Civic Intelligence

Christus Northeast Texas and Northern Louisiana Health System C

990 • Fiscal year 2015 • EIN 75-2616975

Jul 01, 2014 to Jun 30, 2015 • Filed on May 16, 2016

1315 Doctors DriveTyler, TX 75701

(903) 606-5639

Siviq Scores

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

Liabilities / Assets

99th percentile

2.47x

Higher debt load relative to assets than 99% of similar nonprofits.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2015

Liabilities / Revenue

70th percentile

0.93x

Higher debt load relative to revenue than 70% of similar nonprofits.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2015

Net Margin

31st percentile

0.0%

Higher net margin than 31% of similar nonprofits.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2015

Top Officer Pay

97th percentile

$2,052,866

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 2.4% of source-year revenue.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2015

Asset Growth

98th percentile

81%

Faster asset growth than 98% of similar nonprofits.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2014 to 2015

Revenue Growth

31st percentile

-1.3%

Faster revenue growth than 31% of similar nonprofits.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2014 to 2015

Assets

Up

$32,191,206

Up $14,449,627 (+81%) from 2014

Net Assets

Up

-$47,342,501

Up $3,364,797 (+6.6%) from 2014

Liabilities

Up

$79,533,707

Up $11,084,830 (+16%) from 2014

Revenue

Down

$85,834,484

Down $1,157,746 (-1.3%) from 2014

Expenses

Up

$85,813,349

Up $4,435,144 (+5.5%) from 2014

Net Income

Down

$21,135

Down $5,592,890 (-100%) from 2014

Historical Trend

Balance Sheet Trend

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

$200M$100M$0-$100MAssets 2010: $12,439,033Liabilities 2010: $93,605,563Net Assets 2010: -$81,166,5302010Assets 2011: $16,617,518Liabilities 2011: $92,810,381Net Assets 2011: -$76,192,8632011Assets 2012: $24,220,424Liabilities 2012: $117,636,871Net Assets 2012: -$93,416,4472012Assets 2013: $13,668,828Liabilities 2013: $68,149,248Net Assets 2013: -$54,480,4202013Assets 2014: $17,741,579Liabilities 2014: $68,448,877Net Assets 2014: -$50,707,2982014Assets 2015: $32,191,206Liabilities 2015: $79,533,707Net Assets 2015: -$47,342,5012015Assets 2016: $36,082,242Liabilities 2016: $117,841,704Net Assets 2016: -$81,759,4622016Assets 2017: $30,675,404Liabilities 2017: $8,220,009Net Assets 2017: $22,455,3952017Assets 2018: $29,882,717Liabilities 2018: $7,437,327Net Assets 2018: $22,445,3902018Assets 2019: $25,337,648Liabilities 2019: $5,783,304Net Assets 2019: $19,554,3442019Assets 2020: $81,728,745Liabilities 2020: $7,145,555Net Assets 2020: $74,583,1902020Assets 2021: $9,853,180Liabilities 2021: $2,427,076Net Assets 2021: $7,426,1042021Assets 2022: $9,769,904Liabilities 2022: $1,495,760Net Assets 2022: $8,274,1442022Assets 2023: $5,736,975Liabilities 2023: $1,457,121Net Assets 2023: $4,279,8542023Assets 2024: $5,587,789Liabilities 2024: $1,132,651Net Assets 2024: $4,455,1382024

Highlighted filing

2015

Assets$32,191,206
Liabilities$79,533,707
Net Assets-$47,342,501

Operations Trend

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

$150M$100M$50M$0-$50MExpenses 2010: $44,104,1822010Expenses 2011: $48,089,2042011Expenses 2012: $51,182,9012012Expenses 2013: $79,806,9912013Revenue 2014: $86,992,230Expenses 2014: $81,378,205Net Income 2014: $5,614,0252014Revenue 2015: $85,834,484Expenses 2015: $85,813,349Net Income 2015: $21,1352015Revenue 2016: $94,986,886Expenses 2016: $120,525,598Net Income 2016: -$25,538,7122016Revenue 2017: $97,806,139Expenses 2017: $96,874,338Net Income 2017: $931,8012017Revenue 2018: $97,916,247Expenses 2018: $95,402,028Net Income 2018: $2,514,2192018Revenue 2019: $103,039,439Expenses 2019: $105,868,493Net Income 2019: -$2,829,0542019Revenue 2020: $99,303,709Expenses 2020: $95,763,161Net Income 2020: $3,540,5482020Revenue 2021: $59,156,593Expenses 2021: $52,557,332Net Income 2021: $6,599,2612021Revenue 2022: $27,884,017Expenses 2022: $25,770,224Net Income 2022: $2,113,7932022Revenue 2023: $37,088,828Expenses 2023: $33,823,175Net Income 2023: $3,265,6532023Revenue 2024: $31,556,183Expenses 2024: $31,057,490Net Income 2024: $498,6932024

