Civic Intelligence

Ascension Texas Heart & Vascular Institute

990 • Fiscal year 2018 • EIN 27-3220767

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

77th percentile

0.42x

Higher debt load relative to assets than 77% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Liabilities / Revenue

59th percentile

0.15x

Higher debt load relative to revenue than 59% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Net Margin

22nd percentile

-8.6%

Higher net margin than 22% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M 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 183.4% of source-year revenue.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Asset Growth

1st percentile

-56%

Faster asset growth than 1% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2017 to 2018

Revenue Growth

43rd percentile

1.2%

Faster revenue growth than 43% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2017 to 2018

Assets

Down

$452,388

Down $574,463 (-56%) from 2017

Net Assets

Down

$263,203

Down $709,306 (-73%) from 2017

Liabilities

Up

$189,185

Up $134,843 (+248%) from 2017

Revenue

Up

$1,268,812

Up $15,623 (+1.2%) from 2017

Expenses

Up

$1,377,330

Up $124,015 (+9.9%) from 2017

Net Income

Down

-$108,518

Down $108,392 (-86025%) from 2017

Historical Trend

Balance Sheet Trend

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

$40M$20M$0-$20M-$40MAssets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014Assets 2015: $0Liabilities 2015: $880,766Net Assets 2015: -$880,7662015Assets 2016: $0Liabilities 2016: $880,766Net Assets 2016: -$880,7662016Assets 2017: $1,026,851Liabilities 2017: $54,342Net Assets 2017: $972,5092017Assets 2018: $452,388Liabilities 2018: $189,185Net Assets 2018: $263,2032018Assets 2019: $292,122Liabilities 2019: $241,595Net Assets 2019: $50,5272019Assets 2020: $12,993Liabilities 2020: $9,795Net Assets 2020: $3,1982020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021Assets 2022: $758,131Liabilities 2022: $29,563,786Net Assets 2022: -$28,805,6552022Assets 2023: $94,097Liabilities 2023: $6,579,409Net Assets 2023: -$6,485,3122023Assets 2024: $94,658Liabilities 2024: $6,021,242Net Assets 2024: -$5,926,5842024

Highlighted filing

2018

Assets$452,388
Liabilities$189,185
Net Assets$263,203

Operations Trend

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

$40M$20M$0-$20M-$40MRevenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $0Expenses 2015: $880,766Net Income 2015: -$880,7662015Revenue 2016: $0Expenses 2016: $0Net Income 2016: $02016Revenue 2017: $1,253,189Expenses 2017: $1,253,315Net Income 2017: -$1262017Revenue 2018: $1,268,812Expenses 2018: $1,377,330Net Income 2018: -$108,5182018Revenue 2019: $2,543,227Expenses 2019: $2,543,227Net Income 2019: $02019Revenue 2020: $1,080,683Expenses 2020: $1,080,683Net Income 2020: $02020Revenue 2021: $66,111Expenses 2021: $94,487Net Income 2021: -$28,3762021Revenue 2022: $0Expenses 2022: $28,805,655Net Income 2022: -$28,805,6552022Revenue 2023: $6,172Expenses 2023: $30,946,292Net Income 2023: -$30,940,1202023Revenue 2024: $380,480Expenses 2024: $36,767,406Net Income 2024: -$36,386,9262024

Highlighted filing

2018

Revenue$1,268,812
Expenses$1,377,330
Net Income-$108,518
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 13, 2019
Return Version
2017v2.2
Gross Receipts
$1,268,812
Mission and Program Overview

Mission

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

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$1,026,851$0▼ $1,026,851
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Land, Buildings, and Equipment, Net$0$0→ $0
Loans From Officers Directors$0$0→ $0
Other Assets Total$0$452,388▲ $452,388
Total Assets$1,026,851$452,388▼ $574,463
Liabilities
Other Liabilities$0$115,710▲ $115,710
Accounts Payable and Accrued Expenses$54,342$73,475▲ $19,133
Total Liabilities$54,342$189,185▲ $134,843
Net Assets / Fund Balance
Unrestricted Net Assets$972,509$263,203▼ $709,306
Total Net Assets Fund Balance$972,509$263,203▼ $709,306
Total Liabilities and Net Assets / Fund Balance$1,026,851$452,388▼ $574,463

