2011-05-13T07:30:33-05:00 2010-06-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2009-07-01 750818167 MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER MOTH 9035315764 1021 IDEL STREET TYLER TX 75701 JOYCE HESTER 2011-05-16 M Paige Gerich 7134994600 2009 2016-02-24 21:20:13Z LINDSEY BRADLEY 910 E HOUSTON TYLER TX 75701 472340702 false X WWW.TMFHS.ORG X 1958 TX TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO THE PATIENT'S RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. 12 6 3329 761 1259823 -1911117 1154694 1219304 381200168 427441900 796088 4212240 6576154 6178439 389727104 439051883 552453 1970800 0 0 142946571 156876520 0 0 0 233343055 241797567 376842079 400644887 12885025 38406996 583799781 601401573 295079712 300564444 288720069 300837129 TO PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTH CARE SERVICES WITHOUT REGARD TO THE PATIENT'S RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. false false 351087843 1970800 427441900 THE HOSPITAL'S OPERATING PLAN INCORPORATES PROVISIONS FOR INDIVIDUALS WHO DO NOT POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. OUR COMMITMENT TO OUR COMMUNITY EXTENDS TO FREE OR SUBSIDIZED INDIVIDUAL CARE, SUBSIDIZED EDUCATION OF HEALTHCARE PROFESSIONALS, DISCOUNTED FEES FOR PARTICIPANTS IN GOVERNMENT PROGRAMS, COMMUNITY HEALTH EDUCATION, AND DONATIONS TO OTHER COMMUNITY AGENCIES. SPECIFIC COMMUNITY SERVICES AND PROGRAMS INCLUDE: WELLNESS AND PREVENTION EDUCATION PROGRAMS, COMMUNITY DIAGNOSTIC SCREENING PROGRAMS, SENIOR CITIZEN HEALTH AWARENESS PROGRAMS, AWARENESS PROGRAMS FOR YOUTH AT RISK, AND AWARENESS PROGRAMS FOR PERSONS WITH SPECIAL PHYSICAL OR MENTAL NEEDS. 351087843 true true false true false false false false true true false true false true true false false false false false true true false true true false false false false false false false true true true false false false false false true false false false true 286 0 true 3329 true true true true CJ false false true true false false false false 12 6 false false false false true true true true true false false true true true true true true true true true true X MOTHER FRANCES HOSP ACCTG DEPT 9035315764 1315 DOCTORS DRIVE TYLER TX 75701 RAY THOMPSON 20.0 X X 760512 507008 405024 LAURA OWEN 40.0 X X 285415 0 18569 BEN FITZGERALD 1.0 X X 0 0 0 FAGG SANFORD MD 20.0 X 86425 0 0 SISTER TERESA MIKA 1.0 X 0 0 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271035 0 13856 7716229 4930757 4067694 70 false true false MEDTRONIC USA INC PO BOX 84086 DALLAS TX 75284 MED TECHNOLOGY SVCS 8834473 BOSWORTH AND ASSOCIATES PO BOX 6620 TYLER TX 75711 INSURANCE PROVIDER 2931996 CARDIAC IMAGING MANAGEMENT SPECIALI 1357 DOMINION PLAZA TYLER TX 75703 MANAGEMENT SERVICES 2410665 ARAMARK MANAGEMENT SERVICES 101 MARKET ST 19TH FLOOR PHILADELPHIA PA 19107 MGMT AND FOOD SVCS 2491024 AIR METHODS PO BOX 172892 DENVER CO 80217 AIR TRANSPORTATION 1464460 235 597274 622030 1219304 NET PATIENT REVENUE 621110 414236693 414236693 OTHER OPERATING REVENUE 900099 13205207 13205207 427441900 3921483 3921483 0 0 4485457 4485457 4485457 -433159 4918616 33212636 366940 33126691 162128 85945 204812 290757 290757 0 0 0 LABORATORY