Civic Intelligence

Houston Hospitals Inc.

990 • Fiscal year 2013 • EIN 71-1045290

Jan 01, 2013 to Dec 31, 2013 • Filed on Sep 25, 2014

1601 Watson Boulevard31093

(478) 542-7826

Siviq Scores

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

Liabilities / Assets

45th percentile

0.33x

Higher debt load relative to assets than 45% of similar nonprofits.

2013 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2013

Liabilities / Revenue

51st percentile

0.58x

Higher debt load relative to revenue than 51% of similar nonprofits.

2013 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2013

Net Margin

53rd percentile

6.5%

Higher net margin than 53% of similar nonprofits.

2013 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2013

Top Officer Pay

15th percentile

$368,258

Higher top officer pay than 15% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2013 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2013

Asset Growth

71st percentile

10%

Faster asset growth than 71% of similar nonprofits.

2013 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2012 to 2013

Revenue Growth

14th percentile

-4.1%

Faster revenue growth than 14% of similar nonprofits.

2013 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2011 to 2013

Assets

Up

$431,495,742

Up $40,837,651 (+10%) from 2012

Net Assets

Up

$288,413,047

Up $36,976,445 (+15%) from 2012

Liabilities

Up

$143,082,695

Up $3,861,206 (+2.8%) from 2012

Revenue

$245,213,636

No earlier filing loaded for comparison.

Expenses

Down

$229,262,424

Down $29,399,788 (-11%) from 2012

Net Income

$15,951,212

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$600M$400M$200M$0Assets 2010: $350,148,878Liabilities 2010: $143,392,066Net Assets 2010: $206,756,8122010Assets 2011: $367,712,019Liabilities 2011: $139,332,850Net Assets 2011: $228,379,1692011Assets 2012: $390,658,091Liabilities 2012: $139,221,489Net Assets 2012: $251,436,6022012Assets 2013: $431,495,742Liabilities 2013: $143,082,695Net Assets 2013: $288,413,0472013Assets 2014: $435,882,669Liabilities 2014: $150,157,011Net Assets 2014: $285,725,6582014Assets 2015: $422,183,458Liabilities 2015: $149,922,907Net Assets 2015: $272,260,5512015Assets 2016: $483,802,709Liabilities 2016: $209,386,049Net Assets 2016: $274,416,6602016Assets 2017: $412,662,591Liabilities 2017: $133,690,321Net Assets 2017: $278,972,2702017Assets 2018: $373,234,474Liabilities 2018: $129,736,609Net Assets 2018: $243,497,8652018Assets 2019: $375,079,475Liabilities 2019: $111,898,820Net Assets 2019: $263,180,6552019Assets 2020: $420,264,140Liabilities 2020: $128,024,659Net Assets 2020: $292,239,4812020Assets 2021: $374,033,073Liabilities 2021: $56,248,980Net Assets 2021: $317,784,0932021Assets 2022: $356,336,563Liabilities 2022: $61,874,445Net Assets 2022: $294,462,1182022Assets 2023: $363,634,989Liabilities 2023: $77,331,558Net Assets 2023: $286,303,4312023Assets 2024: $438,351,392Liabilities 2024: $109,089,053Net Assets 2024: $329,262,3392024

Highlighted filing

2013

Assets$431,495,742
Liabilities$143,082,695
Net Assets$288,413,047

Operations Trend

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

$400M$200M$0-$200MExpenses 2010: $248,799,4842010Revenue 2011: $266,697,149Expenses 2011: $245,607,394Net Income 2011: $21,089,7552011Expenses 2012: $258,662,2122012Revenue 2013: $245,213,636Expenses 2013: $229,262,424Net Income 2013: $15,951,2122013Revenue 2014: $233,003,598Expenses 2014: $223,566,692Net Income 2014: $9,436,9062014Revenue 2015: $238,937,712Expenses 2015: $230,931,115Net Income 2015: $8,006,5972015Revenue 2016: $242,294,594Expenses 2016: $235,964,284Net Income 2016: $6,330,3102016Revenue 2017: $242,641,135Expenses 2017: $242,039,037Net Income 2017: $602,0982017Revenue 2018: $249,010,728Expenses 2018: $245,521,967Net Income 2018: $3,488,7612018Revenue 2019: $263,171,254Expenses 2019: $253,051,654Net Income 2019: $10,119,6002019Revenue 2020: $290,518,468Expenses 2020: $264,975,124Net Income 2020: $25,543,3442020Revenue 2021: $309,918,266Expenses 2021: $294,006,299Net Income 2021: $15,911,9672021Revenue 2022: $264,890,312Expenses 2022: $303,313,576Net Income 2022: -$38,423,2642022Revenue 2023: $282,589,411Expenses 2023: $305,974,548Net Income 2023: -$23,385,1372023Revenue 2024: $361,709,463Expenses 2024: $351,897,003Net Income 2024: $9,812,4602024

Highlighted filing

2013

Revenue$245,213,636
Expenses$229,262,424
Net Income$15,951,212
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Sep 25, 2014
Return Version
2013v3.1
Gross Receipts
$506,331,627
Mission and Program Overview

Mission

To improve the healthcare of the communities we serve by providing patient-focused, high-quality, cost-effective services while promoting health and wellness.

