Winding Waters Medical Clinic

Nonprofit profile at a glance

EIN
463274093
IRS 990 coverage
2015–2024
Forms available
Form 990 2024, Form 990-EZ 2014
Location
Enterprise, OR, USA
Phone
5414264502
Rating
78
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Ambulatory Health Center, Community Clinic

Official website

Reported finances

Revenue
$17,812,763
Expenses
$15,740,823
Assets
$21,341,377
Liabilities
$3,537,733

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

18 people listed

Executive titles in this filing

  • NICOLAS POWERS (CEO)

Highest reported compensation

  • ELIZABETH POWERS (HSO/PHYSICIA): $392,871 total reported compensation
  • NICHOLAS WEST (PHYSICIAN): $341,477 total reported compensation
  • WESTON BAKER (PHYSICIAN): $287,060 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To deliver comprehensive and compassionate primary care and dental care to the underserved population of wallowa county Oregon.

What it reported doing in 2024

Winding waters medical clinic (the clinic) is a community health center that provides primary health care, dental, and mental health services to the families and visitors of wallowa county. Winding waters medical clinic currently operates at locations in enterprise and joseph, Oregon. The clinic had a total of 43,545 encounters during the year: 27,047 medical, 8,705 dental and 7,793 mental health. The clinic provides care to patients covered by governmental programs at below cost and to individuals that are unable to pay. Unreimbursed value of providing care to these patients was 954,620 for sliding fee discounts and charity care, 1,431,347 for medicare, 2,265,308 for medicaid, and 1,697,791 for other third-party payors for the year.

Operating model

Revenue model
Earned-program. 83% of the money available for current operations came from fees and other program 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. Total assets are small relative to annual expenses; liquid coverage is unknown and reported officer compensation is a large share of total spending, which may reflect staffing concentration.

Rating breakdown

  • Financial Efficiency: 65
  • Transparency & Controls: 79
  • Accountability: 100
  • Sustainability: 56
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 69.2%; rating input score 69
  • Program expense ratio: 79.4%; rating input score 79
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 11.6%; rating input score 71; 71st percentile among comparable filings
  • Total-asset coverage ratio: 1.36; rating input score 47; 47th percentile among comparable filings
  • Liabilities to assets ratio: 0.17; rating input score 63; 63rd percentile among comparable filings
  • Officer compensation ratio: 13.6%; rating input score 10; 10th percentile among comparable filings

Growth

  • Program expense growth: 16.8% per year; rating input score 100; 86th percentile among comparable filings
  • Revenue growth: 19.5% per year; rating input score 100; 92nd percentile among comparable filings
  • Asset growth: 28.9% per year; rating input score 100; 95th percentile among comparable filings

Details

  • Where the money goes: 69.2% of revenue deployed · 79.4% of spending went to programs
  • Governance: 10 of 10 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $12.5M in reported program spending
  • Leadership: top reported pay $393K · 18 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 3 contractors listed · $403K reported
  • Consistency: 33 of 33 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 10 filing years from 2015 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • 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.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

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

  • Moderate — Sustainability: Total-asset coverage ratio scored 47/100.
  • High — Sustainability: Officer compensation ratio scored 10/100.