Civic Intelligence

Tower Health Medical Group

990 • Fiscal year 2018 • EIN 23-2266054

Jul 01, 2017 to Jun 30, 2018 • Filed on Apr 30, 2019

Organization ProfileN/A
PO Box 16052Reading, PA 19612-6052

(484) 628-4307

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

97th percentile

1.37x

Higher debt load relative to assets than 97% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Liabilities / Revenue

27th percentile

0.20x

Higher debt load relative to revenue than 27% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Net Margin

2nd percentile

-69%

Higher net margin than 2% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Top Officer Pay

95th percentile

$2,439,568

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 1.3% of source-year revenue.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Asset Growth

90th percentile

21%

Faster asset growth than 90% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Revenue Growth

91st percentile

54%

Faster revenue growth than 91% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / Assets97th percentile

Assets

Flat

$27,182,573

Flat from 2018

Net Assets

Flat

-$10,040,896

Flat from 2018

Liabilities

Flat

$37,223,469

Flat from 2018

Revenue And Expenses
Liabilities / Revenue27th percentileNet Margin2nd percentile

Revenue

Flat

$185,640,961

Flat from 2018

Expenses

Flat

$313,987,269

Flat from 2018

Net Income

Flat

-$128,346,308

Flat from 2018

Historical Trend

Balance Sheet Trend

Asset Growth90th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0-$50MAssets 2010: $5,152,552Liabilities 2010: $6,741,178Net Assets 2010: -$1,588,6262010Assets 2011: $4,335,853Liabilities 2011: $7,232,210Net Assets 2011: -$2,896,3572011Assets 2012: $4,874,223Liabilities 2012: $8,641,205Net Assets 2012: -$3,766,9822012Assets 2013: $4,805,443Liabilities 2013: $10,217,802Net Assets 2013: -$5,412,3592013Assets 2014: $8,410,023Liabilities 2014: $14,870,776Net Assets 2014: -$6,460,7532014Assets 2015: $8,758,804Liabilities 2015: $15,280,791Net Assets 2015: -$6,521,9872015Assets 2016: $20,279,584Liabilities 2016: $27,934,735Net Assets 2016: -$7,655,1512016Assets 2017: $22,493,052Liabilities 2017: $25,268,470Net Assets 2017: -$2,775,4182017Assets 2018: $27,182,573Liabilities 2018: $37,223,469Net Assets 2018: -$10,040,8962018Assets 2018: $27,182,573Liabilities 2018: $37,223,469Net Assets 2018: -$10,040,8962018Assets 2019: $48,230,901Liabilities 2019: $45,182,646Net Assets 2019: $3,048,2552019Assets 2020: $76,675,941Liabilities 2020: $110,515,939Net Assets 2020: -$33,839,9982020Assets 2021: $88,789,275Liabilities 2021: $120,066,645Net Assets 2021: -$31,277,3702021Assets 2022: $76,584,160Liabilities 2022: $109,722,612Net Assets 2022: -$33,138,4522022Assets 2023: $53,078,225Liabilities 2023: $78,937,441Net Assets 2023: -$25,859,2162023Assets 2024: $42,348,535Liabilities 2024: $70,669,772Net Assets 2024: -$28,321,2372024

Highlighted filing

2018

Assets$27,182,573
Liabilities$37,223,469
Net Assets-$10,040,896
Open 2018 Filing

Operations Trend

Revenue Growth91st percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$600M$400M$200M$0-$200M-$400MExpenses 2010: $47,595,9332010Expenses 2011: $57,284,6712011Expenses 2012: $67,146,3712012Expenses 2013: $73,622,0712013Revenue 2014: $52,773,547Expenses 2014: $93,515,268Net Income 2014: -$40,741,7212014Revenue 2015: $53,371,694Expenses 2015: $98,955,221Net Income 2015: -$45,583,5272015Revenue 2016: $110,340,738Expenses 2016: $170,131,798Net Income 2016: -$59,791,0602016Revenue 2017: $120,709,791Expenses 2017: $197,618,513Net Income 2017: -$76,908,7222017Revenue 2018: $185,640,961Expenses 2018: $313,987,269Net Income 2018: -$128,346,3082018Revenue 2018: $185,640,961Expenses 2018: $313,987,269Net Income 2018: -$128,346,3082018Revenue 2019: $210,101,947Expenses 2019: $378,163,902Net Income 2019: -$168,061,9552019Revenue 2020: $206,214,211Expenses 2020: $454,908,487Net Income 2020: -$248,694,2762020Revenue 2021: $250,280,722Expenses 2021: $473,263,446Net Income 2021: -$222,982,7242021Revenue 2022: $233,011,515Expenses 2022: $425,597,979Net Income 2022: -$192,586,4642022Revenue 2023: $225,322,702Expenses 2023: $405,404,761Net Income 2023: -$180,082,0592023Revenue 2024: $217,574,823Expenses 2024: $379,450,350Net Income 2024: -$161,875,5272024

