Civic Intelligence

Covenant Aco Inc.

990 • Fiscal year 2014 • EIN 61-1573313

Jul 01, 2013 to Jun 30, 2014 • Filed on May 14, 2015

3615 19th StreetSuite79410-1203

(806) 725-0711

Siviq Scores

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

Liabilities / Assets

16th percentile

0.00x

Higher debt load relative to assets than 16% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Liabilities / Revenue

16th percentile

0.00x

Higher debt load relative to revenue than 16% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Net Margin

27th percentile

-5.3%

Higher net margin than 27% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Top Officer Pay

99th percentile

$1,084,681

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 54.5% of source-year revenue.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Asset Growth

2nd percentile

-46%

Faster asset growth than 2% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Revenue Growth

4th percentile

-56%

Faster revenue growth than 4% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Assets

Down

$3,459,647

Down $2,926,122 (-46%) from 2013

Net Assets

Down

$3,455,371

Down $104,849 (-2.9%) from 2013

Liabilities

Down

$4,276

Down $2,821,273 (-100%) from 2013

Revenue

Down

$1,989,254

Down $2,582,901 (-56%) from 2013

Expenses

Down

$2,094,103

Down $2,652,290 (-56%) from 2013

Net Income

Up

-$104,849

Up $69,389 (+40%) from 2013

Historical Trend

Balance Sheet Trend

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

$10M$5.0M$0-$5.0MAssets 2010: $4,666,973Liabilities 2010: $1,994,374Net Assets 2010: $2,672,5992010Assets 2011: $5,004,423Liabilities 2011: $969,468Net Assets 2011: $4,034,9552011Assets 2012: $4,572,511Liabilities 2012: $838,053Net Assets 2012: $3,734,4582012Assets 2013: $6,385,769Liabilities 2013: $2,825,549Net Assets 2013: $3,560,2202013Assets 2014: $3,459,647Liabilities 2014: $4,276Net Assets 2014: $3,455,3712014Assets 2015: $2,718,327Liabilities 2015: $0Net Assets 2015: $2,718,3272015Assets 2016: $3,512,691Liabilities 2016: $1,366,019Net Assets 2016: $2,146,6722016Assets 2017: $3,061,327Liabilities 2017: $1,211,321Net Assets 2017: $1,850,0062017Assets 2018: $3,189,957Liabilities 2018: $1,955,037Net Assets 2018: $1,234,9202018Assets 2019: $3,608,436Liabilities 2019: $2,932,570Net Assets 2019: $675,8662019Assets 2020: $3,063,542Liabilities 2020: $2,944,614Net Assets 2020: $118,9282020Assets 2021: $5,133,306Liabilities 2021: $5,018,153Net Assets 2021: $115,1532021Assets 2022: $2,847,235Liabilities 2022: $3,204,195Net Assets 2022: -$356,9602022Assets 2023: $5,890,648Liabilities 2023: $6,734,127Net Assets 2023: -$843,4792023Assets 2024: $6,613,954Liabilities 2024: $7,464,024Net Assets 2024: -$850,0702024

Highlighted filing

2014

Assets$3,459,647
Liabilities$4,276
Net Assets$3,455,371

Operations Trend

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

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $2,425,0702010Expenses 2011: $1,683,1472011Expenses 2012: $2,027,7162012Revenue 2013: $4,572,155Expenses 2013: $4,746,393Net Income 2013: -$174,2382013Revenue 2014: $1,989,254Expenses 2014: $2,094,103Net Income 2014: -$104,8492014Revenue 2015: -$19Expenses 2015: $737,025Net Income 2015: -$737,0442015Revenue 2016: $1,179,973Expenses 2016: $1,751,628Net Income 2016: -$571,6552016Revenue 2017: $186,882Expenses 2017: $483,548Net Income 2017: -$296,6662017Revenue 2018: $397,949Expenses 2018: $773,413Net Income 2018: -$375,4642018Revenue 2019: $591,745Expenses 2019: $1,150,799Net Income 2019: -$559,0542019Revenue 2020: $580,815Expenses 2020: $1,137,753Net Income 2020: -$556,9382020Revenue 2021: $4,800Expenses 2021: $8,575Net Income 2021: -$3,7752021Revenue 2022: $511,909Expenses 2022: $492,011Net Income 2022: $19,8982022Revenue 2023: $486,519Expenses 2023: $486,519Net Income 2023: $02023Revenue 2024: $6,591Expenses 2024: $6,591Net Income 2024: $02024