Highlighted filing

2015

Revenue$85,834,484
Expenses$85,813,349
Net Income$21,135
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
May 16, 2016
Return Version
2014v6.0
Gross Receipts
$85,834,484
Mission and Program Overview

Mission

Coordinating parent of charitable healthcare system guiding activities of affiliated entities to provide quality healthcare services to the community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Prepaid Expenses and Deferred Charges$2,369,556$2,537,889▲ $168,333
Savings and Temporary Cash Investments$562$412▼ $150
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0--
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$17,741,579$32,191,206▲ $14,449,627
Other Assets Total$15,371,461$29,652,905▲ $14,281,444
Liabilities
Other Liabilities$57,708,640$68,980,989▲ $11,272,349
Mortgage Notes Payable Secured by Investment Property$8,337,070$7,957,505▼ $379,565
Accounts Payable and Accrued Expenses$2,403,167$2,595,213▲ $192,046
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$68,448,877$79,533,707▲ $11,084,830
Net Assets / Fund Balance
Temporarily Rstr Net Assets$7,579,197$7,177,884▼ $401,313
Permanently Rstr Net Assets$2,051,125$2,051,625▲ $500
Unrestricted Net Assets$-60,337,620$-56,572,010▲ $3,765,610
Total Net Assets Fund Balance$-50,707,298$-47,342,501▲ $3,364,797
Total Liabilities and Net Assets / Fund Balance$17,741,579$32,191,206▲ $14,449,627

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$35,685--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2014$2,762,072-▲ $124,881-$2,885,953
2013$2,414,694-▲ $360,569-$2,762,072
2012$2,408,876-▲ $163,752-$2,414,694
2011$2,350,337$30,875▲ $27,664-$2,408,876
2010$2,209,013$50▲ $141,274-$2,350,337
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
J Lindsey Bradley JrSystem President/directorPT$659,254$829,074$1,488,328
Ray ThompsonSys Exec VP/director/secretaryPT$402,185$559,201$961,386
Steven Keuer MdPresident/directorPT$312,157$414,856$727,013
Gifford Eckhout MdExecutive VP/director-$368,109$81,909$450,018
Thomas WilkenSr VPFT$254,464$80,918$335,382
Linda MooreVP/attorneyFT$242,046$62,976$305,022
Jeffrey PearsonVPFT$219,540$61,092$280,632
Andrew Von EschenbachVP Revenue CycleFT$198,680$63,432$262,112
John WebbVP, Managed Care/reg SvcFT$189,099$70,246$259,345
Darin SzilagyiVPFT$194,522$62,630$257,152
Mary JacksonVPPT$197,918$52,814$250,732
Robert JehlingAssociate VPFT$142,217$64,114$206,331
Elizabeth PulliamVP FinancePT$134,199$39,990$174,189
Joyce HesterSr. Vice President/CFOPT$109,976$56,004$165,980
Mary E DoddProject DirectorFT$140,566$12,369$152,935
Christina RamseySystem ControllerFT$140,004$10,731$150,735
Richard GerthApp Coordinator PharmFT$135,842$13,895$149,737
Shelly RutherfordFinance DirectorFT$132,199$7,797$139,996
Scott Smith MdExecutive Vice PresidentPT$36,470$15,271$51,741
Ali BirjandiVPFT$48,181$653$48,834

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Huron Consulting Services LLCConsulting Services4795 PAYSHERE CIRCLE, Chicago, IL 60674$2,455,288
Relayhealth INCBilling ServicesPO Box 98347, Chicago, IL 60693$940,806
Lsq Funding Group LcBilling Services2600 LUCIEN WAY SUITE 100, Maitland, FL 32751$781,483
Briggs And Caldwell LPAdvertising Services9801 WESTHEIMER RD, Houston, TX 77042$753,216
Advanced Reimbursement ManagementCollection Services4524 SOUTHLAKE PARKWAY STE 15, Hoover, AL 35244$542,983
Revenue and Support

Revenue Composition

Contributions and Grants
$24,000
Program Service Revenue
$85,556,776
Investment Income
$0
Other Revenue
$253,708
Change in Net Assets
$21,135

