Alliance for Positive Change

What it reported doing in 2024

Other alliance services include: linkage to care & community outreach: alliance is at the forefront of efforts to end the HIV epidemic, prevent opioid overdose, and promote health and well-being through community outreach initiatives that bring services directly to New York city's least-served communities and populations. Our comprehensive linkage to care and community outreach programs improve access to care while reducing health care costs. Alliance partners with managed care organizations, hospitals, and community health centers to locate and engage underserved people living with HIV and other chronic health conditions who have fallen out of care. We go the extra mile to build (or rebuild) the bridge between underserved new yorkers and life-saving medical and support services. This program is augmented by onsite meals, healthy food pantry bags, food vouchers, clothing (warm coats, business attire, etc.), emergency assistance to pay essential bills, transportation assistance to help people access our services, and other tangible supports. Alliance's community outreach initiatives include health promotion and opioid overdose prevention education, integrated HIV and hepatitis testing, navigation to medical care, pre-exposure prophylaxis (prep) to help high risk persons remain HIV negative, and other health promotion services.supportive housing: alliance provides housing placement assistance, as well as long-term transitional and permanent housing for people with chronic conditions through our 90-unit supportive housing program in the bronx. We offer residents an array of health promotion and treatment adherence services that promote recovery, well-being, and stability.peer training and support: throughout our history, alliance has pioneered peer training, peer-delivered health-access services, and workforce development as strategies for HIV prevention, recovery support, and economic mobility for low-income new yorkers. Alliance's peer program grew incrementally and organically over the years. Today, alliance has created its own peer workforce, employing over 120 peers in part-time paid peer worker positions each year, along with intensive training, tailored support, mentorship, and supervision. Alliance is proud of the fact that over 30% of full-time staff (including senior and leadership-level) are former peers who left public entitlements and rejoined the workforce. Our peers serve as community role models; reinvigorate their own health, recovery, and economic opportunities; and contribute to a health-delivery workforce of people whose life experiences align with the communities served. Through workforce training, peer certification (through the nys department of health and the nys office of addiction services and supportsoasas), vocational education, and career-readiness support services, alliance's peer education, training, and paid internship programs empower low-income new yorkers to become community leaders and inspire others to access resources that promote recovery, health care engagement, and other forms of positive change.

Financial Efficiency

• Mission deployment rate: 72.6%; rating input score 73
• Program expense ratio: 81.6%; rating input score 82
• Fundraising efficiency: $56.89 raised per $1 spent on fundraising; rating input score 78; 78th percentile among comparable filings

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: Pass
  • Written employment contract: Missing
  • 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: 11.7%; rating input score 71; 71st percentile among comparable filings
• Total-asset coverage ratio: 0.98; rating input score 35; 35th percentile among comparable filings
• Liabilities to assets ratio: 0.35; rating input score 41; 41st percentile among comparable filings
• Officer compensation ratio: 7.4%; rating input score 33; 33rd percentile among comparable filings

Growth

• Program expense growth: 7.3% per year; rating input score 100; 57th percentile among comparable filings
• Revenue growth: 10.3% per year; rating input score 100; 75th percentile among comparable filings
• Asset growth: 17% per year; rating input score 100; 84th percentile among comparable filings