Highlighted filing

2014

Revenue$1,989,254
Expenses$2,094,103
Net Income-$104,849
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
May 14, 2015
Return Version
2013v4.0
Gross Receipts
$1,989,254
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$2,646,502$2,709,692▲ $63,190
Accounts Receivable$279,819$0▼ $279,819
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$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 Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$6,385,769$3,459,647▼ $2,926,122
Other Assets Total$3,459,448$749,955▼ $2,709,493
Liabilities
Accounts Payable and Accrued Expenses$2,825,549$4,276▼ $2,821,273
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$2,825,549$4,276▼ $2,821,273
Net Assets / Fund Balance
Unrestricted Net Assets$3,560,220$3,455,371▼ $104,849
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$3,560,220$3,455,371▼ $104,849
Total Liabilities and Net Assets / Fund Balance$6,385,769$3,459,647▼ $2,926,122

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$749,955--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
David Gray DoChief Medical Officer (pt Yr)FT$215,657$96,015$311,672
Michael CamachoCOOFT$112,741$24,573$137,314

Board Members and Trustees

NameTitle
Brian Nicholson MdBoard Member/chairman
Christopher Rose MdBoard Member/vice Chair
Bill Atkinson MdBoard Member
Brian Bruening MdBoard Member
David Blann MdBoard Member
David E Mangold MdBoard Member
Frederick Hensal MdBoard Member
Ibrahim Shalaby MdBoard Member
Jonathan Skelton MdBoard Member
Juan Fitz MdBoard Member
Paul D Walter MdBoard Member
Piyush Mittal MdBoard Member
Sammy Deeb MdBoard Member
Srinivas Kadiyala MdBoard Member
Susan Devine MdBoard Member
Ikechukwu Umezurike MdBoard Member (part Year)
Kelly Kensing MdBoard Member (part Year)
Michael Robertson MdBoard Member/CMO
Cynthia Brown MdBoard Member/secretary
Tim WestFormer Trustee/CMG Physician
John GrigsonCEO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,872,418
Investment Income
$116,836
Other Revenue
$0
Change in Net Assets
$-104,849
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,263,790
Salaries, Compensation, and Employee Benefits$830,313
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$1,069,801$0$0$1,069,801
Current Officers, Directors, Trustees, and Key Employees$0$299,208$0$299,208
Other Salaries and Wages$77,111$168,960$0$246,071
Other Employee Benefits$14,214$182,710$0$196,924
Office Expenses$4,620$116,405$0$121,025
Occupancy$57,000$0$0$57,000
Payroll Taxes$3,276$37,607$0$40,883
Pension Plan Contributions$17,981$5,817$0$23,798
Comp Disqual Persons$0$23,429$0$23,429
Travel$7,791$8,173$0$15,964
Total Functional Expenses$1,251,794$842,309$0$2,094,103
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
John Harrison GrigsonFamily Member of OfficerCompensationNo$23,429

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
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
No
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, Line 6

Description of classes of members or stockholders covenant health system is the sole corporate member of covenant health partners.

Form 990, Part VI, Line 7A

Description of classes of persons and the nature of their rights covenant health partners has a tiered governance in which the corporate member reserves the right to appoint trustees to the covenant health partners board. All trustee appointments that come from the covenant health partners board as nominations and must be approved by the covenant health system, as the corporate member, st. Joseph health system, as the parent and the st. Joseph health ministry, as the organizational sponsor.

Form 990, Part VI, Line 7B

Descr classes of persons, decisions req appr & type of voting rights the reserved rights in our tiered governance structure contemplate approval by the covenant health system member of financing, budgets, unbudgeted expenditures of defined amounts, strategic plan, appointment of auditors, creation or investment in a legally recognized entity, joint ventures, purposes, sale or disposition of real property, merger or sale of substantially all assets, appointment and removal of trustees, adoption or amendment of articles or bylaws. The individual members shall be entitled to vote on matters submitted to the membership.

Form 990, Part VI, Line 11B

Process used by management and/or governing body to review 990 the form 990 was prepared by the finance department based on information received from various departments of the organization as applicable. The form 990 was then reviewed by an officer of the organization. A copy of the form 990 filing was distributed to all voting members of the board for the april 2015 meeting. During the finance committee meeting, management presented and discussed certain disclosures and information included in the form 990. The finance committee chair then provides a summary at the full board meeting.

Form 990, Part VI, Line 12C

Descr of process to monitor transactions for conflicts of interest officers, trustees, and key employees are required to disclose annually on the conflict of interest disclosure form the existence and nature of any actual, apparent, or potential conflict of interest he/she may have. Additionally, disclosures shall be made promptly anytime an actual, apparent or potential conflict of interest arises and before the consummation of any contract, transaction or arrangement that is the subject of the potential conflict of interest. When a conflict of interest is identified, such conflict is disclosed to the conflicts & compensation committee. If the conflict involves a member of that committee, the remaining committee members will review the matter and determine whether a conflict of interest exists. The officer, trustee, or key employee may not be present during any meeting in which the committee conducts its evaluation, except to answer questions as may be necessary. Once all necessary information has been obtained, the committee conducts its evaluation and forwards its findings and recommendations to the sjhs chief compliance officer. If the committee determines an unresolved conflict of interest exists, the committee will evaluate and recommend conflict mitigation strategies. The sjhs chief compliance officer in consultation with sjhs general counsel will review the committee findings, recommendations, and mitigation strategies and present recommendations to the board for discussion and vote.

