Community Health and Nursing Services

Overview

Mission

Community Health and Nursing Services (CHANS) provides home health andcommunity health promotion services in Brunswick, Bath, andsurrounding communities.

What it reported doing in 2023

CHANS Home Health & Hospice is full service non-profit, JointCommission Accredited agency providing skilled home health, hospice, private duty care services and an array of community based wellness clinics and support services in Mid Coast Maine. Part of the MaineHealth system, CHANS has been providing home health and wellness services in the community since 1947.

Operating model

Revenue model
Earned-program. 94% 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.
  • Includes noncash contributions: Reported contributions include donated property or goods.

Nonprofit profile at a glance

EIN
010211546
IRS 990 coverage
2010–2023
Forms available
Form 990 2023
Headquarters
Brunswick, ME, USA
Phone
2077290181
Rating
71
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Nursing Services (General)

Official website

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 79
  • Transparency & Controls: 61
  • Accountability: 65
  • Sustainability: 69
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 87%; rating input score 87
  • Program expense ratio: 93%; rating input score 93
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.3%; rating input score 93; 14th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: No; rating input score 0

Accountability

  • Independent voting board: 72.2%; rating input score 72; 13th percentile among comparable filings
  • Governance controls: 5 of 9 controls in place; rating input score 56
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: 10.4%; rating input score 70; 70th percentile among comparable filings
  • Total-asset coverage ratio: 4.27; rating input score 83; 83rd percentile among comparable filings
  • Liabilities to assets ratio: 0.07; rating input score 80; 80th percentile among comparable filings
  • Officer compensation ratio: 10.1%; rating input score 19; 19th percentile among comparable filings

Growth

  • Program expense growth: 0.8% per year; rating input score 100; 15th percentile among comparable filings
  • Revenue growth: 1.4% per year; rating input score 100; 16th percentile among comparable filings
  • Asset growth: 9.4% per year; rating input score 100; 62nd percentile among comparable filings

Details

  • Where the money goes: 87% of revenue deployed · 93% of spending went to programs
  • Governance: 13 of 18 board members independent · 5 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $9.3M in reported program spending
  • Leadership: top reported pay $1.2M · 31 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 29 of 30 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes major donors and executive pay
  • Filing history: 14 annual filings from 2010 to 2023
  • Contacts: How to reach this organization
  • Money network: 5 filed money-flow records
  • Related organizations: 16 filed related-organization links
  • 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.

Leadership & pay

31 people listed

Highest reported compensation

  • Kelly Elkins (Chief Operating Officer, MH): $1,217,045 total reported compensation
  • Peter Hutchinson MD (Medical Staff Vice President, MCH/Director): $659,579 total reported compensation
  • Chris Thomson MD (Chief Medical/Transformation Off.,MH): $622,134 total reported compensation

Source: IRS Form 990. Selected filing: FY2023.