FURP.ORG / PUBLIC DATA EXPLORER

CHRISTUS TRINITY CLINIC TEXAS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHRISTUS TRINITY CLINIC TEXAS (EIN 75-2616977)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201411359349306546
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T14:08:07-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752616977EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TRINITY CLINICBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MOTHER FRANCES HOSP ACCTG DEInCareOfName
Name ControlTRINNameControl
Phone9035315764Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11315 DOCTORS DRIVEAddressLine1
Address Line2SuiteAddressLine2
CityTYLERCity
StateTXState
ZIP Code75701ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOYCE HESTERName
TitleCFOTitle
Phone9035315764Phone
Date Signed2014-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAmanda MayaName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEVEN KEUERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1910 E HOUSTONAddressLine1
CityTYLERCity
StateTXState
ZIP Code75701ZIPCode
FieldValueIRS element (for citing)
Gross Receipts165066338GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TMFHS.ORG/TRINITYCLINICWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE PHYSICIAN SERVICES WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO THE PATIENT'S RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees680TotalNbrEmployees
Total Nbr Volunteers33TotalNbrVolunteers
Total Gross UBI-308532TotalGrossUBI
Net Unrelated Business Txbl Income-308532NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year127491339ProgramServiceRevenuePriorYear
Program Service Revenue CY161528332ProgramServiceRevenueCY
Investment Income Prior Year4592InvestmentIncomePriorYear
Investment Income Current Year1678504InvestmentIncomeCurrentYear
Other Revenue Prior Year-1721912OtherRevenuePriorYear
Other Revenue Current Year-182669OtherRevenueCurrentYear
Total Revenue Prior Year125774019TotalRevenuePriorYear
Total Revenue Current Year163024167TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17276516SalariesEtcPriorYear
Salaries Etc Current Year43571561SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year132837119OtherExpensePriorYear
Other Expenses Current Year151639641OtherExpensesCurrentYear
Total Expenses Prior Year150113635TotalExpensesPriorYear
Total Expenses Current Year195211202TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-24339616RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-32187035RevenuesLessExpensesCY
Total Assets BOY135889145TotalAssetsBOY
Total Assets EOY50748541TotalAssetsEOY
Total Liabilities BOY157671418TotalLiabilitiesBOY
Total Liabilities EOY80503891TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-21782273NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-29755350NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE PHYSICIAN SERVICES WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO THE PATIENT'S RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense176410223Expense
Revenue161528332Revenue
DescriptionOUR 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, AWARENESS PROGRAMS FOR PERSONS WITH SPECIAL PHYSICAL OR MENTAL NEEDS, CHILDREN WITH DIABETES SUMMER CAMP, SPORTS CARE PROGRAMS, SAFETY TRAINING FOR LOCAL BUSINESSES, AND RESEARCH PROGRAMS.Description
Total Program Service Expense176410223TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096110NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees680NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMOTHER FRANCES HOSP ACCTG DENamePerson
Telephone Number9035315764TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11315 DOCTORS DRIVEAddressLine1
CityTYLERCity
StateTXState
ZIP Code75701ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
STEVEN KEUER MD
SYSTEM PRESIDENT/CMO/DIRECTOR18.023.0XX56966972503328146
ROBERT MCKINNEY MD
DIRECTOR40.00.0X524395030474
GIFFORD ECKHOUT MD
EXECUTIVE VICE PRESIDENT/DIREC15.026.0XX29715150596025449
MARK ANDERSON MD
DIRECTOR/VICE CHAIR40.01.0XX478804029974
ROGER FOWLER MD
DIRECTOR/CHAIRMAN40.01.0XX443266021991
KENT WEBB MD
DIRECTOR40.00.0X690952027474
WILLIAM HOBBS MD
DIRECTOR40.00.0X789970027474
JAMES STANFORD MD
DIRECTOR/VICE CHAIR40.00.0XX351360027474
GREGORY STOVALL
DIRECTOR/SECRETARY/TREASURER40.00.0XX757653027474
KAI XIA MD
DIRECTOR40.00.0X1606153024297
JAMES CACCITOLO MD
DIRECTOR/SECRETARY40.01.0XX819712027424
HAMPTON WILLIAMS MD
DIRECTOR40.00.0X550750026697
OLADIMEJI AKIODE MD
Director40.00.0X430093029724
BARBARA ALLEN MD
Director35.05.0X372994024974
BRYAN LOWERY MD
Director40.00.0X72292709375
JANET HURLEY MD
DIRECTOR40.00.0X141749016849
MEG REITMEYER MD
DIRECTOR40.01.0X28992006760
JOSEPH ZASIK DO
DIRECTOR40.00.0X54435005885
ORAN FERRELL