Form 990, Part VI, Lines 15A & 15B

Process used to determine compensation executive compensation is approved by the covenant health partners, inc. Worklife committee, which is comprised of independent persons. The committee reviews comparability data prepared for and compiled by the st. Joseph health system worklife committee, a committee of the st. Joseph health system board of trustees comprised of independent members. The st. Joseph health system worklife committee acts in accordance with a committee charter approved by the st. Joseph health system board of trustees and an executive compensation philosophy. The charter directs the st. Joseph health system worklife committee to administer the executive compensation program and to approve program changes, as necessary, to ensure alignment with the stated philosophy and ensure continued compliance with federal and state regulations on behalf of the st. Joseph health system board of trustees. Overall, the philosophy is intended to reward a broad spectrum of high organizational and individual performance expectations, as well as retention of key management talent. The executive compensation philosophy defines the market for administering compensation as a comparable set of for profit and not-for-profit health care delivery systems. St. Joseph health system provides compensation to its executives in the form of base salary, an annual incentive program, and benefits. To ensure compensation philosophy adherence and general fair market value compensation, the committee regularly reviews information from multiple sources of market data and engages legal counsel and consulting support, as needed. They use this information to support ongoing effectiveness and administration of the program. The st. Joseph health system worklife committee meets at least 3 times a year and takes action in executive session. These actions are documented in detailed minutes and approved in subsequent meetings. A full compensation review is conducted on a biennial basis and the last review was performed in june 2013. During the year, the covenant health partners, inc. Worklife committee reviewed and approved any changes in compensation for key executives predicated on the analysis and recommendation by an independent third party consulting firm with expertise in healthcare executive compensation. In addition, annual incentive awards are reviewed and approved prior to payment consistent with the most recent compensation biennial review and in accordance with the plan document. These actions are documented in detailed minutes which are subsequently approved at the committee meeting.

Form 990, Part VI, Line 19

Avail of gov docs, conflict of interest policy, & fin smts to gen public the organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. The sjhs community benefit reports, financial reports, and philanthropy reports are also available on the sjhs internet site.

Filing and Contact Details

Filer

EIN
61-1573313
In Care Of
% SHARON CLARK
Phone
8067250711

Signing Officer

Name
John Grigson
Title
CEO
Signed
2015-05-14

Organization Details

Principal Officer
John Grigson
Formed
2007
Legal Domicile
TX
Voting Board Members
18
Independent Board Members
9
Employees
26
Volunteers
0

Preparer

Preparer
Raymond E Lee
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1 & Part III, Line 1

Organization's mission as a member of the st. Joseph health system (sjhs), covenant health partners is committed to extending the healing ministry of jesus in the tradition of the sisters of st. Joseph of orange by continually improving the health and quality of life of people in the communities we serve. Our mission is realized through the delivery of quality in-patient and out-patient services, and focused community initiatives and programs that are dedicated to improving the lives of all we serve.

Form 990, Part III, Line 2

Description of new services grounded in our commitment to community covenant health partners applied for and obtained accountable care organization status (aco) in 2013.

Form 990, Part III, Line 3

Cessation of services covenant health partners ceased conducting program services in 2014. Covenant health partners transferred its program services to a related entity, covenant physician partners (ein: 46-3516417).

