CHRISTUS TRINITY CLINIC TEXAS: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CHRISTUS TRINITY CLINIC TEXAS (EIN 75-2616977)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201321359349307322
- Schema version
- 2011v1.5
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T15:02:21-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 Post Oak Blvd Ste 3200 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77056 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752616977 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRINITY CLINIC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MOTHER FRANCES HOSP ACCTG DE | InCareOfName |
| Name Control | TRIN | NameControl |
| Phone | 9035315764 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1315 DOCTORS DRIVE | AddressLine1 |
| City | TYLER | City |
| State | TX | State |
| ZIP Code | 75701 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOYCE HESTER | Name |
| Title | CFO | Title |
| Date Signed | 2013-05-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Amanda Maya | Name |
| Phone | 7134994600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | STEVEN KEUER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E HOUSTON | AddressLine1 |
| City | TYLER | City |
| State | TX | State |
| ZIP Code | 75701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 126481348 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.TMFHS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | TO 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 Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1246 | TotalNbrEmployees |
| Total Nbr Volunteers | 30 | TotalNbrVolunteers |
| Total Gross UBI | -88286 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -88286 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 115908478 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 127491339 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2455765 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4592 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -225766 | OtherRevenuePriorYear |
| Other Revenue Current Year | -1721912 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 118138477 | TotalRevenuePriorYear |
| Total Revenue Current Year | 125774019 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 5000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 29182077 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 17276516 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 107443463 | OtherExpensePriorYear |
| Other Expenses Current Year | 132837119 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 136630540 | TotalExpensesPriorYear |
| Total Expenses Current Year | 150113635 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -18492063 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -24339616 | RevenuesLessExpensesCY |
| Total Assets BOY | 100212393 | TotalAssetsBOY |
| Total Assets EOY | 135889145 | TotalAssetsEOY |
| Total Liabilities BOY | 115856429 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 157671418 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -15644036 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -21782273 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO 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 Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 136453621 | Expense |
| Revenue | 127491329 | Revenue |
| Description | 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, 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 Expense | 136453621 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 73 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1246 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MOTHER FRANCES HOSP ACCTG DE | NamePerson |
| Telephone Number | 9035315764 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1315 DOCTORS DRIVE | AddressLine1 |
| City | TYLER | City |
| State | TX | State |
| ZIP Code | 75701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| STEVEN KEUER MD | ||||||||
| SYSTEM PRESIDENT/CMO/DIRECTOR | 20.0 | X | X | 702972 | 468649 | 27497 | ||
| ROBERT MCKINNEY MD | ||||||||
| DIRECTOR | 40.0 | X | 527826 | 0 | 30250 | |||
| GIFFORD ECKHOUT MD | ||||||||
| EXEC VP/DIRECTOR | 20.0 | X | X | 407389 | 271592 | 29125 | ||