SR VP, CHIEF ADMIN OFFICER40.00.0X790195021258
LORETTA SWAN
VP CLINIC OPERATIONS40.00.0X182312021067
JOYCE HESTER
SR. VICE PRESIDENT/CFO10.032.0X10842934335814147
THOMAS HARGROVE
VP40.00.0X431135019249
WILLIAM MCCRADY
VP40.00.0X334448012522
MARTIN HOLLAND MD
PHYSICIAN40.00.01475163023570X
LAURA O'HALLORAN MD
PHYSICIAN40.00.01631808026224X
WAYNE GLUF MD
PHYSICIAN40.00.01653828020647X
PETER SIRIANNI MD
PHYSICIAN40.00.01772526026224X
SAUYU LIN MD
PHYSICIAN40.00.01268877028224X
DAVID TEEGARDEN MD
SYSTEM PRESIDENT/CMO/DIRECTOR0.00.0020276719772X
FieldValueIRS element (for citing)
Total Reportable Comp From Org20030589TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1777118TotalReportableCompFrmRltdOrgs
Total Other Compensation650819TotalOtherCompensation
Number Individuals GT100 K326NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HOSPITALIST CONNECTIONS LLC
16000 NORTH DALLAS PKWAY SUITE 450DALLASTX75248PHYSICIAN SERVICES1496023
EAGLE HOSPITAL PHYSICIANS
16000 NORTH DALLAS PKWAY SUITE 450DALLASTX75248PHYSICIAN SERVICES924164
PROFESSIONAL SERVICES EMPLOYERS
PO BOX 3629SALT LAKE CITYUT84110PHYSICIAN SERVICES815681
HURON CONSULTING SERVICES LLC
4795 PAYSHERE CIRCLECHICAGOIL60674CONSULTING SERVICES736066
JASON G HOLMAN MD
6938 PARK SLOPETYLERTX75703PHYSICIAN SERVICES426910
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE621500114276457114276457
OTHER OPERATING REVENUE9000994499318444993184
EHR INCENTIVE REVENUE90009922586912258691
FieldValueIRS element (for citing)
Total Program Service Revenue161528332TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1600220TotalRevenueColumn
Exclusion$1,600,220ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real520407Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real703076Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-182669Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-182669TotalRevenueColumn
Unrelated Business Revenue-56079UnrelatedBusinessRevenue
Exclusion-$126,590ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1417379Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1339095Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other78284Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column78284TotalRevenueColumn
Unrelated Business Revenue-252453UnrelatedBusinessRevenue
Exclusion$330,737ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column163024167TotalRevenueColumn
Related Or Exempt Function Income161528332RelatedOrExemptFunctionIncome
Unrelated Business Revenue-308532UnrelatedBusinessRevenue
Exclusion$1,804,367ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total14465115Total
Program Services12971059ProgramServices
Management And General1494056ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13911332Total
Program Services12021444ProgramServices
Management And General1889888ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2869391Total
Program Services2869391ProgramServices
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8459076Total
Program Services7692678ProgramServices
Management And General766398ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3866647Total
Program Services3821264ProgramServices
Management And General45383ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3590251Total
Program Services3588564ProgramServices
Management And General1687ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2518Total
Program Services0ProgramServices
Management And General2518ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total150Total
Program Services0ProgramServices
Management And General150ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total126292482Total
Program Services112976317ProgramServices
Management And General13316165ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total52141Total
Program Services42448ProgramServices
Management And General9693ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total704195Total
Program Services380186ProgramServices
Management And General324009ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7660Total
Program Services6216ProgramServices
Management And General1444ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1325503Total
Program Services1059793ProgramServices
Management And General265710ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total67838Total
Program Services18902ProgramServices
Management And General48936ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1008227Total
Program Services1008182ProgramServices
Management And General45ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total885690Total
Program Services137101ProgramServices
Management And General748589ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total354189Total
Program Services267133ProgramServices
