Institute of Reconstructive Plastic Surgery of Central Texas

Nonprofit profile at a glance

EIN
262908163
IRS 990 coverage
2013–2016
Forms available
Form 990 2016
Location
Austin, TX, USA
Phone
3147338000
Rating
60
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Surgical Specialties Research

Official website

Reported finances

Revenue
$3,434,851
Expenses
$6,414,131
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2016. Amounts in USD.

Leadership & pay

16 people listed

Source: IRS Form 990. Selected filing: tax year 2016. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.

What it reported doing in 2016

Institute of Reconstructive Plastic Surgery of Central Texas, d/b/a Seton Institute of Reconstructive Plastic Surgery ("SIRPS"), is a sub-specialty 501(c)(3) charitable organization that provides patient care and educational programs and organizes and directs clinical and basic science research programs. SIRPS serves the patient populations of University Medical Center Brackenridge ("UMC Brackenridge"), Seton Medical Center Williamson and other regional hospitals. UMC Brackenridge and Seton Medical Center Williamson are operated by a related tax-exempt organization, Seton Family of Hospitals. SIRPS faculty represents a variety of subspecialties, including Wound Care, Hand, Breast, Craniofacial and Reconstructive Plastic Surgery. Many SIRPS patients are covered by government insurance programs, including Medicare, Medicaid and managed Medicaid or were self-pay or charity. Faculty members hold leadership positions in a variety of local, regional and national professional organizations. In addition, SIRPS physicians were/are: - Actively involved in resident, medical student and allied health education. - An integral part of UMC Brackenridge acquiring and maintaining Level I Trauma Center status. - An integral part of Seton Medical Center Williamson acquiring and maintaining Level II Trauma Center status. Accomplishments: 1. Provided 15,684 patient visits in FY17 2. SIRPS faculty: a. Provided leadership and direction for development of the following multi-disciplinary programs at UMC Brackenridge: Hand Center, Breast Center, Craniofacial Center, Wound Care and Plastic Surgery. b. All achieved Dell Medical School faculty status c. Gave numerous presentations, served as chairs on committees such as American Plastic Surgery Society and the Rhinoplasty Society, and sat on committees for various professional societies and groups.

Operating model

Revenue model
Other-operating. 100% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 87
  • Transparency & Controls: 67
  • Accountability: 28
  • Sustainability: 0
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 93.1%; rating input score 93
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: Limited
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -86.7%; rating input score 1; 1st percentile among comparable filings
  • Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: 84.6%; rating input score 0; 0th percentile among comparable filings

Growth

  • Program expense growth: -12.6% per year; rating input score 0; 6th percentile among comparable filings
  • Revenue growth: -9.4% per year; rating input score 0; 5th percentile among comparable filings
  • Asset growth: -41.4% per year; rating input score 0; 0th percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 93.1% of spending went to programs
  • Governance: 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $6M in reported program spending
  • Leadership: top reported pay $2.6M · 16 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 2 contractors listed · $683K reported
  • Consistency: 27 of 27 current checks pass
  • Schedules: 6 filed schedules · includes executive pay and related organizations
  • Filing history: 4 filing years from 2013 to 2016
  • Contacts: How to reach this organization
  • Money network: 7 filed money-flow records
  • Related organizations: 41 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Sustainability: Operating margin scored 1/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 0/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 0/100.
  • High — Grant Readiness: Automatic revocation: this organization had its federal tax-exempt status automatically revoked.