Civic Intelligence

Christus Trinity Clinic Texas

990 • Fiscal year 2014 • EIN 75-2616977

Jul 01, 2013 to Jun 30, 2014 • Filed on May 15, 2015

1315 Doctors DriveSuite75701

(903) 531-5764

Siviq Scores

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

Liabilities / Assets

99th percentile

1.98x

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

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Liabilities / Revenue

49th percentile

0.50x

Higher debt load relative to revenue than 49% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Net Margin

7th percentile

-17%

Higher net margin than 7% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Top Officer Pay

91st percentile

$1,616,346

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Asset Growth

3rd percentile

-16%

Faster asset growth than 3% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2013 to 2014

Revenue Growth

77th percentile

16%

Faster revenue growth than 77% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2012 to 2014

Assets

Down

$42,788,352

Down $7,960,189 (-16%) from 2013

Net Assets

Down

-$42,003,971

Down $12,248,621 (-41%) from 2013

Liabilities

Up

$84,792,323

Up $4,288,432 (+5.3%) from 2013

Revenue

$169,704,660

No earlier filing loaded for comparison.

Expenses

Up

$198,561,679

Up $3,350,477 (+1.7%) from 2013

Net Income

-$28,857,019

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.

$400M$200M$0-$200MAssets 2010: $81,057,788Liabilities 2010: $93,327,362Net Assets 2010: -$12,269,5742010Assets 2011: $100,212,393Liabilities 2011: $115,856,429Net Assets 2011: -$15,644,0362011Assets 2012: $135,889,145Liabilities 2012: $157,671,418Net Assets 2012: -$21,782,2732012Assets 2013: $50,748,541Liabilities 2013: $80,503,891Net Assets 2013: -$29,755,3502013Assets 2014: $42,788,352Liabilities 2014: $84,792,323Net Assets 2014: -$42,003,9712014Assets 2015: $41,300,592Liabilities 2015: $89,858,550Net Assets 2015: -$48,557,9582015Assets 2016: $46,974,731Liabilities 2016: $104,244,722Net Assets 2016: -$57,269,9912016Assets 2017: $46,332,852Liabilities 2017: $92,996,865Net Assets 2017: -$46,664,0132017Assets 2018: $75,838,421Liabilities 2018: $205,964,533Net Assets 2018: -$130,126,1122018Assets 2019: $57,615,684Liabilities 2019: $247,012,163Net Assets 2019: -$189,396,4792019Assets 2020: $74,448,052Liabilities 2020: $79,779,551Net Assets 2020: -$5,331,4992020Assets 2021: $97,674,872Liabilities 2021: $92,914,147Net Assets 2021: $4,760,7252021Assets 2022: $104,797,074Liabilities 2022: $75,178,733Net Assets 2022: $29,618,3412022Assets 2023: $110,123,160Liabilities 2023: $88,081,003Net Assets 2023: $22,042,1572023Assets 2024: $107,700,781Liabilities 2024: $75,156,561Net Assets 2024: $32,544,2202024

Highlighted filing

2014

Assets$42,788,352
Liabilities$84,792,323
Net Assets-$42,003,971

Operations Trend

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

$1.5B$1.0B$500M$0-$500MExpenses 2010: $147,688,0342010Expenses 2011: $136,630,5402011Revenue 2012: $125,774,019Expenses 2012: $150,113,635Net Income 2012: -$24,339,6162012Expenses 2013: $195,211,2022013Revenue 2014: $169,704,660Expenses 2014: $198,561,679Net Income 2014: -$28,857,0192014Revenue 2015: $153,732,700Expenses 2015: $177,244,488Net Income 2015: -$23,511,7882015Revenue 2016: $154,138,940Expenses 2016: $182,648,886Net Income 2016: -$28,509,9462016Revenue 2017: $168,960,733Expenses 2017: $209,342,618Net Income 2017: -$40,381,8852017Revenue 2018: $269,031,966Expenses 2018: $354,878,656Net Income 2018: -$85,846,6902018Revenue 2019: $306,336,105Expenses 2019: $365,606,472Net Income 2019: -$59,270,3672019Revenue 2020: $338,873,299Expenses 2020: $388,381,093Net Income 2020: -$49,507,7942020Revenue 2021: $420,271,561Expenses 2021: $474,723,959Net Income 2021: -$54,452,3982021Revenue 2022: $543,379,773Expenses 2022: $603,471,315Net Income 2022: -$60,091,5422022Revenue 2023: $926,180,147Expenses 2023: $924,538,493Net Income 2023: $1,641,6542023Revenue 2024: $1,078,878,794Expenses 2024: $1,081,041,509Net Income 2024: -$2,162,7152024

Highlighted filing

2014

Revenue$169,704,660
Expenses$198,561,679
Net Income-$28,857,019
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
May 15, 2015
Return Version
2013v4.0
Gross Receipts
$169,705,243
Mission and Program Overview

