2014-05-15T14:05:47-05:00 2013-06-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2012-07-01 750818167 MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER % MOTHER FRANCES HOSP ACCTG DE MOTH 9035315764 1315 DOCTORS DRIVE Suite TYLER TX 75701 JOYCE HESTER 9035314542 2014-05-15 true Amanda Maya 7134994600 2012 2015-11-30 17:44:51Z LINDSEY BRADLEY 910 E HOUSTON TYLER TX 75701 693914631 false X WWW.TMFHS.ORG X 1958 TX TO PROVIDE THE COMMUNITY 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. 12 6 3701 175 1824628 -204005 1688563 6805963 514549516 517199854 8607018 13973070 7366446 7124020 532211543 545102907 6125768 14135481 0 0 174739419 173665473 0 0 0 303182959 326833378 484048146 514634332 48163397 30468575 743630542 695128742 367687075 330441467 375943467 364687275 TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTHCARE SERVICES WITHOUT REGARD TO THE PATIENT'S RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. false false 457710818 14135481 517199854 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. 457710818 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 296 0 true 3701 true true true true CJ false false true true false false false false false X 12 6 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 ACCTG DE 9035315764 1315 DOCTORS DRIVE TYLER TX 75701 X RAY THOMPSON 15.0 28.0 X X 553564 1028049 21049 LAURA OWEN 40.0 0.0 X X 303837 0 21897 BEN FITZGERALD 1.0 0.0 X X 0 0 0 FAGG SANFORD MD 20.0 0.0 X 33333 0 0 SISTER TERESA MIKA 1.0 40.0 X X 0 0 0 SISTER MALGORZATA MAJSZCZYK 1.0 0.0 X 0 0 0 SISTER EDYTA KRAWCZYK 1.0 0.0 X 0 0 0 ROYAL BECKER MD 1.0 40.0 X 0 934126 24666 ANDY KIRKPATRICK MD 1.0 40.0 X 0 740935 27474 PAT THOMAS MD 1.0 1.0 X 49596 0 0 CC BAKER 1.0 0.0 X X 0 0 0 SISTER IRENE ASZTEMBORSKA 1.0 40.0 X X 0 0 0 J LINDSEY BRADLEY JR 10.0 33.0 X 396745 1328235 21049 JOYCE HESTER 10.0 32.0 X 108429 343358 14147 CHRIS GLENNEY 40.0 0.0 X 254884 0 26768 ROBERT ROSE 40.0 0.0 X 280624 0 22646 JOHN MCGREEVY 40.0 0.0 X 357869 0 20325 TODD HANCOCK 40.0 0.0 X 257365 0 29225 WILLIAM SANDBERG 40.0 0.0 X 280102 0 15341 ROSALYN GOOCH 40.0 0.0 X 258165 0 15793 DAVID CORRIER 40.0 0.0 X 265049 0 17186 ROBERT BIENERT 40.0 0.0 X 305677 0 10409 TAWONDA FELTON 40.0 0.0 X 382788 0 15364 STEVEN KEUER MD 0.0 41.0 X 0 1294702 28146 GIFFORD ECKHOUT MD 0.0 41.0 X 0 803111 25449 DAVID TEEGARDEN MD 0.0 0.0 X 0 202767 19772 4088027 6675283 376706 80 true true false COMPLETE 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true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 25130 false false false 25130 false grants for lobbying purposes schedule c, part ii-b, line 1f 23.98% of aha dues were expended for specific lobbying purposes based on Medicare definition of unallowable expenses. 2408876 163752 157934 2414694 2350337 30875 27664 2408876 2209013 50 141274 2350337 414414 1790794 4305 500 2209013 413932 239 243 414414 0.84944 0.15057 false true true 27491352 27491352 231269172 82063499 149205673 128945047 82831905 46113142 290618197 187702597 102915600 10700036 10700036 336425803 DUE FROM AFFILIATES 71825853 DEFERRED FINANCING COSTS 1729938 INTEREST RATE SWAP AGREEMENT 165248 73721039 0 PENSION LIABILITY 50182159 INTEREST RATE SWAP AGREEMENT 1214027 ESTIMATED SELF INSURANCE COSTS 11446610 EST AMTS TO 3RD PARTY PAYORS 2426235 65269031 505264279 -4375808 -30715314 -35091122 540355401 2089 4745417 4747506 545102907 481236667 1017326 1017326 480219341 2089 34412902 34414991 514634332 INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 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. RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS WITH FORM 990 SCHEDULE D, PART XI, LINES 2D & 4B REVENUE ON BOOKS, NOT ON RETURN: BAD DEBT EXPENSE IN AUDIT REVENUE ($34,302,824) EQUITY IN EARNINGS OF AFFILIATE 3,697,588 OTHER CLASSIFICATION DIFFERENCES (110,078) ------------- ($30,715,314) REVENUE ON RETURN, NOT ON BOOKS: LOSS ON DEBT RESTRUCTURING ($ 904,513) CONTRIBUTIONS IN NET ASSETS 5,852,125 INVESTMENT RETURN IN NET ASSETS (202,195) ------------- $ 4,745,417 RECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS WITH FORM 990 SCHEDULE D, PART XII, LINES 2D & 4B EXPENSES ON BOOKS, NOT ON RETURN: LOSS ON DEBT RESTRUCTURING $ 904,513 CHANGE IN FV INTEREST RATE SWAP 112,813 ----------- $ 