2013-05-15T15:02:21-05:00 2012-06-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2011-07-01 752028241 MOTHER FRANCES HOSPITAL FOUNDATION % MOTHER FRANCES HOSP ACCTG DE MOTH 9035315764 1315 DOCTORS DRIVE TYLER TX 75701 JOYCE HESTER 2013-05-15 true Amanda Maya 7134994600 2011 2016-02-24 21:20:13Z ANDY NAVARRO 910 E HOUSTON SUITE 500 TYLER TX 75702 3682272 false X WWW.TMFHS.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 FROM THE COMMUNITY TO SUPPORT ACTIVITIES FOR HOSPITAL GROWTH. 18 9 0 11 0 19891014 3599935 0 0 242406 77337 0 0 20133420 3677272 18631113 1589894 0 0 0 0 0 0 77290 111040 336737 18742153 1926631 1391267 1750641 10363073 12615104 367175 549279 9995898 12065825 X TRINITY MOTHER FRANCES 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 1788567 1589894 THE TRINITY MOTHER FRANCES FOUNDATION SUPPORTS MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER AND TRINITY CLINIC THROUGH TRINITY MOTHER FRANCES HEALTH SYSTEM. 1788567 true true false false false false false false false true true 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 false true X 0 0 0 false false false false true true true true false false false false false X 18 9 false true false false false false false true true false false true true true true true true false false false X MOTHER FRANCES HOSP ACCTG DE 9035315764 1315 DOCTORS DRIVE TYLER TX 75701 X ROYAL BECKER MD 1.0 X 0 952204 26650 RANDALL CHILDRESS 1.0 X X DAVID DYKES MD 1.0 X MARY FAULKNER 1.0 X TERRY GILES 1.0 X SISTER IRENE ASZTEMBORSKA 1.0 X JOSEPH ORNELAS 1.0 X DANIEL SALEH 1.0 X FATHER JOSEPH STRICKLAND 1.0 X JOHN ROBBINS 1.0 X JOHN WILLIAMS 1.0 X J LINDSEY BRADLEY 1.0 X 0 1705458 18259 RAY THOMPSON 1.0 X 0 1501469 546683 STEVEN KEUER MD 1.0 X 0 1171621 27499 CLAYTON WHITNEY MD 1.0 X 0 801269 17237 MEG REITMEYER MD 1.0 X 0 297730 10976 JAMES CACCITOLO MD 1.0 X 0 806626 17437 LUIS HARO MD 1.0 X 0 531766 16237 PATRICK THOMAS MD 1.0 X 0 49596 ANDY NAVARRO 1.0 X 0 341619 17311 MARY E JACKSON 20.0 X 0 224927 10106 JOYCE HESTER 1.0 X 0 229601 12196 PAM VUKOVICH 1.0 X 0 0 0 DAVID TEEGARDEN MD 0.0 X 0 378052 23349 WILLIAM BELLENFANT 0.0 X 0 2149403 2234 0 11141341 746174 0 true true false 0 3599935 3599935 0 72337 72337 0 0 10000 5000 5000 5000 5000 0 0 0 0 3677272 77337 1589894 1589894 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51290 51290 77290 77290 0 0 0 0 0 0 0 0 0 0 0 0 BAD DEBT EXPENSE 198673 198673 0 BANK FEES 8709 8709 All other expenses 775 775 1926631 1788567 60774 77290 0 0 1482169 2636127 273677 1465227 0 0 0 0 0 0 0 0 0 0 0 0 0 5000 0 8501159 8423243 0 0 0 0 0 0 101068 90507 10363073 12615104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 367175 549279 367175 549279 X 898874 702458 6995277 9230745 2101747 2132622 9995898 12065825 10363073 12615104 X 1750641 319286 X false true true X false X X X false false false MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER 750818167 03 false true true 1326097 TRINITY CLINIC 752616977 03 false true true 61616 2 1387713 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2350337 30875 27664 2408876 2209013 50 141274 2350337 414414 1790794 4305 500 2209013 413932 239 243 414414 0.88532 0.11468 false false 0 DUE TO AFFILIATES 549279 549279 3677272 1926631 1750641 319287 319287 2069928 3996559 319287 319287 3677272 3677272 1926631 1926631 1926631 INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS SCHEDULE D, PART V, QUESTION 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. true MOTHER FRANCES HOSPITAL REGIONAL HC CTR 1315 DOCTORS DRIVE TYLER TX 75701 750818167 501(c)(3) 621492 HEART HOSP/EQPMT MOTHER FRANCES HOSPITAL REGIONAL HC CTR 1315 DOCTORS DRIVE TYLER TX 75701 750818167 501(c)(3) 704605 CHAPEL PROJECT TRINITY CLINIC 1315 DOCTORS DRIVE TYLER TX 75701 752616977 501(C)(3) 61616 RESPITED PROGRAM 2 PROCEDURES FOR MONITORING THE USE OF FUNDS IN THE UNITED STATES SCHEDULE I, PART I, QUESTION 2 THE FOUNDATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA. X X X X X false true false false false false false false false ROYAL BECKER MD 0 943110 0 0 0 9094 0 10413 0 16237 0 978854 0 0 DAVID TEEGARDEN MD 0 264405 0 0 0 113647 0 8263 0 15086 0 401401 0 108289 J LINDSEY BRADLEY 0 813471 0 441987 0 450000 0 10413 0 7846 0 1723717 0 0 RAY THOMPSON 0 690314 0 348118 0 463037 0 538645 0 8038 0 2048152 0 463037 STEVEN KEUER MD 0 524700 0 271868 0 375053 0 10413 0 17086 0 1199120 0 353196 WILLIAM BELLENFANT 0 1890888 0 0 0 258515 0 0 0 2234 0 2151637 0 258515 ANDY NAVARRO 0 264445 0 56247 0 20927 0 10413 0 6898 0 358930 0 0 MARY E JACKSON 0 166667 0 28275 0 29985 0 7551 0 2555 0 235033 0 0 JOYCE HESTER 0 174243 0 