2012-05-15T17:29:18-04:00 2011-06-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2010-07-01 752028241 MOTHER FRANCES HOSPITAL FOUNDATION MOTH 9035315764 1315 DOCTORS DRIVE TYLER TX 75701 JOYCE HESTER 9035315764 2012-05-15 true Amanda Maya 7134994600 2010 2016-02-24 21:20:13Z X ANDY NAVARRO 910 E HOUSTON SUITE 500 TYLER TX 75702 20133420 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. 15 10 0 10 0 3079442 19891014 0 0 104778 242406 0 0 3184220 20133420 864372 18631113 0 0 0 0 0 0 0 54633 111040 919005 18742153 2265215 1391267 9530662 10363073 615946 367175 8914716 9995898 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 18643469 18631113 THE TRINITY MOTHER FRANCES FOUNDATION SUPPORTS MOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER AND TRINITY CLINIC THROUGH TRINITY MOTHER FRANCES HEALTH SYSTEM. 18643469 true true 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 15 10 false false false false false false false true true false false true true true true true true false X MOTHER FRANCES HOSP ACCTG DEPT 9035315764 1315 DOCTORS DRIVE TYLER TX 75701 X ROYAL BECKER MD 1.0 X 0 876535 21356 RANDALL CHILDRESS 1.0 X X 0 0 0 DAVID DYKES MD 1.0 X 0 0 0 MARY FAULKNER 1.0 X 0 0 0 TERRY GILES 1.0 X 0 0 0 SISTER IRENE ASZTEMBORSKA 1.0 X 0 0 0 JOSEPH ORNELAS 1.0 X 0 0 0 DANIEL SALEH 1.0 X 0 0 0 FATHER JOSEPH STRICKLAND 1.0 X 0 0 0 DAVID TEEGARDEN MD 1.0 X 0 6665982 19145 JOHN ROBBINS 1.0 X 0 0 0 JOHN WILLIAMS 1.0 X 0 0 0 LINDSEY BRADLEY 1.0 X 0 1698754 13611 RAY THOMPSON 1.0 X 0 1459991 476648 STEVEN KEUER MD 1.0 X 0 3672675 365944 BILL BELLENFANT 1.0 X 0 863803 274837 ANDY NAVARRO 1.0 X 0 255281 16427 0 15493021 1187968 0 false true false 0 19891014 19891014 0 242406 242406 0 0 0 0 0 0 0 20133420 242406 18631113 18631113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92421 92421 0 0 0 0 0 0 0 0 0 0 0 0 0 BAD DEBT EXPENSE 12356 12356 BANK FEES 6263 6263 18742153 18643469 98684 0 2025463 1482169 237999 273677 5000 5000 5000 7147888 8501159 114312 101068 9530662 10363073 615946 367175 615946 367175 X 1001830 898874 5811189 6995277 2101697 2101747 8914716 9995898 9530662 10363073 X 1391267 -310085 X false true true X false X X X false false false TRINITY MOTHER FRANCES HEALTH SYSTEM 752616975 0 true true true 0 MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER 750818167 03 false true true 18237434 TRINITY CLINIC 752616977 03 false true true 62160 MOTHER FRANCES HOSPITAL - WINNSBORO 752771569 03 false true true 21500 4 18321094 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2209013 50 141274 2350337 414414 1790794 4305 500 2209013 413932 239 243 414414 0.04858 0.95142 false false 5000 5000 5000 0 DUE TO AFFILIATES 367175 367175 20133420 18742153 1391267 -310085 -310085 1081182 19848335 -310085 25000 -285085 20133420 20133420 18767153 25000 25000 18742153 18742153 INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS PART V, QUESTION 4 FIN 48 DISCLOSURE MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 PART XII, QUESTION 2D & PART XIII, QUESTION 2D REVENUE ON BOOKS, NOT ON RETURN: CONTRIBUTION EXPENSES NETTED WITH CONTRIBUTIONS $ 25,000 EXPENSES ON BOOKS, NOT ON RETURN: CONTRIBUTION EXPENSES NETTED WITH CONTRIBUTIONS $ 25,000 true MOTHER FRANCES HOSPITAL REGIONAL HC CTR 1315 DOCTORS DRIVE TYLER TX 75701 750818167 501(c)(3) 18237434 HEART HOSP/EQPMT TRINITY CLINIC 1315 DOCTORS DRIVE TYLER TX 75701 752616977 501(C)(3) 62160 RESPITE FUND BISHOP TK GORMAN HIGH SCHOOL 1405 E SE LOOP 323 TYLER TX 75701 272769397 501(c)(3) 25000 CONTRIBUTION WHITEHOUSE INDEPENDENT SCHOOL DISTRICT 106 WILDCAT DRIVE WHITEHOUSE TX 75791 756002764 N/A 6000 CONTRIBUTION MARCH OF DIMES 3800 PALUXY DRIVE TYLER TX 75703 131846366 501(C)(3) 6000 CONTRIBUTION DISCOVERY SCIENCE PLACE 308 N BROADWAY AVENUE TYLER TX 75702 752392134 501(C)(3) 16500 CONTRIBUTION MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 501(C)(3) 21500 DONATION FOR EQPT 6 1 PROCEDURES FOR MONITORING THE USE OF FUNDS IN THE UNITED STATES PART I, LINE 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 