Audited Revenue Reconciliation

Revenue per Audited Statements
$85,662,381
Revenue Not Reported on Financial Statements
$172,103
Revenue Not Reported on Form 990
$3,761,552
Other Revenue Adjustments
$172,103
Total Revenue per Audited Statements
$89,423,933
Total Revenue per Form 990
$85,834,484
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$45,996,285
Other Expenses$39,590,736
Grants and Similar Amounts Paid$226,328
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$31,188,443$3,465,383-$34,653,826
Fees for Services Other$12,948,170$1,438,684-$14,386,854
Information Technology$6,720,017$746,669-$7,466,686
Depreciation Depletion$5,687,326$631,925-$6,319,251
Payroll Taxes$3,915,189$435,021-$4,350,210
Current Officers, Directors, Trustees, and Key Employees$3,895,579$432,842-$4,328,421
Office Expenses$2,599,414$288,824-$2,888,238
Other Employee Benefits$1,994,128$221,570-$2,215,698
Advertising$1,015,592$112,844-$1,128,436
Fees for Services Legal$885,650$98,406-$984,056
All Other Expenses$471,343$52,372-$523,715
Conferences and Meetings$412,276$45,808-$458,084
Pension Plan Contributions$403,317$44,813-$448,130
Interest$393,319$43,702-$437,021
Occupancy$322,533$35,837-$358,370
Grants to Domestic Orgs$226,328--$226,328
Fees for Services Accounting$139,667$15,519-$155,186
Other Expenses$69,326$7,703-$77,029
Travel$59,279$6,587-$65,866
Insurance$54,553$6,061-$60,614
Fees for Service Investment Mgmnt Fees$135$15-$150
Total Functional Expenses$77,254,646$8,558,703$0$85,813,349

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$85,813,349
Total Expenses per Form 990$85,813,349
Total Expenses per Audited Statements$85,658,323
Expenses Not Reported on Form 990$-155,026
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
American Heart AssociationDes Moines, IA501(c)(3)Community Healthcare$30,000
Cancer Foundation for LifeTyler, TX501(c)(3)Community Healthcare$25,000
American Cancer SocietyTyler, TX501(c)(3)Community Healthcare$20,000
St Gregory Cathedral SchoolTyler, TX501(c)(3)Community Healthcare$20,000
Tyler Chamber of CommerceTyler, TX501(c)(3)Community Healthcare$17,012
Tyler Junior College FoundationTyler, TX501(c)(3)Community Healthcare$10,000
University of Texas at TylerTyler, TX501(c)(3)Community Healthcare$10,000
Alzheimers Alliance of Smith CountyTyler, TX501(c)(3)Community Healthcare$7,000
Texas Association of BusinessAustin, TX501(c)(3)Community Healthcare$5,987
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
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$67,880,989
Long-term Care Obligation$1,100,000
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
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, Part VI, Section A, Line 6

Members or stockholders: the sole member is the congregation of the sisters of the holy family of nazareth, a religious order of the roman catholic church.

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

Members who may elect members of the governing body: the member has the sole right and authority to appoint one of the members of the organization's board of directors.

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

Decisions of the governing body subject to approval by the member: the member has the right to approve or disapprove certain actions that have been previously approved by the board of directors.

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

Process to review the form 990: the organization engages an outside accounting firm to prepare form 990. Once prepared, the form is reviewed by the organization's internal accountants and a copy is provided to the board prior to filing.

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

Process to monitor and enforce conflict of interest policy: the board reviews and resolves, if necessary, any transactions as they arise throughout the year in accordance with policy standards.

Form 990, Part VI, Section B, Lines 15A & 15B

Review of compensation of ceo, officer, or key employees: the organization uses compensation consultants and national compensation surveys to determine compensation of employees. Compensation is approved by the organization's governing body. The most recent review of officer compensation was conducted in 2015 by laura lockhart, tmfhs director of total rewards, and jared seiger, tmfhs benefit specialist.

Form 990, Part VI, Section C, Line 19

Availability of documents: the organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Form 990, Part VII, Section A, Line 1A & Schedule J, Part II

Compensation from related organizations: the governing board of trinity mother frances health system upon advice from nationally recognized compensation consultants, who periodically review all executive compensation, approved a deferred compensation plan that provides a 65% total retirement benefit for senior executives that serve 20 years or more. This program has both retention and non-competition clauses that create a risk of forfeiture. Deferred compensation is subject to a risk of forfeiture based on retention, non-competition and other contractual factors. Accruals of deferred compensation are not includible in w-2 compensation until paid. Other employee benefits include qualified pension plans, health, dental and life insurance plans, disability insurance, etc. Taxable expenses are included in the w-2 paid compensation salary amount.

Form 990, Part VI, Section A, Line 2

Relationships between officers & directors: the members of the executive team all have business relationships with eachother through their employment with related organizations.

