2012-10-12T16:02:46-05:00 2011-06-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2010-07-01 752616975 TRINITY MOTHER FRANCES HEALTH SYSTEM TRIN 9035315764 1315 DOCTORS DRIVE TYLER TX 75701 JOYCE HESTER 9035315764 2012-08-31 true Amanda Maya 7134994600 2010 2016-02-24 21:20:13Z X X LINDSEY BRADLEY 910 E HOUSTON TYLER TX 75701 42515700 false X WWW.TMFHS.ORG X 1995 TX COORDINATING PARENT OF CHARITABLE HEALTHCARE SYSTEM GUIDING ACTIVITIES OF AFFILIATED ENTITIES TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE COMMUNITY. 12 8 363 9 101552 -9331 0 0 39902666 42439905 55 248 97772 75547 40000493 42515700 0 0 0 0 26623503 28493126 0 0 0 17480679 19596078 44104182 48089204 -4103689 -5573504 12439033 16617518 93605563 92810381 -81166530 -76192863 COORDINATING PARENT OF CHARITABLE HEALTHCARE SYSTEM GUIDING ACTIVITIES OF AFFILIATED ENTITIES TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE COMMUNITY. false false 43280284 42439905 AS THE PARENT COMPANY OF TAX-EXEMPT HOSPITAL, THE SYSTEM MONITORS AND GUIDES THE ACTIVITIES OF AFFILIATED ENTITIES TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES TO THE COMMUNITY THROUGH AN EFFICIENT, ECONOMICAL, AND COORDINATED DELIVERY SYSTEM. 43280284 true false false false false false false false true false false false true true false false true false false false false false false false false false false false true false false false false false false true false false false false false false true true true false false true X 0 0 363 true true true false false false false false false false false false false X 12 8 false false false false true true true true true false false true true true true true true true true false X MOTHER FRANCES HOSP ACCTG DEPT 9035615764 1315 DOCTORS DRIVE TYLER TX 75701 X SISTER TERESA MIKA 40.0 X 0 0 0 JEFF BUFORD 1.0 X 0 0 0 PRESTON SMITH 1.0 X X 0 0 0 DON ARNWINE 1.0 X 0 0 0 RANDY CHILDRESS 1.0 X 0 0 0 ROGER FOWLER MD 20.0 X 0 375653 13783 BOBBY CURTIS 1.0 X 0 0 0 LINDSEY BRADLEY 30.0 X X 700513 1050769 13611 DAVID TEEGARDEN MD 10.0 X X 2800615 4200923 19145 STEVEN KEUER MD 10.0 X X 1541836 2312753 365945 ROYCE WISENBAKER 1.0 X 0 0 0 DICK STONE 1.0 X 0 0 0 WILLIAM BELLENFANT 30.0 X X 351258 526886 274837 RAY THOMPSON 20.0 X 477677 716516 476648 PAM VUKOVICH 40.0 X 0 0 0 SHELLY RUTHERFORD 40.0 X 111532 0 6918 MONTY BEASLEY 40.0 X 132291 0 9752 RANDY PERDUE 40.0 X 147651 0 10746 LARRY SIMMONS 40.0 X 123060 0 10777 DAVID NORTHCUTT 40.0 X 167117 0 14425 6553550 9183500 1216587 10 false true false HURON CONSULTING GROUP INC 4795 PAYSHERE CIRCLE CHICAGO IL 60674 CONSULTING SERVICES 8879697 COMPUTER TASK GROUP INC PO BOX 711778 CINCINNATI OH 45271 IT CONSULTING 608503 KORN FERRY INTERNATIONAL NW 5064 PO BOX 1450 MINNEAPOLIS MN 55485 PLACEMENT SERVICES 532461 MEDPLUS INC PO BOX 633545 CINCINNATI OH 45263 SOFTWARE MAINTENANCE 394831 ALLIED INVESTMENT MANAGEMENT INC 6231 MACCATUCK DRIVE INDIANAPOLIS IN 46220 CONSULTING SERVICES 376000 20 0 OTHER OPERATING REVENUE 621110 36726506 36726506 MANAGEMENT SERVICE REVENUE 900099 5713399 5687394 26005 42439905 248 248 0 0 0 0 0 0 LAUNDRY 812300 75547 75547 75547 42515700 42413900 101552 248 0 0 0 0 6331972 5698775 633197 0 16222572 14600315 1622257 1985073 1786566 198507 3953509 3558158 395351 0 0 696143 626529 69614 241254 217129 24125 0 0 150 135 15 4371990 3934791 437199 1447956 1303160 144796 2322603 2090343 232260 4130523 3717471 413052 0 298087 268278 29809 98940 89046 9894 0 348467 313620 34847 504646 454181 50465 0 1734590 1561131 173459 0 REPAIRS AND