Highlighted filing

2018

Revenue$185,640,961
Expenses$313,987,269
Net Income-$128,346,308
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Apr 30, 2019
Return Version
2017v2.3
Gross Receipts
$185,640,961
Mission and Program Overview

Mission

Rps is a tax-exempt entity which was established to recruit physicians, provide physician billing and administrative services for the hospital, such as the supervision of medical students completing their residency.

Tower health medical group is the region's premier physician-directed, multi-specialty group of health care professionals who participate with tower health in managing population health and promoting wellness, delivering health care that is readily accessible, compassionate, and of the highest quality and value, and engaging in clinical research and the education of health care professionals and our communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$15,667,950$16,698,707▲ $1,030,757
Land, Buildings, and Equipment, Net$6,147,053$8,489,495▲ $2,342,442
Prepaid Expenses and Deferred Charges$560,370$1,321,674▲ $761,304
Inventories for Sale or Use-$558,939-
Cash and Non-Interest-Bearing Accounts$8,177--
Total Assets$22,493,052$27,182,573▲ $4,689,521
Other Assets Total$109,502$113,758▲ $4,256
Liabilities
Other Liabilities$23,757,950$34,614,333▲ $10,856,383
Accounts Payable and Accrued Expenses$1,510,520$2,609,136▲ $1,098,616
Total Liabilities$25,268,470$37,223,469▲ $11,954,999
Net Assets / Fund Balance
Unrestricted Net Assets$-2,775,418$-10,040,896▼ $7,265,478
Total Net Assets Fund Balance$-2,775,418$-10,040,896▼ $7,265,478
Total Liabilities and Net Assets / Fund Balance$22,493,052$27,182,573▲ $4,689,521

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,592,468$8,993,843$11,586,311
Leasehold Improvements$3,858,349$5,313,496$9,171,845
Other Land Buildings$2,038,678$1,026,814$3,065,492
Compensation and Service Providers
Top Officer Pay95th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Clint MatthewsPresident &--$2,439,568$2,439,568
Kelly Crozier MdChairmanFT$1,368,529$252,061$1,550,864
Therese M SucherExecutive VP--$1,201,675$1,201,675
Jaylaine Ghoubrial MdVice Chairman-$669,047$350,286$1,019,333
Gary F ConnerExecutive VP--$975,683$975,683
Sana Chaudhry MdBoard MemberFT$705,322$177,814$923,136
Thomas G Psarros MdPhysicianFT$640,050$49,301$759,077
Clint MatthewsPresident & CEO-$613,752$141,399$755,151
John a Braca Iii MdPhysicianFT$638,879$29,247$737,852
Therese M SucherExecutive VP COO-$350,586$314,626$665,212
Gary F ConnerExecutive VP CFO-$466,913$174,129$641,042
Christine Mccarty MdBoard MemberFT$435,610$95,977$531,587
Amir Behnam MdBoard MemberFT$395,535$98,634$494,169
Amit Powar MdCEO of ThmgFT$354,816$133,061$487,877
Cecelia Smith DoBoard MemberFT$353,138$110,776$463,914
Jaylaine Ghoubrial MdVice ChairmaFT$362,132$20,333$382,465
Kristen Sandel MdBoard MemberFT$338,527$83,938$382,465
Shahab Minassian MdBoard MemberFT$183,772$132,848$246,894

Board Members and Trustees

NameTitle
Karen RightmireBoard Member
Eric E Elgin MdPhysician
Herman C Lawson MdPhysician
Michael Koslow MdPhysician

