Civic Intelligence

Three Rivers Health System Inc.

990 • Fiscal year 2014 • EIN 45-1257972

Jan 01, 2014 to Dec 31, 2014 • Filed on Nov 16, 2015

701 S Health ParkwayThree Rivers, MI 49093

(269) 278-1145

Siviq Scores

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

Liabilities / Assets

79th percentile

0.68x

Higher debt load relative to assets than 79% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Liabilities / Revenue

32nd percentile

0.23x

Higher debt load relative to revenue than 32% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Net Margin

20th percentile

-2.8%

Higher net margin than 20% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Top Officer Pay

46th percentile

$303,964

Higher top officer pay than 46% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Asset Growth

4th percentile

-12%

Faster asset growth than 4% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2013 to 2014

Revenue Growth

81st percentile

23%

Faster revenue growth than 81% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2013 to 2014

Assets

Down

$17,020,110

Down $2,309,632 (-12%) from 2013

Net Assets

Down

$5,449,037

Down $1,459,287 (-21%) from 2013

Liabilities

Down

$11,571,073

Down $850,345 (-6.8%) from 2013

Revenue

Up

$51,317,703

Up $9,548,123 (+23%) from 2013

Expenses

Up

$52,776,990

Up $8,382,849 (+19%) from 2013

Net Income

Up

-$1,459,287

Up $1,165,274 (+44%) from 2013

Historical Trend

Balance Sheet Trend

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

$80M$60M$40M$20M$0Assets 2013: $19,329,742Liabilities 2013: $12,421,418Net Assets 2013: $6,908,3242013Assets 2014: $17,020,110Liabilities 2014: $11,571,073Net Assets 2014: $5,449,0372014Assets 2015: $16,925,787Liabilities 2015: $11,128,495Net Assets 2015: $5,797,2922015Assets 2016: $16,972,640Liabilities 2016: $11,649,026Net Assets 2016: $5,323,6142016Assets 2017: $18,465,591Liabilities 2017: $14,532,282Net Assets 2017: $3,933,3092017Assets 2018: $19,696,346Liabilities 2018: $15,565,701Net Assets 2018: $4,130,6452018Assets 2019: $20,553,901Liabilities 2019: $13,132,652Net Assets 2019: $7,421,2492019Assets 2020: $40,789,143Liabilities 2020: $28,259,783Net Assets 2020: $12,529,3602020Assets 2021: $44,921,544Liabilities 2021: $18,271,326Net Assets 2021: $26,650,2182021Assets 2022: $38,845,134Liabilities 2022: $11,218,894Net Assets 2022: $27,626,2402022Assets 2023: $54,102,951Liabilities 2023: $10,524,344Net Assets 2023: $43,578,6072023Assets 2024: $62,993,423Liabilities 2024: $11,694,299Net Assets 2024: $51,299,1242024

Highlighted filing

2014

Assets$17,020,110
Liabilities$11,571,073
Net Assets$5,449,037

Operations Trend

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

$100M$50M$0-$50MRevenue 2013: $41,769,580Expenses 2013: $44,394,141Net Income 2013: -$2,624,5612013Revenue 2014: $51,317,703Expenses 2014: $52,776,990Net Income 2014: -$1,459,2872014Revenue 2015: $56,542,013Expenses 2015: $56,193,758Net Income 2015: $348,2552015Revenue 2016: $61,529,862Expenses 2016: $62,003,540Net Income 2016: -$473,6782016Revenue 2017: $61,941,245Expenses 2017: $63,331,550Net Income 2017: -$1,390,3052017Revenue 2018: $65,547,151Expenses 2018: $65,349,815Net Income 2018: $197,3362018Revenue 2019: $73,808,791Expenses 2019: $70,518,187Net Income 2019: $3,290,6042019Revenue 2020: $75,378,494Expenses 2020: $70,270,383Net Income 2020: $5,108,1112020Revenue 2021: $77,773,698Expenses 2021: $73,483,748Net Income 2021: $4,289,9502021Revenue 2022: $73,041,377Expenses 2022: $76,175,908Net Income 2022: -$3,134,5312022Revenue 2023: $73,808,126Expenses 2023: $73,920,924Net Income 2023: -$112,7982023Revenue 2024: $80,250,975Expenses 2024: $73,690,911Net Income 2024: $6,560,0642024

Highlighted filing

2014

Revenue$51,317,703
Expenses$52,776,990
Net Income-$1,459,287
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Nov 16, 2015
Return Version
2014v5.0
Gross Receipts
$51,317,703
Mission and Program Overview

Mission

The hospital's mission is to provide access to high quality healthcare to our community.