| ROGER FOWLER MD | ||||||||
| DIRECTOR/CHAIRMAN | 40.0 | X | X | 384694 | 0 | 15413 | ||
| KENT WEBB MD | ||||||||
| DIRECTOR | 40.0 | X | 726539 | 0 | 26650 | |||
| WILLIAM HOBBS MD | ||||||||
| DIRECTOR | 40.0 | X | 784166 | 0 | 26650 | |||
| JIM STANFORD MD | ||||||||
| DIRECTOR | 40.0 | X | 326605 | 0 | 10413 | |||
| GREGORY STOVALL MD | ||||||||
| DIRECTOR/SECRETARY/TREASURER | 40.0 | X | X | 471491 | 0 | 10413 | ||
| KAI XIA MD | ||||||||
| DIRECTOR | 40.0 | X | 1409521 | 0 | 23434 | |||
| JAMES CACCITOLO MD | ||||||||
| DIRECTOR | 40.0 | X | 806626 | 0 | 26625 | |||
| HAMPTON WILLIAMS MD | ||||||||
| DIRECTOR | 40.0 | X | 589147 | 0 | 26074 | |||
| JAMES ROGERS MD | ||||||||
| DIRECTOR | 40.0 | X | 265600 | 0 | 15413 | |||
| MARK ANDERSON MD | ||||||||
| DIRECTOR/VICE CHAIR | 40.0 | X | X | 488137 | 0 | 19882 | ||
| OLADIMEJI AKIODE MD | ||||||||
| PHYSICIAN | 40.0 | X | 398009 | 0 | 28425 | |||
| BARBARA ALLEN MD | ||||||||
| DIRECTOR | 35.0 | X | 325783 | 0 | 10173 | |||
| BRYAN LOWERY MD | ||||||||
| DIRECTOR | 40.0 | X | 645694 | 0 | 9188 | |||
| ORAN FERRELL | ||||||||
| SR VP, CHIEF ADMIN OFFICER | 40.0 | X | 370500 | 0 | 15581 | |||
| LORETTA SWAN | ||||||||
| VP CLINIC OPERATIONS | 40.0 | X | 176404 | 0 | 12111 | |||
| DAVID LINDZEY MD | ||||||||
| SENIOR VP | 35.0 | X | 346522 | 0 | 27200 | |||
| JOYCE HESTER | ||||||||
| VP, FINANCE | 10.0 | X | 0 | 229601 | 12196 | |||
| PAM VUKOVICH | ||||||||
| INTERIM CFO | 10.0 | X | 0 | 0 | 0 | |||
| MARTIN HOLLAND MD | ||||||||
| PHYSICIAN | 40.0 | 1682778 | 0 | 24200 | X | |||
| LAURA O'HALLORAN MD | ||||||||
| PHYSICIAN | 40.0 | 1695603 | 0 | 25425 | X | |||
| WAYNE GLUF MD | ||||||||
| PHYSICIAN | 40.0 | 1626948 | 0 | 20049 | X | |||
| PETER SIRIANNI MD | ||||||||
| PHYSICIAN | 40.0 | 1509729 | 0 | 25425 | X | |||
| SAUYU LIN MD | ||||||||
| PHYSICIAN | 40.0 | 1312847 | 0 | 27425 | X | |||
| DAVID TEEGARDEN MD | ||||||||
| SYSTEM PRESIDENT/CMO/DIRECTOR | 0.0 | 226832 | 151220 | 23349 | X | |||
| RICHARD KRONENBERG MD | ||||||||
| SENIOR VP | 0.0 | 136181 | 0 | 5003 | X | |||
| WILLIAM BELLENFANT SR | ||||||||
| SR VP/CFO/DIRECTOR/TREASURER | 0.0 | 0 | 2149403 | 2234 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 18344543 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3270465 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 555823 | TotalOtherCompensation |
| Number Individuals GT100 K | 287 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| THOMAS CURTIS MD | |||||
| 5879 HWY 64 WEST | HENDERSON | TX | 75652 | PHYSICIAN SERVICES | 412500 |
| TYLER CARDIOVASCULAR CONSULTANTS | |||||
| 319 S FLEISHEL | TYLER | TX | 75701 | CARDIOVASCULAR SRVCS | 394184 |
| EAGLE HOSPITAL PHYSICIANS | |||||
| 16000 N DALLAS PARKWAY SUITE 450 | DALLAS | TX | 75248 | PHYSICIAN SERVICES | 378025 |
| DELTA FLEX TRAVELERS | |||||
| PO BOX 202940 | DALLAS | TX | 75320 | PHYSICIAN SERVICES | 367322 |
| HOSPITALIST CONNECTIONS | |||||
| 16000 NORTH DALLAS PKWY STE 450 | DALLAS | TX | 75248 | PHYSICIAN SERVICES | 276557 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 21 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 621500 | 109634157 | 109634157 |
| OTHER OPERATING REVENUE | 900099 | 17424846 | 17424846 |
| EHR INCENTIVE REVENUE | 621500 | 432336 | 432336 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 127491339 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4592 | TotalRevenueColumn |
| Exclusion | $4,592 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 575038 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 707329 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -132291 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -132291 | TotalRevenueColumn |
| Unrelated Business Revenue | -88286 | UnrelatedBusinessRevenue |
| Exclusion | -$44,005 | ExclusionAmount |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| SELF INSURANCE TRUST INCOME | 900099 | -552127 | -$552,127 |
| LOSS FROM IMPAIRMENT OF ASSETS | 900099 | -1037494 | -$1,037,494 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -1589621 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 125774019 | TotalRevenueColumn |
| Related Or Exempt Function Income | 127491339 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -88286 | UnrelatedBusinessRevenue |
