Civic Intelligence

Three Rivers Health System Inc.

990 • Fiscal year 2015 • EIN 45-1257972

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 15, 2016

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

78th percentile

0.66x

Higher debt load relative to assets than 78% of similar nonprofits.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2015

Liabilities / Revenue

30th percentile

0.20x

Higher debt load relative to revenue than 30% of similar nonprofits.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2015

Net Margin

35th percentile

0.6%

Higher net margin than 35% of similar nonprofits.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2015

Top Officer Pay

47th percentile

$317,375

Higher top officer pay than 47% of similar nonprofits.

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

2015 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2015

Asset Growth

36th percentile

-0.6%

Faster asset growth than 36% of similar nonprofits.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2014 to 2015

Revenue Growth

69th percentile

10%

Faster revenue growth than 69% of similar nonprofits.

2015 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2014 to 2015

Assets

Down

$16,925,787

Down $94,323 (-0.6%) from 2014

Net Assets

Up

$5,797,292

Up $348,255 (+6.4%) from 2014

Liabilities

Down

$11,128,495

Down $442,578 (-3.8%) from 2014

Revenue

Up

$56,542,013

Up $5,224,310 (+10%) from 2014

Expenses

Up

$56,193,758

Up $3,416,768 (+6.5%) from 2014

Net Income

Up

$348,255

Up $1,807,542 (+124%) from 2014

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

2015

Assets$16,925,787
Liabilities$11,128,495
Net Assets$5,797,292

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

2015

Revenue$56,542,013
Expenses$56,193,758
Net Income$348,255
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 15, 2016
Return Version
2015v2.1
Gross Receipts
$56,542,013
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$9,939,391$9,603,290▼ $336,101
Rtn Earn Endowment Incm Other Fnds$5,449,037$5,797,292▲ $348,255
Accounts Receivable$3,349,452$3,545,816▲ $196,364
Cash and Non-Interest-Bearing Accounts$1,510,387$1,433,608▼ $76,779
Inventories for Sale or Use$891,258$1,044,933▲ $153,675
Prepaid Expenses and Deferred Charges$804,500$869,941▲ $65,441
Investments in Publicly Traded Securities$510,555$414,698▼ $95,857
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$17,020,110$16,925,787▼ $94,323
Other Assets Total$14,567$13,501▼ $1,066
Liabilities
Accounts Payable and Accrued Expenses$6,577,274$5,879,562▼ $697,712
Mortgage Notes Payable Secured by Investment Property$5,288,948$4,773,971▼ $514,977
Other Liabilities$-295,149$474,962▲ $770,111
Total Liabilities$11,571,073$11,128,495▼ $442,578
Net Assets / Fund Balance
Total Net Assets Fund Balance$5,449,037$5,797,292▲ $348,255
Total Liabilities and Net Assets / Fund Balance$17,020,110$16,925,787▼ $94,323

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$3,782,406$24,567,364$28,349,770
Buildings$5,514,677$15,080,735$20,595,412
Leasehold Improvements$71,120$1,392,762$1,463,882
Land$219,500-$219,500
Other Land Buildings$15,587-$15,587
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
William RussellPresident/CEOFT$235,560$81,815$317,375
Chad BushCrnaFT$225,591$43,982$269,573
Steve AndrewsChief Financial OfficerFT$171,249$68,560$239,809
Brian ClarkCrnaFT$189,027$44,660$233,687
Hope BaileyVice PresidentFT$144,528$31,786$176,314
Randall SmithCrnaFT$151,243$18,637$169,880
Leonard DarlingPharmacy ManagerFT$136,917$27,970$164,887
Doug ZehnerPharmacistFT$121,024$27,697$148,721

Board Members and Trustees

NameTitle
Larry ClarkBoard Chair
Laurie HinesVice Chair
Andy GoldbergerBoard Member
Doug MitchellBoard Member
Glendora Green MdBoard Member
Jennifer GraberBoard Member
John TouseBoard Member
Linda Evans MdChief of Staff
Diana DegraafSecretary
Ray BendureTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Borgess Medical CenterLab, Laundry, It Services1521 GULL ROAD, Kalamazoo, MI 49048$1,009,765
QhrHospital Management105 CONTINENTAL PLACE, Brentwood, TN 37027$896,350
Rehab Care GroupRehab Management ServicesPO BOX 502096, St Louis, MO 63150$707,147
Athena HealthClinic Management/collections311 ARSENAL ST, Watertown, MA 02472$546,080
Healogics Wound Care ServicesWound Care ManagementPO BOX 551187, Jacksonville, FL 32256$509,556
Revenue and Support

Revenue Composition

Contributions and Grants
$326,461
Program Service Revenue
$56,016,354
Investment Income
$2,585
Other Revenue
$196,613
All Other Contributions
$326,461
Change in Net Assets
$348,255
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$30,432,014
Salaries, Compensation, and Employee Benefits$25,761,744
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$16,479,728$2,764,319-$19,244,047
Fees for Services Other$4,450,542$4,435,784-$8,886,326
Other Employee Benefits$3,718,794$413,199-$4,131,993
Depreciation Depletion$2,257,014--$2,257,014
Other Expenses$1,486,586$468,193-$1,954,779
Payroll Taxes$1,291,894$143,544-$1,435,438
Fees for Services Management$323,277$754,314-$1,077,591
Occupancy$791,342--$791,342
Current Officers, Directors, Trustees, and Key Employees$293,399$440,099-$733,498
All Other Expenses$384,590--$384,590
Insurance$66,774$295,541-$362,315
Interest$305,071--$305,071
Fees for Services Legal-$274,934-$274,934
Pension Plan Contributions$195,091$21,677-$216,768
Travel$171,613--$171,613
Fees for Services Accounting$22,237$88,949-$111,186
Office Expenses-$103,513-$103,513
Fees for Service Investment Mgmnt Fees$23,869--$23,869
Advertising$2,765$7,826-$10,591
Fees for Services Lobbying-$9,217-$9,217
Total Functional Expenses$45,829,343$10,364,415$0$56,193,758
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$474,962
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 2015 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
2016-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Steve Andrews
Formed
2011
Legal Domicile
Mi
Voting Board Members
10
Independent Board Members
8
Employees
576
Volunteers
85

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 2,563,230. Management and general expenses 4,435,784. Fundraising expenses 0. Total expenses 6,999,014. CONSULTANT FEES: Program service expenses 1,887,312. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,887,312.

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, 2015 and 2014, 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, 2012.

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Filings

Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2015 filings • 501(c)3 • $50M-$100M nonprofits