Form 990, Part III, Line 4A

PROGRAM SERVICE ACCOMPLISHMENTS GROUNDED IN OUR COMMITMENT TO COMMUNITY AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), COVENANT HEALTH PARTNERS IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THAT MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. BUT THE ROOTS OF COVENANT HEALTH PARTNERS AND THE LESSONS TO SERVE OUR DEAR NEIGHBORS DATE BACK TO THE YEAR 1650 WHEN THE SISTERS' FIRST CONGREGATION WAS FORMED IN LE PUY, FRANCE. SINCE THAT TIME, THE PEOPLE OF OUR ORGANIZATION CONTINUE TO ASSESS THE NEEDS OF THE COMMUNITIES WE SERVE, BUILD COLLABORATIVE PARTNERSHIPS WITH LOCAL RESIDENTS, BUSINESS AND COMMUNITY NOT-FOR-PROFITS, AND TOGETHER THROUGH THOSE PARTNERSHIPS, MEET COMMUNITY NEEDS. THE HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS-NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO - AND CONSISTS OF 14 ACUTE CARE HOSPITALS, AS WELL AS HOME HEALTH AGENCIES, HOSPICE CARE, OUT-PATIENT SERVICES, SKILLED NURSING FACILITIES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. WHO WE ARE AND WHAT WE DO COVENANT HEALTH PARTNERS IS A JOINT VENTURE BETWEEN MORE THAN 300 PHYSICIANS AND THE FOUR HOSPITALS IN THE COVENANT HEALTH SYSTEM IN A UNIQUE COLLABORATION KNOWN AS CLINICAL INTEGRATION. THE PROGRAM IS DESIGNED TO IMPROVE HEALTH OUTCOMES AND INCREASE THE VALUE RECEIVED FOR THE DOLLARS SPENT BY AREA EMPLOYERS ON EMPLOYEE HEALTH BENEFITS. THE COVENANT HEALTH PARTNERS CLINICAL INTEGRATION PROGRAM JOINS TOGETHER WHAT WOULD OTHERWISE BE A FRAGMENTED GROUP OF INDEPENDENTLY PRACTICING PHYSICIANS INTO A COMPREHENSIVE CARE MANAGEMENT PROGRAM, COMPRISED OF A COMMON SET OF QUALITY GOALS AND MEASURES ACROSS ALL INSURANCE CARRIERS, WITH A FOCUS ON IMPROVED HEALTH CARE OUTCOMES AND REDUCING THE LONG TERM COST OF CARE. UNLIKE OTHER DISEASE MANAGEMENT OR PREVENTIVE HEALTH PROGRAMS, THE CLINICAL INTEGRATION PROGRAM PROVIDES EXTENSIVE INFRASTRUCTURE AND SUPPORT TO PHYSICIANS PARTICIPATING IN THE PROGRAM, AS WELL AS A PAY-FOR-PERFORMANCE INCENTIVE SYSTEM, TO DRIVE AN OUTSTANDING LEVEL OF PERFORMANCE. COVENANT HEALTH PARTNERS (CHP) BEGAN IN 2007 WHEN A NUMBER OF PHYSICIANS SUPPORTED BY COVENANT HEALTH SYSTEM, HAD THE VISION TO IMPROVE THE CURRENT MEDICAL DELIVERY SYSTEM IN THE COMMUNITY THROUGH A MODEL NOT WIDELY USED, KNOWN AS CLINICAL INTEGRATION. THE VISION RESULTED IN THE FORMING OF COVENANT HEALTH PARTNERS; A COLLABORATION BETWEEN COVENANT HEALTH SYSTEM, COVENANT MEDICAL GROUP (WHICH EMPLOYS ABOUT 150 PHYSICIANS), AND 160 INDEPENDENT PHYSICIANS. FOR MORE INFORMATION ON COVENANT HEALTH PARTNERS GO TO: www.covenanthealthpartners.org FOR MORE INFORMATION ON THE ST. JOSEPH HEALTH SYSTEM GO TO: WWW.STJOE.ORG

Form 990, Part IX, Line 11G

Other fees exceeding 10% member incentive fees $ 830,518 purchased services $ 198,975 consulting fees $ 40,308 --------- total $1,069,801

Financial Statement Notes

Schedule D, Part X, Line 2

Asc 740 (fin 48) footnote accounting standards codification (asc) 740, income taxes, clarifies the accounting for income taxes by prescribing a minimum recognition threshold that a tax position is required to meet before being recognized in the financial statements. Asc 740 also provides guidance on derecognition, measurement, classification, interest and penalties, disclosure, and transition. The guidance is applicable to pass-through entities and tax-exempt organizations. No significant tax liability for tax benefits, interest or penalties was accrued at june 30, 2014 or 2013.

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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.61$7.46$0.85$0.01$0.01$0.00
2023Summary only. Only limited summary data is available for this year.$5.89$6.73$0.84$0.49$0.49$0.00
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.85$3.20$0.36$0.51$0.49$0.02
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.13$5.02$0.12$0.00$0.01$0.00
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.06$2.94$0.12$0.58$1.14$0.56
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.61$2.93$0.68$0.59$1.15$0.56
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.19$1.96$1.23$0.40$0.77$0.38
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.06$1.21$1.85$0.19$0.48$0.30
2016Detailed filing. Detailed filing data is available for this year.$3.51$1.37$2.15$1.18$1.75$0.57
2015Summary only. Only limited summary data is available for this year.$2.72$0.00$2.72$0.00$0.74$0.74
2014Detailed filing. Detailed filing data is available for this year.$3.46$0.00$3.46$1.99$2.09$0.10
2013Summary only. Only limited summary data is available for this year.$6.39$2.83$3.56$4.57$4.75$0.17
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.57$0.84$3.73$2.03
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.00$0.97$4.03$1.68
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.67$1.99$2.67$2.43