TESTING 621500 39926 39926 FITNESS CENTERS 713940 1653056 1653056 1692982 439051883 427441900 1259823 9130856 1970800 1970800 0 0 0 6942346 6212859 729487 0 121337014 108450522 12886492 2643920 2352164 291756 13996627 13146615 850012 11956613 10637232 1319381 4349591 243772 4105819 0 33665 33665 0 0 199320 199320 74059314 51312279 22747035 13235 13235 2886868 2495562 391306 1136302 710640 425662 0 7227649 6210264 1017385 76922 71805 5117 0 236394 192491 43903 6299114 6299114 0 23937422 23936258 1164 2756441 1039 2755402 MEDICAL SUPPLIES 84264552 84264552 BAD DEBT EXPENSE 21367653 21367653 REPAIRS & MAINTENANCE 5098714 5060147 38567 FOOD 3079287 3073725 5562 COLLECTION FEES 1657037 209 1656828 3118087 2865586 252501 400644887 351087843 49557044 0 45447028 44730695 1890485 7196153 44362350 47645527 5344509 5614401 3498754 6194852 607122288 355514579 249668431 251607709 125185816 130892341 5370986 4534475 103031422 102985420 583799781 601401573 46258889 49895158 179753056 179830366 69067767 70838920 295079712 300564444 X 288699991 300817051 20078 20078 288720069 300837129 583799781 601401573 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 16182 false false false 16182 false 414414 1790794 4305 500 2209013 413932 239 243 414414 0.04858 0.95142 false true true 25560447 25560447 186838627 69321019 117517608 111993519 69187411 42806108 277605342 217006149 60599193 5124353 5124353 251607709 DUE FROM AFFILIATES 100391097 DEFERRED FINANCING COSTS 2095264 INTEREST RATE SWAP AGREEMENT 499059 102985420 0 PENSION LIABILITY 48854059 INTEREST RATE SWAP AGREEMENT 4811527 ESTIMATED SELF INSURANCE COSTS 9424235 DUE TO AFFILIATES 7749099 70838920 439051883 400644887 38406996 3369453 5319161 8688614 47095610 445728845 3369453 6018503 9387956 436340889 2710994 2710994 439051883 398633235 19300 19300 398613935 2030952 2030952 400644887 RECONCILIATION OF CHANGES IN NET ASSETS SCH D, PART XI, LINE 8 EQUITY IN EARNINGS OF AFFILIATE 5,429,724 EQUITY IN INCOME OF CONSOLIDATED SUBSIDIARY ( 82,768) CHANGE IN FAIR VALUE INTEREST RATE SWAP 178,752 CONTRIBUTIONS RECEIVED RECORDED TO NET ASSETS ( 597,274) TYLER RADIATION K-1 BOOK/TAX DIFFERENCE 390,727 ----------- 5,319,161 RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 SCH D, PARTS XII AND XIII REVENUE ON BOOKS, NOT ON RETURN: CHANGE IN FAIR VALUE INTEREST RATE SWAP 178,752 MISC REVENUE INCLUDED IN EXPENSE 19,300 EQUITY IN EARNINGS OF AFFILIATE 5,429,724 TYLER RADIATION K-1 BOOK/TAX DIFFERENCE 390,727 ------------- 6,018,503 REVENUE ON RETURN, NOT ON BOOKS: INVESTMENT FEES INCLUDED IN REVENUE 199,320 DONATION INCOME INCLUDED IN EXPENSE 122,000 CONTRIBUTION EXPENSE INCLUDED IN INCOME 1,709,632 EQUITY IN INCOME OF CONSOLIDATED SUBSIDIARY 82,768 DONATION INCOME NOT INCLUDED ON AUDIT 597,274 ------------ 2,710,994 EXPENSE ON BOOKS, NOT ON RETURN: MISCELLANEOUS REVENUE IN EXPENSE 19,300 EXPENSE ON RETURN, NOT ON BOOKS: INVESTMENT FEES INCLUDED IN REVENUE 199,320 DONATION INCOME INCLUDED IN EXPENSE 122,000 CONTRIBUTION EXPENSE INCLUDED IN INCOME 1,709,632 ------------ 2,030,952 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 ORGANIZATIN'S ENDOWMENT FUNDS SCH 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. 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1021 E Idel Tyler TX 75701

