Civic Intelligence

Tmh Physician Organization

990 • Fiscal year 2017 • EIN 57-1201170

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 14, 2018

6565 Fannin No Gb-240Houston, TX 77030-2707

(832) 667-6160

Siviq Scores

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

Liabilities / Assets

97th percentile

1.18x

Higher debt load relative to assets than 97% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Liabilities / Revenue

18th percentile

0.19x

Higher debt load relative to revenue than 18% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Net Margin

26th percentile

-0.1%

Higher net margin than 26% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Top Officer Pay

81st percentile

$1,766,079

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Asset Growth

92nd percentile

27%

Faster asset growth than 92% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Revenue Growth

67th percentile

10%

Faster revenue growth than 67% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Assets

Up

$83,596,111

Up $18,002,833 (+27%) from 2016

Net Assets

Down

-$15,061,180

Down $407,252 (-2.8%) from 2016

Liabilities

Up

$98,657,291

Up $18,410,085 (+23%) from 2016

Revenue

Up

$532,837,114

Up $49,476,479 (+10%) from 2016

Expenses

Up

$533,287,097

Up $50,246,915 (+10%) from 2016

Net Income

Down

-$449,983

Down $770,436 (-240%) from 2016

Historical Trend

Balance Sheet Trend

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

$150M$100M$50M$0-$50MAssets 2010: $30,988,752Liabilities 2010: $38,339,144Net Assets 2010: -$7,350,3922010Assets 2011: $36,437,472Liabilities 2011: $47,606,666Net Assets 2011: -$11,169,1942011Assets 2012: $41,897,299Liabilities 2012: $53,005,982Net Assets 2012: -$11,108,6832012Assets 2013: $41,616,808Liabilities 2013: $59,209,869Net Assets 2013: -$17,593,0612013Assets 2014: $43,415,400Liabilities 2014: $59,166,199Net Assets 2014: -$15,750,7992014Assets 2015: $49,240,712Liabilities 2015: $64,215,093Net Assets 2015: -$14,974,3812015Assets 2016: $65,593,278Liabilities 2016: $80,247,206Net Assets 2016: -$14,653,9282016Assets 2017: $83,596,111Liabilities 2017: $98,657,291Net Assets 2017: -$15,061,1802017Assets 2018: $81,961,478Liabilities 2018: $96,271,229Net Assets 2018: -$14,309,7512018Assets 2019: $94,113,401Liabilities 2019: $102,137,727Net Assets 2019: -$8,024,3262019Assets 2020: $117,125,312Liabilities 2020: $122,321,411Net Assets 2020: -$5,196,0992020Assets 2021: $130,604,579Liabilities 2021: $121,552,973Net Assets 2021: $9,051,6062021Assets 2022: $125,261,150Liabilities 2022: $110,537,985Net Assets 2022: $14,723,1652022Assets 2023: $131,952,106Liabilities 2023: $132,669,161Net Assets 2023: -$717,0552023Assets 2024: $0Liabilities 2024: $0Net Assets 2024: $02024

