Civic Intelligence

Tri-County Clinical

990 • Fiscal year 2014 • EIN 26-4562712

Jul 01, 2013 to Jun 30, 2014 • Filed on May 15, 2015

1345 Philomena Street78723

(512) 324-1000

Siviq Scores

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

Liabilities / Assets

100th percentile

13.74x

Higher debt load relative to assets than 100% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Liabilities / Revenue

91st percentile

3.62x

Higher debt load relative to revenue than 91% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Net Margin

2nd percentile

-106%

Higher net margin than 2% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Top Officer Pay

99th percentile

$3,221,185

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 12.1% of source-year revenue.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

$6,992,513

No earlier filing loaded for comparison.

Net Assets

-$89,094,513

No earlier filing loaded for comparison.

Liabilities

$96,087,026

No earlier filing loaded for comparison.

Revenue

$26,576,753

No earlier filing loaded for comparison.

Expenses

$54,758,054

No earlier filing loaded for comparison.

Net Income

-$28,181,301

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$200M$100M$0-$100M-$200MAssets 2014: $6,992,513Liabilities 2014: $96,087,026Net Assets 2014: -$89,094,5132014Assets 2015: $6,299,099Liabilities 2015: $120,811,772Net Assets 2015: -$114,512,6732015Assets 2016: $5,945,970Liabilities 2016: $149,120,292Net Assets 2016: -$143,174,3222016Assets 2017: $5,979,835Liabilities 2017: $79,729,461Net Assets 2017: -$73,749,6262017Assets 2018: $483,370Liabilities 2018: $70,529,113Net Assets 2018: -$70,045,7432018Assets 2019: $879,659Liabilities 2019: $70,035,993Net Assets 2019: -$69,156,3342019Assets 2020: $1,741,420Liabilities 2020: $72,660,367Net Assets 2020: -$70,918,9472020Assets 2021: $2,224,376Liabilities 2021: $73,591,276Net Assets 2021: -$71,366,9002021Assets 2022: $3,881,027Liabilities 2022: $74,081,377Net Assets 2022: -$70,200,3502022Assets 2023: $2,504,951Liabilities 2023: $2,889,111Net Assets 2023: -$384,1602023Assets 2024: $2,486,988Liabilities 2024: $3,072,290Net Assets 2024: -$585,3022024

Highlighted filing

2014

Assets$6,992,513
Liabilities$96,087,026
Net Assets-$89,094,513

Operations Trend

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

$100M$50M$0-$50MRevenue 2014: $26,576,753Expenses 2014: $54,758,054Net Income 2014: -$28,181,3012014Revenue 2015: $29,433,191Expenses 2015: $54,809,629Net Income 2015: -$25,376,4382015Revenue 2016: $33,521,162Expenses 2016: $62,181,590Net Income 2016: -$28,660,4282016Revenue 2017: $36,921,381Expenses 2017: $68,842,117Net Income 2017: -$31,920,7362017Revenue 2018: $8,099,591Expenses 2018: $7,546,126Net Income 2018: $553,4652018Revenue 2019: $7,677,095Expenses 2019: $6,966,425Net Income 2019: $710,6702019Revenue 2020: $10,000,007Expenses 2020: $11,706,042Net Income 2020: -$1,706,0352020Revenue 2021: $11,586,139Expenses 2021: $12,975,712Net Income 2021: -$1,389,5732021Revenue 2022: $12,912,807Expenses 2022: $16,102,009Net Income 2022: -$3,189,2022022Revenue 2023: $13,230,768Expenses 2023: $15,734,028Net Income 2023: -$2,503,2602023Revenue 2024: $13,542,172Expenses 2024: $15,854,087Net Income 2024: -$2,311,9152024

Highlighted filing

2014

Revenue$26,576,753
Expenses$54,758,054
Net Income-$28,181,301
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
May 15, 2015
Return Version
2013v4.0
Gross Receipts
$26,576,753
Mission and Program Overview

Mission

Our mission inspires us to care for and improve the health of those we serve with special concern for the poor and the vulnerable. We are called to be a sign of God's unconditional love for all and believe that all persons by their creation are endowed with dignity. Seton continues the Catholic tradition of service established by our founders: Vincent de Paul, Louise de Marillac, and Elizabeth Ann Seton.

Provision of healthcare services with special concern for the poor and vulnerable.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$4,387,720$4,139,330▼ $248,390
Accounts Receivable$2,322,057$2,520,410▲ $198,353
Prepaid Expenses and Deferred Charges$281,244$279,577▼ $1,667
Pledges and Grants Receivable-$11,102-
Intangible Assets$12,450$7,615▼ $4,835
Cash and Non-Interest-Bearing Accounts$3,577$3,566▼ $11
Total Assets$7,043,783$6,992,513▼ $51,270
Other Assets Total$36,735$30,913▼ $5,822
Liabilities
Other Liabilities$66,184,942$93,345,330▲ $27,160,388
Accounts Payable and Accrued Expenses$1,993,765$2,634,017▲ $640,252
Deferred Revenue$14,950$107,679▲ $92,729
Total Liabilities$68,193,657$96,087,026▲ $27,893,369
Net Assets / Fund Balance
Unrestricted Net Assets$-61,149,874$-89,094,513▼ $27,944,639
Total Net Assets Fund Balance$-61,149,874$-89,094,513▼ $27,944,639
Total Liabilities and Net Assets / Fund Balance$7,043,783$6,992,513▼ $51,270

