Mission Hospital Inc

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1955

Legal Domicile

Principal Officer

MATTHEW RUBIN

Phone

8475832804

Tax Period

2018-10-01 to 2019-09-30

Mission Hospital Inc, founded in 1955, is a major nonprofit in the Health Care sector that reported $322.4M in total revenue in fiscal year 2018. Revenue fell 75% from the prior year — a significant decline worth monitoring. Expenses of $414.1M exceeded revenue, resulting in a 28% operating deficit.

Mission

GUIDING PRINCIPLES - SERVE PEOPLE AS A NOT-FOR-PROFIT HEALTH SYSTEM GOVERNED BY A VOLUNTARY COMMUNITY BOARD - ENSURE SUSTAINABILITY THROUGH STEWARDSHIP OF THE REGION'S ASSETS - SIGNIFICANTLY ENHANCE THE QUALITY OF SERVICES PROVIDED TO PATIENTS IN A COMPASSIONATE AND COST-EFFECTIVE MANNER COLLABORATE IN ORDER TO IMPROVE ACCESS ACROSS THE ENTIRE CONTINUUM OF CARE - PROMOTE WELLNESS AND HEALTH TO BENEFIT THE REGION - ELIMINATE PREVENTABLE INCIDENTS OF PATIENT HARM 2020 VISION A REGIONAL INTEGRATED HEALTH SYSTEM PROVIDING MEDICAL CARE AND SERVICE TO PATIENTS AND THEIR FAMILIES THROUGH A FULL CONTINUUM OF INTEGRATED SERVICES, EDUCATION, AND RESEARCH.

Program Service Accomplishments

Program 1

Expenses: $301,722,440 Revenue: $221,153,911

PERSONS WHO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE LISTED BELOW. THE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE INCLUDED ON SCHEDULE J, PART II...

PERSONS WHO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE LISTED BELOW. THE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE INCLUDED ON SCHEDULE J, PART II, COLUMN C AS PART OF DEFERRED COMPENSATION RONALD A. PAULUS, M.D. $573,201 MARC MALLOY $84,191 PAUL MCDOWELL $112,000 JONATHAN BROWN $58,365 ROWENA BUFFETT TIMMS $47,681 DR. JILL HOGGARD GREEN $155,500 KATHY GUYETTE $84,776 MARC WESTLE, D.O. $85,633 CHRIS DERIENZO $81,750 JON YEATMAN $41,604 RHONDA MILLER $22,650 CHARLES SAWYER, M.D. $56,643 GWEN MCKINNEY $36,021 WILLIAM HATHAWAY M.D. $96,772 SONYA GRECK $87,972 RUTH ZYRY $56,100 DONALD EPOSITO $75,750 SUSAN MIMS $36,306 KAREN OLSEN $40,410 A. KELLETT LETSON $52,923 JONATHAN BAILEY $38,250 RICHARD ZENN $50,628 PERSONS WHO RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ARE LISTED BELOW. THE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B(III). RONALD A. PAULUS, M.D. $1,138,532 MARC MALLOY $79,934 PAUL MCDOWELL $68,245 Jonathan Brown $33,564 Rowena Buffett Timms $52,985 Dr. Jill Hoggard Green $153,374 Kathy Guyette $93,564 Marc Westle, D.O. $69,036 Chris DeRienzo $53,373 Jon Yeatman $37,581 Rhonda Miller $39,998 William Hathaway M.D. $70,863 Sonya Greck $69,744 GWEN MCKINNEY $24,040 Susan Mims $54,629 Karen Olsen $29,732 A. KELLETT LETSON $20,231 JONATHAN BAILEY $24,361 RUTH ZYRY $16,316

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2018)

Revenue Breakdown

Contributions & Grants $2,539,713

Program Service Revenue $425,303,648

Investment Income $-105,939,509

Other Revenue $492,261

TOTAL REVENUE $322,396,113

Expense Breakdown

Grants Paid $1,998,389

Salaries & Benefits $162,466,686

Fundraising Expenses $0

Program Expenses $328,471,716

Other Expenses $249,641,716

TOTAL EXPENSES $414,106,791

Year-over-Year Comparison

	2018	2017	Change
Revenue	$322,396,113	$1,295,538,564	-0.8%
Expenses	$414,106,791	$1,180,615,001	-0.6%
Net Income	$-91,710,678	$114,923,563	-1.8%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