876535 0 0 0 0 0 4900 0 16456 0 897891 0 0 DAVID TEEGARDEN MD 0 669991 0 335556 0 5660435 0 4900 0 14245 0 6685127 0 5660435 LINDSEY BRADLEY 0 794128 0 904626 0 0 0 4900 0 8711 0 1712365 0 0 RAY THOMPSON 0 678212 0 394861 0 386918 0 467937 0 8711 0 1936639 0 386918 STEVEN KEUER MD 0 507067 0 181912 0 2983696 0 351700 0 14244 0 4038619 0 2983696 BILL BELLENFANT 0 429850 0 133826 0 300127 0 263415 0 11422 0 1138640 0 300127 ANDY NAVARRO 0 194098 0 61183 0 0 0 4900 0 11527 0 271708 0 0 PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PART I, QUESTION 4B PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- --------------- --------------------- LINDSEY BRADLEY 0 0 DAVID TEEGARDEN MD 5,660,435 0 RAY THOMPSON 386,918 463,037 STEVEN KEUER MD 2,983,696 346,800 BILL BELLENFANT 300,127 258,515 PARTICIPANTS IN 457(F) REPORTED IN W-2 ---------------------- --------------- DAVID TEEGARDEN MD 0 STEVEN KEUER MD 0 DESCRIBE REVIEW PROCESS OF FORM 990 FORM 990, PART VI, QUESTION 11A 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. PROCESS FOR DETERMINING COMPENSATION OF CEO, OFFICERS, OR KEY EMPLOYEES FORM 990, PART VI, QUESTIONS 15A AND 15B THE ORGANIZATION DOES NOT COMPENSATE ANY INDIVIDUALS; THEREFORE, THESE TWO QUESTIONS ARE NOT APPLICABLE. 1099S REPORTED BY ORGANIZATION FORM 990, PART V, QUESTION 1 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, LINE 5 NET UNREALIZED GAINS ON INVESTMENTS $ 310,085 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROYAL BECKER MD TITLE:DIRECTOR HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RANDALL CHILDRESS TITLE:CHAIR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID TEEGARDEN MD TITLE:DIRECTOR HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LINDSEY BRADLEY TITLE:DIRECTOR HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RAY THOMPSON TITLE:DIRECTOR HOURS:42 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEVEN KEUER MD TITLE:DIRECTOR HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BILL BELLENFANT TITLE:TREASURER HOURS:41 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANDY NAVARRO TITLE:SECRETARY HOURS:40 TRINITY CLINIC 1315 DOCTORS DRIVE TYLER TX 75701 752616977 HEALTHCARE TX 501(C)(3) 3 NA CHAMPION EMERGENCY SERVICES LLC 2201 S MOBBERLY AVE LONGVIEW TX 75602 752747708 AMBULANCE SVC TX 501(C)(3) 11C NA MOTHER FRANCES HOSPITAL REGIONAL HC CTR 1315 DOCTORS DRIVE TYLER TX 75701 750818167 HOSPITAL TX 501(C)(3) 3 NA MOTHER FRANCES HOSPITAL - JACKSONVILLE 1315 DOCTORS DRIVE TYLER TX 75701 751976930 HOSPITAL TX 501(C)(3) 3 NA REGIONAL MEDICAL SERVICES ASSOCIATION 1315 DOCTORS DRIVE TYLER TX 75701 752511459 HEALTHCARE TX 501(C)(3) 3 NA MOTHER FRANCES HOSPITAL HEALTH SYSTEM 1315 DOCTORS DRIVE TYLER TX 75701 752616975 HEALTHCARE TX 501(C)(3) 11C NA MOTHER FRANCES HOSPITAL - WINNSBORO 1315 DOCTORS DRIVE TYLER TX 75701 752771569 HOSPITAL TX 501(C)(3) 3 NA TRI-STATE FINANCIAL LLC 1315 DOCTORS DRIVE TYLER TX 75701 752728318 COLLECTION AGENCY TX NA C-CORPORATION 0 0 0.00000 TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 RETAIL HEALTH SVC TX NA C-CORPORATION 0 0 0.00000 HEALTHPLAN OF TEXAS INC 514 S BECKHAM TYLER TX 75701 752636832 THIRD PARTY ADMIN TX NA C-CORPORATION 0 0 0.00000 THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752484109 PREFER PROVIDER TX NA C-CORPORATION 0 0 0.00000 TEXAS HEALTH FACILITIES INSUR CORP LTD PO BOX 1109 BWI GRAND CAYMAN CJ 980136025 INSURANCE CJ NA C-CORPORATION 0 0 0.00000 CONCORDIUM HEALTH LLC 1315 DOCTORS DRIVE TYLER TX 75701 702811022 INACTIVE TX NA C-CORPORATION 0 0 0.00000 EMPLOYERS SERVICES INC 1315 DOCTORS DRIVE TYLER TX 75701 752602556 INACTIVE TX NA C-CORPORATION 0 0 0.00000 QUALITY CARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752662965 INACTIVE TX NA C-CORPORATION 0 0 0.00000 HERITAGE HEALTH PLANS OF TX 1315 DOCTORS DRIVE TYLER TX 75701 752622622 INACTIVE TX NA C-CORPORATION 0 0 0.00000 false true false false false false false false false false false false false false false false false false