Civic Intelligence

Pediatric Critical Care Associates

990 • Fiscal year 2016 • EIN 42-1670843

Jul 01, 2015 to Jun 30, 2016 • Filed on May 12, 2017

1345 Philomena StreetAustin, TX 78723

(512) 324-1860

Siviq Scores

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

Liabilities / Assets

100th percentile

10.21x

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

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Liabilities / Revenue

76th percentile

0.72x

Higher debt load relative to revenue than 76% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Net Margin

15th percentile

-17%

Higher net margin than 15% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Top Officer Pay

100th percentile

$2,522,459

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 48.4% of source-year revenue.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Asset Growth

4th percentile

-21%

Faster asset growth than 4% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2015 to 2016

Revenue Growth

23rd percentile

-9.5%

Faster revenue growth than 23% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2015 to 2016

Assets

Down

$370,206

Down $98,279 (-21%) from 2015

Net Assets

Down

-$3,408,318

Down $898,205 (-36%) from 2015

Liabilities

Up

$3,778,524

Up $799,926 (+27%) from 2015

Revenue

Down

$5,214,222

Down $548,680 (-9.5%) from 2015

Expenses

Down

$6,112,427

Down $281,296 (-4.4%) from 2015

Net Income

Down

-$898,205

Down $267,384 (-42%) from 2015

Historical Trend

Balance Sheet Trend

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

$4.0M$2.0M$0-$2.0M-$4.0MAssets 2012: $389,567Liabilities 2012: $979,072Net Assets 2012: -$589,5052012Assets 2013: $446,819Liabilities 2013: $1,641,503Net Assets 2013: -$1,194,6842013Assets 2014: $488,467Liabilities 2014: $2,367,759Net Assets 2014: -$1,879,2922014Assets 2015: $468,485Liabilities 2015: $2,978,598Net Assets 2015: -$2,510,1132015Assets 2016: $370,206Liabilities 2016: $3,778,524Net Assets 2016: -$3,408,3182016Assets 2017: $379,407Liabilities 2017: $2,240,870Net Assets 2017: -$1,861,4632017Assets 2018: $3,093Liabilities 2018: $1,626,917Net Assets 2018: -$1,623,8242018Assets 2019: $127,998Liabilities 2019: $2,170,958Net Assets 2019: -$2,042,9602019Assets 2020: $553,672Liabilities 2020: $1,974,554Net Assets 2020: -$1,420,8822020Assets 2021: $813,827Liabilities 2021: $1,971,042Net Assets 2021: -$1,157,2152021Assets 2022: $3,651,693Liabilities 2022: $3,530,354Net Assets 2022: $121,3392022Assets 2023: $927,185Liabilities 2023: $513,405Net Assets 2023: $413,7802023Assets 2024: $2,723,556Liabilities 2024: $1,250,809Net Assets 2024: $1,472,7472024

Highlighted filing

2016

Assets$370,206
Liabilities$3,778,524
Net Assets-$3,408,318

Operations Trend

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

$10M$5.0M$0-$5.0MRevenue 2012: $5,531,642Expenses 2012: $6,019,373Net Income 2012: -$487,7312012Revenue 2013: $6,056,386Expenses 2013: $6,681,771Net Income 2013: -$625,3852013Revenue 2014: $6,249,526Expenses 2014: $6,962,654Net Income 2014: -$713,1282014Revenue 2015: $5,762,902Expenses 2015: $6,393,723Net Income 2015: -$630,8212015Revenue 2016: $5,214,222Expenses 2016: $6,112,427Net Income 2016: -$898,2052016Revenue 2017: $4,706,100Expenses 2017: $6,357,415Net Income 2017: -$1,651,3152017Revenue 2018: $3,909,429Expenses 2018: $4,168,605Net Income 2018: -$259,1762018Revenue 2019: $2,125,156Expenses 2019: $2,576,068Net Income 2019: -$450,9122019Revenue 2020: $2,418,655Expenses 2020: $2,568,392Net Income 2020: -$149,7372020Revenue 2021: $2,751,579Expenses 2021: $2,755,254Net Income 2021: -$3,6752021Revenue 2022: $3,115,815Expenses 2022: $3,266,956Net Income 2022: -$151,1412022Revenue 2023: $2,942,046Expenses 2023: $3,294,498Net Income 2023: -$352,4522023Revenue 2024: $4,188,986Expenses 2024: $5,397,267Net Income 2024: -$1,208,2812024