| Exclusion | -$1,629,034 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10521489 | Total |
| Program Services | 9130257 | ProgramServices |
| Management And General | 1391232 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 386984 | Total |
| Program Services | 335814 | ProgramServices |
| Management And General | 51170 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 731004 | Total |
| Program Services | 731004 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2230298 | Total |
| Program Services | 1838732 | ProgramServices |
| Management And General | 391566 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3406741 | Total |
| Program Services | 3332555 | ProgramServices |
| Management And General | 74186 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 397639 | Total |
| Program Services | 328695 | ProgramServices |
| Management And General | 68944 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2645 | Total |
| Management And General | 2645 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92 | Total |
| Management And General | 92 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107862558 | Total |
| Program Services | 104905392 | ProgramServices |
| Management And General | 2957166 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7644082 | Total |
| Program Services | 50693 | ProgramServices |
| Management And General | 7593389 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 740302 | Total |
| Program Services | 660932 | ProgramServices |
| Management And General | 79370 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6646 | Total |
| Program Services | 3443 | ProgramServices |
| Management And General | 3203 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1397234 | Total |
| Program Services | 1150880 | ProgramServices |
| Management And General | 246354 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 185223 | Total |
| Program Services | 20105 | ProgramServices |
| Management And General | 165118 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 901869 | Total |
| Program Services | 900560 | ProgramServices |
| Management And General | 1309 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 639690 | Total |
| Program Services | 149269 | ProgramServices |
| Management And General | 490421 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 472426 | Total |
| Program Services | 380865 | ProgramServices |
| Management And General | 91561 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3143547 | Total |
| Program Services | 3128470 | ProgramServices |
| Management And General | 15077 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | FundraisingFundraising | Management And GeneralManagementAndGeneral |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 2828000 | 2828000 | 0 | |
| BAD DEBT EXPENSE | 6374327 | 6374327 | ||
| REPAIRS AND MAINTENANCE | 49570 | 37689 | 11881 | |
| PERFORMANCE STANDARDS | 183155 | 165939 | 17216 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8114 | Total |
| Management And General | 8114 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150113635 | Total |
| Program Services | 136453621 | ProgramServices |
| Management And General | 13660014 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2731751 | BOY |
| EOY | 3980108 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8880468 | BOY |
| EOY | 10469530 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80259 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1205738 | BOY |
| EOY | 1490266 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 191644 | BOY |
| EOY | 300494 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 483441 | BOY |
| EOY | 521553 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 12212213 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7998749 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6098502 | BOY |
| EOY | 4213464 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20223324 | BOY |
| EOY | 22354194 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47923 | BOY |
| EOY | 90634 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 504359 | BOY |
| EOY | 427625 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59764984 | BOY |