Highlighted filing

2017

Assets$83,596,111
Liabilities$98,657,291
Net Assets-$15,061,180

Operations Trend

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

$1.5B$1.0B$500M$0-$500MExpenses 2010: $240,047,8782010Expenses 2011: $272,576,6612011Revenue 2012: $291,599,350Expenses 2012: $291,538,839Net Income 2012: $60,5112012Revenue 2013: $319,018,076Expenses 2013: $325,727,514Net Income 2013: -$6,709,4382013Revenue 2014: $360,573,995Expenses 2014: $358,731,733Net Income 2014: $1,842,2622014Revenue 2015: $413,740,645Expenses 2015: $413,009,291Net Income 2015: $731,3542015Revenue 2016: $483,360,635Expenses 2016: $483,040,182Net Income 2016: $320,4532016Revenue 2017: $532,837,114Expenses 2017: $533,287,097Net Income 2017: -$449,9832017Revenue 2018: $600,820,692Expenses 2018: $600,069,263Net Income 2018: $751,4292018Revenue 2019: $693,296,910Expenses 2019: $687,011,485Net Income 2019: $6,285,4252019Revenue 2020: $756,474,312Expenses 2020: $753,800,518Net Income 2020: $2,673,7942020Revenue 2021: $883,101,957Expenses 2021: $868,854,252Net Income 2021: $14,247,7052021Revenue 2022: $993,017,243Expenses 2022: $987,387,684Net Income 2022: $5,629,5592022Revenue 2023: $1,100,381,977Expenses 2023: $1,115,822,197Net Income 2023: -$15,440,2202023Revenue 2024: $1,253,315,409Expenses 2024: $1,256,631,037Net Income 2024: -$3,315,6282024

Highlighted filing

2017

Revenue$532,837,114
Expenses$533,287,097
Net Income-$449,983
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 14, 2018
Return Version
2017v2.3
Gross Receipts
$533,731,436
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$37,397,591$45,111,738▲ $7,714,147
Accounts Receivable$26,261,054$34,605,521▲ $8,344,467
Cash and Non-Interest-Bearing Accounts$948,393$688,961▼ $259,432
Total Assets$65,593,278$83,596,111▲ $18,002,833
Other Assets Total$986,240$3,189,891▲ $2,203,651
Liabilities
Accounts Payable and Accrued Expenses$52,324,415$64,697,902▲ $12,373,487
Other Liabilities$27,922,791$33,959,389▲ $6,036,598
Total Liabilities$80,247,206$98,657,291▲ $18,410,085
Net Assets / Fund Balance
Unrestricted Net Assets$-14,653,928$-15,061,180▼ $407,252
Total Net Assets Fund Balance$-14,653,928$-15,061,180▼ $407,252
Total Liabilities and Net Assets / Fund Balance$65,593,278$83,596,111▲ $18,002,833

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$26,296,171$33,492,447$59,788,618
Buildings$16,455,792$5,600,212$22,056,004
Leasehold Improvements$2,359,775$269,671$2,629,446
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Warren Ellsworth MdPhysicianFT$1,015,275$750,804$1,766,079
Barbara Bass MdDirectorFT$1,332,993$328,405$1,661,398
Vincent C PhanmdPhysicianFT$987,063$623,474$1,610,537
Gavin S Britz MdDirectorFT$1,054,311$504,366$1,558,677
Aldona Spiegel MdPhysicianFT$1,224,728$264,574$1,489,302
Yi Zhang MdPhysicianFT$1,407,680$67,550$1,475,230
Snehal Desai MdPhysicianFT$347,591$1,112,981$1,460,572
E Brian Butler MdDirectorFT$396,296$943,480$1,339,776
Kevin E Varner MdDirectorFT$1,042,699$294,674$1,337,373
Timothy B Boone Md PhdDirectorFT$888,103$162,438$1,050,541
Alan B Lumsden MdDirectorFT$785,499$200,447$985,946
James M Musser Md PhdDirectorFT$700,636$264,483$965,119
Richard J Robbins MdDirectorFT$761,028$152,207$913,235
Carl a Hicks MdDirectorFT$737,063$72,368$809,431
Stanley H Appel MdDirectorFT$683,025$97,738$780,763
Jenny Chang MdDirectorFT$620,952$149,787$770,739
William Zoghbi MdDirectorFT$651,090$48,627$699,717
Stuart M Dobbs MdDirectorFT$483,677$215,567$699,244
Tristi Muir MdDirectorFT$489,662$179,499$669,161
Todd Trask MdDirectorFT$522,506$88,724$611,230
Joseph J Naples MdDirectorFT$447,596$129,052$576,648
Stephen E SpielmanChief Operating OfficerFT$359,194$199,955$559,149
Andrew G Lee MdDirectorFT$442,678$98,081$540,759
Jaime Gatenodds MdDirectorFT$419,342$89,623$508,965
Amy Naquin-chappel MdDirectorFT$243,662$149,300$392,962
David W Campbell IvVice President-corp OperFT$233,178$140,711$373,889
Jeff CarrVice President-financeFT$218,561$124,333$342,894
Dawn PrestonVice President-rev Cycle OperFT$174,069$119,081$293,150
C Richard Stasney MdDirector, Part Yr--$3,775$3,775
Jett Brady MdDirector--$1,500$1,500