1,017,326 EXPENSES ON RETURN, NOT ON BOOKS: BAD DEBT EXPENSE IN AUDIT REVENUE $34,302,824 OTHER CLASSIFICATION DIFFERENCES 110,078 ----------- $34,412,902 Central America and the Caribbean 1 Program Services INSURANCE 35131 1 1 35131 35131 true false true true false false true true X true X true X true true true false true true 16970635 16970635 0.04650 40613088 49779479 -9166391 13743635 7576847 6166788 0.01280 71327358 57356326 13971032 0.05930 447531 447531 0.00090 103722 103722 0.00120 3907344 3907344 0.00350 84040 84040 0.00020 9656001 9656001 0.02010 14198638 14198638 0.02590 85525996 57356326 28169670 0.08520 true 34302824 156412055 152671856 3740199 X true true TYLER REHAB ASSOC LP REHABILITATION HOSPITAL 0.50000 1 1 MOTHER FRANCES HOSPITAL REG HC CENTER

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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 X X X false false true true 200. true 400. true X true true X X true false X X X true X false false BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, LINE 4 Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability 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). ORGANIZATION'S BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, LINE 2 THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS SCHEDULE H, PART III, SECTION A, LINE 3 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. COSTING METHODOLOGY SCHEDULE H, PART III, SECTION B, LINE 8 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. COLLECTION POLICY SCHEDULE H, PART III, SECTION C, LINE 9B 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. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 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. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 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. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 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. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 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: 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. Free car seats are given to those who can not otherwise afford to purchase them. This program was sponsored and received TMF grant funding 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 was sponsored and received grant funding 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 PROGRAM'S PURPOSE 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 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. TMFHS 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 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 2013 would be: Bethesda Clinic information, 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, with staffing including physicians, and by support services from the community. Mother Frances Hospital provides support in all areas and on special projects as requested. One key project is providing after hours calls for the physicians. GYN and OB services are provided by the Family Care Center (see above). 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. 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. Lifeline has established resources to fund the Lifeline services to some in the community that cannot afford it. The number of patients being served is over 600 per month with about 1.5% receiving a full scholarship monthly. 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 125 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, Special Olympics, Bethesda Health Clinic, Boy Scouts, Children's Advocacy Center, UTT Nursing, and public and private schools. UNITED WAY - TMFHS and our employees provided financial support of over $100,000 and the annual day of staff release time for volunteering during the Day of Giving program. 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 $ 105,000 was raised in 2013. THE PURPOSE IS 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 IS To improve the medical services for pediatric patients and their families. Medical equipment for pediatric services is purchased for both t AFFILIATED HEALTH CARE SYSTEM ROLES SCHEDULE H, PART VI, LINE 6 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. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 TEXAS PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I, LINE 7, COLUMN F 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 $34,302,824. BILLING AND COLLECTIONS SCHEDULE H, PART V, LINES 16, 17, & 18 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. PERSONS WHO REPRESENT THE COMMUNITY & IDENTIFICATION OF PERSONS CONSULTED SCHEDULE H, PART V, SECTION B, LINE 3 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. ADDRESSING ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA SCHEDULE H, PART V, SECTION B, LINE 7 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. true SERVICE ORGANIZATION OF PINEY WOODS 2950 50TH ST LUBBOCK TX 79314 300630886 501(C)(3) 8520429 COMMUNITY HEALTHCARE SISTERS OF THE HOLY FAMILY OF NAZARETH 800 E DAWSON TYLER TX 75701 751974678 501(C)(3) 40321 community healthcare SERVICE ORGANIZATION OF NORTH EAST TEXAS 2950 50TH ST LUBBOCK TX 79314 260468622 501(C)(3) 1088525 COMMUNITY HEALTHCARE TYLER FAMILY CIRCLE OF CARE 214 EAST HOUSTON TYLER TX 75702 452578435 501(C)(3) 4197727 community healthcare 4 PROCEDURES FOR MONITORING THE USE OF FUNDS IN THE UNITED STATES SCHEDULE I, PART I, LINE 2 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 false X X X X X false true false false false false false false false RAY THOMPSON 252528 468981 116155 215717 184881 343351 3719 6906 3648 6776 560931 1041731 184881 343351 LAURA OWEN 250126 0 40958 0 12753 0 10625 0 11272 0 325734 0 0 0 ROYAL BECKER MD 0 434450 0 492785 0 6891 0 10625 0 14041 0 958792 0 0 ANDY KIRKPATRICK MD 0 715813 0 0 0 25122 0 10625 0 16849 0 768409 0 0 J LINDSEY BRADLEY JR 196358 657374 200387 670861 0 0 2444 8181 2398 8026 401587 1344442 0 0 JOYCE HESTER 73149 231639 35280 111719 0 0 2601 8237 794 2515 111824 354110 0 0 CHRIS GLENNEY 213448 0 33636 0 7800 0 9251 0 17517 0 281652 0 0 0 ROBERT ROSE 222403 0 45931 0 12290 0 7515 0 15131 0 303270 0 0 0 WILLIAM SANDBERG 280001 0 101 0 0 0 7837 0 7504 0 295443 0 0 0 ROSALYN GOOCH 258061 0 104 0 0 0 8968 0 6825 0 273958 0 0 0 DAVID CORRIER 264948 0 101 0 0 0 3620 0 13566 0 282235 0 0 0 ROBERT BIENERT 305573 0 104 0 0 0 4700 0 5709 0 316086 0 0 0 TAWONDA FELTON 382687 0 101 0 0 0 8539 0 6825 0 398152 0 0 0 JOHN MCGREEVY 293632 0 53437 0 10800 0 4448 0 15877 0 378194 0 0 0 TODD HANCOCK 204512 0 42053 0 10800 0 6881 0 22344 0 286590 0 0 0 STEVEN KEUER MD 0 577963 0 295000 0 421739 0 10625 0 17521 0 1322848 0 395403 GIFFORD ECKHOUT MD 0 719641 0 78142 0 5328 0 3600 0 21849 0 828560 0 0 DAVID TEEGARDEN MD 0 197563 0 0 0 5204 0 2250 0 17522 0 222539 0 0 PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- --------------- --------------------- LINDSEY BRADLEY NONE NONE RAY THOMPSON $528,232 NONE STEVEN KEUER MD $394,866 NONE DAVID TEEGARDEN MD NONE NONE PARTICIPANTS IN 457(F) REPORTED IN W-2 ---------------------- --------------- DAVID TEEGARDEN MD NONE ANDY KIRKPATRICK MD NONE ROYAL BECKER MD NONE STEVEN KEUER MD $537 TAX INDEMNIFICATION AND GROSS UP PAYMENTS SCHEDULE J, PART I, LINE 1A Amounts paid for "grossed up" gift cards are included as taxable compensation for the following directors: LAURA OWEN, ROYAL BECKER, ROBERT ROSE, JOHN MCGREEVY, WILLIAM SANDBERG, CHRIS GLENNEY, TODD HANCOCK, ROBERT BIENERT, AND TOWANDA FELTON A TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION 521315814 2012-10-19 57429494 Refinancing 1992 & 1997B Bonds false false false B TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION 521315814 902261HP4 2011-10-12 51735000 CAPITAL DEVELOPMENT false false false C TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION 521315814 902261GN0 2007-05-16 66789990 CAPITAL DEVELOPMENT false false false D TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION 521315814 902261GP5 2007-05-30 23053130 CAPITAL DEVELOPMENT false false false A 0 0 57429494 0 0 57170774 258720 0 0 0 0 0 true false true true B 0 0 51735000 5173500 0 45260090 873700 0 0 0 0 0 2013 false false true true C 0 0 66789990 288280 0 64699862 1801848 0 0 0 0 0 false true true true D 0 0 23053130 2300000 0 0 386250 0 0 20366880 0 0 2012 false false true true A false true false false 0.00700 0.00700 false false false true B false false false false 0 false false false true C false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true D false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false true false