X X X PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL, THE CLINIC, JACKSONVILLE AND WINNSBORO PROVIDE AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THIRD-PARTY PAYERS ARE BILLED DIRECTLY AND BILLS ARE SENT TO THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. THE MEDICAL CENTER USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICAID OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE ORGANIZATION HAS A WRITTEN POLICY COVERING PROCEDURES FOR COLLECTING AND WRITING OFF BAD DEBTS. ACCORDING TO THE POLICY, IF A PATIENT APPEARS TO BE INDIGENT, ACCOUNTS SHOULD BE REVIEWED, AT ANY TIME DURING THE COLLECTION PROCESS, FOR POSSIBLE CONSIDERATION AS A CHARITY CASE IN ACCORDANCE WITH THE ORGANIZATION'S CHARITY CARE POLICY. THE HOSPITAL'S COMMUNITY HEALTH PROFILES PROVIDE A SNAPSHOT OF SUBURBAN, URBAN, AND RURAL SERVICE AREAS WITHIN TEXAS USING KEY HEALTH INDICATORS, WHICH FACILITATE COMPARISONS LOCALLY, REGIONALLY, AND OVER TIME. COMMUNITY HEALTH PROFILES ARE INTENDED TO ASSIST INTERNAL STAKEHOLDERS, COMMUNITY HEALTH COUNCIL MEMBERS, AND THE COMMUNITY HEALTH IMPROVEMENT DEPARTMENT IN DECIDING WHERE TO ALLOCATE RESOURCES AND ADDRESS HEALTH INEQUALITIES. ALL ENTITY ADVOCATES USE NATIONAL, STATE, AND LOCAL SECONDARY AND PRIMARY DATA SOURCES TO PROVIDE A CURRENT OVERVIEW OF LOCAL HEALTH NEEDS, FACTORS IMPACTING DISEASE AND INJURY BURDEN, SOCIOECONOMIC STATUS, ACCESS TO HEALTH CARE, AGE DISTRIBUTION, INDICATORS AND LIFESTYLE BEHAVIORS. THIS DATA IS USED TO GALVANIZE JOINT COMMUNITY HEALTH EFFORTS TO IMPROVE HEALTH AND REDUCE HEALTH INEQUALITIES AND TO EMPOWER THE GREATER COMMUNITY. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND CONTACT INFORMATION IS POSTED IN VARIOUS AREAS OF THE HOSPITAL INCLUDING ADMISSIONS & REGISTRATION, EMERGENCY, AND OUTPATIENT DEPARTMENTS. ADDITIONALLY, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED, VERBALLY AND IN WRITTEN BROCHURES, TO ALL SELF PAY PATIENTS BY FINANCIAL COUNSELORS. FINANCIAL ASSISTANCE INFORMATION IS ALSO INCLUDED IN EVERY PATIENT BILL. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO THE PATIENT BY FINANCIAL COUNSELORS WHO ALSO SCREEN SELF PAY PATIENTS FOR POTENTIAL ELIGIBILITY FOR OTHER GOVERNMENTAL ASSISTANCE PROGRAMS. IF IT IS DETERMINED THAT THE PATIENT IS POTENTIALLY ELIGIBLE FOR GOVERNMENTAL ASSISTANCE, THE FINANCIAL COUNSELOR WILL ASSIST THE PATIENT IN COMPLETING ANY FORMS NECESSARY TO APPLY FOR THE ASSISTANCE. AT THE SAME TIME, THE PATIENTS ARE PROVIDED WITH A CHARITY CARE APPLICATION AND INFORMATIONAL FLYER. THE PATIENT IS INFORMED THAT MOTHER FRANCES HOSPITAL-TYLER IS A NON-PROFIT CHARITABLE ORGANIZATION OFFERING FINANCIAL ASSISTANCE TO PATIENTS WHO ARE DEEMED MEDICALLY OR FINANCIALLY INDIGENT. THE FINANCIAL COUNSELORS WILL THEN ASSIST THE PATIENT IN COMPLETING THE CHARITY CARE APPLICATION AND OBTAIN ANY AVAILABLE VERIFICATIONS. ONCE THE PATIENT IS DISCHARGED, THE FINANCIAL COUNSELORS WILL CONTINUE TO CONTACT THE PATIENT TO ENSURE ALL NEEDED FORMS AND VERIFICATIONS NEEDED TO FILE AN APPLICATION FOR GOVERNMENTAL ASSISTANCE AND CHARITY CARE HAVE