| EOY | 92041277 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100212393 | BOY |
| EOY | 135889145 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15316815 | BOY |
| EOY | 17291328 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4031813 | BOY |
| EOY | 1631813 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96507801 | BOY |
| EOY | 138748277 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115856429 | BOY |
| EOY | 157671418 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -15644036 | BOY |
| EOY | -21782273 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -15644036 | BOY |
| EOY | -21782273 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100212393 | BOY |
| EOY | 135889145 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -24339616 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 18201379 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2350337 | BeginningOfYearBalance |
| Contributions | 30875 | Contributions |
| Investment Earnings Or Losses | 27664 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2408876 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2209013 | BeginningOfYearBalance |
| Contributions | 50 | Contributions |
| Investment Earnings Or Losses | 141274 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2350337 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 414414 | BeginningOfYearBalance |
| Contributions | 1790794 | Contributions |
| Investment Earnings Or Losses | 4305 | InvestmentEarningsOrLosses |
| Other Expenditures | 500 | OtherExpenditures |
| End Of Year Balance | 2209013 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 413932 | BeginningOfYearBalance |
| Contributions | 239 | Contributions |
| Investment Earnings Or Losses | 243 | InvestmentEarningsOrLosses |
| End Of Year Balance | 414414 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.88532 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.11468 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4749991 | OtherCostOrOtherBasis |
| Depreciation | 2699991 | Depreciation |
| Book Value | 2050000 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 701674 | OtherCostOrOtherBasis |
| Depreciation | 216784 | Depreciation |
| Book Value | 484890 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6751378 | OtherCostOrOtherBasis |
| Depreciation | 5081974 | Depreciation |
| Book Value | 1669404 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9170 | OtherCostOrOtherBasis |
| Book Value | 9170 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4213464 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 91994588 |
| OTHER ASSETS | 46689 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 92041277 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $107,345,482 |
| ACCRUED PENSION LIABILITY | $18,788,821 |
| ESTIMATED SELF INSURANCE COSTS | $3,868,639 |
| DEFERRED COMPENSATION | $8,745,335 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 138748277 | TotalOfAmounts |
| Total Revenue | 125774019 | TotalRevenue |
| Total Expenses | 150113635 | TotalExpenses |
| Excess Or Deficit For Year | -24339616 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -24339616 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 121681912 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 2296950 | OtherRevenues |
| Revenue Not Rptd F990 | 2296950 | RevenueNotRptdF990 |
| Revenue Subtotal | 119384962 | RevenueSubtotal |
| Other Revenues Not Included | 6389057 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 6389057 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 125774019 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 146021528 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 2296950 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 2296950 | ExpensesNotRptdF990 |
| Expenses Subtotal | 143724578 | ExpensesSubtotal |
| Other Expenses Not Included | 6389057 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 6389057 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 150113635 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO FORM 990 | SCHEDULE D, PART XII, QUESTIONS 2D & 4B | REVENUES ON BOOKS, NOT ON RETURN: LOSS ON IMPAIRMENT OF ASSETS $1,037,494 RENTAL EXPNSES INCLUDED WITH REVENUE ON RETURN 707,329 SELF-INSURANCE INTEREST INCLUDED IN AUDIT EXPENSES 552,127 ---------- $2,296,950 REVENUES ON RETURN, NOT ON BOOKS: BAD DEBT EXPENSE $6,374,327 OTHER CLASSIFICATION DIFFERENCES BETWEEN REVENUE AND EXPENSE 14,370 ---------- $6,389,057 |
| RECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS TO FORM 990 | SCHEDULE D, PART XIII, QUESTIONS 2D & 4B | EXPENSES ON BOOKS, NOT ON RETURN: RENTAL EXPENSES INCLUDED WITH REVENUE ON RETURN $ 707,329 SELF-INSURANCE INTEREST INCLUDED IN AUDIT EXPENSES 552,127 LOSS ON IMPAIRMENT OF ASSETS 1,037,494 ---------- $2,296,950 EXPENSES ON RETURN, NOT ON BOOKS: BAD DEBT EXPENSE $6,374,327 OTHER CLASSIFICATION DIFFERENCES BETWEEN REVENUE AND EXPENSE 14,370 ---------- $6,389,057 |
| 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (28 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN KEUER MD | |||||||||||||
| 314819 | 209881 | 163121 | 108747 | 225032 | 150021 | 6248 | 4165 | 10252 | 6832 | 719472 | 479646 | 211918 | 141278 |
| DAVID TEEGARDEN MD | |||||||||||||
| 158643 | 105762 | 0 | 0 | 68189 | 45458 | 4958 | 3305 | 9052 | 6034 | 240842 | 160559 | 64974 | 43315 |
| ROBERT MCKINNEY MD | |||||||||||||
| 515468 | 0 | 0 | 0 | 12358 | 0 | 10413 | 0 | 19837 | 0 | 558076 | 0 | 0 | 0 |
| GIFFORD ECKHOUT MD | |||||||||||||
| 380138 | 253425 | 24036 | 16024 | 3215 | 2143 | 4733 | 3155 | 12742 | 8495 | 424864 | 283242 | 0 | 0 |
| ROGER FOWLER MD | |||||||||||||
| 362836 | 0 | 0 | 0 | 21858 | 0 | 10413 | 0 | 5000 | 0 | 400107 | 0 | 0 | 0 |
| KENT WEBB MD | |||||||||||||
| 721181 | 0 | 0 | 0 | 5358 | 0 | 10413 | 0 | 16237 | 0 | 753189 | 0 | 0 | 0 |
| WILLIAM HOBBS MD | |||||||||||||
| 762308 | 0 | 0 | 0 | 21858 | 0 | 10413 | 0 | 16237 | 0 | 810816 | 0 | 0 | 0 |
| JIM STANFORD MD | |||||||||||||
| 321247 | 0 | 0 | 0 | 5358 | 0 | 10413 | 0 | 0 | 0 | 337018 | 0 | 0 | 0 |
| GREGORY STOVALL MD | |||||||||||||
| 392545 | 0 | 55414 | 0 | 23532 | 0 | 10413 | 0 | 0 | 0 | 481904 | 0 | 474 | 0 |
| KAI XIA MD | |||||||||||||
| 1387663 | 0 | 0 | 0 | 21858 | 0 | 9188 | 0 | 14246 | 0 | 1432955 | 0 | 0 | 0 |
| JAMES CACCITOLO MD | |||||||||||||
| 801268 | 0 | 0 | 0 | 5358 | 0 | 9188 | 0 | 17437 | 0 | 833251 | 0 | 0 | 0 |
| ORAN FERRELL | |||||||||||||
| 251015 | 0 | 69498 | 0 | 49987 | 0 | 10413 | 0 | 5168 | 0 | 386081 | 0 | 0 | 0 |
| LORETTA SWAN | |||||||||||||
| 131746 | 0 | 24414 | 0 | 20244 | 0 | 6400 | 0 | 5711 | 0 | 188515 | 0 | 0 | 0 |
| MARTIN HOLLAND MD | |||||||||||||
| 1653000 | 0 | 8000 | 0 | 21778 | 0 | 7963 | 0 | 16237 | 0 | 1706978 | 0 | 0 | 0 |
| LAURA O'HALLORAN MD | |||||||||||||
| 1690245 | 0 | 0 | 0 | 5358 | 0 | 9188 | 0 | 16237 | 0 | 1721028 | 0 | 0 | 0 |
| HAMPTON WILLIAMS MD | |||||||||||||
| 583789 | 0 | 0 | 0 | 5358 | 0 | 9188 | 0 | 16886 | 0 | 615221 | 0 | 0 | 0 |
| JAMES ROGERS MD | |||||||||||||
| 260879 | 0 | 0 | 0 | 4721 | 0 | 10413 | 0 | 5000 | 0 | 281013 | 0 | 0 | 0 |
| DAVID LINDZEY MD | |||||||||||||
| 340164 | 0 | 0 | 0 | 6358 | 0 | 7963 | 0 | 19237 | 0 | 373722 | 0 | 0 | 0 |
| RICHARD KRONENBERG MD | |||||||||||||
| 126911 | 0 | 0 | 0 | 9270 | 0 | 5003 | 0 | 0 | 0 | 141184 | 0 | 0 | 0 |
| MARK ANDERSON MD | |||||||||||||
| 436279 | 0 | 30000 | 0 | 21858 | 0 | 7963 | 0 | 11919 | 0 | 508019 | 0 | 0 | 0 |
| WAYNE GLUF MD | |||||||||||||
| 1595090 | 0 | 10000 | 0 | 21858 | 0 | 7963 | 0 | 12086 | 0 | 1646997 | 0 | 0 | 0 |
| PETER SIRIANNI MD | |||||||||||||
| 1504371 | 0 | 0 | 0 | 5358 | 0 | 9188 | 0 | 16237 | 0 | 1535154 | 0 | 0 | 0 |
| SAUYU LIN MD | |||||||||||||
| 1290989 | 0 | 0 | 0 | 21858 | 0 | 9188 | 0 | 18237 | 0 | 1340272 | 0 | 0 | 0 |
| OLADIMEJI AKIODE MD | |||||||||||||
| 376151 | 0 | 0 | 0 | 21858 | 0 | 9188 | 0 | 19237 | 0 | 426434 | 0 | 0 | 0 |
| BARBARA ALLEN MD | |||||||||||||
| 293925 | 0 | 10000 | 0 | 21858 | 0 | 7673 | 0 | 2500 | 0 | 335956 | 0 | 0 | 0 |
| BRYAN LOWERY MD | |||||||||||||
| 623836 | 0 | 0 | 0 | 21858 | 0 | 9188 | 0 | 0 | 0 | 654882 | 0 | 0 | 0 |
| JOYCE HESTER | |||||||||||||
| 0 | 174243 | 0 | 36644 | 0 | 18714 | 0 | 8163 | 0 | 4033 | 0 | 241797 | 0 | 0 |
| WILLIAM BELLENFANT SR | |||||||||||||