false true false 0 false 0 false true B false true false false false false 0 false 0 false true C true false false 0 false 0 false true D true false false 0 false 0 false true A true B true C true D true Refinanced Bonds 0 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 0 CATHERINE BRADLEY SISTER OF CEO 83703 SALARIES/WAGES false DESCRIBE REVIEW PROCESS OF FORM 990 FORM 990, PART VI, SECTION B, LINE 11B 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. DESCRIBE THE ORGANIZATION'S MEMBERS OR STOCKHOLDERS FORM 990, PART VI, SECTION A, LINE 6 TRINITY MOTHER FRANCES HEALTH SYSTEM IS THE SOLE MEMBER OF MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER. MEMBERS WITH AUTHORITY TO ELECT MEMBERS OF GOVERNING BOARD FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, TRINITY MOTHER FRANCES HEALTH SYSTEM, HAS THE POWER TO APPOINT ALL DIRECTORS AND THEIR SUCCESSORS TO THE GOVERNING BOARD. DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBER FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE RIGHT TO APPROVE OR DISAPPROVE CERTAIN ACTIONS THAT HAVE BEEN PREVIOUSLY APPROVED BY THE BOARD OF DIRECTORS. HOW DOES THE ORGANIZATION MONITOR AND ENFORCE COMPLIANCE WITH POLICY FORM 990, PART VI, SECTION B, LINE 12C THE BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE THROUGHOUT THE YEAR IN ACCORDANCE WITH POLICY STANDARDS. PROCESS FOR DETERMINING COMPENSATION OF CEO, OFFICERS, OR KEY EMPLOYEES FORM 990, PART VI, SECTION B, LINES 15A & 15B THE ORGANIZATION USES COMPENSATION CONSULTANTS AND NATIONAL COMPENSATION SURVEYS TO DETERMINE COMPENSATION OF EMPLOYEES. COMPENSATION IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY. DESCRIBE WHETHER THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE TO PUBLIC FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. COMPENSATION FROM RELATED ORGANIZATIONS FORM 990, PART VII & SCHEDULE J 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. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 CHANGE IN PENSION PLAN LIABILITY $ 26,157,771 TRANSFER TO AFFILIATE (67,091,505) NET ASSETS RELEASED FROM RESTRICTIONS 5,649,930 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP (112,813) EQUITY IN EARNINGS - AFFILIATE 3,697,588 CONTRIBUTIONS INCLUDED IN NET ASSETS (5,852,125) INVESTMENT RETURN IN NET ASSETS 202,195 ------------ ($ 37,348,959) OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G PURCHASED SERVICES $ 56,392,460 CORPORATE EXPENSES 26,334,115 PROFESSIONAL FEES 33,425,162 CONTRACT LABOR 3,779,769 PHYSICIANS FEES 497,979 CONSULTING 469,340 TRANSCRIPTION SERVICES 303,180 INDEPENDENT CONTRACTORS 143,359 OTHER 236,412 ------------ $121,581,776 MOTHER FRANCES HOSPITAL - JACKSONVILLE 1315 DOCTORS DRIVE TYLER TX 75701 751976930 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 - WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 HOSPITAL TX 501(C)(3) 3 TMFHS false TYLER RADIATION EQUIP LEASING LLC 10101 WOODLOCH FOREST DRIVE THE WOODLANDS TX 77380 262554738 EQUIPMENT LEASING TX MFH REG UNRELATED 38837 1641161 false 38837 false 0.51000 HEALTHSOUTH REHAB HOSPITAL 3660 GRANDVIEW PKWY SUITE 200 BIRMINGHAM AL 35243 251675784 REHABILITATION AL NA EXCLUDED FROM TAX 3793471 2423324 false 0 false 0.50000 tri-state financial llc 1315 doctors drive tyler TX 75701 752728318 COLLECTION AGENCY TX TMFHS C-CORPORATION 0 0 0.00000 false TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 RETAIL HEALTH SVC TX TMFHS C-CORPORATION 0 0 false HEALTHPLAN OF TEXAS INC 1315 doctors drive TYLER TX 75701 752636832 THIRD PARTY ADMIN TX TMFHS C-CORPORATION 0 0 false THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752484109 PREFER PROVIDER TX TMFHS C-CORPORATION 0 0 false TEXAS HEALTH FACILITIES INSUR CORP LTD PO BOX 1109 BWI GRAND CAYMAN CJ 980136025 INSURANCE CJ MFH REG C-CORPORATION -35131 97337 1.00000 true CONCORDIUM health llc 1315 DOCTORS DRIVE TYLER TX 75701 702811022 INACTIVE TX NA C-CORPORATION false false false true false false false false false false true false true true true true true true true true REGIONAL MEDICAL SERVICES ASSOCIATION P 115317 CASH VALUE REGIONAL MEDICAL SERVICES ASSOCIATION L 1441942 CASH VALUE DIRECT CONTROLLING ENTITY SCHEDULE R, PART II, COLUMN F AND PART III, COLUMN D 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").