Civic Intelligence

Tri-County Clinical

990 • Fiscal year 2018 • EIN 26-4562712

Jul 01, 2017 to Jun 30, 2018 • Filed on May 13, 2019

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

145.91x

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

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Liabilities / Revenue

96th percentile

8.71x

Higher debt load relative to revenue than 96% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Net Margin

61st percentile

6.8%

Higher net margin than 61% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Top Officer Pay

100th percentile

$2,326,602

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 28.7% of source-year revenue.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Asset Growth

1st percentile

-92%

Faster asset growth than 1% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2017 to 2018

Revenue Growth

2nd percentile

-78%

Faster revenue growth than 2% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2017 to 2018

Assets

Down

$483,370

Down $5,496,465 (-92%) from 2017

Net Assets

Up

-$70,045,743

Up $3,703,883 (+5.0%) from 2017

Liabilities

Down

$70,529,113

Down $9,200,348 (-12%) from 2017

Revenue

Down

$8,099,591

Down $28,821,790 (-78%) from 2017

Expenses

Down

$7,546,126

Down $61,295,991 (-89%) from 2017

Net Income

Up

$553,465

Up $32,474,201 (+102%) from 2017

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

2018

Assets$483,370
Liabilities$70,529,113
Net Assets-$70,045,743

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

2018

Revenue$8,099,591
Expenses$7,546,126
Net Income$553,465
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 13, 2019
Return Version
2017v2.2
Gross Receipts
$8,099,591
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$2,766,688$0▼ $2,766,688
Intangible Assets$305,000$305,000→ $0
Prepaid Expenses and Deferred Charges$281,120$0▼ $281,120
Land, Buildings, and Equipment, Net$2,595,863$178,370▼ $2,417,493
Inventories for Sale or Use$16,112$0▼ $16,112
Cash and Non-Interest-Bearing Accounts$14,552$0▼ $14,552
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$5,979,835$483,370▼ $5,496,465
Other Assets Total$500$0▼ $500
Liabilities
Other Liabilities$75,803,207$70,528,958▼ $5,274,249
Deferred Revenue$82,011$0▼ $82,011
Accounts Payable and Accrued Expenses$3,844,243$155▼ $3,844,088
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$79,729,461$70,529,113▼ $9,200,348
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-73,749,626$-70,045,743▲ $3,703,883
Total Net Assets Fund Balance$-73,749,626$-70,045,743▲ $3,703,883
Total Liabilities and Net Assets / Fund Balance$5,979,835$483,370▼ $5,496,465

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$178,370$32,659$211,029
Buildings$0-$0
Other Land Buildings$0$0$0
Land$0-$0
Leasehold Improvements$0$0$0
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-PhysicianFT$99,318$59,980$159,297

Board Members and Trustees

NameTitle
-President
-Trustee
-CEO, Ascension Texas (end 8/2017)
-CEO, Ascension Texas (start 9/2017)
-CFO, Ascension Texas
-Former Officer (end 11/2016)
-Former Officer (end 12/2016)
-Former Officer (end 5/2015)
-Former Officer (end 6/2017)

Highest Paid Contractors

ContractorServicesLocationCompensation
Cardiovascular Associates Northwest PllcMedical Services11111 Research Blvd 360, Austin, TX 78759$559,447
Ventas Lhret LLCReal Estate Services10350 Ormsby Park Pl Ste 300, Louisville, KY 40223-6177$390,547
Ryan M Tibbetts Md PaMedical Services1180 Seton Parkway Ste 220, Kyle, TX 78640$286,975
Infinity Imaging LPMedical Services1702 MADISON AVE, Austin, TX 78757$117,515
Marc E Wenzel MdMedical Services1009 ELM STREET, Austin, TX 78703$104,950
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$8,542,586
Investment Income
$0
Other Revenue
$-442,995
Change in Net Assets
$553,465
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$7,759,847
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0
Other Expenses$-213,721

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,299,754--$7,299,754
Payroll Taxes$409,037--$409,037
Occupancy$84,162--$84,162
Travel$63,297--$63,297
Other Employee Benefits$50,986--$50,986
Conferences and Meetings$25,252--$25,252
Other Expenses$15,800--$15,800
Office Expenses$9,944--$9,944
All Other Expenses$-1,027$3,969$0$2,942
Pension Plan Contributions$70--$70
Fees for Services Other$-885,640$0$0$-885,640
Total Functional Expenses$7,542,157$3,969$0$7,546,126
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
Insider Transactions and Loans

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
Other Non-current Liabilities$70,528,958
A/r Credit Balance-
Due to Affiliates-
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.

