Civic Intelligence

Tri-County Clinical

990 • Fiscal year 2022 • EIN 26-4562712

Jul 01, 2021 to Jun 30, 2022 • Filed on May 12, 2023

C/O Tax Department PO Box 45998St Louis, MO 63145-5998

(314) 733-8000

Siviq Scores

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

Liabilities / Assets

100th percentile

19.09x

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

2022 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2022

Liabilities / Revenue

95th percentile

5.74x

Higher debt load relative to revenue than 95% of similar nonprofits.

2022 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2022

Net Margin

10th percentile

-25%

Higher net margin than 10% of similar nonprofits.

2022 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2022

Top Officer Pay

100th percentile

$5,686,074

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 44.0% of source-year revenue.

2022 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2022

Asset Growth

94th percentile

74%

Faster asset growth than 94% of similar nonprofits.

2022 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2021 to 2022

Revenue Growth

62nd percentile

11%

Faster revenue growth than 62% of similar nonprofits.

2022 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2021 to 2022

Assets

Up

$3,881,027

Up $1,656,651 (+74%) from 2021

Net Assets

Up

-$70,200,350

Up $1,166,550 (+1.6%) from 2021

Liabilities

Up

$74,081,377

Up $490,101 (+0.7%) from 2021

Revenue

Up

$12,912,807

Up $1,326,668 (+11%) from 2021

Expenses

Up

$16,102,009

Up $3,126,297 (+24%) from 2021

Net Income

Down

-$3,189,202

Down $1,799,629 (-130%) from 2021

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

2022

Assets$3,881,027
Liabilities$74,081,377
Net Assets-$70,200,350

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

2022

Revenue$12,912,807
Expenses$16,102,009
Net Income-$3,189,202
Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
May 12, 2023
Return Version
2021v4.2
Gross Receipts
$12,912,807
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$478,334$465,127▼ $13,207
Intangible Assets$305,000$305,000→ $0
Land, Buildings, and Equipment, Net$42,557$36,945▼ $5,612
Pledges and Grants Receivable$18,044$0▼ $18,044
Prepaid Expenses and Deferred Charges$0$555▲ $555
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$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
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$2,224,376$3,881,027▲ $1,656,651
Other Assets Total$1,380,441$3,073,400▲ $1,692,959
Liabilities
Other Liabilities$72,472,658$72,961,511▲ $488,853
Accounts Payable and Accrued Expenses$1,118,618$1,119,866▲ $1,248
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$73,591,276$74,081,377▲ $490,101
Net Assets / Fund Balance
Net Assets With Donor Restrictions-$0-
Net Assets Without Donor Restrictions$-71,366,900$-70,200,350▲ $1,166,550
Total Net Assets Fund Balance$-71,366,900$-70,200,350▲ $1,166,550
Total Liabilities and Net Assets / Fund Balance$2,224,376$3,881,027▲ $1,656,651

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$26,627$3,517$30,144
Other Land Buildings$9,008$3,417$12,425
Equipment$1,310$1,309$2,619
Land$0-$0
Leasehold Improvements$0$0$0
Other Assets Org$412,165--
Compensation and Service Providers

Board Members and Trustees

NameTitle
-President
-Director
-CFO, Ministry Market
-Former Officer (end 11/2016)
-Former Officer (end 6/2018)
-Secretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$12,912,037
Investment Income
$0
Other Revenue
$770
Change in Net Assets
$-3,189,202
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$16,102,009
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$972,998$1,796,973-$972,998
Fees for Services Other$108,060$0$0$108,060
All Other Expenses$97,428$5,470$0$102,898
Occupancy$88,153$511-$88,664
Conferences and Meetings$13,090--$13,090
Travel$10,526$486-$11,012
Office Expenses$10,194--$10,194
Depreciation Depletion$4,732$27-$4,759
Advertising$280--$280
Total Functional Expenses$14,265,081$1,836,928$0$16,102,009
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
Due to Affiliates$72,953,641
Recovery Tail Liability$7,870
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 35% controlled entity
No
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 OF TOP MANAGEMENT OFFICIAL

The process for determining compensation of the organization's ceo, executive director, or top management official, as well as that of any other officers or senior executives (if any), is directed by a related organization. The related organization's board committee responsible for compensation oversees the process, utilizing independent delegees within the organization as appropriate, depending on the role. In some cases, the process may utilize comparability data and analysis from a national third-party compensation firm; or, if more appropriate for the role, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.

Form 990, Part VI, Line 15B PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES

The process for determining compensation of the organization's ceo, executive director, or top management official, as well as that of any other officers or senior executives (if any), is directed by a related organization. The related organization's board committee responsible for compensation oversees the process, utilizing independent delegees within the organization as appropriate, depending on the role. In some cases, the process may utilize comparability data and analysis from a national third-party compensation firm; or, if more appropriate for the role, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.

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 which may include, as needed, finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. A complete final copy of the return is provided to designated management team members with experience in tax 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

Miscellaneous Revenue - Total Revenue: 770, Related or Exempt Function Revenue: 770, 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
3147338000
Address
C/O TAX DEPARTMENT PO BOX 45998, ST LOUIS, MO 63145-5998
Doing Business As
See Schedule O

Signing Officer

Name
Tonya Mershon
Title
Vice President, Tax
Signed
2023-05-12

Organization Details

Formed
2009
Legal Domicile
TX
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

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

Transfers with Affiliates - 4355752;

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

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

Form 990, Part XII, Line 2C AUDIT COMMITTEE

The filing organization 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.

Form 990, Page 1 Physical Address

The address on page 1 is for mailing purposes only.

Form 990, Page 1 - Box C Doing Business as

Ascension medical group seton behavioral health ascension online care seton mind institute

Form 990, Page 1 - Item J Entity Website

https://healthcare.ascension.org/locations/texas/txaus/austin-ascension-medical-group-seton-behavioral-health

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, 2022.

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IRS990/Desc0Tri-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 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.) Seton Medical Center Austin Seton Shoal Creek (psychiatric hospital) 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: 1. Provided embedded psychology services to several pediatric sub-specialty clinics. 2. Served as the primary training site for Dell Medical School psychiatry residency program. 3. Serving as ATCIC contract for Seton Shoal Creek inpatient services for the underserved. As part of the Ascension Catholic health ministry, the filing organization served in support of Ascension's commitment to both care for patients and communities and support caregivers and other associates through the challenges of the COVID-19 global pandemic in FY22.
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IRS990/MissionDesc0Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.
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IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt0JASON REICHENBERG MD
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 68649.0, COLUMN C - 1390.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 70039.0;
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Recovery Tail Liability
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE 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, 2022.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote
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