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$2,134,126$775,239$2,909,365
Equipment$1,623,755$1,263,047$2,886,802
Other Land Buildings$381,449-$381,449
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Mark J Pirwitz MDBoard Member-$609,130$503,126$1,112,256
Jason ZagrodskyPhysicianFT$739,570$169,352$908,922
Paul RoachMedical DirectorFT$662,532$227,355$889,887
Michael LenisMedical DirectorFT$685,012$165,564$850,576
Matthew StahlmanPhysicianFT$645,893$157,902$803,795
Mohamad ZeineddinPhysicianFT$363,195$406,845$770,040

Board Members and Trustees

NameTitle
Jesus GarzaPresident & CEO SHF
Samson Jesudass MDPresident (End 4/14)
Prathibha Varkey MDPresident (Start 4/14)
Patrick Garcia MDBoard Member (Sch. O)
Paula CampbellCFO (End 5/14)
Charles J BarnettFormer Officer (End 1/12)
Douglas D WaiteFormer Officer (End 6/13)
James O Lindsey MDFormer Officer (End 6/13)
Thomas GallagherInterim CFO
V Hugh Gilmore MDSecretary (Sch. O)
Revenue and Support

Revenue Composition

Contributions and Grants
$10,848
Program Service Revenue
$25,752,437
Investment Income
$0
Other Revenue
$813,468
All Other Contributions
$10,848
Change in Net Assets
$-28,181,301
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$31,063,792
Other Expenses$23,694,262
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$25,998,516$1,039,918-$27,038,434
Fees for Services Other$6,864,149$1,309,271-$8,173,420
Payments to Affiliates$4,871,594--$4,871,594
Occupancy$4,086,199$27,100-$4,113,299
Other Employee Benefits$1,561,537$101,485-$1,663,022
Payroll Taxes$1,165,587$84,493-$1,250,080
Fees for Services Management$1,002,862$191,306-$1,194,168
Current Officers, Directors, Trustees, and Key Employees$1,069,478$42,778-$1,112,256
Depreciation Depletion$748,076--$748,076
Office Expenses$550,124$37,754-$587,878
All Other Expenses$126,823$400,701-$527,524
Insurance$175,302$101,692-$276,994
Conferences and Meetings$167,776$13,986-$181,762
Travel$45,479$2,472-$47,951
Advertising$38,540$71-$38,611
Other Expenses$1,735$4,458-$6,193
Fees for Services Accounting$4,503$859-$5,362
Information Technology$598$124-$722
Fees for Services Legal$81$16-$97
Total Functional Expenses$51,293,645$3,464,409$0$54,758,054
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
Due to Network$92,203,007
Other Non-Current Liabilities$987,550
A/R Credit Balance$154,773
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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, Part VI, Section A, line 2

Many of the persons listed on Part VII have a "business relationship" with each other by virtue of employment by Seton Clinical Enterprise related entities.

Form 990, Part VI, Section A, line 6

Tri-County Clinical has a single corporate member, Seton Clinical Enterprise Corporation.

Form 990, Part VI, Section A, line 7A

Tri-County Clinical has a single corporate member, Seton Clinical Enterprise Corporation, who has the ability to elect members to the governing body of Tri-County Clinical.

Form 990, Part VI, Section A, line 7B

Powers subject to approval by our single corporate member Seton Healthcare Family, include: 1) The formation or acquisition of legal entities for which Seton Healthcare Family will serve as the sole or controlling entity, and subject to canonical requirements, approve the sale, transfer or substantial change in use of all or substantially all of the assets of the Corporation or the divesture, dissolution, closure, merger, consolidation, change in corporate membership or corporate reorganization of the Corporation, 2) Changes to the governing documents, if changes are inconsistent with the System requirements for governing documents, 3) Appoint, upon recommendation of the board of the Corporation, or remove, with or without cause, the members of the Board of Trustees of the Corporation, 4) The transfer of assets and the reallocation of debt among the Corporation and other Health Ministries in accordance with System policies, in consultation with the corporate board, and 5) Approve the incurrence of debt of the Corporation in accordance with System policies.

Form 990, Part VI, Section B, line 11

Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Historically, Management has presented the Form to the Board, or a designated committee, to review and answer any questions. In addition, prior to filing the return all Board Members were provided the Form 990 and management team members were available to answer any Board Members' questions. During 2014, the Health Ministry implemented a system conversion of all of its financial reporting systems. Due to the change in systems and the tax filing deadline, this year's returns will be reviewed by the Board subsequent to the tax filing.