BEEN PROVIDED. THE HOSPITAL OWNS AND OPERATES A 404 LICENSED BED GENERAL ACUTE CARE HOSPITAL AND RELATED HEALTHCARE FACILITIES IN TYLER, TEXAS. THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF SMITH, COUNTY WITH A POPULATION OF APPROXIMATELY 200,000. THE SECONDARY SERVICE AREA OF THE HOSPITAL CONSISTS OF ANDERSON, CHEROKEE, GREGG, HENDERSON, RAINS, RUSK, UPSHUR, WOOD, AND VAN ZANDT COUNTIES WITH A TOTAL POPULATION OF APPROXIMATELY 500,000. MOTHER FRANCES HOSPITAL-TYLER PROMOTES HEALTHCARE AND WELLNESS EDUCATION BY OFFERING OUTREACH PROGRAMS AND SPECIAL INITIATIVES THAT IMPROVE THE QUALITY OF LIFE AND HEALTH IN THE COMMUNITIES SERVED. COMMUNITY BENEFIT IS PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS TO THE COMMUNITY. THESE SERVICES ARE ESSENTIAL TO PROVIDE COMPLETE HEALTHCARE TO THE COMMUNITIES SERVED. SOME OF THESE PROGRAMS INCLUDE THE FOLLOWING: FAMILYCARE CENTER/WOMEN'S SERVICES: PROVIDES PRENATAL SERVICES TO ALL MEDICAID PATIENTS, TITLE V RECIPIENTS, MANY SELF-PAY, UNDERINSURED, AND ANYONE WHO NEEDS PRENATAL SERVICES. CLASSES IN ENGLISH & SPANISH ARE OFFERED ON PRENATAL & CAR SEAT EDUCATION. FREE CAR SEATS ARE GIVEN TO THOSE WHO CAN NOT AFFORD TO PURCHASE. PATIENT VISITS FOR FY 2010 WAS 19,488 SERVING 10,675 PATIENTS. FAMILYCARE CENTER/CHILDREN'S SERVICES: THE CHILDREN'S SERVICES CENTER EXPERIENCED 31,800 VISITS IN FY 2010 SERVING OVER 21,438 CHILDREN. THIS PATIENT POPULATION HAS A HIGH PERCENTAGE OF AT-RISK ETHNIC GROUPS. IT IS THE LARGEST PROVIDER OF SERVICES TO MEDICAID, CHIPS, AND FREE CLINIC SERVICES FOR CHILDREN IN EAST TEXAS. SICKLE CELL CLINIC: PROVIDES THE FACILITY AND SUPPORT FOR PATIENTS WITH SICKLE CELL. JOINING FORCES WITH CHILDREN'S MEDICAL CENTER THROUGH A GRANT, A REGISTERED NURSE WORKS AS THE LIAISON BETWEEN PEDIATRICIANS AND THE SICKLE CELL CLINIC IN DALLAS TO COORDINATE THE CARE OF PATIENTS. ADDITIONALLY, A HEMATOLOGIST SPECIALIZING IN THE CARE OF SICKLE CELL PATIENTS CONDUCTS A CLINIC FOUR TIMES A YEAR ON SITE. TELECARE PLUS-YOUR HEALTH INFORMATION RESOURCE: TELECARE PLUS IS A MEDICAL CALL CENTER AVAILABLE FOR FREE TO THE PUBLIC 24 HOURS A DAY. REGISTERED NURSES PROVIDE CALLERS WITH ANSWERS TO HEALTH QUESTIONS OVER THE TELEPHONE, CAN SEND HEALTH INFORMATION VIA THE MAIL, PROVIDE PHYSICIAN REFERRALS, GIVE INFORMATION ON COMMUNITY AND HOSPITAL RESOURCES AND DO SYMPTOM BASED TRIAGE. BETHESDA CLINIC SUPPORT: BETHESDA CLINIC IS A "FREE" MEDICAL CLINIC, WHICH IS SUPPORTED FINANCIALLY WITH STAFFING, INCLUDING PHYSICIANS, AND BY SUPPORT SERVICES FROM THE COMMUNITY. MOTHER FRANCES HOSPITAL PROVIDES SUPPORT IN ALL AREAS AND ON SPECIAL PROJECTS AS REQUESTED. ONE KEY PROJECT IS PROVIDING AFTER HOURS CALL FOR THE PHYSICIANS. GYN AND OB SERVICES ARE PROVIDED BY THE FAMILYCARE CENTER. LIFELINE-PERSONAL EMERGENCY RESPONSE SYSTEM: LIFELINE PROVIDES INDEPENDENCE TO PATIENTS NEEDING QUICK ACCESS TO EMERGENCY ASSISTANCE IN THEIR HOME. CUSTOMERS WEAR A WATERPROOF BUTTON ON THEIR WRIST OR AROUND THEIR NECK THAT THEY CAN PRESS TO ACTIVATE THE LIFELINE CALL CENTER IN CASE OF INCAPACITATING EVENT SUCH AS A FALL OR STROKE. THE LIFELINE CALL CENTER WILL ATTEMPT TO SPEAK TO THE PATIENT VIA THE LIFELINE SPEAKERPHONE