| 0 | 1890888 | 0 | 0 | 0 | 258515 | 0 | 0 | 0 | 2234 | 0 | 2151637 | 0 | 258515 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, QUESTION 4B | PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION ---------------------- ----------------- --------------------- STEVEN KEUER MD 346,800 NONE DAVID TEEGARDEN MD NONE NONE WILLIAM BELLENFANT 258,515 NONE PARTICIPANTS IN 457(F) REPORTED IN W-2 ---------------------- ---------------- STEVEN KEUER MD 6,396 DAVID TEEGARDEN MD 108,289 GREGORY STOVALL MD 474 |
| COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION | SCHEDULE J, PART I, QUESTION 6A | SOME PHYSICIANS ARE PAID BASED ON THE COMPENSATION FORMULA OF THEIR INDIVIDUAL RESPECTIVE DEPARTMENTS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (17 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 AND BOARD PRIOR TO FILING. |
| DESCRIBE THE ORGANIZATION'S MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, QUESTION 6 | TRINITY MOTHER FRANCES HEALTH SYSTEM IS THE SOLE MEMBER OF TRINITY CLINIC. |
| DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBER | FORM 990, PART VI, QUESTION 7B | THE 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 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. |
| PROCESS FOR DETERMINING COMPENSATION OF CEO, OFFICERS, OR KEY EMPLOYEES | FORM 990, PART VI, QUESTIONS 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 AND ULTIIMATELY APPROVED BY TRINITY MOTHER FRANCES HEALTH SYSTEM. |
| COMPENSATION FROM RELATED ORGANIZATION | 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 | FORMS 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 ASSETS | FORM 990, PART XI, QUESTION 5 | TRANSFERS FROM AFFILIATE $18,201,379 |
| 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 CLINIC AND IS PAID COMPENSATION BY THE MANAGEMENT COMPANY FOR SERVICES TO THE CLINIC. 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:STEVEN KEUER MD TITLE:SYSTEM PRESIDENT/CMO/DIRECTOR HOURS:22 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GIFFORD ECKHOUT MD TITLE:EXEC VP/DIRECTOR HOURS:20 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROGER FOWLER MD TITLE:DIRECTOR/CHAIRMAN HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BARBARA ALLEN MD TITLE:DIRECTOR HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAVID LINDZEY MD TITLE:SENIOR VP HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOYCE HESTER TITLE:VP, FINANCE HOURS:32 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PAM VUKOVICH TITLE:INTERIM CFO HOURS:32 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| TRINITY MOTHER FRANCES HEALTH SYSTEM FDN | ||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752028241 | SUPPORT | TX | 501(C)(3) | 11A I | 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 | HEALTHCARE | TX | 501(C)(3) | 11A I | NA | false |
| MOTHER FRANCES HOSPITAL - WINNSBORO | ||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752771569 | HOSPITAL | TX | 501(C)(3) | 3 | TMFHS | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRI-STATE FINANCIAL LLC | ||||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752728318 | COLLECTION AG | TX | NA | C-CORPORATION | ||||
| TRINCARE INC | ||||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752161369 | RETAIL HEALTH | TX | NA | C-CORPORATION | ||||
| HEALTHPLAN OF TEXAS INC | ||||||||||||
| 514 S BECKHAM | TYLER | TX | 75701 | 752636832 | THIRD PARTY A | TX | NA | C-CORPORATION | ||||
| THE REGIONAL HEALTHCARE ALLIANCE | ||||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752484109 | PREFER PROVID | TX | NA | C-CORPORATION | ||||
| TEXAS HEALTH FACILITIES INSUR CORP LTD | ||||||||||||
| 980136025 | INSURANCE | NA | C-CORPORATION | PO BOX 1109 BWI | CAYMAN ISLANDS | CJ | CJ | |||||
| 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 | ||||
| HERITAGE HEALTH PLANS OF TX | ||||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752622622 | INACTIVE | TX | NA | C-CORPORATION | ||||
| QUALITY CARE ALLIANCE | ||||||||||||
| 1315 DOCTORS DRIVE | TYLER | TX | 75701 | 752662965 | INACTIVE | TX | NA | C-CORPORATION | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | true | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DIRECT CONTROLLING ENTITY | Identifier |
| Return Reference | SCHEDULE R, PART II, COLUMN F | ReturnReference |
| Explanation | THE 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 |
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