Management And General87056ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total-24692Total
Program Services-41554ProgramServices
Management And General16862ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES27117892711789
BAD DEBT EXPENSE70910307091030
REPAIRS AND MAINTENANCE834756667116804
PERFORMANCE STANDARDS19641152258197-294082

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5523080Total
Program Services5463412ProgramServices
Management And General59668ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total195211202Total
Program Services176410223ProgramServices
Management And General18800979ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3980108BOY
EOY701164EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10469530BOY
EOY14719532EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1490266BOY
EOY1196280EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY300494BOY
EOY230612EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY521553BOY
EOY432590EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3895480LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2275826LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4213464BOY
EOY1619654EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY22354194BOY
EOY24749645EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY90634BOY
EOY86710EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY427625BOY
EOY373209EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY92041277BOY
EOY6639145EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY135889145BOY
EOY50748541EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY17291328BOY
EOY23809430EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1631813BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY138748277BOY
EOY56694461EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY157671418BOY
EOY80503891EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-21782273BOY
EOY-29755350EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-21782273BOY
EOY-29755350EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY135889145BOY
EOY50748541EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-32187035ReconcilationRevenueExpenses
Reconcilation Other Changes24213958ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2408876BeginningOfYearBalance
Investment Earnings Or Losses163752InvestmentEarningsOrLosses
Grants Or Scholarships157934GrantsOrScholarships
End Of Year Balance2414694EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2350337BeginningOfYearBalance
Contributions30875Contributions
Investment Earnings Or Losses27664InvestmentEarningsOrLosses
End Of Year Balance2408876EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2209013BeginningOfYearBalance
Contributions50Contributions
Investment Earnings Or Losses141274InvestmentEarningsOrLosses
End Of Year Balance2350337EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance414414BeginningOfYearBalance
Contributions1790794Contributions
Investment Earnings Or Losses4305InvestmentEarningsOrLosses
Other Expenditures500OtherExpenditures
End Of Year Balance2209013EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance413932BeginningOfYearBalance
Contributions239Contributions
Investment Earnings Or Losses243InvestmentEarningsOrLosses
End Of Year Balance414414EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.84944PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.15057TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1178605OtherCostOrOtherBasis
Depreciation260463Depreciation
Book Value918142BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2703464OtherCostOrOtherBasis
Depreciation2015363Depreciation
Book Value688101BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13411OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value13411BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1619654TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES6582111
OTHER ASSETS57034
FieldValueIRS element (for citing)
Total Book Value Other Assets6639145TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$30,200,368
ACCRUED PENSION LIABILITY$14,370,318
ESTIMATED SELF INSURANCE COSTS$3,174,800
DEFERRED COMPENSATION$8,948,975
FieldValueIRS element (for citing)
Total Of Amounts56694461TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt154889947TotRevenueEtcAuditedFinclStmt
Other Revenues-7091030OtherRevenues
Revenue Not Rptd F990-7091030RevenueNotRptdF990
Revenue Subtotal161980977RevenueSubtotal
Other Revenues Not Included1043190OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1043190RevenueNotRptdOnFinStmt
Total Revenue Per Form990163024167TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt187076982TotExpensesEtcAuditedFinclStmt
Other Expenses Included-1043190OtherExpensesIncluded