OR SEND OUT A PREDETERMINED CONTACT SUCH AS A FRIEND OR NEIGHBOR OR ACTIVATE EMERGENCY PERSONNEL TO ASSIST THE CALLER. COMMUNITY PARTNERSHIPS: ASSISTANCE WAS PROVIDED BOTH FINANCIALLY AND WITH STAFFING FOR GROUPS AND ORGANIZATIONS TO PROVIDE COLLABORATIVE PROGRAMS, SERVICES, TENTS, AND HEALTH INFORMATION. PROJECTS INCLUDED OVER 75 OPPORTUNITIES, INCLUDING SCHOOL-BASED PROGRAMS, YOUTH PROGRAMS, AND GENERAL PUBLIC EVENTS. UNITED WAY: TMF AND EMPLOYEES PROVIDED FINANCIAL SUPPORT OF OVER $100,000 AND ASSISTED WITH SPECIAL PROJECTS. SHARE THE SPIRIT: THIS IS AN ANNUAL FUNDRAISING CAMPAIGN WITHIN THE HEALTH SYSTEM FOR EMPLOYEES. IT IS ORGANIZED AND IMPLEMENTED BY EMPLOYEES WITH ALL PROCEEDS GOING TO HELP WITH HEALTH RELATED PROGRAMS. OVER $100,000 WAS RAISED IN 2010. CHILDREN'S MIRACLE NETWORK: THIS IS A DESIGNATION FOR HOSPITALS THAT FOCUS ON CHILDREN'S CARE AND THEIR NEEDS. IT PROVIDES A SUPPORT SYSTEM FOR FUNDRAISING BENEFITTING CHILDREN'S SERVICES. MOTHER FRANCES HOSPITAL IS THE ONLY HOSPITAL BETWEEN DALLAS AND HOUSTON SO DESIGNATED. HEALTH SCREENINGS: COMMUNITY SCREENINGS FOR CHRONIC DISEASES WERE OFFERED THROUGHOUT THE REGION FOR A VARIETY OF CONDITIONS INCLUDING CANCER, CHOLESTEROL, DIABETES, AND IMMUNIZATIONS. AN EXAMPLE OF A PROGRAM WOULD BE THE JOINT PROJECT WITH THE KOMEN FOUNDATION TO SCREEN AND GIVE INFORMATION ON BREAST CANCER TO AT-RISK WOMEN AND WOMEN WHO HAVE NO ACCESS TO A PRIMARY CARE PHYSICIAN. OVER 1,000 PEOPLE WERE REACHED FROM 50 PUBLIC SCREENING PROGRAMS. SCHOOL ASSISTANCE: OVER 1,500 HIGH SCHOOL PHYSICALS AND PRE-PARTICIPATION EXAMS WERE DONE AT NO COST TO THE SCHOOLS. ADDITIONALLY, OVER 350 STUDENT ATHLETES WERE SEEN FOR FREE IN SATURDAY SPORTS CLINICS. ALL PROGRAMS ARE OPEN TO ANYONE TO PARTICIPATE PROVIDED THEY HAVE PARENTAL APPROVAL. SUPPORT FOR ON-SITE TRAINERS IS ALSO PROVIDED ON AN AS NEEDED BASIS. YOUTH FITNESS: SPORTS TRAINING PROGRAMS, INJURY PREVENTION AND HEALING, RUNNING CLASSES, WALKING PROGRAMS, AND NUTRITIONAL PROGRAMS WERE OFFERED TO EDUCATE YOUTHS AND YOUNG ADULTS ON THE POTENTIALS FOR INJURIES AND THE LONG TERM EFFECTS OF NOT CARING FOR THE BODY. EXAMPLES WOULD INCLUDE: HAWL KIDS ONLY TRIATHLON, TYLER SOCCER ASSOCIATION AND EAST TEXAS SPIRIT SOCCER, CHANDLER 5K, AND SUMMER FOOTBALL. OTHER PROGRAMS WOULD INCLUDE ASSISTANCE WITH LOCAL BASKETBALL, VOLLEYBALL, FOOTBALL, AND OTHER TRADITIONAL GROUP PROGRAMS WITH NON PROFITS AND SCHOOL DISTRICTS. CHILDREN AND LEARNING SKILLS: TMF MADE A DECISION TO PARTICIPATE AND LEAD THE WAY ON HELPING TO DEVELOP SKILLS CHILDREN NEED TO LEARN. THESE PARTNERSHIPS TOOK THE EMPLOYEES ON SITE TO EDUCATIONAL LOCATIONS AS WELL AS OPTIMIZING PATIENT VISITS AS AN AVENUE TO LEARNING. PARTNERS INCLUDED RESPITE CARE PROGRAM, TJC HEALTH PROFESSIONALS, LEADERSHIP TYLER, CHAMBER OF COMMERCE, UTT PRE-NURSING STUDENTS, CHAMPIONS FOR CHILDREN, AND OTHERS. EMS SUPPORT: TMFHC PROVIDES AT NO COST OR REDUCE RATES TO SCHOOLS, COMMUNITY EVENTS, FESTIVALS, SCHOOL EDUCATION PROGRAMS, SENIOR PROGRAMS, NON-PROFIT FUND RAISING EVENTS, AND SPORTING EVENTS ON SITE EMERGENCY MEDICAL SERVICE INCLUDING BUT NOT LIMITED TO AMBULANCES ON SITE. THIS CONTRIBUTION SAVES THE SPONSORING ORGANIZATIONS