Mission

To provide physician services with a full range of comprehensive health care services without regard to race, creed, sex, national origin, handicap, age, or ability to pay.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$24,749,645$22,876,242▼ $1,873,403
Accounts Receivable$14,719,532$14,932,738▲ $213,206
Other Notes and Loans Receivable, Net$1,196,280$1,831,241▲ $634,961
Land, Buildings, and Equipment, Net$1,619,654$1,384,445▼ $235,209
Prepaid Expenses and Deferred Charges$432,590$498,508▲ $65,918
Intangible Assets$373,209$310,786▼ $62,423
Inventories for Sale or Use$230,612$131,330▼ $99,282
Investments Other Securities$86,710$82,544▼ $4,166
Cash and Non-Interest-Bearing Accounts$701,164$11,844▼ $689,320
Savings and Temporary Cash Investments$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 Program Related$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$50,748,541$42,788,352▼ $7,960,189
Other Assets Total$6,639,145$728,674▼ $5,910,471
Liabilities
Other Liabilities$56,694,461$55,957,601▼ $736,860
Accounts Payable and Accrued Expenses$23,809,430$28,834,722▲ $5,025,292
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$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$80,503,891$84,792,323▲ $4,288,432
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-29,755,350$-42,003,971▼ $12,248,621
Total Net Assets Fund Balance$-29,755,350$-42,003,971▼ $12,248,621
Total Liabilities and Net Assets / Fund Balance$50,748,541$42,788,352▼ $7,960,189

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$489,276$2,126,760$2,616,036
Leasehold Improvements$880,870$325,642$1,206,512
Other Land Buildings$14,299-$14,299
Buildings$0-$0

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
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
2009$414,414$1,790,794▲ $4,305$500$2,209,013
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
LAURA O'HALLORAN MDPhysicianFT$961,682$654,664$1,616,346
Wayne Gluf MdPhysicianFT$1,526,613$46,202$1,572,815
Ramon Kumar MdPhysicianFT$577,881$734,492$1,312,373
Kai Xia MdphysicianFT$661,555$563,397$1,224,953
Todd Patrick MdPhysicianFT$1,035,772$186,478$1,222,249
Neelan Doolabh MdPhysicianFT$746,472$430,979$1,177,451
Fagg Sanford MdphysicianPT$832,428$42,946$875,374
William Hobbs MdphysicianFT$592,119$253,709$845,828
James Caccitolo Mdphysician/SECRETARYFT$780,424$33,828$814,252
Bryan Lowery MdPhysicianFT$351,034$253,127$604,161
Joseph Zasik DophysicianFT$516,264$38,167$554,431
Hampton Williams MdphysicianFT$489,534$30,425$519,959
Mark Anderson MdPhysican/chairFT$449,490$35,584$485,074
William mCcrady mdVPFT$171,501$305,620$477,121
Steven Keuer MdSystem President/CMO/directorPT$101,090$361,823$462,913
Oladimeji Akiode MdphysicianFT$198,037$251,821$449,857
Thomas HargroveVPFT$332,360$77,599$409,959
Brenda Morris MdPhysicianFT$382,818$14,353$397,171
Roger Fowler MdPhysicianFT$314,093$80,848$394,941
Barbara Allen MdPhysicianFT$295,785$81,462$377,247
Chris GlenneySr. VPFT$251,415$81,293$332,708
James Stanford Mdphysician/VICE CHAIRFT$145,112$180,817$325,929
Gifford Eckhout MdExecutive Vice President/direcPT$245,002$61,580$306,582
Meg Reitmeyer MdphysicianFT$238,022$41,793$279,816
Gregory Stovall MdPhysicianFT$146,608$81,158$227,766
Ann GilbertVPFT$154,471$58,344$212,815
Janet Hurley MdphysicianFT$119,497$40,233$159,730
David Teegarden MdSystem President/CMO/director-$97,133$26,189$123,322
Joyce HesterSr. Vice President/CFOPT$80,449$34,783$115,232

Board Members and Trustees

NameTitle
William Bellenfant SrSr VP/CFO/director/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Eagle Hospital PhysiciansPhysician Services-$1,568,922
Huron Consulting Services LLCConsulting Services-$1,482,828
Delta Locum TenensPhysician Services-$1,341,145
Patrick Daus DoPhysician Services-$566,875
Hospitalist Connections LLCPhysician Services-$503,744
Revenue and Support

Revenue Composition

Contributions and Grants
$45,998
Program Service Revenue
$166,762,561
Investment Income
$2,896,684
Other Revenue
$-583
Change in Net Assets
$-28,857,019