9917

Volunteers

351

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$5,683,921

Total Directors

$4,020,238

Key Employees

$10,799,594

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
John R Ball	Chair END JAN 2019	5.0	Officer Director	$0	$0	$0
John W Garrett MD	Chair	0.25	Officer Director	$0	$0	$0
Lavoy Spooner Jr	Director END JAN 2019	6.0	Director	$0	$0	$0
Suzanne S DeFerie	Director END JAN 2019	6.0	Director	$0	$0	$0
Wyatt S Stevens	Imm. Past Chair END JAN 2019	2.0	Officer Director	$0	$0	$0
Janice W Brumit	Director END JAN 2019	2.0	Director	$0	$0	$0
Thomas A Maher	Vice chair	0.25	Officer Director	$0	$0	$0
Daniel A Casse	Director END JAN 2019	2.0	Director	$0	$0	$0
Bridget A Eckerd	Director END JAN 2019	3.0	Director	$0	$0	$0
W Leon Elliston MD	Director END JAN 2019	2.0	Director	$0	$0	$0
Chris Flanders MD	Director END JAN 2019	6.0	Director	$0	$0	$0
William S Hickman	Director END JAN 2019	3.0	Director	$0	$0	$0
Lynn Kieffer	Director END JAN 2019	2.0	Director	$0	$0	$0
Thomas Oreck	Director END JAN 2019	2.0	Director	$0	$0	$0
Anne Ponder	Director END JAN 2019	2.0	Director	$0	$0	$0
Kenneth G Racht	Director END JAN 2019	2.0	Director	$0	$0	$0
Jeffrey E Rankin	Director END JAN 2019	6.0	Director	$0	$0	$0
Robby L Russell	Director END JAN 2019	2.0	Director	$0	$0	$0
Kristy Elliot	Director END JAN 2019	2.0	Director	$0	$0	$0
Ronald A Paulus MD	System Pres & CEO END JAN 2019	30.0	Officer Director	$3,403,218	$617,020	$4,020,238
Paul McDowell	SVP and CFO END JAN 2019	23.0	Officer	$885,665	$152,503	$1,038,168
Donald Eposito	SVP, Gen Counsel END JAN 2019	30.0	Officer	$519,841	$105,674	$625,515
Neil Luria	CEO, Chief Wind-Down Off.	0.25	Officer	$0	$0	$0
Matthew Rubin	CFO, Sec, Treas.	0.25	Officer	$0	$0	$0
Marc Malloy	SVP Mission Health Solutions	30.0	Key Emp	$779,785	$103,175	$882,960
Jonathan Brown	Chief Information Officer	30.0	Key Emp	$581,105	$90,307	$671,412
Debra Foss	SVP Org. Transformation	30.0	Key Emp	$824,380	$34,177	$858,557
Rowena Buffett Timms	SVP Govt & Community Relations	30.0	Key Emp	$442,792	$69,945	$512,737
Dr Jill Hoggard Green	SVP and COO	29.0	Key Emp	$1,072,299	$188,556	$1,260,855
Kathy Guyette	SVP Patient Care Services	30.0	Key Emp	$665,221	$109,967	$775,188
Marc Westle DO	SVP Innovation Admin	30.0	Key Emp	$775,069	$130,112	$905,181
Chris DeRienzo	Chief Quality Officer	30.0	Key Emp	$624,002	$118,763	$742,765
Jon Yeatman	Chief Strategy Officer	30.0	Key Emp	$492,418	$51,251	$543,669
Rhonda Miller	VP Revenue Cycle	30.0	Key Emp	$233,023	$38,205	$271,228
Charles Sawyer MD	Chief Medical Information	30.0	Key Emp	$528,978	$81,835	$610,813
Gwen McKinney	Chief Compliance Officer	30.0	Key Emp	$426,622	$62,113	$488,735
William Hathaway MD	Chief Medical Officer	30.0	Key Emp	$841,294	$126,879	$968,173
Sonya Greck	Senior Vice President	30.0	Key Emp	$665,002	$111,932	$776,934
Ruth Zyry	Chief Operations Officer	30.0	Key Emp	$455,640	$74,747	$530,387
Richard Zenn	Medical Director	30.0	Highest	$420,168	$72,157	$492,325
Karen Olsen	Chief Nursing Officer	30.0	Highest	$406,263	$75,244	$481,507
Susan Mims	Vice President	30.0	Highest	$500,640	$65,067	$565,707
A Kellett Letson	Vice President	30.0	Highest	$547,365	$92,437	$639,802
Jonathan Bailey	Vice President	30.0	Highest	$363,077	$47,885	$410,962
Charles F Ayscue	Former SVP and CFO	30.0		$140,353	$1,309	$141,662
Ann Y Young	fORMER General Counsel	0.0		$398,834	$0	$398,834

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2019	$322,396,113	$414,106,791	No data	$-91,710,678
2018	$1,295,538,564	$1,180,615,001	$1,557,272,464	$114,923,563