HUNDREDS IF NOT THOUSANDS OF DOLLARS DEPENDING ON THE LENGTH OF THE EVENT AND THE NUMBER OF PEOPLE WHO REQUEST ASSISTANCE. MEDICAL AND FIRST AID COVERAGE: TMF PROVIDES AT NO COST TO NON PROFIT ORGANIZATIONS, SCHOOL DISTRICTS, CITIES, COUNTIES, AND OTHER ORGANIZATIONS MEDICAL AND FIRST AID COVERAGE FOR SPECIAL EVENTS. THIS CONTRIBUTION SAVES THE SPONSORING ORGANIZATION THE COSTS OF MEDICAL COVERAGE FEES AND PROVIDES ON SITE CARE AT A MUCH LOWER COST FOR MINOR EMERGENCIES AND THE ABILITY TO TRIAGE A PATIENT WITHOUT SENDING THEM TO THE EMERGENCY ROOM FIRST. CARE MANAGEMENT FOR DISCHARGED PATIENTS: FUNDS ARE UTILIZED AS DESIGNATED BY THE CARE MANAGEMENT DEPARTMENT TO ASSIST PATIENTS WITH CONTINUITY OF CARE NEEDS FROM THE HOSPITAL DISCHARGE TIME. THESE FUNDS ARE USED FOR TRANSPORTATION COSTS TO HOME, HOME HEALTH VISITS, DURABLE MEDICAL EQUIPMENT, WALKERS, CRUTCHES, MEDICATIONS, AS WELL AS MINIMAL DAYS IN A SKILLED NURSING HOME. RESPITE CARE PROGRAM: THE RESPITE CARE PROGRAM PROVIDES SERVICES TO FAMILIES OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS BY HELPING PARENTS CARE FOR THEIR CHILDREN BY EMPOWERING AND SUPPORTING BOTH PARENTS AND SIBLINGS IN BEING THE BEST CAREGIVERS POSSIBLE. ROSS BREAST CENTER: A MOBILE UNIT COVERS THE SPECIAL EVENTS AND RURAL COMMUNITIES IN A 10 COUNTY AREA. THE UNIT PROVIDES SCREENING OPPORTUNITIES, RURAL CLINIC VISITS, AND PUBLIC SITES SUCH AS COMMUNITY, RELIGIOUS, AND BUSINESS EVENTS. COMMUNITY NON PROFITS: TMF PROVIDES DIRECT FINANCIAL SUPPORT TO NON PROFIT ORGANIZATIONS WITHIN THE REGION TO HELP PROVIDE NEEDED SERVICES TO THE COMMUNITY. PRIORITY IS GIVEN TO AGENCIES OR ORGANIZATIONS THAT PROVIDE SUPPORT OR DIRECT HEALTH RELATED SERVICES OR BENEFITS. MOTHER FRANCES HOSPITAL-TYLER IS PART OF AN AFFILIATED HEALTH CARE SYSTEM CALLED TRINITY MOTHER FRANCES HEALTH SYSTEM. TRINITY MOTHER FRANCES IS A FAITH-BASED ORGANIZATION DEDICATED TO CREATING HEALTHY LIVES FOR PEOPLE AND COMMUNITIES. MFH-TYLER AND ITS AFFILIATES PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY PROVIDING ACUTE CARE FACILITIES AND CRITICAL ACCESS FACILITIES, WHOSE OPERATIONS CONSIST PRIMARILY OF PROVIDING INPATIENT AND OUTPATIENT ACUTE CARE AND MEDICAL SERVICES TO PATIENTS RESIDING IN EAST TEXAS. TX true SERVICE ORGANIZATION OF NORTH AND EAST TEXAS 2950 50TH ST LUBBOCK TX 79314 260468622 501(C)(3) 1399410 CONTRIBUTION SISTERS OF THE HOLY FAMILY OF NAZARETH 800 E DAWSON TYLER TX 75701 751974678 501(C)(3) 291472 CONTRIBUTION TRINITY MOTHER FRANCES HEALTH SYSTEM FOUNDATION 1021 E IDEL ST TYLER TX 75701 752028241 501(C)(3) 79169 CONTRIBUTION AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET ATLANTA GA 30303 131788491 501(C)(3) 14600 CONTRIBUTION AMERICAN HEART ASSOCIATION INC 777 PENN CENTER BLVD STE 200 PITTSBURGH PA 15235 135613797 501(C)(3) 15000 CONTRIBUTION CANCER FOUNDATION FOR LIFE INC PO BOX 130849 TYLER TX 75713 752957440 501(C)(3) 25000 CONTRIBUTION CATHOLIC CHARITIES-DIOCESE OF TYLER PO BOX 2046 TYLER TX 75710 202766724 501(C)(3) 60000 CONTRIBUTION TYLER JUNIOR COLLEGE 1327 SOUTH BAXTER AVENUE TYLER TX 75701 756002676 501(C)(3) 18750 CONTRIBUTION 8 0 PROCEDURES FOR MONITORING THE USE OF FUNDS IN THE