Board Members and Trustees

NameTitle
Robert a Phillips Md PhdDirector, Chair & CEO
Roberta L Schwartz PhdVice President-hmh
David P BernardVice President-hmsj
Debra F Sukin PhdVice President-hmsj & Hmtwh
Wayne M VossVice President-hmstc & Hmw
Daniel B NewmanVice President-hmstj
Chris SiebenalerVice President-hmstj & Hmsl
Keith BarberVice President-hmwb
Ramon M CantuFormer Officer
Kevin J BurnsSecretary
Edward L TyrrellTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
O'donnellsnider Construction LLCConstruction1900 W LOOP SOUTH SUITE 350, Houston, TX 77027$3,653,394
Pst Services INCBilling ServicesP O BOX 403421, Atlanta, GA 30384-3421$2,610,813
Smith And Dean INCHealth Care Staffing Services11511 KATY FRWY SUITE 430, Housotn, TX 77079$2,277,584
Addison GroupRecruitment/staffing125 S WACKER DR SUITE 2700, Chicago, IL 60606$1,167,299
The Csi Companies INCContract StaffingP O BOX 890841, Charlotte, NC 28289-0841$768,935
Revenue and Support

Revenue Composition

Contributions and Grants
$8,772,091
Program Service Revenue
$524,779,888
Investment Income
$-894,322
Other Revenue
$179,457
Change in Net Assets
$-449,983
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$431,885,159
Other Expenses$101,401,938
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$339,677,979$5,613,857-$345,291,836
Other Employee Benefits$33,954,900$546,823-$34,501,723
Occupancy$21,062,112$304,802-$21,366,914
Current Officers, Directors, Trustees, and Key Employees$18,576,182--$18,576,182
Fees for Services Other$16,669,228$1,888,203-$18,557,431
Payroll Taxes$16,525,120$259,917-$16,785,037
Pension Plan Contributions$16,463,208$267,173-$16,730,381
Insurance$10,062,121--$10,062,121
Office Expenses$8,275,135$398,900-$8,674,035
Depreciation Depletion$7,686,868$139,924-$7,826,792
Travel$3,056,946$98,327-$3,155,273
Fees for Services Management-$1,800,000-$1,800,000
Conferences and Meetings$875,654$133,667-$1,009,321
Advertising$603,000$127,287-$730,287
Information Technology$62,124$1,387-$63,511
Other Expenses$33,043$2,762-$35,805
All Other Expenses$31,004--$31,004
Total Functional Expenses$521,685,946$11,601,151$0$533,287,097
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

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Jett Brady, Md - Board DirectorHouston Radiology Associated Provided Radiology Services and Supported the Clinical Oversight Responsibilities of the Department ChairmanNo$764,167
Julia Andrieni MdFamily Member - of Robert Phillips, Evp/cmo and Pres & CEOEmploymentNo$513,026
Hilary Beaver MdFamiy Member - of Andrew G Lee, Md, Board DirectorEmploymentNo$232,915
Joan AppelFamily Member - of Stanley M. Appel, Md, Board DirectorEmploymentNo$127,324
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Organization$33,959,389
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
Yes
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, Section A, Line 6

Tmh health care group is the sole corporate member of this organization. Houston methodist hospital is the sole member of tmh health care group.

Form 990, Part VI, Section A, Line 7A

The sole corporate member of the organization, tmh health care group, appoints the board of directors.