Highlighted filing

2016

Revenue$5,214,222
Expenses$6,112,427
Net Income-$898,205
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 12, 2017
Return Version
2015v3.0
Gross Receipts
$5,214,222
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
Accounts Receivable$468,485$368,988▼ $99,497
Prepaid Expenses and Deferred Charges-$1,218-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Investments Program Related$0--
Land, Buildings, and Equipment, Net$0$0→ $0
Total Assets$468,485$370,206▼ $98,279
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$2,591,947$3,632,524▲ $1,040,577
Accounts Payable and Accrued Expenses$386,651$146,000▼ $240,651
Total Liabilities$2,978,598$3,778,524▲ $799,926
Net Assets / Fund Balance
Unrestricted Net Assets$-2,510,113$-3,408,318▼ $898,205
Total Net Assets Fund Balance$-2,510,113$-3,408,318▼ $898,205
Total Liabilities and Net Assets / Fund Balance$468,485$370,206▼ $98,279
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-SecretaryFT$434,864$77,810$512,673
-CEOFT$453,495$38,397$491,891
-TrusteeFT$438,592$40,710$479,303
-Vice PresidentFT$376,774$40,920$417,694
-Physician AssistantFT$108,519$45,926$154,445
-NurseFT$131,959$14,728$146,687
-Office ManagerFT$104,354$18,592$122,946

Board Members and Trustees

NameTitle
-President & CEO Shf
-President (beg 2/16)
-President (end 2/16)
-Acting CFO
-CFO (start 11/14) (END 5/15)
-Former Officer (end 1/12)
-Former Officer (end 2/14)
-FORMER officer (END 5/14)
-Former Officer (end 6/13)
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$5,192,884
Investment Income
$0
Other Revenue
$21,338
Change in Net Assets
$-898,205
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,281,396
Other Expenses$831,031
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$3,807,108$494,709-$4,301,817
Other Salaries and Wages$682,978$-78,858-$604,120
Payroll Taxes$201,637--$201,637
Other Employee Benefits$161,755$12,067-$173,822
Insurance$5,511$40,763-$46,274
Travel$15,431$607-$16,038
Information Technology$14,806$582-$15,388
Fees for Services Management$13$11,799-$11,812
Fees for Services Legal$12$10,513-$10,525
Occupancy$10,059--$10,059
Conferences and Meetings$8,976$353-$9,329
All Other Expenses$2,478$98$0$2,576
Office Expenses$1,819--$1,819
Other Expenses$-241$919-$678
Fees for Services Accounting$0$103-$103
Total Functional Expenses$5,592,047$520,380$0$6,112,427
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-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Network$3,600,007
A/r Credit Balance$32,517
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 Pediatric Critical Care Associates, 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 Seton Healthcare Family, a related organization of Pediatric Critical Care Associates, 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

Pediatric Critical Care Associates has a single corporate member, Seton Clinical Enterprise Corporation.

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

Pediatric Critical Care Associates has a single corporate member, Seton Clinical Enterprise Corporation, who has the ability to elect members to the governing body of Pediatric Critical Care Associates.

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

ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO PEDIATRIC CRITICAL CARE ASSOCIATES FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, SETON CLINICAL ENTERPRISE CORPORATION. SETON HEALTHCARE FAMILY IS THE SOLE CORPORATE MEMBER OF SETON CLINICAL ENTERPRISE CORPORATION. Powers subject to approval by our single corporate member, Seton Clinical Enterprise Corporation, include: 1) The formation or acquisition of legal entities for which Seton Clinical Enterprise Corporation 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 divestiture, 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 works diligently to complete the Form 990 in a thorough manner. Due to timing and changes in organizational roles and responsibilities, leadership reviewed the return in lieu of the return being provided to the full board.