SEE SCHEDULE O.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$10,130,044$9,939,391▼ $190,653
Rtn Earn Endowment Incm Other Fnds$6,908,324$5,449,037▼ $1,459,287
Accounts Receivable$5,674,266$3,349,452▼ $2,324,814
Cash and Non-Interest-Bearing Accounts$781,794$1,510,387▲ $728,593
Inventories for Sale or Use$1,099,853$891,258▼ $208,595
Prepaid Expenses and Deferred Charges$1,028,661$804,500▼ $224,161
Investments in Publicly Traded Securities$481,865$510,555▲ $28,690
Investments Other Securities$117,626$0▼ $117,626
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$19,329,742$17,020,110▼ $2,309,632
Other Assets Total$15,633$14,567▼ $1,066
Liabilities
Accounts Payable and Accrued Expenses$6,861,393$6,577,274▼ $284,119
Mortgage Notes Payable Secured by Investment Property$4,791,422$5,288,948▲ $497,526
Other Liabilities$768,603$-295,149▼ $1,063,752
Total Liabilities$12,421,418$11,571,073▼ $850,345
Net Assets / Fund Balance
Total Net Assets Fund Balance$6,908,324$5,449,037▼ $1,459,287
Total Liabilities and Net Assets / Fund Balance$19,329,742$17,020,110▼ $2,309,632

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$3,903,561$23,025,250$26,928,811
Buildings$5,652,656$14,402,636$20,055,292
Leasehold Improvements$92,674$1,357,028$1,449,702
Land$219,500-$219,500
Other Land Buildings$71,000-$71,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
William RussellPresident/CEOFT$225,059$78,905$303,964
Mike PulfordCrnaFT$202,654$45,997$248,651
Steve AndrewsChief Financial OfficerFT$170,462$63,077$233,539
Hope BaileyVice PresidentFT$143,688$31,159$174,847
Leonard DarlingPharmacy ManagerFT$137,816$23,636$161,452
Doug ZehnerPharmacistFT$123,893$28,266$152,159
Katharine GajOp Pt ManagerFT$105,512$30,166$135,678
Dave ParksIt ManagerFT$107,189$25,996$133,185

Board Members and Trustees

NameTitle
Larry ClarkBoard Chair
Laurie HinesVice Chair
Andy GoldbergerBoard Member
Doug MitchellBoard Member
HENRI'ETTA TOLBERTBoard Member
Jackie BowenBoard Member
Jennifer GraberBoard Member
John TouseBoard Member
Garrett HallBoard Member - Part-year
Pat HendersonBoard Member - Part-year
Sue PottsBoard Member - Part-year
Diana DegraafSecretary
Ray BendureTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
QhrManagement Services, Salaries105 CONTINENTAL PLACE, Brentwood, TN 37027$940,431
Borgess Medical CenterLab, Laundry, It Services1521 GULL ROAD, Kalamazoo, MI 49048$780,200
Rehab Care GroupRehab Management ServicesPO BOX 502096, St Louis, MO 63150$751,795
Healogics Wound Care ServicesWound Care Management5220 BELFORT RD STE 130, Jacksonville, FL 32256$467,418
Laboratory CorporationLab ServicesPO BOX 12140, Burlington, NC 27216$207,670
Revenue and Support

