Civic Intelligence

Tmh Physician Organization

990 • Fiscal year 2016 • EIN 57-1201170

Jan 01, 2016 to Dec 31, 2016 • Filed on Jan 31, 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

1.22x

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

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Liabilities / Revenue

15th percentile

0.17x

Higher debt load relative to revenue than 15% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Net Margin

30th percentile

0.1%

Higher net margin than 30% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Top Officer Pay

92nd percentile

$2,794,423

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Asset Growth

95th percentile

33%

Faster asset growth than 95% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Revenue Growth

87th percentile

17%

Faster revenue growth than 87% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Assets

Up

$65,593,278

Up $16,352,566 (+33%) from 2015

Net Assets

Up

-$14,653,928

Up $320,453 (+2.1%) from 2015

Liabilities

Up

$80,247,206

Up $16,032,113 (+25%) from 2015

Revenue

Up

$483,360,635

Up $69,619,990 (+17%) from 2015

Expenses

Up

$483,040,182

Up $70,030,891 (+17%) from 2015

Net Income

Down

$320,453

Down $410,901 (-56%) from 2015

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

2016

Assets$65,593,278
Liabilities$80,247,206
Net Assets-$14,653,928

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

2016

Revenue$483,360,635
Expenses$483,040,182
Net Income$320,453
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Jan 31, 2018
Return Version
2016v3.0
Gross Receipts
$483,360,635
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$22,897,898$37,397,591▲ $14,499,693
Accounts Receivable$22,676,573$26,261,054▲ $3,584,481
Cash and Non-Interest-Bearing Accounts$1,686,796$948,393▼ $738,403
Prepaid Expenses and Deferred Charges$540,885$0▼ $540,885
Total Assets$49,240,712$65,593,278▲ $16,352,566
Other Assets Total$1,438,560$986,240▼ $452,320
Liabilities
Accounts Payable and Accrued Expenses$46,100,360$52,324,415▲ $6,224,055
Other Liabilities$18,114,733$27,922,791▲ $9,808,058
Total Liabilities$64,215,093$80,247,206▲ $16,032,113
Net Assets / Fund Balance
Unrestricted Net Assets$-14,974,381$-14,653,928▲ $320,453
Total Net Assets Fund Balance$-14,974,381$-14,653,928▲ $320,453
Total Liabilities and Net Assets / Fund Balance$49,240,712$65,593,278▲ $16,352,566

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$22,574,498$26,697,780$49,272,278
Buildings$12,554,595$4,826,408$17,381,003
Leasehold Improvements$2,268,498$115,882$2,384,380
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Warren Ellsworth MdPhysicianFT$527,129$1,944,482$2,471,611
Aldona Spiegel MdPhysicianFT$1,231,551$1,153,705$2,385,256
Vincent C Phan MdPhysicianFT$989,349$795,116$1,784,465
Barbara L Bass MdDirectorFT$1,335,151$297,338$1,632,489
Bhadresh Shah MdPhysicianFT$666,889$830,277$1,497,166
Bin S Teh MdPhysicianFT$349,840$1,085,268$1,435,108
Gavin S Britz MdDirectorFT$1,025,640$364,342$1,389,982
Kevin E Varner MdDirectorFT$1,043,899$316,339$1,360,238
E Brian Butler MdDirectorFT$397,516$845,968$1,243,484
Timothy B Boone Md PhdDirectorFT$889,289$186,484$1,075,773
Alan B Lumsden MdDirectorFT$785,784$191,353$977,137
James M Musser Md PhdDirectorFT$702,356$243,874$946,230
Richard J Robbins MdDirectorFT$762,054$169,586$931,640
Stanley H Appel MdDirectorFT$683,644$94,758$778,402
Jenny Chang MdDirectorFT$614,026$133,601$747,627
William Zoghbi MdDirectorFT$622,344$48,826$671,170
Joseph J Naples MdDirectorFT$447,596$123,497$571,093
Tristi Muir MdDirectorFT$489,329$63,641$552,970
Andrew G Lee MdDirectorFT$437,661$107,456$545,117
Stephen E SpielmanChief Operating OfficerFT$331,364$194,078$525,442
Reginald Munden MdDirector, Part YearFT$418,469$105,981$524,450
Miguel a Quinones MdDirector, Part YearFT$446,392$66,774$513,166
Jaime Gateno Dds MdDirectorFT$417,070$82,723$499,793
Stuart M Dobbs MdDirectorFT$344,548$94,023$438,571
David W Campbell IvVP, Corporate Operations & Business Dev.FT$314,650$43,247$357,897
David W Campbell IvVP, Corporate Operations & Business-$229,351$128,546$357,897
Jeff CarrVP of FinanceFT$209,896$135,384$345,280
C Richard Stasney MdDirector--$91,351$91,351
Jett Brady Md Eff OctDirector--$3,500$3,500