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

The Organization has adopted the Conflict of Interest Policy of Seton Clinical Enterprise Corporation. 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.

Filing and Contact Details

Filer

Filer Name
Pediatric Critical Care Associates
EIN
42-1670843
Phone
5123241860
Address
1345 Philomena Street, Austin, TX 78723
Doing Business As
Seton Family of Doctors

Signing Officer

Name
Scott Herndon
Title
CFO
Signed
2017-05-12

Organization Details

Formed
2005
Legal Domicile
TX
Voting Board Members
11
Independent Board Members
0
Employees
22
Volunteers
0
Supplemental Narrative

Additional Explanations

Doing Business as

Seton Family of Physicians

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 Pediatric Critical Care Associates: 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/Desc0Pediatric Critical Care Associates ("PCCA") is a tax-exempt pediatric sub-specialty 501(c)(3) nonprofit corporation dedicated to providing quality patient care to the critically ill children of Central Texas that present to the pediatric intensive care unit at Dell Children's Medical Center, which serves a 46-county area in Central Texas. Dell Children's Medical Center is the only dedicated pediatric facility in the region and is operated by a related tax-exempt organization Seton Family of Hospitals. The physicians at PCCA are all board certified Pediatric Intensivists. PCCA physicians are an integral component of the pediatric trauma team and participate in multiple hospital-wide quality improvement projects. Involvements: - Participate in the Pediatric Acute Lung Injury and Sepsis Investigation (PALISI). We are conducting National Institute for Health (NIH), Centers for Disease Control (CDC) and corporately-sponsored multi-center clinical research. We are studying new therapies for acute hypoxemic respiratory failure and the courses of critical pertussis and influenza infections. - Serve as teaching faculty for pediatric residency program, emergency room residents and fellows, medical students, nursing students, respiratory therapists and pre-hospital emergency personnel. - All of our staff members are either full or adjunct faculty at the Dell Medical School. Accomplishments: - Ongoing research studies through the Pediatric Palliative Care Program, established in 2006. Two peer reviewed articles have been published as a result of this research. - Expanded and continue to provide medical directorship for the pediatric transport team. Dell Children's Medical Center performs more than 1,000 patient transports per year. This benefits both local children and those outside the Austin Metro area. - Continue to provide medical directorship for the Pediatric Intermediate Care Unit (IMC), the PICU, the Pediatric Transport Team and ECMO. - Recognized for teaching excellence in support of pediatric resident education. - Development and delivery of annual seminar for pediatric residents on communicating bad news to families. - Development of hospital wide protocol to standardize care of patients with complicated bacterial pneumonia. PCCA Community Outreach Activities: Physicians with Pediatric Critical Care Associates participate in a variety of community outreach activities including: - Milagros: Family support group for patients with congenital heart disease. - Heartgift Program: PCCA physicians provide medical services for pediatric cardiac patients from foreign countries who travel to Austin for care. - Spine Hope: A non-profit organization that transforms the lives of children with spinal deformities worldwide through surgery, education and research. - Sammy's House: Daycare for medically fragile infants and children. - Physicians serve on the Board of Directors of Seton Clinical Enterprise Corporation and the Physician Leadership Board and also on the Board of Trustees for the Children's Hospital Foundation - Courageous Kids: Annual reunion for PICU survivors and their families.
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt5RENEE HIGGERSON MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt6KEITH KERR MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt7PRESTON LAVINGHOUSEZ MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt8KYLE LIEPPMAN MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt9ANNE MAHAN MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt10MILTON MEADOWS MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt11THOMAS E GALLAGHER
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt12JESUS GARZA
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13GAYLE DROEMER
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt14JODIE REED
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt15ANDREA BENEDICT
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt16CATHERINE PULLIN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt17CORLISS ZELLA-SLUSHER
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt18CHARLES J BARNETT
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt19PAULA CAMPBELL
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt20JAMES O LINDSEY MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt21ALAN STRAUSS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt22DOUGLAS D WAITE
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt23SAMSON JESUDASS MD
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IRS990/Form990PartVIISectionAGrp/TitleTxt0VICE PRESIDENT
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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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