Audited Revenue Reconciliation

Revenue per Audited Statements
$166,211,815
Revenue Not Reported on Financial Statements
$3,492,845
Revenue Not Reported on Form 990
$-9,827,819
Other Revenue Adjustments
$3,492,845
Total Revenue per Audited Statements
$156,383,996
Total Revenue per Form 990
$169,704,660
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$155,474,932
Salaries, Compensation, and Employee Benefits$43,086,747
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$116,943,008$3,753,129-$120,696,137
Other Salaries and Wages$14,479,230$1,637,721-$16,116,951
Current Officers, Directors, Trustees, and Key Employees$11,042,054$1,205,085-$12,247,139
All Other Expenses$9,643,986$36,179-$9,680,165
Other Employee Benefits$5,722,053$340,130-$6,062,183
Payroll Taxes$4,506,911$219,616-$4,726,527
Fees for Services Management$3,329,107$9,191-$3,338,298
Insurance$3,149,448$18,718-$3,168,166
Pension Plan Contributions$2,902,203$36,371-$2,938,574
Occupancy$901,486$232,404-$1,133,890
Conferences and Meetings$1,033,370$5,437-$1,038,807
Comp Disqual Persons$910,206$85,167-$995,373
Office Expenses$368,736$533,437-$902,173
Interest$130,845$298,986-$429,831
Depreciation Depletion$260,529$67,704-$328,233
Other Expenses$78,191$22,745-$100,936
Travel$26,653$56,840-$83,493
Advertising$26,935$11,497-$38,432
Information Technology$3,246$698-$3,944
Fees for Service Investment Mgmnt Fees-$150-$150
Total Functional Expenses$189,988,227$8,573,452$0$198,561,679

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$198,561,679
Expenses per Audited Statements$188,733,860
Total Expenses per Audited Statements$185,241,015
Expenses Not Reported on Financial Statements$9,827,819
Other Expense Adjustments$9,827,819
Expenses Not Reported on Form 990$-3,492,845
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
Karen Zasikwife of directorsalaries/wagesNo$66,455

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$26,670,877
Accrued Pension Liability$14,903,520
Deferred Compensation$9,101,104
Estimated Self Insurance Costs$5,282,100
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
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: trinity mother frances health system is the sole member of trinity clinic.

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

Decisions of governing body subject to approval by the member: the member has the authority to approve or disapprove certain matters 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 made available to the board of directors upon their request.

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 and ultimately approved by trinity mother frances health system.

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.

Filing and Contact Details

Filer

EIN
75-2616977
In Care Of
% MOTHER FRANCES HOSP ACCT DEP
Phone
9035315764

Signing Officer

Name
Joyce Hester
Title
CFO
Phone
9036065783
Signed
2015-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
STEVEN KEUER md
Formed
1995
Legal Domicile
TX
Voting Board Members
16
Independent Board Members
0
Employees
694
Volunteers
26

Preparer

Preparer
Jeanette Verrelli
Phone
9036065783
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 1A

1099s reported by organization: forms 1099-int are issued by the filing organization. However, the organization's forms 1099-misc are issued by a related organization, mother frances hospital regional health care center, which reports all forms 1099-misc for the entire system and allocates expenses to the appropriate related organization.

Form 990, Part IX, Line 11G

OTHER FEES FOR SERVICES: PROFEsSIONAL FEES $ 117,782,937 PURCHASED SERVICES 1,506,560 DIRECTOR FEES 1,495,932 CONSULTING 937,707 DIRECT CARE FEES 158,588 PHYSICIAN FEES 100,420 CONTRACT LABOR 68,559 corporate allocation (1,354,566) --------------------------- TOTAL $ 120,696,137

Form 990, Part XI, Line 9

OTHER CHANGES IN NET ASSETS: TranFERS FROM AFFILIATE $ 16,608,398

Financial Statement Notes

Schedule D, Part V, Line 4

Intended use of the organization's 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. 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: bad debt expense $(9,827,819)

Schedule D, Part XI, Line 4B

RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: INTEREST INCOME $ 2,894,733 SEQUESTER REDUCTION REVENUE 584,518 REBATE INCOME 14,177 RENTal EXPENSEs (583) ------------------- TOTAL $ 3,492,845

Schedule D, Part XII, Line 2D

RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: INTEREST INCOME $(2,894,733) SEQUESTER REDUCTION REVENUE (584,518) REBATE INCOME (14,177) RENTal EXPENSEs 583 ------------------- TOTAL $(3,492,845)

Schedule D, Part XII, Line 4B

Reconciliation of expense per audited financial statements with return: bad debt expense $ 9,827,819

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IRS990/Form990PartVIISectionAGrp/TitleTxt13physician
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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.$108$75.2$32.5$1,079$1,081$2.16
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$110$88.1$22.0$926$925$1.64
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$105$75.2$29.6$543$603$60.1
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$97.7$92.9$4.76$420$475$54.5
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$74.4$79.8$5.33$339$388$49.5
2019Summary only. Only limited summary data is available for this year.$57.6$247$189$306$366$59.3
2018Summary only. Only limited summary data is available for this year.$75.8$206$130$269$355$85.8
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$46.3$93.0$46.7$169$209$40.4
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$47.0$104$57.3$154$183$28.5
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$41.3$89.9$48.6$154$177$23.5
2014Detailed filing. Detailed filing data is available for this year.$42.8$84.8$42.0$170$199$28.9
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$50.7$80.5$29.8$195
2012Summary only. Only limited summary data is available for this year.$136$158$21.8$126$150$24.3
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$100$116$15.6$137
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$81.1$93.3$12.3$148