MAINTENANCE 1198769 1078892 119877 RECRUITMENT 1118722 1006850 111872 MISCELLANEOUS EXPENSES 408152 367337 40815 DIETARY 137616 123854 13762 LAUNDRY AND LINEN 399384 359446 39938 138086 124277 13809 48089204 43280284 4808920 0 60606 676705 1431184 1640362 615396 0 10331847 14300451 12439033 16617518 532546 514514 9669257 9360898 83403760 82934969 93605563 92810381 X -90081245 -86188761 6813019 7894152 2101696 2101746 -81166530 -76192863 12439033 16617518 X -5573504 10547171 X false true true X false X X X false false false TRINITY CLINIC 752616977 03 true true true 21640142 MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER 750818167 03 true true true 21640142 2 43280284 2209013 50 141274 2350337 414414 1790794 4305 500 2209013 413932 239 243 414414 0.04858 0.95142 false true true INTEREST IN ASSETS OF FND 9995898 INVESTMENT IN UNCONSOL SUB 484225 DUE FROM AFFILIATES 3772790 DEFERRED FINANCING COSTS 47538 14300451 0 DUE TO AFFILIATES 81834969 LONG-TERM CARE OBLIGATION 1100000 82934969 42515700 48089204 -5573504 604 -659517 -658913 -6232417 41892253 604 604 41891649 624051 624051 42515700 48124670 35616 35616 48089054 150 150 48089204 RECONCILIATION OF CHANGES IN NET ASSETS PART XI, LINE 8 CHANGE IN FINANCIAL INTEREST - FOUNDATION $623,901 EQUITY EARNINGS INCLUDED WITH EXPENSE ON AUDIT 35,616 --------- $659,517 RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 PARTS XII & XIII REVENUE ON RETURN, NOT ON BOOKS: CHANGE IN FINANCIAL INTEREST - FOUNDATION 623,901 INVESTMENT FEES NETTED WITH REVENUE ON BOOKS 150 --------- $624,051 EXPENSE ON BOOKS, NOT ON RETURN: EQUITY EARNINGS INCLUDED WITH EXPENSE ON AUDIT $ 35,616 EXPENSE ON RETURN, NOT ON BOOKS: INVESTMENT FEES NETTED WITH REVENUE ON BOOKS $ 150 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. INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS 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. X true true X X X X X false true false false false false false false false ROGER FOWLER MD 0 340621 0 35032 0 0 0 4900 0 8883 0 389436 0 0 LINDSEY BRADLEY 361851 542776 338662 507993 0 0 1960 2940 3484 5227 705957 1058936 0 0 DAVID TEEGARDEN MD 402219 603328 134222 201334 2264174 3396261 1960 2940 5698 8547 2808273 4212410 2264174 3396261 STEVEN KEUER MD 275592 413388 72765 109147 1193479 1790218 140680 211020 5698 8547 1688214 2532320 1193479 1790218 RAY THOMPSON 157945 236917 164965 247448 154767 232151 187175 280762 3484 5227 668336 1002505 154767 232151 WILLIAM BELLENFANT 171940 257910 59267 88900 120051 180076 105366 158049 4569 6853 461193 691788 120051 180076 RANDY PERDUE 133900 0 13751 0 0 0 2174 0 8572 0 158397 0 0 0 DAVID NORTHCUTT 167117 0 0 0 0 0 3438 0 10987 0 181542 0 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 RAY THOMPSON 386,918 463,037 BILL BELLENFANT 300,127 258,515 STEVEN KEUER MD 2,983,696 346,800 DAVID TEEGARDEN MD 5,660,435 0 PARTICIPANTS IN 457(F) REPORTED IN W-2 ---------------------- ---------------- DAVID TEEGARDEN MD NONE STEVEN KEUER MD NONE ROGER FOWLER MD NONE TRAVEL FOR COMPANIONS PART I, QUESTION 1A THE ORGANIZATION REIMBURSED BILL BELLENFANT AND LINDSEY BRADLEY FOR SPOUSAL TRAVEL EXPENSES. REIMBURSEMENTS WERE INCLUDED IN FORM W-2. CATHERINE BRADLEY SISTER OF DIRECTOR 61403 SALARIES/WAGES false 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. DESCRIBE THE ORGANIZATION'S MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 THE SOLE MEMBER IS THE CONGREGATION OF THE SISTERS OF THE HOLY FAMILY OF NAZARETH, A RELIGIOUS ORDER OF THE ROMAN CATHOLIC CHURCH. MEMBERS WHO MAY ELECT MEMBERS OF THE GOVERNING BOARD FORM 990, PART VI, QUESTION 7A THE MEMBER HAS THE SOLE RIGHT AND AUTHORITY TO APPOINT ONE OF THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS. DECISIONS OF THE GOVERNING BOARD SUBJECT TO APPROVAL OF MEMBERS FORM 990, PART VI, QUESTION 7B THE MEMBER HAS THE AUTHORITY TO APPROVE OR DISAPPROVE CERTAIN ACTIONS PREVIOUSLY APPROVED BY THE BOARD OF DIRECTORS. 