Board Members and Trustees

NameTitle
Robert a Phillips Md PhdDirector, Chair,evp/CMO/pres & CEO
Chris SiebenalerVice President
Daniel B NewmanVice President
David P BernardVice President
Debra F Sukin PhdVice President
Keith BarberVice President
Roberta L Schwartz PhdVice President
Wayne M VossVice President
Marc L Boom MdOfficer, Former
Kevin J BurnsSecretary
Ramon M CantuSecretary, Former
Edward L TyrrellTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Athenahealth INCBilling And CollectionPO BOX 415615, Boston, MA 02241$6,567,293
Smith And Dean INCHealth Care Staffing Services11511 KATY FRWY SUITE 430, Houston, TX 77079$4,506,093
Pst Services INCBilling ServicesPO BOX 742526, Atlanta, GA 30374$2,600,756
Bone And Joint ClinicNon-employee Physician6624 FANNIN SUITE 2600, Houston, TX 77030$884,448
The Trevino GroupConstruction11410 BRITTMOORE PARK DR, Houston, TX 77041$817,381
Revenue and Support

Revenue Composition

Contributions and Grants
$957,439
Program Service Revenue
$482,403,196
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$320,453
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$385,297,011
Other Expenses$97,733,171
Grants and Similar Amounts Paid$10,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$294,579,068$4,333,589-$298,912,657
Other Employee Benefits$30,055,796$418,576-$30,474,372
Current Officers, Directors, Trustees, and Key Employees$26,201,551--$26,201,551
Fees for Services Other$22,528,726$852,135-$23,380,861
Occupancy$19,219,063$243,308-$19,462,371
Payroll Taxes$14,681,638$199,194-$14,880,832
Pension Plan Contributions$14,621,397$206,202-$14,827,599
Office Expenses$9,582,050$404,804-$9,986,854
Insurance$8,882,483--$8,882,483
Depreciation Depletion$6,474,513$196,976-$6,671,489
Travel$2,749,528$83,502-$2,833,030
Fees for Services Management-$1,240,983-$1,240,983
Conferences and Meetings$910,292$56,813-$967,105
Advertising$750,475$93,156-$843,631
Information Technology$60,124$3,555-$63,679
Other Expenses$45,845$575-$46,420
Grants to Domestic Orgs$10,000--$10,000
Total Functional Expenses$474,595,591$8,444,591$0$483,040,182
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Houston Area Parkinson SocietyHouston, TX501 (c)(3)Medical Research$10,000
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 Chairman.No$1,643,215
Julia Andrieni MdFamily Member - of Robert Phillips, Evp/cmo and Pres & CEOEmploymentNo$530,058
Hilary Beaver MdFamiy Member - of Andrew G Lee, Md, Board DirectorEmploymentNo$243,313
Joan AppelFamily Member - of Stanley M. Appel, Md, Board DirectorEmploymentNo$120,891
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Organization$27,922,791
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 2016, 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
2018-01-31
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert a Phillips Mdphd
Formed
2004
Legal Domicile
TX
Voting Board Members
19
Independent Board Members
0
Employees
2,754
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 2016, 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 2016, hm specialty physician group provided services to over 1.1 million patient encounters (excluding anesthesia, radiology / mastos and pathology services). As of december 31, 2016, hmspg employed 516 physicians and 1,534 staff fte's. Educational opportunities were provided to 260 hmspg residents and fellows from various acgme approved programs.

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, 2016.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR, CHAIR,EVP/CMO/PRES & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR

Document Assets

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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