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$452,388--
Compensation and Service Providers

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 12/2016)
-Former Officer (end 3/2017)
-Former Officer (end 5/2015)
-Former Officer (end 6/2017)

Highest Paid Contractors

ContractorServicesLocationCompensation
Central Texas Ob Gyn Associates PllcMedical Services7718 WOOD HOLLOW DR, STE 103, Austin, TX 78731$1,305,328
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,268,812
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-108,518
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,377,330
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
Fees for Services Other$1,264,633$0$0$1,264,633
Occupancy$239,089--$239,089
All Other Expenses$106,801$0$0$106,801
Advertising$43,397--$43,397
Other Expenses$984,611$-1,369,719-$-1,369,719
Total Functional Expenses$2,638,531$-1,261,201$0$1,377,330
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$115,710
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 TO ESTABLISH COMPENSATION OF CEO

In determining the compensation of the organization's ceo, the process performed by ascension health, a related organization of healthcare collaborative, 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 TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES

In determining the compensation of other officers of the organization, the process performed by ascension texas, a related organization of healthcare collaborative, 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

Healthcare collaborative has a single corporate member, seton clinical enterprise corporation.

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

Healthcare collaborative has a single corporate member, seton clinical enterprise corporation, who has the ability to elect members to the governing body of healthcare collaborative.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

All decisions that have a material impact to Healthcare Collaborative 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.

Filing and Contact Details

Filer

Filer Name
Healthcare Collaborative
EIN
27-3220767
Phone
3147338000
Address
1345 Philomena Street, Austin, TX 78723

Signing Officer

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

Organization Details

Formed
2010
Legal Domicile
TX
Voting Board Members
2
Independent Board Members
0
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

Physician Fees - Total Expense: 1264633, Program Service Expense: 1264633, Management and General Expenses: , Fundraising Expenses: ;

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

Transfers with alpha fund - -600788;

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

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

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

Healthcare Collaborative 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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IRS990/Desc0Healthcare Collaborative, is a Texas non-profit health organization that, through an exclusive professional services agreement ("PSA"), has assembled women's health physicians and other medical professionals to provide the general continuum of women's healthcare (Obstetrics and Gynecology) in Williamson County, Texas. Healthcare Collaborative, through the PSA, is dedicated to improving access to women's health services in Williamson County especially for those in our population who are most vulnerable. Women's Health Services provided to the community through Healthcare Collaborative include but are not limited to: - Well Woman * Pap Smear * BRCA Testing * Pelvic Exam * Breast Self-Awareness * Mammograms * Women's Weight Loss - Gynecology * Endometriosis * Weight Management * Osteoporosis * Pelvic Pain * Urinary Incontinence * Urinary Tract Infection * Adolescent Gynecology - Obstetrics (prenatal and postpartum care) * First Prenatal Visit * Prenatal Tests * High Risk Pregnancy * Postpartum Care at the Hospital * Postpartum Follow up Care * Preconception Planning - Gynecological Surgery * Minimally invasive surgery * Laparoscopy * Robotic surgery Some of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs. Healthcare Collaborative furthers its charitable purposes by providing a broad array of women's health services to the community. Accomplishments: 1. Established clinical relationship through PSA agreement to expand access to women's health services in Williamson County. 2. Provided clinical support for Level II trauma at Seton Medical Center Williamson.
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IRS990ScheduleD/FootnoteTextInd0X
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0115710
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Due to Affiliates
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, 2018.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote
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IRS990ScheduleD/TotalLiabilityAmt0115710
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt0JASON REICHENBERG MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt1FAUSTO MEZA MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt2ALAN STRAUSS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt3V HUGH GILMORE MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt4THOMAS E GALLAGHER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt5SAMSON W JESUDASS MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt6CRAIG A CORDOLA FACHE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt7SCOTT HERNDON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt8JESUS GARZA
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