Civic Intelligence

Tri-County Clinical

990 • Fiscal year 2015 • EIN 26-4562712

Jul 01, 2014 to Jun 30, 2015 • Filed on Nov 04, 2015

1345 Philomena StreetAustin, TX 78723

(512) 324-1000

Siviq Scores

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

Liabilities / Assets

100th percentile

19.18x

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

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Liabilities / Revenue

93rd percentile

4.10x

Higher debt load relative to revenue than 93% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Net Margin

2nd percentile

-86%

Higher net margin than 2% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Top Officer Pay

99th percentile

$2,264,182

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 7.7% of source-year revenue.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Asset Growth

8th percentile

-9.9%

Faster asset growth than 8% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2014 to 2015

Revenue Growth

68th percentile

11%

Faster revenue growth than 68% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2014 to 2015

Assets

Down

$6,299,099

Down $693,414 (-9.9%) from 2014

Net Assets

Down

-$114,512,673

Down $25,418,160 (-29%) from 2014

Liabilities

Up

$120,811,772

Up $24,724,746 (+26%) from 2014

Revenue

Up

$29,433,191

Up $2,856,438 (+11%) from 2014

Expenses

Up

$54,809,629

Up $51,575 (+0.1%) from 2014

Net Income

Up

-$25,376,438

Up $2,804,863 (+10.0%) from 2014

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

2015

Assets$6,299,099
Liabilities$120,811,772
Net Assets-$114,512,673

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

2015

Revenue$29,433,191
Expenses$54,809,629
Net Income-$25,376,438
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
Nov 4, 2015
Return Version
2014v6.0
Gross Receipts
$29,433,191
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 a special concern for the poor and vulnerable.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$4,139,330$3,113,336▼ $1,025,994
Accounts Receivable$2,520,410$2,850,425▲ $330,015
Prepaid Expenses and Deferred Charges$279,577$279,577→ $0
Cash and Non-Interest-Bearing Accounts$3,566$24,871▲ $21,305
Pledges and Grants Receivable$11,102$9,221▼ $1,881
Intangible Assets$7,615$2,781▼ $4,834
Receivable From Disqualified Prsn$0--
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0--
Total Assets$6,992,513$6,299,099▼ $693,414
Other Assets Total$30,913$18,888▼ $12,025
Liabilities
Other Liabilities$93,345,330$117,903,241▲ $24,557,911
Accounts Payable and Accrued Expenses$2,634,017$2,819,421▲ $185,404
Deferred Revenue$107,679$89,110▼ $18,569
Total Liabilities$96,087,026$120,811,772▲ $24,724,746
Net Assets / Fund Balance
Unrestricted Net Assets$-89,094,513$-114,512,673▼ $25,418,160
Total Net Assets Fund Balance$-89,094,513$-114,512,673▼ $25,418,160
Total Liabilities and Net Assets / Fund Balance$6,992,513$6,299,099▼ $693,414

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,470,448$1,796,727$3,267,175
Leasehold Improvements$1,642,888$1,025,729$2,668,617
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Trustee-$761,664$336,622$1,098,286
-Medical DirectorFT$738,575$136,509$875,084
-PhysicianFT$584,496$201,527$786,023