UNITED STATES SCHEDULE I, PART I, LINE 2 GRANT RECIPIENTS ARE REQUIRED TO ACKNOWLEDGE PRIOR TO THE ISSUANCE OF GRANT FUNDS THAT THE GRANT WILL BE USED IN ACCORDANCE WITH THE STATED PURPOSE OF THE GRANT APPLICATION AND ANY UNUSED FUNDS RELATED TO THE SPECIFIC PURPOSE OF THE GRANT WILL BE RETURNED TO THE ORGANIZATION. THE ORGANIZATION MONITORS AND REVIEWS THE FINANCIAL DATA OF RECIPIENTS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED PROPERLY. X X X X X false true false false false false false false false RAY THOMPSON 362328 241552 133706 89137 264478 176319 235091 156727 7924 5282 1003527 669017 251212 167474 LAURA OWEN 285415 0 0 0 0 0 4900 0 13669 0 303984 0 ROYAL BECKER MD 0 721461 0 0 0 0 0 4900 0 13162 0 739523 ANDY KIRKPATRICK MD 0 744102 0 0 0 0 0 4900 0 16420 0 765422 LINDSEY BRADLEY 359481 239653 619757 413172 776608 517739 2940 1960 7924 5282 1766711 1177806 765542 510362 BILL BELLENFANT 239601 159734 67276 44850 198885 132590 181816 121211 8983 5989 696560 464374 167588 111725 LEE PORTWOOD 219224 0 30164 0 0 0 4202 0 14665 0 268255 0 JOHN WEBB 188284 0 26005 0 0 0 3622 0 14517 0 232428 0 JEAN COLEMAN 430239 0 0 0 0 0 2203 0 6650 0 439092 0 ANDY NAVARRO 268341 0 37808 0 0 0 4870 0 14939 0 325958 0 JOYCE HESTER 180804 0 26242 0 0 0 3667 0 11391 0 222104 0 M E JACKSON 185610 0 24723 0 0 0 3444 0 6776 0 220553 0 MARY DODD 121616 0 18405 0 0 0 2564 0 14245 0 156830 0 JEFF HYDE 163663 0 23469 0 0 0 3279 0 14427 0 204838 0 CHRIS GLENNEY 166364 0 24083 0 0 0 3355 0 14447 0 208249 0 WENDELL ROBERTS 251371 0 35106 0 0 0 0 0 17746 0 304223 0 RHONDA LONG 184641 0 27032 0 0 0 709 0 17460 0 229842 0 STEVEN KEUER MD 0 443927 0 137366 0 14422 0 2988596 0 10950 0 3595261 DAVID TEEGARDEN MD 0 596295 0 244336 0 14102 0 4900 0 10950 0 870583 TAWONDA FELTON 334642 0 0 0 0 0 4118 0 5567 0 344327 0 WILLIAM SANDBERG 266210 0 0 0 0 0 4055 0 5046 0 275311 0 ROSALYN GOOCH 265814 0 0 0 0 0 4077 0 5560 0 275451 0 NEILL KERR JR 281688 0 0 0 0 0 3773 0 10073 0 295534 0 NORMAN HANCOCK 193077 0 27013 0 0 0 860 0 17056 0 238006 0 MARTIN URBAN 271035 0 0 0 0 0 3760 0 10096 0 284891 0 PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCH J, PART 1, QUESTION 4B PARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- --------------- --------------------- LINDSEY BRADLEY 1,275,904 NONE RAY THOMPSON 418,686 386,918 BILL BELLENFANT 279,313 298,127 STEVEN KEUER MD NONE 2,983,696 DAVID TEEGARDEN MD NONE NONE PARTICIPANTS IN 457(F) REPORTED IN W-2 ---------------------- --------------- DAVID TEEGARDEN MD NONE STEVEN KEUER MD NONE ROYAL BECKER MD NONE ANDY KIRKPATRICK MD NONE TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION 750818167 902261GN0 2007-05-16 65550000 CAPITAL DEVELOPMENT false false TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION 750818167 902261GP5 2007-05-16 23000000 CAPITAL DEVELOPMENT false false TYLER HEALTH FACILITIES DEVELOPMENT CORPORATION 750818167 902261FJ0 2003-05-08 59550000 CAPITAL DEVELOPMENT false false 73645127 6520505 65322821 722848 false true true true 25294551 2465500 291306 false false true true 68922000 6039000 43715000 640000 2006 true false true true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true