Form 990, Part VII, Section A Related Entities

The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.

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

Other Miscellaneous Revenue - Total Revenue: -442995, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -442995;

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
Seton Mind Institute

Signing Officer

Name
Tonya Mershon
Title
Tax Officer
Signed
2019-05-13

Organization Details

Formed
2009
Legal Domicile
TX
Voting Board Members
2
Independent Board Members
0
Employees
51
Volunteers
0
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3 Significant changes in program services

Due to some internal reorganization, on July 1, 2017, many of the services provided by Tri-County Clinical were moved to another affiliated 501(c)(3) entity, Seton Family of Doctors.

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

NET ASSET TRANSFER TO/FROM ALPHA fund - 3711489; NET INCOME TRANSFERRED FROM AFFILIATE - -561071;

Form 990, Part XII, Line 2B Audited financial statements

The activity of Tri-County Clinical is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Tri-County Clinical is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Tri-County Clinical.

Form 990, Part XII, Line 2C oversight of audit or selection of independent accountant

Tri-County Clinical is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.

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, 2018.

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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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IRS990/Desc0Tri-County Clinical (TCC), d/b/a Seton Mind Institute (50,744 outpatient visits in FY18) Purpose and Activities: Tri-County Clinical ("TCC"), is a tax-exempt 501(c)(3) non-profit corporation dedicated to providing quality Behavioral Health care to patients and extending the continuum of care from the Seton Hospitals to outpatient clinics. TCC is a premier group of providers with more than 45 faculty and resident's providers offering services. TCC has worked to improve underserved populations' access to healthcare through the Seton Psychiatric Emergency Department; telehealth services; and Seton Shoal Creek Hospital. TCC seeks to improve the health status of its surrounding community by providing inpatient and outpatient medical and psychiatric services in multiple locations throughout the region. Services are extended not only to its tax exempt corporate member, Seton Clinical Enterprise Corporation, but to other tax exempt entities throughout the community, some of which include: - Austin Independent School District - Austin State Hospital - Austin/Travis County Mental Health Mental Retardation (MHMR) - Austin/Travis County MHMR Child & Adolescent Clinic - Blackstock Family Health Clinic (Central Health) - Dell Seton Medical Center at UT - Dell Children's Medical Center - Children's Shelter - CommUnityCare - Federally Qualified Health Center system - Forensic/Federal Correctional Institution- People's Clinic - St. David's Medical Center (The Partnership is not a tax-exempt organization.) - Ascension Seton (fka Seton Medical Center Austin) - Ascension Seton Shoal Creek (fka Seton Shoal Creek) (psychiatric hospital) - Ascension Seton Southwest (fka Seton Southwest) Health Center - Texas Child Study Center (in collaboration with Dell Children's Medical Center) - University Physician Group - Dermatologic Surgery Center (Mohs) - University of Texas Counseling Center - Veteran's Administration Clinics - Veteran's Administration Post Traumatic Stress Disorder Clinic Accomplishments: * Provided embedded psychology services to several pediatric sub-specialty clinics. * Served as the primary training site for Dell Medical School psychiatry residency program. * Serving as ATCIC contract for Seton Shoal Creek inpatient services for the underserved.
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt1MARK J PIRWITZ MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt2CRAIG A CORDOLA FACHE
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt3JESUS GARZA
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt4SCOTT HERNDON
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt6ALAN STRAUSS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt7V HUGH GILMORE MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt8THOMAS E GALLAGHER
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt9SAMSON W JESUDASS MD
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IRS990/Form990PartVIISectionAGrp/TitleTxt8FORMER OFFICER (END 12/2016)
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