Expenses Not Rptd F990-1043190ExpensesNotRptdF990
Expenses Subtotal188120172ExpensesSubtotal
Other Expenses Not Included7091030OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt7091030ExpensesNotRptdOnFinStmt
Total Expenses Per Form990195211202TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO FORM 990SCHEDULE D, PART XI, LINE 2DBAD DEBT $ (7,091,030)
RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO FORM 990SCHEDULE D, PART XI, LINE 4BSEQUESTER REDUCTION REVENUE $ 108,824 REBATE INCOME 40,363 RENT EXPENSE (703,076) INTEREST INCOME 1,597,079 ------------- $ 1,043,190
RECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS TO FORM 990SCHEDULE D, PART XII, LINE 2DSEQUESTER REDUCTION REVENUE $ (108,824) REBATE INCOME (40,363) RENT EXPENSE 703,076 INTEREST INCOME (1,597,079) ------------- $ (1,043,190)
RECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS TO FORM 990SCHEDULE D, PART XII, LINE 4BBAD DEBT $ 7,091,030
INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDSSCHEDULE D, PART V, QUESTION 4THE 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (29 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STEVEN KEUER MD
SYSTEM PRESIDENT/CMO/DIRECTOR2543043236591298001652001855652361744675595077099812582053740795173977221426
ROBERT MCKINNEY MD
DIRECTOR51445000099450106250198490554869000
GIFFORD ECKHOUT MD
EXECUTIVE VICE PRESIDENT/DIREC2662674533742891349229197133571332226880841376530656752199300
MARK ANDERSON MD
DIRECTOR/VICE CHAIR4734760005328081250218490508778000
ROGER FOWLER MD
DIRECTOR/CHAIRMAN3552610631530248520106250113660465257000
KENT WEBB MD
DIRECTOR4352110247878078630106250168490718426000
WILLIAM HOBBS MD
DIRECTOR63087901340660250250106250168490817444000
JAMES STANFORD MD
DIRECTOR/VICE CHAIR1835100160430074200106250168490378834000
GREGORY STOVALL
DIRECTOR/SECRETARY/TREASURER35642905652303447010106250168490785127000
KAI XIA MD
DIRECTOR69548308883420223280937501492201630450000
JAMES CACCITOLO MD
DIRECTOR/SECRETARY79880001558405328093750180490847136000
HAMPTON WILLIAMS MD
DIRECTOR5454220005328093750173220577447000
ORAN FERRELL
SR VP, CHIEF ADMIN OFFICER243750000546445090500122080811453000
LORETTA SWAN
VP CLINIC OPERATIONS15456502494702800066570144100203379000
MARTIN HOLLAND MD
PHYSICIAN1455153000200100812501544501498733000
LAURA O'HALLORAN MD
PHYSICIAN9619330664547053280937501684901658032000
WAYNE GLUF MD
PHYSICIAN1631500000223280812501252201674475000
PETER SIRIANNI MD
PHYSICIAN175944807750053280937501684901798750000
SAUYU LIN MD
PHYSICIAN67072805763210218280937501884901297101000
OLADIMEJI AKIODE MD
Director2218600186405021828093750203490459817000
BARBARA ALLEN MD
Director327297023869021828081250168490397968000
BRYAN LOWERY MD
Director359874034122502182809375000732302000
JOYCE HESTER
SR. VICE PRESIDENT/CFO73149231639352801117190026018237794251511182435411000
JANET HURLEY MD
DIRECTOR11527102221304265000168490158598000
MEG REITMEYER MD
DIRECTOR2675920002232800067600296680000
JOSEPH ZASIK DO
DIRECTOR539022000532800058850550235000
THOMAS HARGROVE
VP35359107221605328000192490450384000
WILLIAM MCCRADY
VP30994700024501000125220346970000
DAVID TEEGARDEN MD
SYSTEM PRESIDENT/CMO/DIRECTOR0197563000520402250017522022253900

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BPARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION ---------------------- ----------------- --------------------- STEVEN KEUER MD $394,866 NONE DAVID TEEGARDEN MD NONE NONE PARTICIPANTS IN 457(F) REPORTED IN W-2 ---------------------- ----------------- STEVEN KEUER MD $537 DAVID TEEGARDEN MD NONE
COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATIONSCHEDULE J, PART I, LINE 6ASOME PHYSICIANS ARE PAID BASED ON THE COMPENSATION FORMULA OF THEIR INDIVIDUAL RESPECTIVE DEPARTMENTS.
SEVERANCE PAYMENTSSCHEDULE J, PART I, LINE 4ASEVERANCE PAID ---------------- GREGORY STOVALL $308,212 ORAN FERRELL $541,045
TAX INDEMNIFICATION & GROSS UP PAYMENTSSCHEDULE J, PART I, LINE 1AAmounts paid for "grossed up" gift cards are included as taxable compensation for the following directors: MARK ANDERSON, ROGER FOWLER, KENT WEBB, WILLIAM HOBBS, GREGORY STOVALL, KAI XIA, JAMES CACCITOLO, BARBARA ALLEN, LORETTA SWAN, WILLIAM MCCRADY, MARTIN HOLLAND, AND PETER SIRIANNI

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIBE REVIEW PROCESS OF FORM 990FORM 990, PART VI, SECTION B, LINE 11BTHE 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.
DESCRIBE THE ORGANIZATION'S MEMBERS OR STOCKHOLDERSFORM 990, PART VI, SECTION A, LINE 6TRINITY MOTHER FRANCES HEALTH SYSTEM IS THE SOLE MEMBER OF TRINITY CLINIC.
DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERFORM 990, PART VI, SECTION A, LINE 7BTHE MEMBER HAS THE AUTHORITY TO APPROVE OR DISAPPROVE CERTAIN MATTERS PREVIOUSLY APPROVED BY THE BOARD OF DIRECTORS.