Board Members and Trustees

NameTitle
-President
-President & CEO Shf
-Trustee (sch O)
-Acting CFO
-CFO (start 11/14)
-Former Officer (end 1/12)
-Former Officer (end 4/14)
-Former Officer (end 5/14)
-Former Officer (end 6/13)
-Secretary (sch O)
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$29,126,026
Investment Income
$0
Other Revenue
$307,165
Change in Net Assets
$-25,376,438
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$34,160,762
Other Expenses$20,648,279
Grants and Similar Amounts Paid$588
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$28,859,194$621,985-$29,481,179
Fees for Services Other$4,879,818$1,265,182$0$6,145,000
Payments to Affiliates$5,983,738--$5,983,738
Occupancy$4,413,035$29,268-$4,442,303
Other Employee Benefits$2,189,860$12,918-$2,202,778
Payroll Taxes$1,378,519--$1,378,519
Current Officers, Directors, Trustees, and Key Employees$1,056,045$42,241-$1,098,286
Office Expenses$870,513$67,915-$938,428
Depreciation Depletion$757,383$31,621-$789,004
Fees for Services Management$558,094$106,462-$664,556
Insurance$280,071$84,843-$364,914
Conferences and Meetings$171,298$14,279-$185,577
All Other Expenses$9,447$29,848$0$39,295
Advertising$32,357$60-$32,417
Travel$23,127$1,257-$24,384
Fees for Services Accounting$3,789$723-$4,512
Other Expenses$1,244$3,198-$4,442
Information Technology$2,227$462-$2,689
Grants to Domestic Orgs$588--$588
Fees for Services Legal$63$12-$75
Total Functional Expenses$52,470,168$2,339,461$0$54,809,629
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0--
Receivables from Disqualified Persons$0--
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Network$117,033,744
Other Non-current Liabilities$837,122
A/r Credit Balance$32,375
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, Line 15A Process for Determining Compensation for CEO

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.

Form 990, Part VI, Line 15B Process for Determining Compensation for Other Officers

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, Line 2 Business Relationships

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

Form 990, Part VI, Line 6 Classes of members or stockholders

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

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

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, Line 7B Decisions requiring approval by members or stockholders

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, Line 11B Review of form 990 by governing body

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 2015, the health ministry implemented a system conversion. Due to the change in systems and the tax filing deadline, this year's returns will not be reviewed by the board prior to the tax filing.

Form 990, Part VI, Line 12C Conflict of interest policy

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, Line 19 Required documents available to the public

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

Form 990, Part VII, Section A BOARD MEMBERS

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. The board members of Tri-County Clinical do not receive any compensation for their role as board members.

Form 990, Part VII, Section B, Line 1, Column (B) INDEPENEDENT 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.

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

- Total Revenue: 307165, Related or Exempt Function Revenue: 307165, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
Tri-County Clinical
EIN
26-4562712
Phone
5123241000
Address
1345 Philomena Street, Austin, TX 78723
Doing Business As
Kyle Parkway Obgyn Associates

Signing Officer

Name
Thomas E Gallagher
Title
Acting CFO
Signed
2015-11-04
Discuss with paid preparer
Yes

Organization Details

Formed
2009
Legal Domicile
TX
Voting Board Members
4
Independent Board Members
0
Employees
294
Volunteers
0

Preparer

Firm
Deloitte Tax Llp
Address
250 EAST FIFTH STREET SUITE 1900, CINCINNATI, OH 45202
Preparer
Rebecca Lyons
Phone
5137847100
Supplemental Narrative

Additional Explanations

Doing Business as

Seton Family of Doctors Seton Family of Doctors at Bastrop Seton Family of Doctors at Elgin Seton Family of Doctors at Forest Creek Seton Family of Doctors at Georgetown Seton Family of Doctors at Hays Seton Family of Doctors at Hays Orthopedic & Sports Medicine Seton Family of Doctors at Lockhart Seton Family of Doctors at Luling Seton Family of Doctors at Smithville Seton Family of Doctors at Stone Hill Seton Family of Doctors at Williamson Seton Family of Physicians Seton Heart Institute Seton RiverBend Medical Group Seton Smithville Medical Clinic

Form 990, Part IX, Line 11G Other Fees

PHYSICIAN CONTRACTED SERVICES - Total Expense: 3527972, Program Service Expense: 2962882, Management and General Expenses: 565090, Fundraising Expenses: ; CONSULTING FEES - Total Expense: 51870, Program Service Expense: 43560, Management and General Expenses: 8310, Fundraising Expenses: ; MEDICAL DIRECTORS - Total Expense: 49083, Program Service Expense: 41221, Management and General Expenses: 7862, Fundraising Expenses: ; OTHER - Total Expense: 2516075, Program Service Expense: 1832155, Management and General Expenses: 683920, Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Net assets released from restriction - -41380; unrestricted donations - gifts in kind - -342;

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

From the consolidated audited financial statements of Seton Healthcare Family, which include the activity of Tri-County Clinical: 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 positions was reported for this Organization.

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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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