Civic Intelligence

Christus Trinity Clinic Texas

990 • Fiscal year 2015 • EIN 75-2616977

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

1315 Doctors DriveTyler, TX 75701

(903) 606-5639

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Down

$41,300,592

Down $1,487,760 (-3.5%) from 2014

Net Assets

Down

-$48,557,958

Down $6,553,987 (-16%) from 2014

Liabilities

Up

$89,858,550

Up $5,066,227 (+6.0%) from 2014

Revenue And Expenses

Revenue

Down

$153,732,700

Down $15,971,960 (-9.4%) from 2014

Expenses

Down

$177,244,488

Down $21,317,191 (-11%) from 2014

Net Income

Up

-$23,511,788

Up $5,345,231 (+19%) from 2014

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

2015

Assets$41,300,592
Liabilities$89,858,550
Net Assets-$48,557,958

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

2015

Revenue$153,732,700
Expenses$177,244,488
Net Income-$23,511,788
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
May 16, 2016
Return Version
2014v6.0
Gross Receipts
$153,732,700
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$22,876,242$24,198,257▲ $1,322,015
Accounts Receivable$14,932,738$11,469,727▼ $3,463,011
Other Notes and Loans Receivable, Net$1,831,241$0▼ $1,831,241
Land, Buildings, and Equipment, Net$1,384,445$1,182,375▼ $202,070
Prepaid Expenses and Deferred Charges$498,508$502,769▲ $4,261
Intangible Assets$310,786$260,595▼ $50,191
Inventories for Sale or Use$131,330$96,536▼ $34,794
Investments Other Securities$82,544$79,766▼ $2,778
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
Cash and Non-Interest-Bearing Accounts$11,844$-112,710▼ $124,554
Total Assets$42,788,352$41,300,592▼ $1,487,760
Other Assets Total$728,674$3,623,277▲ $2,894,603
Liabilities
Other Liabilities$55,957,601$62,534,421▲ $6,576,820
Accounts Payable and Accrued Expenses$28,834,722$27,324,129▼ $1,510,593
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$84,792,323$89,858,550▲ $5,066,227
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-42,003,971$-48,557,958▼ $6,553,987
Total Net Assets Fund Balance$-42,003,971$-48,557,958▼ $6,553,987
Total Liabilities and Net Assets / Fund Balance$42,788,352$41,300,592▼ $1,487,760

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$366,996$1,300,079$1,667,075
Leasehold Improvements$814,491$275,991$1,090,482
Other Land Buildings$888-$888
Buildings$0-$0
Other Assets Org$60,500--

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
Neelan Doolabh MdPhysicianFT$1,619,803$29,769$1,649,572
Ming Lu MdPhysicianFT$1,569,254$21,263$1,590,517
LAURA O'HALLORAN MDPhysicianFT$1,565,970$14,190$1,580,160
Kai Xia MdPhysicianFT$1,490,510$39,890$1,530,400
Todd Patrick MdPhysicianFT$1,375,351$20,063$1,395,414
John Sims MdPhysicianFT$1,177,588$38,663$1,216,251
James Caccitolo MdSecretaryFT$1,003,736$20,063$1,023,799
Fagg Sanford MdPhysicianFT$858,527$33,295$891,822
William Hobbs MdPhysicianFT$790,288$51,133$841,421
Jayesh Patel MdPhysicianFT$759,387$32,037$791,424
Steven Keuer MdSystem President/CMOPT$312,157$414,856$727,013
Bryan Lowery MdPhysicianFT$577,181$27,275$604,456
Joseph Zasik DoPhysicianFT$524,154$31,935$556,089
Hampton Williams MdPhysicianFT$478,391$20,889$499,280
Mark Anderson MdChairFT$464,493$22,563$487,056
Thomas HargrovePhysician/former VPFT$398,516$38,768$437,284
Barbara Allen MdPhysicianPT$384,695$38,384$423,079
Brent Wadle MdPhysicianFT$397,393$19,314$416,707
Oladimeji Akiode MdPhysicianFT$383,563$31,732$415,295
Brenda Morris MdPhysicianFT$395,118$14,190$409,308
Chris GlenneyChief Admin. OfficerFT$283,222$119,716$402,938
Gregory Stovall MdPhysician/former OfficerFT$301,134$79,168$380,302
James Stanford MdVice ChairFT$311,817$57,718$369,535
Roger Fowler MdPhysician/former OfficerFT$266,932$78,780$345,712
William Mccrady MdPhysician/former VPFT$218,350$57,085$275,435
Ann GilbertVPFT$203,527$67,383$270,910
Janet Hurley MdPhysicianFT$188,116$15,224$203,340
Scott Smith MdExecutive Vice PresidentPT$109,409$45,812$155,221
Andria Cardinalli-stein MdPhysicianFT$116,037$1,825$117,862
Joyce HesterSr. Vice President/CFOPT$59,218$30,156$89,374
William DooleyVPFT$46,363$641$47,004

