2015-05-14T10:45:18-05:00 2014-06-30 BKD LLP 14241 DALLAS PKWY STE 1100 DALLAS TX 75254 990 2013-07-01 752028241 Mother Frances Hospital Foundation % MOTHER FRANCES HOSP ACCT DEP MOTH 9036065783 1315 Doctors Drive Suite Tyler TX 75701 JOYCE HESTER CFO 9036065783 2015-05-15 true Jeanette Verrelli P00742631 9036065783 2013 2016-02-25 16:41:14Z SCOTT FOSSEY 100 E FERGUSON ST TYLER TX 75702 4393912 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) 13 8 0 16 0 2704505 1957749 0 0 179206 439256 0 0 2883711 2397005 6160523 1365358 0 0 0 0 0 0 0 646411 232644 6806934 1598002 -3923223 799003 8999332 10681941 598297 1051621 8401035 9630320 X MOTHER FRANCES HOSPITAL FOUNDATION HAS AS ITS PRIMARY MISSION TO RECEIVE FUNDS FOR THE BENEFIT OF THE PARENT ORGANIZATION, MOTHER FRANCES 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 1538505 1365358 MOTHER FRANCES HOSPITAL FOUNDATION SUPPORTS MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER AND TRINITY CLINIC THROUGH TRINITY MOTHER FRANCES HEALTH SYSTEM. 1538505 true true false false false false false false false true false false false false true false true false false false false false false false false false false true false true false false false false false false false false false false false false false true false false false true X 0 0 0 false false false false false false false false false false false X 13 8 false false false false false false false true true false false true true true true true true false false false X MOTHER FRANCES HOSP ACCT DEP 9036065783 1315 DOCTORS DRIVE TYLER TX 75701 X RANDALL CHILDRESS DIRECTOR/CHAIRMAN 1.0 1.0 X X DAVID DYKES MD DIRECTOR 1.0 0.0 X MARY FAULKNER DIRECTOR 1.0 0.0 X TERRY GILES DIRECTOR 1.0 0.0 X SISTER IRENE ASZTEMBORSKA DIRECTOR 1.0 1.0 X DANIEL SALEH DIRECTOR/secretary 1.0 0.0 X X BISHOP JOSEPH STRICKLAND DIRECTOR 1.0 0.0 X JOHN WILLIAMS DIRECTOR 1.0 0.0 X CLAYTON WHITNEY MD DIRECTOR 1.0 40.0 X 0 719338 28803 MEG REITMEYER MD DIRECTOR 1.0 40.0 X 0 261430 18385 JAMES CACCITOLO MD DIRECTOR 1.0 40.0 X 0 785746 28506 LUIS HARO MD DIRECTOR 1.0 40.0 X 0 499501 27656 PATRICK THOMAS MD DIRECTOR 1.0 1.0 X 0 53729 0 mary jackson VP 20.0 20.0 X 0 238050 15250 ANDY NAVARRO DIRECTOR/SECRETARY 0.0 40.0 X 0 182627 10721 william bellenfant sr sr vp/cfo/director/treasurer 0.0 0.0 X 0 213528 0 0 2953949 129321 0 true true false 0 58180 35087 1864482 1957749 0 183995 183995 0 0 0 0 0 2252168 1996907 255261 255261 255261 0 0 0 0 2397005 439256 1365358 1365358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49540 49540 0 0 0 0 0 0 0 0 0 0 0 0 0 BAD DEBT EXPENSE 173147 173147 BANK FEES 9957 9957 1598002 1538505 59497 0 0 0 923332 1495123 995846 638228 0 0 0 0 0 0 0 0 0 0 0 0 0 6999817 8479703 0 0 0 0 0 0 80337 68887 8999332 10681941 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 598297 1051621 598297 1051621 X 2452 35264 6347457 7543930 2051126 2051126 8401035 9630320 8999332 10681941 799003 430282 X false true X true false X X X false false false MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER 750818167 03 false true true 1199360 TRINITY CLINIC 752616977 03 false true true 45998 2 1245358 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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 false 0 DUE TO AFFILIATES 1051621 1051621 X 2827287 430282 430282 2397005 2397005 1598002 1598002 1598002 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 2011. true MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTE 1315 DOCTORS DRivE TYLER TX 75701 750818167 501(C)(3) 1199360 HOSPITAL EQPMT TRINITY CLINIC 1315 DOCTORS DRivE TYLER TX 75701 752616977 501(C)(3) 45998 RESPITE PROGRAM TRINITY MOTHER FRANCES HEALTH SYSTEM 1315 DOCTORS DRIVE TYLER TX 75701 752616975 501(C)(3) 120000 IT EQUIPMENT 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. true true false false false false false false false mary jackson VP 0 194413 0 30212 0 13425 0 7902 0 7348 0 253300 0 0 ANDY NAVARRO DIRECTOR/SECRETARY 0 146679 0 0 0 35948 0 3789 0 6932 0 193348 0 0 CLAYTON WHITNEY MD DIRECTOR 0 522547 0 173969 0 22822 0 8659 0 20144 0 748141 0 0 MEG REITMEYER MD DIRECTOR 0 238022 0 0 0 23408 0 10837 0 7548 0 279815 0 586 JAMES CACCITOLO MD DIRECTOR 0 780424 0 0 0 5322 0 9562 0 18944 0 814252 0 0 LUIS HARO MD DIRECTOR 0 473771 0 0 0 25730 0 8712 0 18944 0 527157 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 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 schedule j, part i, line 4a severance & change of control payments: andy navarro $35,948 william bellenfant sr $213,528 schedule j, part i, line 4b PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN 457(F) REPORTED IN W-2 ---------------------- --------------- meg reitmeyer md $586 form 990, part i, line 1 ... (continued from part i) from the community to support activities for hospital growth. 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 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. MOTHER FRANCES HOSPITAL - JACKSONVILLE 1315 DOCTORS DRIVE TYLER TX 75701 751976930 HOSPITAL TX 501(C)(3) 3 TMFHS false MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 HOSPITAL TX 501(C)(3) 3 TMFHS false REGIONAL MEDICAL SERVICES ASSOCIATION 1315 DOCTORS DRIVE TYLER TX 75701 752511459 HEALTHCARE TX 501(C)(3) 3 MFH REG false 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 REGIONAL HC CTR 1315 DOCTORS DRIVE TYLER TX 75701 750818167 HOSPITAL TX 501(C)(3) 3 TMFHS false 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 false 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 false false false false false true true true false false 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 IS DIRECTLY CONTROLLED BY MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER ("MFH REG").