To improve the healthcare of the communities we serve by providing patient focused, high quality, cost-effective services while promoting health and wellness.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$231,590,907$261,017,803▲ $29,426,896
Land, Buildings, and Equipment, Net$108,848,166$119,533,368▲ $10,685,202
Accounts Receivable$33,560,673$32,512,642▼ $1,048,031
Cash and Non-Interest-Bearing Accounts$2,131,030$6,517,226▲ $4,386,196
Other Notes and Loans Receivable, Net$1,628,711$1,860,615▲ $231,904
Inventories for Sale or Use$1,242,370$1,307,347▲ $64,977
Prepaid Expenses and Deferred Charges$993,454$628,022▼ $365,432
Investments Program Related$77,750$77,750→ $0
Total Assets$390,658,091$431,495,742▲ $40,837,651
Other Assets Total$10,585,030$8,040,969▼ $2,544,061
Liabilities
Tax Exempt Bond Liabilities$73,544,808$91,090,912▲ $17,546,104
Other Liabilities$44,208,002$26,375,925▼ $17,832,077
Accounts Payable and Accrued Expenses$21,468,679$25,615,858▲ $4,147,179
Total Liabilities$139,221,489$143,082,695▲ $3,861,206
Net Assets / Fund Balance
Unrestricted Net Assets$251,436,602$288,413,047▲ $36,976,445
Total Net Assets Fund Balance$251,436,602$288,413,047▲ $36,976,445
Total Liabilities and Net Assets / Fund Balance$390,658,091$431,495,742▲ $40,837,651

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$68,188,290$75,601,937$143,790,227
Equipment$28,626,138$83,569,383$112,195,521
Other Land Buildings$17,272,376$431,909$17,704,285
Land$3,840,066-$3,840,066
Leasehold Improvements$1,606,498$1,710,602$3,317,100
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Cary MartinCEOFT$343,527$24,731$368,258
Jefferson Davis MdChief MedicaFT$307,130$21,882$329,012
Jefferson Davis MdChief Medical Office-$303,475$29,725$329,012
Sean WhildenCFOFT$217,494$41,399$259,248
Gretta GrossDirector MedicalFT$218,053$4,297$222,350
Gretta GrossDirector Medical Educati-$168,053$64,391$222,350
Melinda HartleyChief NurseFT$194,884$24,269$219,153
Melinda HartleyChief Nurse Executiv-$191,464$28,177$219,153
Robertiena FletcherDirector of PharFT$165,554$30,582$196,136
Robertiena FletcherDirector of Pharmacy-$165,554$32,546$196,136
MICHAEL O'HARASr. ExecutivFT$174,461$16,649$191,110
MICHAEL O'HARASr. Executive - Hr-$167,006$18,814$191,110
Stephen MachenAdministratFT$171,791$12,962$184,753
Stephen MachenAdministrator (hmc)-$168,052$14,985$184,753
Rita BandtAsst. Director PFT$159,293$19,437$178,730
Rita BandtAsst. Director Pharmacy-$156,832$17,082$178,730
John David CampbellAdministratoFT$160,911$13,718$174,629
John David CampbellAdministrator(perry)-$155,990$19,378$174,629
Sandra JohnsonAsst. Director PFT$153,303$10,778$164,081
Sandra JohnsonAsst. Director Pharmacy-$150,912$7,873$164,081
George CurtisChief InformFT$100,538$4,332$104,870

Board Members and Trustees

NameTitle
Daniel Deighton MdChairman
Arthur ChristieVice-chairma
Ed DysonDirector
Fred GrahamDirector
Larry Stewart Jr MdDirector
Nancy SmithDirector
Tommy StalnakerDirector

Highest Paid Contractors

ContractorServicesLocationCompensation
Healthcare Excellence InstRevenue Consult-$1,472,113
In Compass Health INCHospitalists-$1,253,614
Clarus Linen SystemsLaundry Svcs-$1,196,427
Robins Anesthesia ServicesAnesthesia Svcs-$1,089,696
Diagnostic Pet LLCDiagnos Imaging-$538,800
Revenue and Support