Form 990, Part VI, Section B, line 12C

The Organization has adopted the Conflict of Interest Policy of Seton Healthcare Family. The Corporate Responsibility Officer's (CRO) delegate will prepare a summary of the Conflict of Interest Disclosure Statements and submit it to the CRO for review. The CRO will submit a written report to the applicable Board or Board Committee on the results. Procedures for Addressing the Conflict of Interest: (1) An individual with a conflict of interest may make a presentation at the meeting of the Board of Trustees or Committee of the Board, but after such presentation, he or she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest. (2) If deemed appropriate or advisable, the Chair of the Board or Committee of the Board, as the case may be, may appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. (3) After exercising due diligence, the Board of Trustees or Committee of the Board shall determine whether the Corporation can obtain with reasonable efforts a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest. (4) If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the Board of Trustees or Committee of the Board shall determine by a majority vote of the disinterested directors or members, as the case may be, whether the transaction or arrangement is in the Corporation's best interest and for its own benefit, and whether the transaction is fair and reasonable to the Corporation; and thereafter, the Board of Trustees or Committee of the Board shall decide whether to enter into the proposed transaction or arrangement in conformity with such determinations.

Form 990, Part VI, Section B, line 15

In determining the compensation of the Organization's CEO, the process performed by Ascension Health, a related entity of Tri-County Clinical, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the committee minutes. The individual was not present when his compensation was decided. In determining the compensation of other officers of the Organization, the process performed by Seton Healthcare Family, a related organization of Tri-County Clinical, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Audit Committee reviewed and approved the compensation. In the review of the compensation, the other officers of the Organization were compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individuals were not present when their compensation was decided.

Form 990, Part VI, Section C, line 19

The Organization will provide any documents open to public inspection upon request.

Form 990, Part VII, Section A:

Compensation for board members is paid by Seton Healthcare Family, a related organization of Tri-County Clinical. The compensation the board members receive is for their roles as officers of related organizations. None of the board members compensation is for their role as Board Members of Tri-County Clinical.

Form 990, Part VII, Section B:

Independent Contractor Reporting: Compensation of independent contractors is paid by and reported on the Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of Ascension Health, EIN: 31-1662309. Expenses are allocated to and reimbursed by the filing organization to Ascension Health. As such, the organization has not reported independent contractors paid on Form 990, Part VII, Section B.

Filing and Contact Details

Filer

EIN
26-4562712
Phone
5123241000

Signing Officer

Name
Alan Strauss
Title
CFO
Phone
5123241000
Signed
2015-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Alan Strauss
Formed
2009
Legal Domicile
TX
Voting Board Members
4
Independent Board Members
0
Employees
272
Volunteers
0

Preparer

Preparer
Rebecca Lyons
Phone
5137847100
Supplemental Narrative

Additional Explanations

Form 990, Part I, Item C

DBA: Kyle Parkway OB/GYN Associates Seton Family of Doctors. DBA: Seton Family of Doctors at Bastrop Seton Family of Doctors at Elgin. DBA: Seton Family of Doctors at Forest Creek Seton Family of Doctors at Georgetown. DBA: Seton Family of Doctors at Hays Seton Family of Doctors at Hays Orthopedic & Sports Medicine. DBA: Seton Family of Doctors at Lockhart Seton Family of Doctors at Luling. DBA: Seton Family of Doctors at Smithville Seton Family of Doctors at Stone Hill. DBA: Seton Family of Doctors at Williamson Seton Family of Physicians. DBA: Seton Heart Institute Seton RiverBend Medical Group. DBA: Seton Smithville Medical Clinic

Form 990, Part IX, line 11G

Medical Directors: Program service expenses 1,499,129. Management and general expenses 285,918. Fundraising expenses 0. Total expenses 1,785,047. Physician Contracted Services: Program service expenses 2,076,379. Management and general expenses 396,013. Fundraising expenses 0. Total expenses 2,472,392. Other: Program service expenses 3,288,641. Management and general expenses 627,340. Fundraising expenses 0. Total expenses 3,915,981.

Form 990, Part XI, line 9:

Net Assets Released from Restriction 236,662.

Financial Statement Notes

Part X, Line 2:

This Organization is included in the consolidated financial statements prepared for Seton Healthcare Family for the fiscal year ending June 30, 2014. The following ASC 740 disclosure is included in the audited financial statements: The member health care entities of Seton are primarily tax-exempt organizations under Internal Revenue Code Section 501(c)(3) or 501(c)(2), and their related income is exempt from federal income tax under Section 501(a). Seton accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. No liability for uncertain tax position was reported for this Organization.

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IRS990/Form990PartVIISectionAGrp/PersonNm5Jesus Garza
IRS990/Form990PartVIISectionAGrp/PersonNm6Thomas Gallagher
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IRS990/Form990PartVIISectionAGrp/PersonNm9Paul Roach
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IRS990/MissionDesc0Our mission inspires us to care for and improve the health of those we serve with special concern for the poor and the vulnerable. We are called to be a sign of God's unconditional love for all and believe that all persons by their creation are endowed with dignity. Seton continues the Catholic tradition of service established by our founders: Vincent de Paul, Louise de Marillac, and Elizabeth Ann Seton.
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