true false false false false false false false false false false false true false false false false false CATHERINE BRADLEY OFFICER BRADLEY IS FAMILY 64494 SALARIES/WAGES false TYLER CARDIOVASCULAR CONSULTANTS DIR. SANFORD IS PARTNER 325953 RENT & CONSULTING SERVICES 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 TRINITY MOTHER FRANCES HEALTH SYSTEM IS THE SOLE MEMBER OF MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER. MEMBERS WITH AUTHORITY TO ELECT MEMBERS OF GOVERNING BOARD FORM 990, PART VI, QUESTION 7A THE MEMBER HAS THE AUTHORITY TO APPOINT ALL DIRECTORS OF THE GOVERNING BOARD. DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBER FORM 990, PART VI, QUESTION 7B THE MEMBER HAS THE RIGHT TO APPROVE OR DISAPPROVE CERTAIN ACTIONS THAT HAVE BEEN PREVIOUSLY APPROVED BY THE BOARD OF DIRECTORS. HOW DOES THE ORGANIZATION MONITOR AND ENFORCE COMPLIANCE WITH POLICY FORM 990, PART VI, QUESTION 12C THE BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE THROUGHOUT THE YEAR IN ACCORDANCE WITH PRESCRIBED 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. AVERAGE HOURS WORKED FOR RELATED ORGANIZATIONS FORM 990, PART VII AVG HOURS WORKED FOR RELATED ORG LINDSEY BRADLEY 31 RAY THOMPSON 22 BILL BELLEFANT 32 STEVEN KEUER MD 31 DAVID TEEGARDEN MD 31 ROYAL BECKER MD 31 ANDY KIRKPATRICK MD 30 CHAMPION EMERGENCY SERVICES LLC 2201 S MOBBERLY AVE LONGVIEW TX 75602 752747708 AMBULANCE SVC TX 501(C)(3) 11 NA MOTHER FRANCES HOSPITAL- JACKSONVILLE 1021 E IDEL TYLER TX 75701 751976930 HOSPITAL TX 501(C)(3) 3 NA TRINITY MOTHER FRANCES HEALTH SYSTEM FDN 1021 E IDEL TYLER TX 75701 752028241 SUPPORT TX 501(C)(3) 11 NA REGIONAL MEDICAL SERVICES ASSOCIATION 1021 E IDEL TYLER TX 75701 752511459 HEALTHCARE TX 501(C)(3) 3 NA TRINITY MOTHER FRANCES HEALTH SYSTEM 1021 E IDEL TYLER TX 75701 752616975 HEALTHCARE TX 501(C)(3) 11 NA TRINITY CLINIC 1021 E IDEL TYLER TX 75701 752616977 HEALTHCARE TX 501(C)(3) 3 NA MOTHER FRANCES HOSPITAL- WINNSBORO 1021 E IDEL TYLER TX 75701 752771569 HOSPITAL TX 501(C)(3) 3 NA TYLER RADIATION EQUIP LEASING LLC 10101 WOODLOCH FOREST DRIVE THE WOODLANDS TX 77380 262554738 EQUIP LEASING TX NA INVESTMENT -433159 1789345 false -433159 false HEALTHSOUTH REHAB HOSPITAL 3660 GRANDVIEW PKWY SUITE 200 BIRMINGHAM AL 35243 251675784 REHABILITATION AL NA INVESTMENT 5204135 1641571 false false TRI-STATE FINANCIAL LLC 1021 E IDEL TYLER TX 75701 752728318 COLLECTION AGENCY TX NA C-CORPORATION 0 0 0.00000 TRINCARE INC 1021 E IDEL TYLER TX 75701 752161369 MANAGEMENT SVCS 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 1021 E IDEL 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 142750 189972 1.00000 CONCORDIUM SERVICES INC 1021 E IDEL TYLER TX 75701 702811022 INACTIVE TX NA C-CORPORATION 0 0 0.00000 EMPLOYERS SERVICES INC 1021 E IDEL TYLER TX 75701 752602556 INACTIVE TX NA C-CORPORATION 0 0 0.00000 HERITAGE HEALTH PLANS OF TX INC 1021 E IDEL TYLER TX 75701 752622622 INACTIVE TX NA C-CORPORATION 0 0 0.00000 QUALITY CARE ALLIANCE 1021 E IDEL TYLER TX 75701 752662965 INACTIVE TX NA C-CORPORATION 0 0 0.00000 false true true false false false false false true false true true false false false false true true