Highest Paid Contractors

ContractorServicesLocationCompensation
Wyomissing Associates LPProp Rent6259 REYNOLDS MILL RD, Seven Valleys, PA 17360-8844$1,034,722
950 N Wyomissing Blvd LLCProp Rent560 VAN REED RD, Wyomissing, PA 19610-1799$712,342
Close Grings Hill Assoc LPProp Rent1417 OLD MILL RD, Wyomissing, PA 19610-2834$591,713
Practice Management AdvisorsMedical ServicePO BOX 349, Orwigsburg, PA 17961$539,872
Ezzat A HannaProperty RentalPO BOX 151, Shillington, PA 19607$394,970
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$183,170,380
Investment Income
$27,207
Other Revenue
$2,443,374
Change in Net Assets
$-128,346,308
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$259,932,165
Other Expenses$54,055,104
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$208,986,104$8,964,710-$217,950,814
Other Employee Benefits$15,674,705$1,699,978-$17,374,683
Payroll Taxes$11,104,560$581,045-$11,685,605
Occupancy$11,420,211$163,276-$11,583,487
Pension Plan Contributions$8,240,613$253,906-$8,494,519
Other Expenses$11,846,081$-7,123,194-$4,722,887
Current Officers, Directors, Trustees, and Key Employees$4,426,544--$4,426,544
Depreciation Depletion$1,561,817$59,207-$1,621,024
All Other Expenses$1,063,398--$1,063,398
Travel$120,642$105,395-$226,037
Insurance$-498,997$8,571-$-490,426
Total Functional Expenses$305,005,498$8,981,771$0$313,987,269
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Salaries Payable$21,915,705
Vacation Payable$12,291,399
Other Current Liabilities$351,779
Other 457 Plan$52,950
Other Long Term Liabilities$2,500
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 7A

“The membership of the corporation at any given point in time shall consist of the persons holding the following offices at that time: president of the reading hospital; vice president/treasurer of the reading hospital; and the members of the executive compensation committee of tower health. The executive compensation committe is a standing committee appointed by the board chairman of tower health.”

Form 990, Page 6, Part VI, Line 7B

“Five members shall constitute a quorum at all meetings of the corporation. Any action which may be taken at a meeting of the members of the corporation may be taken without a meeting, if a consent in writing, by each member setting forth the action so taken shall be signed by the members of the corporation, and shall be filed with the secretary of the corporation. Such consent must be unanimous.”

Form 990, Page 6, Part VI, Line 11B

“Tower health medical group's return is prepared by hospital staff and reviewed by its external tax advisors. The tower health medical group's return is then posted for review by the tower health board, which is the parent corporation, prior to filing the return.”

Form 990, Page 6, Part VI, Line 12C

“It shall be the policy of the hospital and correspondingly tower health medical group to require each board member to submit in writing to the chief executive officer a list of business or other organizations of which the member or member's spouse is an officer, director, member employee or owner (35% or greater share) with which the company might reasonably enter into a relationship or a transaction in which the board member would have conflicting interests. Each year a copy of the written statement will be sent to the board member for updating and resubmission and by which the board member shall confirm his awareness of this policy.”

Form 990, Page 6, Part VI, Line 19

“The organization does not make its governing documents, conflict of interest and financial statements available to the public.”

Filing and Contact Details

Filer

Filer Name
Tower Health Medical Group
EIN
23-2266054
Phone
4846284307
Address
PO BOX 16052, READING, PA 19612-6052

Signing Officer

Name
Gary F Conner
Title
Executive VP CFO
Phone
4846284307
Signed
2019-04-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Clint Matthews
Formed
1983
Legal Domicile
Pa
Voting Board Members
12
Independent Board Members
1
Employees
1,675
Volunteers
1

Preparer

Firm
Pricewaterhousecoopers Llp
Address
2001 MARKET ST STE 1800, PHILADELPHIA, PA 19103
Preparer
Matthew D Petroski
Phone
2673303000
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

“Tower health medical group is the region's premier physician-directed, multi-specialty group of health care professionals who participate with tower health in managing population health and promoting wellness, delivering health care that is readily accessible, compassionate, and of the highest quality and value, and engaging in clinical research and the education of health care professionals and our communities.”

Form 990, Page 1, Part I, Line 6

“The board member without compensation is a volunteer.”

Form 990, Page 2, Part III, Line 2

“Significant program services not listed on the prior form 990 pathology: the department of pathology consists of 7 full time and 3 part time physicians who have expertise in the multiple disciplines of the speciality of pathology and laboratory medicine. The department supports reading hospital, the outpatient surgery center at spring ridge, the rehabilitation hospital in wyomissing and thmg and other associated physician offices. The pathologists provide consultative oversight for our clinical laboratory that performs over 4 million tests per year. The group also provides professional interpretations for our anatomic pathology service. Our annual volumne of surgical pathology cases is over 34,000 with 5600 non-gyn cytology cases, 1,355 fine needle aspirations, 241 bone marrow biopsies and 26 medical autopsies. In addition we participate and support academic conferences for the training programs and cancer center. This program accepts both medicare and medicaid patients.”