Revenue Composition

Contributions and Grants
$46,153
Program Service Revenue
$230,465,451
Investment Income
$14,516,480
Other Revenue
$185,552
All Other Contributions
$46,153
Change in Net Assets
$15,951,212
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$119,420,489
Other Expenses$109,641,646
Grants and Similar Amounts Paid$200,289
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$71,957,027$19,758,774-$91,715,801
Fees for Services Other$14,938,608$11,229,927-$26,168,535
Depreciation Depletion$12,058,012$3,073,965-$15,131,977
Other Employee Benefits$11,363,307$3,234,360-$14,597,667
Payroll Taxes$5,295,596$1,507,296-$6,802,892
Office Expenses$4,250,381$2,144,239-$6,394,620
Pension Plan Contributions$3,721,170$1,059,164-$4,780,334
Information Technology$2,417,262$1,864,117-$4,281,379
Interest$3,154,199$804,105-$3,958,304
Occupancy$673,018$3,181,013-$3,854,031
Other Expenses$377,555$1,541,577-$1,919,132
Current Officers, Directors, Trustees, and Key Employees$623,761$900,034-$1,523,795
Insurance$1,119,029$119,099-$1,238,128
All Other Expenses-$1,171,929-$1,171,929
Advertising-$561,158-$561,158
Fees for Services Legal-$315,951-$315,951
Travel$157,241$125,661-$282,902
Grants to Domestic Orgs$200,289--$200,289
Fees for Services Accounting-$102,029-$102,029
Total Functional Expenses$173,672,778$55,589,646$0$229,262,424
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
58-1028275-GovNursing Education$75,000
58-1727346-GovNursing Education$75,000
58-1192477-(c)(3)General Support$36,000
75-1835298-501c3Support$9,989
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
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Katherine DeightonFamily MemberEmploymentNo$65,730
Brian GrahamFamily MemberEmploymentNo$47,039
Amy DawsonFamily MemberEmploymentNo$39,029
Daniel DeightonBoard MemberRental IncomeNo$35,254
Pierce ChristieFamily MemberEmploymentNo$28,266
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Pension Liability$15,998,724
Self Insurance Reserves$10,377,201

Bond Issues

BondIssuerIssuedIssue PricePurpose
A58-08335152007-08-23$71,610,473Hospital tower construction and equipment
B58-08335152013-01-23$20,335,000Facility construction and refunding of 2010 bonds

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$71,610,473-$130,000$871,608
B$20,335,000--$192,322

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
Yes
Exception to rebate
No
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
Yes
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
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, Page 6, Part VI, Line 6

The board of directors of houston healthcare system, inc., a related 501 (c)(3) organization, appoints the board of directors of houston hospitals, inc.

Form 990, Page 6, Part VI, Line 7A

The board of directors of houston healthcare system, inc., a related 501 (c)(3) organization, appoints the board of directors of houston hospitals, inc.

Form 990, Page 6, Part VI, Line 7B

Certain actions of the board of directors of houston hospitals, inc. Must be approved by the board of directors of houston healthcare system, inc., a related section 501(c)(3) organization.

Form 990, Page 6, Part VI, Line 11B

A draft of the form 990 was prepared by the organization and provided to an independent tax accountant for review and preparation of the complete return. After review and comments from the officers, the return was finalized. Prior to filing, a copy of the finalized return was provided to the organization's board of directors.

Form 990, Page 6, Part VI, Line 12C

On an annual basis, board members, officers and key employees complete a conflict of interest statement disclosing any potential conflicts. The statements are reviewed by management for disclosures.

Form 990, Page 6, Part VI, Line 15A

A comprehensive review of the ceo's total compensation is conducted by the benefits and compensation committee of houston healthcare system, inc., a related 501(c)(3) organization. Minutes reflecting deliberations of the committee are recorded and filed. The committee is comprised of three members of the board of directors. In considering an adjustment in total compensation for the ceo, various studies are considered and factored into the final decision, including the georgia vha executive compensation survey-ceo, the georgia hospital association survey of executive compensation and an executive salary survey of georgia hospital executives conducted annually by hr advantage, a compensation consultant with a nationwide reach. All of the entities and individuals provide compensation data independent of the others. Subsequent to the review, a recommendation regarding the ceo's compensation is reviewed and modified/approved by memebrs of the full board of directors of houston hospitals, inc. The review is performed on an annual basis.

Form 990, Page 6, Part VI, Line 15B

See discussion above for question 15a. A similar process is performed annually for the cfo.

Form 990, Page 6, Part VI, Line 19

Governing documents, the conflict of interest policy and financial statements are available to the public upon request.

