CHRISTUS TRINITY MOTHER FRANCES FOUNDATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CHRISTUS TRINITY MOTHER FRANCES FOUNDATION (EIN 75-2028241)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201141339349302129
Schema version
2009v1.7
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

FieldValueIRS element (for citing)
Timestamp2011-05-13T11:50:03-04:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752028241EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOTHER FRANCES HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMOTHNameControl
Phone9035315764Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11021 E IDEL STAddressLine1
CityTYLERCity
StateTXState
ZIP Code75701ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOYCE HESTERName
TitleVP OF FINANCIAL OPERATIONSTitle
Date Signed2011-05-16DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameM Paige GerichName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANDY NAVARRONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1910 E HOUSTONAddressLine1
CityTYLERCity
StateTXState
ZIP Code75701ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3184220GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.TMFHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionRECEIVE FUNDS FBO TRINITY MOTHER FRANCES HEALTHCARE CENTER.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers1TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1571226ContributionsGrantsPriorYear
Contributions Grants Current Year3079442ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year154274InvestmentIncomePriorYear
Investment Income Current Year104778InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1725500TotalRevenuePriorYear
Total Revenue Current Year3184220TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1371998GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY864372GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year74606OtherExpensePriorYear
Other Expenses Current Year54633OtherExpensesCurrentYear
Total Expenses Prior Year1446604TotalExpensesPriorYear
Total Expenses Current Year919005TotalExpensesCurrentYear
Revenues Less Expenses Prior Year278896RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2265215RevenuesLessExpensesCY
Total Assets BOY7167527TotalAssetsBOY
Total Assets EOY9530662TotalAssetsEOY
Total Liabilities BOY498786TotalLiabilitiesBOY
Total Liabilities EOY615946TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6668741NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8914716NetAssetsOrFundBalancesEOY
Mission DescriptionRECEIVE FUNDS FBO TRINITY MOTHER FRANCES HEALTHCARE CENTER.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense893428Expense
Grants864372Grants
DescriptionMOTHER FRANCES HOSPITAL REGIONAL HEALTHCARE CENTER, TYLER CANCER CENTER, CRISIS CENTER, FAMILY CARE CENTER, DIABETES CENTER, HEART CARE CENTER, EDUCATION, THINK FIRST CARDIAC, SURGERY AND HEART CAPITAL EXPENSES, NEURO CARE, CHILDREN'S MIRACLE NETWORK, SCHOOL FITNESSDescription
Total Program Service Expense893428TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionstrueNonDeductibleContributions
Non Deductible DisclosuretrueNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMOTHER FRANCES HOSP ACCTG DEPTNamePerson
Telephone Number9035315764TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11315 DOCTORS DRIVEAddressLine1
CityTYLERCity
StateTXState
ZIP Code75701ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ROYAL BECKER MD
DIRECTOR1.0X072146118062
RANDALL CHILDRESS
CHAIR1.0X000X
DAVID DYKES MD
DIRECTOR1.0X000
MARY FAULKNER
DIRECTOR1.0X000
TERRY GILES
DIRECTOR1.0X000
SISTER MALGORZATA MAJSZYK
DIRECTOR20.0X000
JOSEPH ORNELAS
DIRECTOR1.0X000
DANIEL SALEH
DIRECTOR1.0X000
FATHER JOSEPH STRICKLAND
DIRECTOR1.0X000
DAVID TEEGARDEN MD
DIRECTOR1.0X085473315850
JOHN ROBBINS
DIRECTOR1.0X000
JOHN WILLIAMS
DIRECTOR1.0X000
LINDSEY BRADLEY
DIRECTOR1.0X0292641018106
RAY THOMPSON
DIRECTOR1.0X01267519405024
STEVEN KEUER MD
DIRECTOR1.0X05957152999546
BILL BELLENFANT
TREASURER1.00842936317999X
ANDY NAVARRO
SECRETARY1.0030614919809X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7514923TotalReportableCompFrmRltdOrgs
Total Other Compensation3794396TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions3079442AllOtherContributions