36644 0 18714 0 8163 0 4033 0 241797 0 0 CLAYTON WHITNEY MD 0 779411 0 0 0 21858 0 0 0 17237 0 818506 0 0 MEG REITMEYER MD 0 280013 0 0 0 17717 0 0 0 10976 0 308706 0 0 JAMES CACCITOLO MD 0 801268 0 0 0 5358 0 0 0 17437 0 824063 0 0 LUIS HARO MD 0 499908 0 10000 0 21858 0 0 0 16237 0 548003 0 0 PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, QUESTION 4B PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- --------------- --------------------- LINDSEY BRADLEY NONE NONE DAVID TEEGARDEN MD NONE NONE RAY THOMPSON 463,037 NONE STEVEN KEUER MD 346,800 NONE WILLIAM BELLENFANT 258,515 NONE PARTICIPANTS IN 457(F) REPORTED IN W-2 ---------------------- --------------- DAVID TEEGARDEN MD 108,289 STEVEN KEUER MD 6,396 DESCRIBE REVIEW PROCESS OF FORM 990 FORM 990, PART VI, QUESTION 11B THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. HOW DOES THE ORGANIZATION MONITOR AND ENFORCE COMPLIANCE WITH POLICY FORM 990, PART VI, QUESTION 12C THE 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 PUBLIC FORM 990, PART VI, QUESTION 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. 1099S REPORTED BY ORGANIZATION FORM 990, PART V, QUESTION 1A 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. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, QUESTION 5 NET UNREALIZED GAINS ON INVESTMENTS $ 319,287. DELEGATION OF MANAGEMENT DUTIES FORM 990, PART VI, QUESTION 3 THE ORGANIZATION HAS HIRED A MANAGEMENT COMPANY TO PERFORM THE DUTIES OF THE INTERIM CFO. UNDER EMPLOYMENT FOR THE UNRELATED MANAGEMENT COMPANY, THE FOLLOWING INDIVIDUAL SERVES AS AN OFFICER FOR THE FOUNDATION AND IS PAID COMPENSATION BY THE MANAGEMENT COMPANY FOR SERVICES TO THE FOUNDATION. PER IRS GUIDANCE, NO COMPENSATION IS SHOWN ON FORM 990, PART VII, FOR THIS INDIVIDUAL: PAM VUKOVICH - $218,341 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROYAL BECKER MD TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RANDALL CHILDRESS TITLE:DIRECTOR/CHAIRMAN HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:J LINDSEY BRADLEY TITLE:SYS PRESIDENT/DIRECTOR HOURS:42 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RAY THOMPSON TITLE:SYS EXEC VP/CEO/DIRECTOR HOURS:42 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEVEN KEUER MD TITLE:SYS PRESIDENT/CMO/DIRECTOR HOURS:41 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES CACCITOLO MD TITLE:DIRECTOR HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PATRICK THOMAS MD TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANDY NAVARRO TITLE:SECRETARY HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARY E JACKSON TITLE:PRESIDENT HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOYCE HESTER TITLE:SYSTEM VP, FINANCE, CFO HOURS:41 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAM VUKOVICH TITLE:INTERIM CFO HOURS:41 TRINITY CLINIC 1315 DOCTORS DRIVE TYLER TX 75701 752616977 HEALTHCARE TX 501(C)(3) 3 TMFHS false CHAMPION EMERGENCY SERVICES LLC 2201 S MOBBERLY AVE LONGVIEW TX 75602 752747708 AMBULANCE SVC TX 501(C)(3) 9 NA false MOTHER FRANCES HOSPITAL REGIONAL HC CTR 1315 DOCTORS DRIVE TYLER TX 75701 750818167 HOSPITAL 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 REGIONAL MEDICAL SERVICES ASSOCIATION 1315 DOCTORS DRIVE TYLER TX 75701 752511459 HEALTHCARE TX 501(C)(3) 3 MFH REG false MOTHER FRANCES HOSPITAL HEALTH SYSTEM 1315 DOCTORS DRIVE TYLER TX 75701 752616975 HEALTHCARE TX 501(C)(3) 11 A I NA false MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 HOSPITAL TX 501(C)(3) 3 TMFHS false TRI-STATE FINANCIAL LLC 1315 DOCTORS DRIVE TYLER TX 75701 752728318 COLLECTION AGENCY TX NA C-CORPORATION TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 RETAIL HEALTH SVC TX NA C-CORPORATION HEALTHPLAN OF TEXAS INC 514 S BECKHAM TYLER TX 75701 752636832 THIRD PARTY ADMIN TX NA C-CORPORATION THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752484109 PREFER PROVIDER TX NA C-CORPORATION TEXAS HEALTH FACILITIES INSUR CORP LTD PO BOX 1109 BWI GRAND CAYMAN CJ 980136025 INSURANCE CJ NA C-CORPORATION CONCORDIUM HEALTH LLC 1315 DOCTORS DRIVE TYLER TX 75701 702811022 INACTIVE TX NA C-CORPORATION EMPLOYERS SERVICES INC 1315 DOCTORS DRIVE TYLER TX 75701 752602556 INACTIVE TX NA C-CORPORATION QUALITY CARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752662965 INACTIVE TX NA C-CORPORATION HERITAGE HEALTH PLANS OF TX 1315 DOCTORS DRIVE TYLER TX 75701 752622622 INACTIVE TX NA C-CORPORATION false true false false false false false false false false false false false true false false false false 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 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").