637 771361 0 0 18780537 0 0 2005 true false true true A false false false false 0 false false false true A true false false 0 false 0 false true A true CATHERINE BRADLEY SISTER OF CEO 28152 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 REGIONAL HEALTH CARE CENTER. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS WHO MAY ELECT MEMBERS OF THE GOVERNING BODY: THE SOLE MEMBER, TRINITY MOTHER FRANCES HEALTH SYSTEM, HAS THE POWER TO APPOINT 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 PREVIOUSLY APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND A COPY IS PROVIDED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR AND ENFORCE CONFLICT OF INTEREST POLICY: THE BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE THROUGHOUT THE YEAR IN ACCORDANCE WITH POLICY STANDARDS. FORM 990, PART VI, SECTION B, LINES 15A & 15B REVIEW OF COMPENSATION OF CEO, OFFICER, OR KEY EMPLOYEE: THE ORGANIZATION USES COMPENSATION CONSULTANTS AND NATIONAL COMPENSATION SURVEYS TO DETERMINE COMPENSATION OF EMPLOYEES. COMPENSATION IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY. 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 ix, line 11g other fees for services: Corporate Expense $ 55,668,966 Professional Fees 33,108,055 Purchased Services 23,537,810 Contract Labor 5,726,823 Consulting 923,142 Physician Advisor 108,370 Transcription Services 38,746 ------------------- total $ 119,111,912 Form 990, part xi, line 9 other changes in net assets: transfer to affiliate $(16,623,584) change in pension plan liability (5,328,977) Equity in earnings of affiliate 5,039,375 change in fair value interest rate swap (92,588) equity in income of consolidated subsidiary (35,802) ----------------- total $(17,041,576) MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 HOSPITAL TX 501(C)(3) 3 TMFHS false TRINITY MOTHER FRANCES HEALTH SYSTEM FDN 1315 DOCTORS DRIVE TYLER TX 75701 752028241 SUPPORT TX 501(C)(3) 11, Type i TMFHS false 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 i NA false TRINITY CLINIC 1315 DOCTORS DRIVE TYLER TX 75701 752616977 HEALTHCARE TX 501(C)(3) 3 TMFHS false MOTHER FRANCES HOSPITAL - JACKSONVILLE 1315 DOCTORS DRIVE TYLER TX 75701 751976930 HOSPITAL TX 501(C)(3) 3 TMFHS false TYLER RADIATION EQUIP LEASING 10101 WOODLOCH FOREST DRIVE THE WOODLANDS TX 77380 262554738 EQUIPMENT LEASING TX MFH REG UNRELATED 162745 973397 false 162745 false 0.51000 Tyler Rehab Associates LP 3660 GRANDVIEW PKWY SUITE 200 BIRMINGHAM AL 35243 251675784 REHABILITATION AL NA EXCLUDED FROM TAX 4362860 2767820 false 0 false 0.50000 TRI-STATE FINANCIAL LLC 1315 DOCTORS DRIVE TYLER TX 75701 752728318 DORMANT TX TMFHS C-corporation false TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 RETAIL HEALTH SVC TX TMFHS C-corporation false HEALTHPLAN OF TEXAS INC 1315 DOCTORS DRIVE TYLER TX 75701 752636832 THIRD PARTY ADMIN TX TMFHS C-corporation false THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752484109 PREFER PROVIDER TX TMFHS C-corporation false TEXAS HEALTH FACILITIES INSUR CORP LTD PO BOX 1109 BWI GRAND CAYMAN CJ 980136025 INSURANCE CJ MFH REG C-corporation -35802 147535 1.00000 true CONCORDIUM HEALTH LLC 1315 DOCTORS DRIVE TYLER TX 75701 702811022 INACTIVE TX NA C-corporation false false true true false false false false false false true false true true true true false false false false REGIONAL MEDICAL SERVICES ASSOCIATION L 304663 CASH VALUE SCHEDULE R, PART II, COLUMN F & Part iii, column d 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 MOTHER FRANCES HEALTH SYSTEM FOUNDATION TRINITY CLINIC MOTHER FRANCES HOSPITAL - WINNSBORO REGIONAL MEDICAL SERVICES ASSOCIATION AND TYLER RADIATION EQUIPMENT LEASING ARE DIRECTLY CONTROLLED BY MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER ("MFH REG").