Noncash Contributions1409018NoncashContributions
Total Contributions3079442TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column104778TotalRevenueColumn
Exclusion$104,778ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3184220TotalRevenueColumn
Exclusion$104,778ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total864372Total
Program Services864372ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total19820Total
Management And General19820ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE2905629056
BANK FEES57575757

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total919005Total
Program Services893428ProgramServices
Management And General25577ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2956336BOY
EOY2025463EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY280661BOY
EOY237999EOY
FieldValueIRS element (for citing)
Accounts ReceivableAccountsReceivable
Land Buildings Equipment Basis5000LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5000BOY
EOY5000EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3802554BOY
EOY7147888EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY122976BOY
EOY114312EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7167527BOY
EOY9530662EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY498786BOY
EOY615946EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY498786BOY
EOY615946EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1024351BOY
EOY1001830EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5333487BOY
EOY5811189EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY310903BOY
EOY2101697EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6668741BOY
EOY8914716EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7167527BOY
EOY9530662EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (3 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
TRINITY MOTHER FRANCES HEALTH SYSTEM
7526169750truetruetrue$296,154
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER
75081816703falsetruetrue$597,274
TRINITY CLINIC
75261697703falsetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
Sum Of Amounts893428SumOfAmounts
General ExplanationTHE ORGANIZATION SUPPORTS MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER AND TRINITY CLINIC THROUGH ITS SUPPORT OF TRINITY MOTHER FRANCES HEALTH SYSTEM.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance414414BeginningOfYearBalance
Contributions1790794Contributions
Investment Earnings Or Losses4305InvestmentEarningsOrLosses
Other Expenditures500OtherExpenditures
End Of Year Balance2209013EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance413932BeginningOfYearBalance
Contributions239Contributions
Investment Earnings Or Losses243InvestmentEarningsOrLosses
End Of Year Balance414414EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.04858BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.95142PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis5000OtherCostOrOtherBasis
Book Value5000BookValue
FieldValueIRS element (for citing)
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings5000TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$615,946Amount
FieldValueIRS element (for citing)
Total Of Amounts615946TotalOfAmounts
Total Revenue3184220TotalRevenue
Total Expenses919005TotalExpenses
Excess Or Deficit For Year2265215ExcessOrDeficitForYear
Net Unrealized GL On Investments-19240NetUnrealizedGLOnInvestments
Total Adjustments-19240TotalAdjustments
Excess Or Deficit Per FS2245975ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3163839TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-19240NetUnrealizedGainsInvestments
Revenue Not Rptd F990-19240RevenueNotRptdF990
Revenue Subtotal3183079RevenueSubtotal
Other Revenues Not Included1141OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1141RevenueNotRptdOnFinStmt
Total Revenue Per Form9903184220TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt917864TotExpensesEtcAuditedFinclStmt
Expenses Subtotal917864ExpensesSubtotal
Other Expenses Not Included1141OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1141ExpensesNotRptdOnFinStmt
Total Expenses Per Form990919005TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDSSCH D, PART V, QUESTION 4THE 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.
RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990SCH D, PARTS XII AND XIII, LINE 4BREVENUE ON RETURN, NOT BOOKS: CHANGE IN PV OF PLEDGES INCLUDED AS EXPENSE PER AUDIT 1,141 EXPENSE ON RETURN, NOT ON BOOKS: CHANGE IN PV OF PLEDGES INCLUDED AS EXPENSE PER AUDIT 1,141
FIN 48 DISCLOSUREMANAGEMENT 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CTR
1021 E IDELTYLERTX75701750818167501(c)(3)597274CMN PROGRAMS
WHITEHOUSE ISD
106 WILDCAT DRIVEWHITEHOUSETX75791756002764N/A6000CONTRIBUTION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF FUNDS IN THE UNITED STATESIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE FOUNDATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROYAL BECKER MD
0721461000004900013162073952300
DAVID TEEGARDEN MD
08406310001410204900010950087058300
LINDSEY BRADLEY
05991340103292901294347049000132060294451601275904
RAY THOMPSON
0603880022284304407970391818013206016725430418686
STEVEN KEUER MD
058129300014422029885960109500359526100
BILL BELLENFANT
0399335011212603314750303027014972011609350279313
ANDY NAVARRO
0306149000004870014939032595800

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANIdentifier
Return ReferenceSCH J, PART 1, QUESTION 4BReturnReference
ExplanationPARTICIPANTS IN SERP REPORTED IN W-2 DEFERRED COMPENSATION -------------------- --------------- --------------------- LINDSEY BRADLEY 1,275,904 0 DAVID TEEGARDEN MD 0 0 RAY THOMPSON 418,686 386,918 STEVEN KEUER MD 0 2,983,696 BILL BELLENFANT 279,313 298,127 PARTICIPANTS IN 457(F) REPORTED IN W-2 ---------------------- --------------- DAVID TEEGARDEN MD 0 STEVEN KEUER MD 0Explanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F9901409018NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIBE REVIEW PROCESS OF FORM 990FORM 990, PART VI, QUESTION 11ATHE 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 POLICYFORM 990, PART VI, QUESTION 12CTHE 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 PUBLICFORM 990, PART VI, QUESTION 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
COMPENSATION FROM RELATED ORGANIZATIONSFORM 990, PART VII & SCHEDULE JTHE 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 ORGANIZATIONSFORM 990, PART VIIAVG HOURS WORKED FOR RELATED ORG ROYAL BECKER MD 40 DAVID TEEGARDEN MD 40 LINDSEY BRADLEY 40 RAY THOMPSON 41 STEVEN KEUER MD 40 BILL BELLENFANT 41 ANDY NAVARRO 40
PROCESS FOR DETERMINING COMPENSATION OF CEO, OFFICERS, OR KEY EMPLOYEESFORM 990, PART VI, QUESTIONS 15A AND 15BTHE ORGANIZATION DOES NOT COMPENSATE ANY INDIVIDUALS; THEREFORE, THESE TWO QUESTIONS ARE NOT APPLICABLE.
1099S REPORTED BY ORGANIZATIONFORM 990, PART V, QUESTION 1NO 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
TRINITY CLINIC
1021 E IDELTYLERTX75701752616977HEALTHCARETX501(C)(3)3NA
CHAMPION EMERGENCY SERVICES LLC
2201 S MOBBERLY AVELONGVIEWTX75602752747708AMBULANCE SVCTX501(C)(3)11NA
MOTHER FRANCES HOSPITAL REGIONAL HC CTR
1021 E IDELTYLERTX75701750818167HOSPITALTX501(C)(3)3NA
MOTHER FRANCES HOSPITAL- JACKSONVILLE
1021 E IDELTYLERTX75701751976930HOSPITALTX501(C)(3)3NA
REGIONAL MEDICAL SERVICES ASSOCIATION
1021 E IDELTYLERTX75701752511459HEALTHCARETX501(C)(3)3NA
MOTHER FRANCES HOSPITAL HEALTH SYSTEM
1021 E IDELTYLERTX75701752616975HEALTHCARETX501(C)(3)11NA
MOTHER FRANCES HOSPITAL- WINNSBORO
1021 E IDELTYLERTX75701752771569HOSPITALTX501(C)(3)3NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
TRI-STATE FINANCIAL LLC
1021 E IDELTYLERTX75701752728318COLLECTION AGENCYTXNAC-CORPORATION000.00000
TRINCARE INC
1021 E IDELTYLERTX75701752161369MANAGEMENT SVCSTXNAC-CORPORATION000.00000
HEALTHPLAN OF TEXAS INC
514 S BECKHAMTYLERTX75701752636832THIRD PARTY ADMINTXNAC-CORPORATION000.00000
THE REGIONAL HEALTHCARE ALLIANCE
1021 E IDELTYLERTX75701752484109PREFER. PROVIDERTXNAC-CORPORATION000.00000
TEXAS HEALTH FACILITIES INSUR CORP LTD
980136025INSURANCENAC-CORPORATION000.00000PO BOX 1109 BWIGRAND CAYMANCJCJ
CONCORDIUM HEALTH LLC
1021 E IDELTYLERTX75701702811022INACTIVETXNAC-CORPORATION000.00000
EMPLOYERS SERVICES INC
1021 E IDELTYLERTX75701752602556INACTIVETXNAC-CORPORATION000.00000
QUALITY CARE ALLIANCE
1021 E IDELTYLERTX75701752662965INACTIVETXNAC-CORPORATION000.00000
HERITAGE HEALTH PLANS OF TX
1021 E IDELTYLERTX75701752622622INACTIVETXNAC-CORPORATION000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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