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. 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. 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 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 OTHER CHANGES IN NET ASSETS: TRANSFERS FROM AFFILIATES $10,124,901 CHANGE IN FINANCIAL INTEREST - TEMP RESTRICTED 1,081,133 CHANGE IN FINANCIAL INTEREST - PERM RESTRICTED 50 CHANGE IN FINANCIAL INTEREST - FOUNDATION (623,901) EQUITY EARNINGS INCLUDED WITH EXPENSE ON AUDIT (35,616) NET UNREALIZED GAINS ON INVESTMENTS 604 ----------- $10,547,171 AMENDMENT OF 2010 FORM 990 AFTER FILING THE 2010 FORM 990, THE TAXPAYER DISCOVERED ERRORS IN THEIR COMPENSATION INFORMATION. THE TAXPAYER IS AMENDING TO CORRECT THE COMPENSATION REPORTED ON THE FORM 990. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SISTER TERESA MIKA TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RANDY CHILDRESS TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROGER FOWLER MD TITLE:DIRECTOR HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LINDSEY BRADLEY TITLE:SYSTEM PRESIDENT/DIRECTOR HOURS:13 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID TEEGARDEN MD TITLE:SYSTEM PRESIDENT/CMO/DIRECTOR HOURS:31 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEVEN KEUER MD TITLE:SYSTEM EXEC VP/DIRECTOR HOURS:31 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DICK STONE TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM BELLENFANT TITLE:SR VP/CFO/TREASURER HOURS:12 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RAY THOMPSON TITLE:SYS EXEC VP/CEO/DIRECTOR/SECR HOURS:23 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAM VUKOVICH TITLE:INTERIM CFO HOURS:3 CHAMPION EMERGENCY SERVICES LLC 2201 S MOBBERLY AVE LONGVIEW TX 75602 752747708 AMBULANCE SVC TX 501(C)(3) 11A 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 TRINITY MOTHER FRANCES HEALTH SYSTEM FDN 1315 DOCTORS DRIVE TYLER TX 75701 752028241 SUPPORT TX 501(C)(3) 11C NA REGIONAL MEDICAL SERVICES ASSOCIATION 1315 DOCTORS DRIVE TYLER TX 75701 752511459 HEALTHCARE TX 501(C)(3) 3 NA TRINITY CLINIC 1315 DOCTORS DRIVE TYLER TX 75701 752616977 HEALTHCARE TX 501(C)(3) 3 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 1.00000 TRINCARE INC 1315 DOCTORS DRIVE TYLER TX 75701 752161369 RETAIL HEALTH SVC TX NA C-CORPORATION 427 949511 1.00000 HEALTHPLAN OF TEXAS INC 514 S BECKHAM TYLER TX 75701 752636832 THIRD PARTY ADMIN TX NA C-CORPORATION -34169 164382 1.00000 THE REGIONAL HEALTHCARE ALLIANCE 1315 DOCTORS DRIVE TYLER TX 75701 752484109 PREFER PROVIDER TX NA C-CORPORATION -11829 1045 1.00000 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 HERITAGE HEALTH PLANS OF TX 1315 DOCTORS DRIVE TYLER TX 75701 752622622 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 false false false false false false false false false false true true false false false false true true MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE K 25377310 TRINITY CLINIC L 15117595 MOTHER FRANCES HOSPITAL - JACKSONVILLE K 1589561 MOTHER FRANCES HOSPITAL - WINNSBORO K 843110 TRINITY CLINIC K 5235070 TRINCARE INC K 246815