HOW DOES THE ORGANIZATION MONITOR AND ENFORCE COMPLIANCE WITH THE POLICYFORM 990, PART VI, SECTION B, LINE 12CTHE BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE THROUGHOUT THE YEAR IN ACCORDANCE WITH POLICY STANDARDS.
DESCRIBE WHETHER THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE TO PUBLICFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PROCESS FOR DETERMINING COMPENSATION OF CEO, OFFICERS, OR KEY EMPLOYEESFORM 990, PART VI, SECTION B, LINES 15A & 15BTHE ORGANIZATION USES COMPENSATION CONSULTANTS AND NATIONAL COMPENSATION SURVEYS TO DETERMINE COMPENSATION OF EMPLOYEES. COMPENSATION IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY AND ULTIMATELY APPROVED BY TRINITY MOTHER FRANCES HEALTH SYSTEM.
COMPENSATION FROM RELATED ORGANIZATIONSFORM 990, PART VII & SCHEDULE JTHE 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.
1099S REPORTED BY ORGANIZATIONFORM 990, PART V, LINE 1AFORMS 1099-INT ARE ISSUED BY THE FILING ORGANIZATION. HOWEVER, 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.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9TRANSFERS FROM AFFILIATE $ 24,213,958
Other fees for servicesForm 990, part ix, line 11gProfessional Fees $112,875,260 Corporate Expenses $7,133,954 Consulting $2,313,534 Purchased Services $1,591,512 Director Fees $1,938,282 Direct Care Fees $261,955 Physician Advisor Fees $83,190 Contract Labor $94,795 ---------------- Total $126,292,482

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MOTHER FRANCES HOSPITAL REGIONAL HC CTR
1315 DOCTORS DRIVETYLERTX75701750818167HOSPITALTX501(C)(3)3TMFHSfalse
MOTHER FRANCES HOSPITAL - JACKSONVILLE
1315 DOCTORS DRIVETYLERTX75701751976930HOSPITALTX501(C)(3)3TMFHSfalse
TRINITY MOTHER FRANCES HEALTH SYSTEM FDN
1315 DOCTORS DRIVETYLERTX75701752028241SUPPORTTX501(C)(3)11, Type ITMFHSfalse
REGIONAL MEDICAL SERVICES ASSOCIATION
1315 DOCTORS DRIVETYLERTX75701752511459HEALTHCARETX501(C)(3)3MFH REGfalse
TRINITY MOTHER FRANCES HEALTH SYSTEM
1315 DOCTORS DRIVETYLERTX75701752616975SUPPORTTX501(C)(3)11, Type INAfalse
MOTHER FRANCES HOSPITAL - WINNSBORO
1315 DOCTORS DRIVETYLERTX75701752771569HOSPITALTX501(C)(3)3TMFHSfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
tri-state financial llc
1315 doctors drivetylerTX75701752728318COLLECTION AGENCYTXTMFHSC-CORPORATIONfalse
TRINCARE INC
1315 DOCTORS DRIVETYLERTX75701752161369RETAIL HEALTH SVCTXtmfhsC-CORPORATIONfalse
HEALTHPLAN OF TEXAS INC
1315 doctors driveTYLERTX75701752636832THIRD PARTY ADMINTXtmfhsC-CORPORATIONfalse
THE REGIONAL HEALTHCARE ALLIANCE
1315 DOCTORS DRIVETYLERTX75701752484109PREFER PROVIDERTXtmfhsC-CORPORATIONfalse
TEXAS HEALTH FACILITIES INSUR CORP LTD
980136025INSURANCEmfh regC-CORPORATIONfalsePO BOX 1109 BWICAYMAN ISLANDSCJCJ
CONCORDIUM HEALTH LLC
1315 DOCTORS DRIVETYLERTX75701702811022INACTIVETXNAC-CORPORATIONfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierDIRECT CONTROLLING ENTITYIdentifier
Return ReferenceSCHEDULE R, PART II, COLUMN FReturnReference
ExplanationTHE FOLLOWING RELATED ORGANIZATIONS REPORTABLE IN PART II ARE DIRECTLY CONTROLLED BY TRINITY MOTHER FRANCES HEALTH SYSTEM ("TMFHS"): MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER MOTHER FRANCES HOSPITAL - JACKSONVILLE MOTHER FRANCES HOSPITAL - WINNSBORO TRINITY MOTHER FRANCES HEALTH SYSTEM FOUNDATION REGIONAL MEDICAL SERVICES ASSOCIATION IS DIRECTLY CONTROLLED BY MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER ("MFH REG").Explanation