Form 990, Part VI, Section A, Line 7B

The sole corporate member of the organization (tmh health care group) reserves the following powers: -to appoint and remove with or without cause the directors of the organization; -to approve the incurrence by the organization of any indebtedness and all guarantees of the debt of another party; -to approve the annual operating and capital budgets of the organization after they are prepared and approved by the organization's board of directors; -to approve the dissolution of the organization; -to approve the organization's participation in partnerships and joint ventures; -to approve the acquisition or disposition by the organization of real property from or to a non-corporation controlled organization through ownership, lease or otherwise; -to approve the disposition or acquisition by the organization of, or the investment by the organization in, another business or all or a portion of the business or operations of another business; -to establish, acquire or invest in any new or different business; and -to direct the organization in its actions as the corporate member or shareholder of other entities, including but not limited to, approving amendments to the articles of incorporation and bylaws of such other organizations.

Form 990, Part VI, Section B, Line 11B

Management, including certain officers, works diligently to complete the form 990 and attached schedules (return) in a thorough manner. The return is prepared by a paid preparer.

Form 990, Part VI, Section B, Line 12C

Individuals serving in a significant decision making capacity complete a conflict of interest (coi) questionnaire annually. A comprehensive evaluation and thorough review of disclosures is performed by a 6-member coi committee comprised of executives, management, and staff. The results of the coi disclosures are summarized and reported to the parent corporation, houston methodist hospital's board audit & compliance committee, including certain actions being taken to protect the integrity of houston methodist decision-making. In addition, certain disclosure results are also communicated to management and to affected committee chairs to promote transparency, protect decision-making integrity, and to ensure restrictions are imposed where appropriate. Conflicted individuals may not vote or exert self-serving influence on the disclosed matter. Form 990, part vi, section b, lines 15a & 15b: the ceo of this organization is employed and compensated by houston methodist hospital, the sole corporate member of tmh health care group (sole corporate member of this organization), which follows irs regulations as it relates to establishing a rebuttable presumption of reasonableness related to total compensation of the ceo of this organization as well as other key employees and compensated officers of the organization listed below. It has established a process that includes the following elements: a separate committee of the board of hmh (the "board committee"), comprised of independent directors, meets at least annually to review, deliberate and make recommendations to the board of hmh as it relates to any changes in total compensation including base pay, bonus awards from incentive programs or benefits and perquisites of the ceo. For 2017, the board committee reviewed and recommended compensation packages for the following positions: -evp/chief medical officer, houston methodist hospital, who also serves as president, chairperson & ceo for houston methodist specialty physician group. The board committee establishes that no member has any conflict of interest with regard to the executive compensation arrangements being approved. The board committee reviews and considers information provided by an external consultant engaged to ensure it has direct access to: -compensation information paid by comparable organizations, for functionally comparable positions. -compensation norms in the organization's immediate locale and from other independent compensation surveys by nationally recognized independent firms that represent the organization's logical peer group. -compensation information that includes information on base salary, incentives, benefits and perquisites for total compensation comparison purposes to ensure reasonable competitive ranking. The board committee relies on the comparability data to reach consensus that its recommendations to the board regarding executive compensation changes are reasonable and in line with organization's overall total compensation philosophy for executive pay. The deliberations and decisions of the board committee are contemporaneously substantiated. The compensation for positions held by the other compensated officers and directors listed on part vii, section a is determined based on a thorough review of numerous compensation studies conducted by nationally recognized, independent firms that provide market data for total compensation for similar positions. The compensation information considered includes information on base salary, incentives, and benefits for total compensation purposes to ensure reasonable competitive ranking in order to meet recruitment and retention objectives that secure the talent required to contribute to organizational success.

Form 990, Part VI, Section C, Line 19

The governing documents (except the articles of incorporation, which are on file with the secretary of the state of texas), conflict of interest policy and financial statements of the organization are not made available to the general public.