Filing and Contact Details

Filer

Filer Name
Trinity Mother Frances Health System
EIN
75-2616975
In Care Of
% CHRISSY RAMSEY
Phone
9036065639
Address
1315 Doctors Drive, Tyler, TX 75701

Signing Officer

Name
Elizabeth Pulliam
Title
CFO of Mfh Regional
Phone
9036065783
Signed
2016-05-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
J Lindsey Bradley Jr
Formed
1995
Legal Domicile
TX
Voting Board Members
12
Independent Board Members
7
Employees
697
Volunteers
13

Preparer

Firm
Bkd Llp
Address
14241 DALLAS PKWY STE 1100, DALLAS, TX 75254
Preparer
Jeanette Verrelli
Phone
9727028262
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 1A

1099s reported by organization: the organization's 1099s are issued by a related organization, mother frances hospital regional health care center, who reports all 1099s for the entire system and allocates expenses to the appropriate related organization.

Form 990, Part XI, Line 9

Other changes in net assets: change in financial interest - foundation $5,611,000 net assets released from restriction (2,378,616) change in financial interest - temp restricted 1,977,303 equity in earnings of affiliate - foundation (1,849,448) equity in income of consolidated subsidiary (17,077) change in financial interest - perm restricted 500 -------------- total $3,343,662

Form 990 Part IX Line 11G

Description:collection fees total fees:4968886

Form 990 Part IX Line 11G

Description:consulting total fees:3386093

Form 990 Part IX Line 11G

Description:contract labor total fees:455990

Form 990 Part IX Line 11G

Description:professional fees total fees:219258

Form 990 Part IX Line 11G

Description:purchased services total fees:7464632

Form 990 Part IX Line 11G

Description:sponsorships total fees:160000

Form 990 Part IX Line 11G

Description:corporate allocation total fees:-2268005

Financial Statement Notes

Schedule D, Part V, Line 4

Intended use of endowment funds: the organization has adopted investment and spending policies for the endowment assets that attempt to provide a predictable stream of funding to programs and items supported by the endowment while seeking to maintain its purchasing power.

Schedule D, Part X, Line 2

LIABILITY FOR UNCERTAIN TAX POSITIONS: The System, the Hospital, RMSA, the Clinic, Jacksonville and Winnsboro have been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code (IRC) and a similar provision of state law. However, these entities are subject to federal income tax on any unrelated business taxable income. APET will be applying for tax-exempt status. THFIC is not considered to be engaged in a United States trade or business and, therefore, is not subject to United States income taxes. If THFIC were to be considered engaged in a United States trade or business, it could be subject to federal income tax. THFIC is currently exempt from income taxes in the Cayman Islands. Accordingly, no provision for taxes has been made. With a few exceptions, the Health System is no longer subject to U.S. federal examinations by tax authorities for years before 2011.

Schedule D, Part XI, Line 2D

Reconciliation of revenue per audited financial statements with return: change in financial interest of affiliate - foundation $5,611,000 equity in earnings of affiliate - foundation (1,849,448) ------------ total 3,761,552

Schedule D, Part XI, Line 4B

Reconciliation of revenue per audited financial statements with return: rebate income $172,103

Schedule D, Part XII, Line 2D

Reconciliation of expense per audited financial statements with return: rebate income $(172,103) equity in income of consolidated subsidiary 17,077 ------------ total (155,026)

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IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8PRESIDENT/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt14VP, MANAGED CARE/REG SVC
IRS990/Form990PartVIISectionAGrp/TitleTxt15VP FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt16VP
IRS990/Form990PartVIISectionAGrp/TitleTxt17VP
IRS990/Form990PartVIISectionAGrp/TitleTxt18SR VP
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IRS990/Form990PartVIISectionAGrp/TitleTxt20VP
IRS990/Form990PartVIISectionAGrp/TitleTxt21VP
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.59$1.13$4.46$31.6$31.1$0.50
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.74$1.46$4.28$37.1$33.8$3.27
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.77$1.50$8.27$27.9$25.8$2.11
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.85$2.43$7.43$59.2$52.6$6.60
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$81.7$7.15$74.6$99.3$95.8$3.54
2019Summary only. Only limited summary data is available for this year.$25.3$5.78$19.6$103$106$2.83
2018Summary only. Only limited summary data is available for this year.$29.9$7.44$22.4$97.9$95.4$2.51
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$30.7$8.22$22.5$97.8$96.9$0.93
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$36.1$118$81.8$95.0$121$25.5
2015Detailed filing. Detailed filing data is available for this year.$32.2$79.5$47.3$85.8$85.8$0.02
2014Detailed filing. Detailed filing data is available for this year.$17.7$68.4$50.7$87.0$81.4$5.61
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.7$68.1$54.5$79.8
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$24.2$118$93.4$51.2
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$16.6$92.8$76.2$48.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.4$93.6$81.2$44.1