Form 990, Page 2, Part III, Line 4D

“OTHER PHYSICIAN SERVICES”

Form 990, Part XI, Line 9

“Intercompany eliminations 121,080,830”

Financial Statement Notes

Schedule D, Page 3, Part X

“The system is a not-for-profit corporation as described in section 501(c) (3) of the internal revenue code and is exempt from federal income taxes and related income pursuant to section 501(a) of the code. On such a basis, the exempt entities do not incur liability for federal income taxes, except in the case of unrelated business income. The system evaluates uncertain tax positions using a two-step approach for recognizing and measuring tax benefits taken or expected to be taken in an unrelated business activity tax return and disclosures regarding uncertainties in tax positions. No adjustments to the consolidated financial statements were required as a result of this evaluation. On december 22, 2017, the president signed into law h.r.1, originally known as the tax cuts and jobs act. The new law includes several provisions that result in substantial changes to the tax treatment of tax-exempt organizations and their donors. The system has reviewed these provisions and the potential impact and concluded the enactment of h.r. 1 will not have a material impact on the operations of the system.”

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IRS990/MissionDesc0TOWER HEALTH MEDICAL GROUP IS THE REGION'S PREMIER PHYSICIAN-DIRECTED, MULTI-SPECIALTY GROUP OF HEALTH CARE PROFESSIONALS WHO PARTICIPATE WITH TOWER HEALTH IN MANAGING POPULATION HEALTH AND PROMOTING WELLNESS, DELIVERING HEALTH CARE THAT IS READILY ACCESSIBLE, COMPASSIONATE, AND OF THE HIGHEST QUALITY AND VALUE, AND ENGAGING IN CLINICAL RESEARCH AND THE EDUCATION OF HEALTH CARE PROFESSIONALS AND OUR COMMUNITIES.
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IRS990/OtherChangesInNetAssetsAmt0121080830
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt01699978
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IRS990/OtherExpensesGrp/Desc2SUPPLIES
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IRS990/OtherRevenueMiscGrp/Desc1ATHLETIC TRAINERS
IRS990/OtherRevenueMiscGrp/Desc2HEALTH INS SHARED SAVINGS
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IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt1340202
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt2284602
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IRS990/ProgSrvcAccomActy2Grp/Desc0WOMEN'S HEALTHCARE CONSISTS OF OBSTETRICAL AND GYNECOLOGIC PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE MIDWIVES AND NURSE PRACTITIONERS IN OVER 14 LOCATIONS THROUGHOUT THE AREA SERVED BY OUR NETWORK. CARE WAS PROVIDED THROUGH 151,133 PATIENT VISITS IN FISCAL YEAR 2018. ALL PRACTICES ACCEPT BOTH MEDICARE AND MEDICAID.
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IRS990/ProgSrvcAccomActy3Grp/RevenueAmt016445985
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Document Assets

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Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$27,182,573
Liabilities
$37,223,469
Net assets
-$10,040,896
Revenue
$185,640,961
Expenses
$313,987,269
Net income
-$128,346,308
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$42.3$70.7$28.3$218$379$162
2023Summary only. Only limited summary data is available for this year.$53.1$78.9$25.9$225$405$180
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$76.6$110$33.1$233$426$193
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$88.8$120$31.3$250$473$223
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$76.7$111$33.8$206$455$249
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$48.2$45.2$3.05$210$378$168
2018Detailed filing. Detailed filing data is available for this year.$27.2$37.2$10.0$186$314$128
2018Summary only. Only limited summary data is available for this year.$27.2$37.2$10.0$186$314$128
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$22.5$25.3$2.78$121$198$76.9
2016Detailed filing. Detailed filing data is available for this year.$20.3$27.9$7.66$110$170$59.8
2015Summary only. Only limited summary data is available for this year.$8.76$15.3$6.52$53.4$99.0$45.6
2014Detailed filing. Detailed filing data is available for this year.$8.41$14.9$6.46$52.8$93.5$40.7
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.81$10.2$5.41$73.6
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.87$8.64$3.77$67.1
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.34$7.23$2.90$57.3
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.15$6.74$1.59$47.6