Filing and Contact Details

Filer

Filer Name
Tmh Physician Organization
EIN
57-1201170
Phone
8326676160
Address
6565 FANNIN NO GB-240, HOUSTON, TX 77030-2707
Doing Business As
Houston Methodist Specialty Physician Group

Signing Officer

Name
Edward L Tyrrell
Title
Treasurer
Phone
8326676160
Signed
2018-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert a Phillips Mdphd
Formed
2004
Legal Domicile
TX
Voting Board Members
21
Independent Board Members
0
Employees
2,951
Volunteers
0

Preparer

Firm
Deloitte Tax Llp
Address
1111 BAGBY STREET SUITE 4500, HOUSTON, TX 77002
Preparer
Jeffrey D Frank
Phone
7139822000
Supplemental Narrative

Additional Explanations

Form 990, Part I and Part III, Line 1

This organization is part of the methodist hospital, doing business as houston methodist hospital, whose mission is: to provide high quality, cost-effective health care that delivers the best value to the people we serve in a spiritual environment of caring in association with internationally recognized teaching and research.

Form 990, Part III, Line 4A

The tmh physician organization, doing business as hm specialty physician group (hmspg) was organized to engage in activities to further one or more of the following specific purposes: (i) the carrying out of scientific research and research projects in the public interest in the fields of medical sciences, medical economics, public health, sociology, and related areas; (ii) the supporting of medical education in medical schools through grants and scholarships, (iii) the improving and developing of abilities of individuals and institutions studying, teaching, and practicing medicine; (iv) the engaging in the instruction of the general public in the area of medical science, public health and hygiene and related instruction useful to the individual and beneficial to the community; and (v) the delivery of various modalities of health care to the public. In 2017, hm specialty physician group pursued the above specific purposes largely through the employment of physicians that were organized in the departments according to the specialties. In 2017, hm specialty physician group provided services to over 1.3 million patient encounters (excluding anesthesia, radiology / mastos and pathology services). As of december 31, 2017, hmspg employed 558 physicians and 1,656 staff fte's. Educational opportunities were provided to 274 hmspg residents and fellows from various acgme approved programs.

FORM 990, PART XI, LINE 9:

Transfer from donor-restricted funds for purchase of equipment 42,731.

Financial Statement Notes

PART X, LINE 2:

The financial statements of tmh physician organization, doing business as houston methodist specialty physician group (hm specialty physician group), are included in the consolidated finanical statements of the methodist hospital, doing business as houston methodist (hm), which are audited by an independent public accountant. Hm did not recognize any adjustments related to uncertain tax positions as of december 31, 2017.

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$1,253$1,257$3.32
2023Detailed filing. Detailed filing data is available for this year.$132$133$0.72$1,100$1,116$15.4
2022Detailed filing. Detailed filing data is available for this year.$125$111$14.7$993$987$5.63
2021Detailed filing. Detailed filing data is available for this year.$131$122$9.05$883$869$14.2
2020Detailed filing. Detailed filing data is available for this year.$117$122$5.20$756$754$2.67
2019Detailed filing. Detailed filing data is available for this year.$94.1$102$8.02$693$687$6.29
2018Detailed filing. Detailed filing data is available for this year.$82.0$96.3$14.3$601$600$0.75
2017Detailed filing. Detailed filing data is available for this year.$83.6$98.7$15.1$533$533$0.45
2016Detailed filing. Detailed filing data is available for this year.$65.6$80.2$14.7$483$483$0.32
2015Detailed filing. Detailed filing data is available for this year.$49.2$64.2$15.0$414$413$0.73
2014Detailed filing. Detailed filing data is available for this year.$43.4$59.2$15.8$361$359$1.84
2013Detailed filing. Detailed filing data is available for this year.$41.6$59.2$17.6$319$326$6.71
2012Summary only. Only limited summary data is available for this year.$41.9$53.0$11.1$292$292$0.06
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$36.4$47.6$11.2$273
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.0$38.3$7.35$240