Filing and Contact Details

Filer

EIN
71-1045290
Phone
4785427826

Signing Officer

Name
Sean Whilden
Title
CFO
Phone
4785427826
Signed
2014-09-25
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Cary Martin
Formed
2009
Legal Domicile
Ga
Voting Board Members
7
Independent Board Members
4
Employees
2,911
Volunteers
170

Preparer

Preparer
William Edward Phillips
Phone
2298837878
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Temporary employment 1,050,790 534,672 0 professional fees 10,083,747 0 0 consulting fees 3,804,071 8,463,868 0 collection fees 0 686,379 0 security 0 409,315 0 laundry service 0 1,135,693 0

Form 990, Part XI, Line 9

Change in pension obligation 13,122,561 equity transfers affiliated entities -8,620,023 total change in net assets 4,502,538

Financial Statement Notes

Schedule D, Page 3, Part X

(note: houston hospitals, inc. Is part of houston healthcare system, inc. This is the footnote from the combined financial statements.) the system applies accounting policies that prescribe when to recognize and how to measure the combined financial statement effects of income tax positions taken or expected to be taken on its income tax returns. These rules require management to evaluate the likelihood that, upon examination by the relevant taxing jurisdictions, those income tax positions would be sustained. Based on that evaluation, the system only recognizes the maximum benefit of each income tax position that is more than 50% likely of being sustained. To the extent that all or a portion of the benefits of an income tax position are not recognized, a liability would be recognized for the unrecognized benefits, along with any interest and penalties that would result from disallowance of the position. Should any such penalties and interest be incurred, they would be recognized as operating expenses. Based on the results of management's evaluation, no liability is recognized in the accompanying combined balance sheets for unrecognized income tax positions. Further, no interest or penalties have been accrued or charged to expense as of december 31, 2013 and 2012 or for the years then ended. The system's tax returns are subject to possible examination by the taxing authorities. For federal income tax purposes, the tax returns essentially remain open for possible examination for a period of three years after the respective filing deadlines of those returns.

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IRS990/Desc0THE HOSPITALS' PRIMARY PROGRAM ACTIVITY IS THE PROVISION OF PATIENT CARE. THE HOSPITALS PROVIDED NURSING CARE IN THE AREAS OF MEDICAL, POST-SURGICAL, PSYCHIATRIC, CRITICAL CARE, INTERMEDIATE CARE, LABOR AND DELIVERY, POST PARTUM, NURSERY, PEDIATRICS AND WOUND OSTOMY CARE. THE UTILIZATION DATA INCLUDES: 16,610 ADULT AND PEDIATRIC ADMISSIONS; 77,052 PATIENT DAYS; 2,115 BIRTHS; AND 79,936 EMERGENCY ROOM VISITS. THE HOSPITALS ALSO PROVIDED SURGICAL SERVICES TO 16,288 PATIENTS, WHICH INCLUDED 2,549 INPATIENTS, 5,869 OUTPATIENTS AND 7,870 ENDOSCOPY PATIENTS. IMAGING SERVICES PROVIDED BY THE HOSPITALS INCLUDED: 90,317 DIAGNOSTIC RADIOLOGY PROCEDURES; 29,596 PET/CT SCANS; 2,984 NUCLEAR MEDICINE PROCEDURES; 18,458 ULTRASOUNDS; 6,329 MRI SCANS; AND 11,310 MAMMOGRAMS.
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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$438$109$329$362$352$9.81
2023Detailed filing. Detailed filing data is available for this year.$364$77.3$286$283$306$23.4
2022Detailed filing. Detailed filing data is available for this year.$356$61.9$294$265$303$38.4
2021Detailed filing. Detailed filing data is available for this year.$374$56.2$318$310$294$15.9
2020Detailed filing. Detailed filing data is available for this year.$420$128$292$291$265$25.5
2019Detailed filing. Detailed filing data is available for this year.$375$112$263$263$253$10.1
2018Detailed filing. Detailed filing data is available for this year.$373$130$243$249$246$3.49
2017Detailed filing. Detailed filing data is available for this year.$413$134$279$243$242$0.60
2016Detailed filing. Detailed filing data is available for this year.$484$209$274$242$236$6.33
2015Detailed filing. Detailed filing data is available for this year.$422$150$272$239$231$8.01
2014Detailed filing. Detailed filing data is available for this year.$436$150$286$233$224$9.44
2013Detailed filing. Detailed filing data is available for this year.$431$143$288$245$229$16.0
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$391$139$251$259
2011Summary only. Only limited summary data is available for this year.$368$139$228$267$246$21.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$350$143$207$249
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2013 filings • 501(c)3 • $250M-$1B nonprofits