Revenue Composition

Contributions and Grants
$23,710
Program Service Revenue
$51,071,168
Investment Income
$26,820
Other Revenue
$196,005
All Other Contributions
$23,710
Change in Net Assets
$-1,459,287
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$29,151,442
Salaries, Compensation, and Employee Benefits$23,625,548
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$14,998,611$2,919,886-$17,918,497
Fees for Services Other$6,580,175$900,517-$7,480,692
Other Employee Benefits$3,672,808$395,535-$4,068,343
Depreciation Depletion$2,554,892--$2,554,892
Other Expenses$1,176,074$472,295-$1,648,369
Payroll Taxes$1,154,278$128,253-$1,282,531
Fees for Services Management$366,370$854,864-$1,221,234
Insurance$63,676$773,961-$837,637
Occupancy$815,083--$815,083
All Other Expenses$348,698--$348,698
Interest$302,890--$302,890
Travel$194,206--$194,206
Pension Plan Contributions$167,478$13,852-$181,330
Current Officers, Directors, Trustees, and Key Employees$69,939$104,908-$174,847
Office Expenses-$101,649-$101,649
Fees for Services Accounting$20,153$80,611-$100,764
Fees for Services Legal-$82,737-$82,737
Fees for Service Investment Mgmnt Fees$12,091--$12,091
Fees for Services Lobbying-$8,113-$8,113
Advertising$296$7,617-$7,913
Total Functional Expenses$45,830,231$6,946,759$0$52,776,990
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Cost Report Settlements Payable$-295,149
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
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

The hospital uses a management company to manage operations. They also employ the ceo and cfo.

Form 990, Part VI, Section B, Line 11

The 990 is presented at the board meeting, and reviewed by officers and members during the meeting after the return is filed.

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

The compliance office requires annual disclosure, and communicates to board periodically. If a conflict of interest arises, the individual is required to leave the room when discussions take place.

Form 990, Part VI, Section B, Line 15

The hospital uses data from mha to determine the salary structure for employees. For the ceo and cfo, qhr is the primary source for compensation, which must be approved by the board. The salary plan is presented to the finance committee as well. All decisions are documented in the board minutes. This process took place in 2014 again.

Form 990, Part VI, Section C, Line 19

Policies and statements are reviewed at board meetings. The local press also receives this information. If additional requests are made, this information is provided as requested.

Filing and Contact Details

Filer

Filer Name
Three Rivers Health System Inc
EIN
45-1257972
Phone
2692781145
Address
701 S HEALTH PARKWAY, THREE RIVERS, MI 49093
Doing Business As
Three Rivers Health

Signing Officer

Name
Steve Andrews
Title
CFO
Phone
2692781145
Signed
2015-11-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Steve Andrews
Formed
2011
Legal Domicile
Mi
Voting Board Members
10
Independent Board Members
10
Employees
549
Volunteers
130

Preparer

Firm
Plante & Moran Pllc
Address
750 TRADE CENTRE WAY STE 300, PORTAGE, MI 49002
Preparer
Carol Lalonde CPA
Phone
2695674500
Supplemental Narrative

Additional Explanations

FORM 990, PART I, LINE 1:

The hospital's mission is to provide access to high quality healthcare to our community. We serve a community that has one of the highest unemployment rates in the state. We employ 85% of the physicians in the community, thus providing adequate access to our community, specifically medicaid eligible patients. We operate 4 rural health clinics, and will have one more operational in 2016, which greatly enhances access to care. We provide a full range of ob services to the community, of which over 60% is medicaid. We also provide wellness and diabetic education services to the community, as well as homecare and hospice, all services that are heavily subsidized. In addition, the hospital also has a ip rehabilitation unit on campus , as well as a wound care clinic. We have started an employee wellness program internally, and plan to work with local employers to offer this service as well. Future plans include offering mental services, and expanding orthopaedics, and adding ent services. Additionally, we are adding resources to help the uninsured navigate the requirements for obtaining insurance coverage for their problems.

Form 990, Part IX, Line 11G

Purchased services: program service expenses 4,629,713. Management and general expenses 900,517. Fundraising expenses 0. Total expenses 5,530,230. Consultant fees: program service expenses 1,950,462. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,950,462.

FORM 990, PART XII, LINE 2C:

The process has not changed since the prior year.

Financial Statement Notes

PART X, LINE 2:

The internal revenue service has ruled that the hospital, trah properties, and three rivers health foundation are exempt from federal income taxes under section 501(c)(3) of the internal revenue code, and accordingly, no tax provision is reflected in the consolidated financial statements. Ihs and pho are deemed corporations and file corporate tax returns with no tax due. Accounting principles generally accepted in the united states of america require management to evaluate tax positions taken by the organization and recognize a tax liability if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by the irs or other applicable taxing authorities. Management has analyzed the tax positions taken by the orgranization and has concluded that as of decemeber 31, 2014 and 2013, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the consolidated financial statements. The organization is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. Management believes it is no longer subject to income tax examinations for years prior to decemeber 31, 2011.

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