Civic Intelligence

Tri-County Clinical

990 • Fiscal year 2017 • EIN 26-4562712

Jul 01, 2016 to Jun 30, 2017 • Filed on May 10, 2018

1345 Philomena StreetAustin, TX 78723

(314) 733-8000

Siviq Scores

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

Liabilities / Assets

100th percentile

13.33x

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

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Liabilities / Revenue

87th percentile

2.16x

Higher debt load relative to revenue than 87% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Net Margin

3rd percentile

-86%

Higher net margin than 3% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Top Officer Pay

99th percentile

$2,577,390

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 7.0% of source-year revenue.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Asset Growth

31st percentile

0.6%

Faster asset growth than 31% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Revenue Growth

64th percentile

10%

Faster revenue growth than 64% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Assets

Up

$5,979,835

Up $33,865 (+0.6%) from 2016

Net Assets

Up

-$73,749,626

Up $69,424,696 (+48%) from 2016

Liabilities

Down

$79,729,461

Down $69,390,831 (-47%) from 2016

Revenue

Up

$36,921,381

Up $3,400,219 (+10%) from 2016

Expenses

Up

$68,842,117

Up $6,660,527 (+11%) from 2016

Net Income

Down

-$31,920,736

Down $3,260,308 (-11%) from 2016

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

2017

Assets$5,979,835
Liabilities$79,729,461
Net Assets-$73,749,626

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

2017

Revenue$36,921,381
Expenses$68,842,117
Net Income-$31,920,736
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 10, 2018
Return Version
2016v3.0
Gross Receipts
$36,921,735
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.

To improve the health and well-being of all people in the communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$2,619,961$2,766,688▲ $146,727
Land, Buildings, and Equipment, Net$3,038,707$2,595,863▼ $442,844
Intangible Assets-$305,000-
Prepaid Expenses and Deferred Charges$282,049$281,120▼ $929
Inventories for Sale or Use-$16,112-
Cash and Non-Interest-Bearing Accounts$5,253$14,552▲ $9,299
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Total Assets$5,945,970$5,979,835▲ $33,865
Other Assets Total$0$500▲ $500
Liabilities
Other Liabilities$145,528,299$75,803,207▼ $69,725,092
Accounts Payable and Accrued Expenses$3,501,635$3,844,243▲ $342,608
Deferred Revenue$90,358$82,011▼ $8,347
Total Liabilities$149,120,292$79,729,461▼ $69,390,831
Net Assets / Fund Balance
Unrestricted Net Assets$-143,174,322$-73,749,626▲ $69,424,696
Total Net Assets Fund Balance$-143,174,322$-73,749,626▲ $69,424,696
Total Liabilities and Net Assets / Fund Balance$5,945,970$5,979,835▲ $33,865

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$780,397$2,843,212$3,623,609
Buildings$1,544,263$1,948,496$3,492,759
Other Land Buildings$271,203-$271,203
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-TrusteeFT$931,926$205,812$1,137,738
-PhysicianFT$843,324$111,199$954,523

Board Members and Trustees

NameTitle
-PRESiDENT (END 11/2016)
-President (start 3/2017)
-Acting CFO (end 12/2016)
-CEO Ascension Texas
-Former Officer (end 2/2016)
-Former Officer (end 5/2014)
-Former Officer (end 5/2015)
-Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Cardiovascular Associates Northwest PllcMedical Services11111 Research Blvd 360, Austin, TX 78759$1,280,017
Ryan M Tibbetts Md PaMedical Services1180 Seton Parkway Ste 220, Kyle, TX 78640$814,469
Ventas Lhret LLCReal Estate Services10350 Ormsby Park Pl Ste 300, Louisville, KY 40223-6177$804,768
Christina Marie Sheely PllcMedical Services1180 Seton Pkwy Suite 220, Kyle, TX 78640-6178$626,848
Marc E Wenzel MdMedical Services1009 ELM STREET, Austin, TX 78703$162,375
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$36,331,174
Investment Income
$-354
Other Revenue
$590,561
Change in Net Assets
$-31,920,736
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$43,325,805
Other Expenses$25,515,458
Grants and Similar Amounts Paid$854
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$36,390,401$552,246-$36,942,647
Other Expenses$10,171,578$77,366-$10,248,944
Fees for Services Other$5,302,929$898,640$0$6,201,569
Occupancy$3,981,875--$3,981,875
Other Employee Benefits$2,650,681$285,648-$2,936,329
Payroll Taxes$1,714,499--$1,714,499
Current Officers, Directors, Trustees, and Key Employees$1,120,786$16,952-$1,137,738
Fees for Services Management$833,731$141,285-$975,016
Office Expenses$845,488--$845,488
Depreciation Depletion$645,471$30,786-$676,257
Pension Plan Contributions$594,592--$594,592
Insurance$303,088$101,578-$404,666
Travel$228,812$1,740-$230,552
Conferences and Meetings$58,424$444-$58,868
All Other Expenses$50,023$380$0$50,403
Advertising$26,569--$26,569
Information Technology$1,612$12-$1,624
Grants to Domestic Orgs$854--$854
Fees for Services Legal$92$15-$107
Total Functional Expenses$66,715,184$2,126,933$0$68,842,117
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
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$75,155,891
Other Non-current Liabilities$536,717
A/r Credit Balance$110,599
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, 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 Ascension Texas, 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 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

All decisions that have a material impact to Tri-County Clinical financial information or corporation as a whole are subject to approval by its sole corporate member, Seton Clinical Enterprise Corporation.

Form 990, Part VI, Line 11B Review of form 990 by governing body

During the return preparation process, the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. Upon completion, the form 990 is reviewed by the organization's internal tax department which consists of attorneys and cpas. A complete final copy of the return is provided to the organization's president, financial officer, and/or other key officers in lieu of the full board.

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

The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.

Form 990, Part VI, Line 19 Required documents available to the public

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

Filing and Contact Details

Filer

Filer Name
Tri-County Clinical
EIN
26-4562712
Phone
3147338000
Address
1345 Philomena Street, Austin, TX 78723
Doing Business As
Kyle Parkway Obgyn Associates

Signing Officer

Name
Tonya Mershon
Title
Tax Officer
Signed
2018-05-10

Organization Details

Formed
2009
Legal Domicile
TX
Voting Board Members
3
Independent Board Members
0
Employees
334
Volunteers
0
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 XI, Line 9 Other changes in net assets or fund balances

Net asset transfer to/from alpha - xxx-xx-xxxx;

Financial Statement Notes

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

The system 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. The system has determined that no material unrecognized tax benefits or liabilities exist as of june 30, 2017.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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