Board Members and Trustees

NameTitle
Gifford Eckhout MdFormer Executive VP/director

Highest Paid Contractors

ContractorServicesLocationCompensation
Delta Locum Tenens LLCPhysician ServicesPO BOX 202940, Dallas, TX 75320$1,799,569
Eagle Hospital Physicians INCHospitalist Mgmt16000 NORTH DALLAS PARKWAY STE 450, Dallas, TX 75248$1,161,566
Hospitalist Connections LLCPhysician Services16000 NORTH DALLAS PARKWAY STE 450, Dallas, TX 75248$803,489
Patrick Daus DoPhysician Services817 WHITE BUFFALO LANE, Heath, TX 75032$610,250
Quest Healthcare SolutionsPhysician Services2002 SUMMIT BLVD NE, Atlanta, GA 30319$548,992
Revenue and Support

Revenue Composition

Contributions and Grants
$75,613
Program Service Revenue
$152,865,218
Investment Income
$791,869
Other Revenue
$0
Change in Net Assets
$-23,511,788

Audited Revenue Reconciliation

Revenue per Audited Statements
$152,395,083
Revenue Not Reported on Financial Statements
$1,337,617
Revenue Not Reported on Form 990
$-7,490,498
Other Revenue Adjustments
$1,337,617
Total Revenue per Audited Statements
$144,904,585
Total Revenue per Form 990
$153,732,700
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$135,150,127
Salaries, Compensation, and Employee Benefits$42,094,361
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$105,666,570$1,136,842$0$106,803,412
Other Salaries and Wages$14,428,301$1,879,283-$16,307,584
All Other Expenses$10,284,759$28,523-$10,313,282
Current Officers, Directors, Trustees, and Key Employees$9,080,217$1,130,609-$10,210,826
Payroll Taxes$5,085,206$434,727-$5,519,933
Other Employee Benefits$4,945,406$238,039-$5,183,445
Fees for Services Management$3,331,908$4,473-$3,336,381
Pension Plan Contributions$2,802,420$48,028-$2,850,448
Comp Disqual Persons$1,830,289$191,836-$2,022,125
Occupancy$860,456$178,937-$1,039,393
Other Expenses$940,026$387-$940,413
Conferences and Meetings$894,199$16,524-$910,723
Office Expenses$257,888$195,723-$453,611
Insurance$386,527$15,486-$402,013
Depreciation Depletion$216,832$60,040-$276,872
Interest$127,227--$127,227
Travel$62,669$61,559-$124,228
Advertising$33,391$36,387-$69,778
Information Technology$7,687$1,652-$9,339
Fees for Services Legal-$5,754-$5,754
Fees for Service Investment Mgmnt Fees-$150-$150
Total Functional Expenses$171,568,552$5,675,936$0$177,244,488

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$177,244,488
Expenses per Audited Statements$169,753,990
Total Expenses per Audited Statements$168,416,373
Expenses Not Reported on Financial Statements$7,490,498
Other Expense Adjustments$7,490,498
Expenses Not Reported on Form 990$-1,337,617
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
Joshua SteinHusband of DirectorSalaries/wagesNo$725,437
Karen ZasikWife of DirectorSalaries/wagesNo$67,773

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$34,119,905
Accrued Pension Liability$16,636,464
Deferred Compensation$8,378,052
Estimated Self Insurance Costs$3,400,000
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
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, Line 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. 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. The organization utilizes mgma national compensation surveys to determine the compensation of providers (physicians and advanced practice providers). On a bi-annual basis, the organization engages an outside, national provider compensation consulting firm to conduct a fair market value assessment of the total compensation of all providers.

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 Clinic
EIN
75-2616977
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
Steven Keuer Md
Formed
1995
Legal Domicile
TX
Voting Board Members
13
Independent Board Members
0
Employees
644
Volunteers
35

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: generally, 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 XI, Line 9

Other changes in net assets: transfers from affiliate $16,957,801

Form 990 Part IX Line 11G

Description:professional fees total fees:xxx-xx-xxxx

Form 990 Part IX Line 11G

Description:direct care fees total fees:209263

Form 990 Part IX Line 11G

Description:consulting total fees:1882

Form 990 Part IX Line 11G

Description:contract labor total fees:41118

Form 990 Part IX Line 11G

Description:purchased services total fees:1266128

Form 990 Part IX Line 11G

Description:corporate allocation total fees:-1179172

Form 990 Part IX Line 11G

Description:director fees total fees:1639347

Form 990 Part IX Line 11G

Description:physician fees total fees:49750

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. 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 finanical statements with return: bad debt expense $(7,490,498)

Schedule D, Part XI, Line 4B

Reconciliation of revenue per audited financial statements with return: interest income $736,350 sequester reduction revenue 545,792 rebate income 1,279 gain on sale of property 54,196 ------------- total $1,337,617

Schedule D, Part XII, Line 2D

Reconciliation of expense per audited financial statements with return: interest income $(736,350) sequester reduction revenue (545,792) rebate income (1,279) gain on sale of property (54,196) -------------- total $(1,337,617)

Schedule D, Part XII, Line 4B

Reconciliation of expense per audited financial statements with return: bad debt expense $7,490,498

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IRS990/Form990PartVIISectionAGrp/TitleTxt25PHYSICIAN
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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
2015Detailed filing. Detailed filing data is available for this year.$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
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2015 filings • 501(c)3 • $100M-$250M nonprofits