WINDING WATERS MEDICAL CLINIC

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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

2013

Legal Domicile

Principal Officer

NICOLAS POWERS

Phone

5414264502

Tax Period

2024-01-01 to 2024-12-31

WINDING WATERS MEDICAL CLINIC, founded in 2013, is a mid-sized nonprofit in the Health Care sector that reported $17.8M in total revenue in fiscal year 2024. Revenue grew 15% year-over-year, indicating healthy expansion. Expenses of $15.7M left a modest 12% surplus.

Mission

TO DELIVER COMPREHENSIVE AND COMPASSIONATE PRIMARY CARE AND DENTAL CARE TO THE UNDERSERVED POPULATION OF WALLOWA COUNTY OREGON.

Program Service Accomplishments

Program 1

Expenses: $12,491,770 Revenue: $14,736,536

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.

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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 (2024)

Revenue Breakdown

Contributions & Grants $2,760,403

Program Service Revenue $14,736,536

Investment Income $228,949

Other Revenue $86,875

TOTAL REVENUE $17,812,763

Expense Breakdown

Grants Paid $7,930

Salaries & Benefits $9,223,769

Fundraising Expenses $0

Program Expenses $12,491,770

Other Expenses $6,509,124

TOTAL EXPENSES $15,740,823

Year-over-Year Comparison

	2024	2023	Change
Revenue	$17,812,763	$15,458,728	+0.2%
Expenses	$15,740,823	$13,348,027	+0.2%
Net Income	$2,071,940	$2,110,701	0.0%

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

108

Volunteers

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

$369,802

Total Directors

Key Employees

$392,871

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
ELIZABETH POWERS	HSO/PHYSICIA	55.00	Key Emp	$367,806	$25,065	$392,871
NICHOLAS WEST	PHYSICIAN	36.00	Highest	$316,832	$24,645	$341,477
WESTON BAKER	PHYSICIAN	32.00	Highest	$264,480	$22,580	$287,060
ANNIKA MALY	PHYSICIAN	28.00	Highest	$252,561	$21,315	$273,876
EMILY KNUDSEN	PHYSICIAN	28.00	Highest	$229,892	$21,425	$251,317
JOSEPH PIERRI	DENTAL DIREC	36.00	Highest	$205,695	$20,271	$225,966
NICOLAS POWERS	CEO	47.00	Officer	$178,680	$18,485	$197,165
JARED MICKA	CFO	42.00	Officer	$155,254	$17,383	$172,637
JANET GRAHAM	CHAIR	3.00	Officer Director	$0	$0	$0
ANGIE LUNDE	VICE CHAIR	2.00	Officer Director	$0	$0	$0
PAM LATTA	SECRETARY	2.00	Officer Director	$0	$0	$0
HANLEY KENNEDY	TREASURER	2.00	Officer Director	$0	$0	$0
KATHY SIEBE	DIRECTOR	1.00	Director	$0	$0	$0
JAMES COOLEY	DIRECTOR	1.00	Director	$0	$0	$0
DAVE FLYNN	DIRECTOR	1.00	Director	$0	$0	$0
LINDSAY MILLER	DIRECTOR	1.00	Director	$0	$0	$0
MARIA WEER	DIRECTOR	1.00	Director	$0	$0	$0
TAYLOR MILLER	DIRECTOR	1.00	Director	$0	$0	$0

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
2024	$17,812,763	$15,740,823	$21,341,377	$2,071,940
2023	$15,458,728	$13,348,027	$20,112,489	$2,110,701
2022	$15,123,024	$12,165,882	$16,963,485	$2,957,142
2021	$14,883,759	$11,375,818	$11,220,241	$3,507,941
2020	$11,908,639	$8,449,900	$8,061,321	$3,458,739
2019	$8,871,933	$7,689,030	$3,733,821	$1,182,903
2018	$7,321,246	$6,843,582	$2,740,358	$477,664