Amoskeag Health

What it reported doing in 2024

Primary Care: Amoskeag Health provides comprehensive, team-based primary, integrated care focused on quality and safety for patients of all ages and income levels. Pediatric primary care is focused on the whole child (newborn to 20 years old) for their wellness care, immunizations, and development of physical and emotional growth. Adolescent primary care is focused on the unique health situations for patients between 12 and 20 years old including screenings for depression and anxiety, substance use screenings, information and guidance about appropriate diet and exercise as well as ensuring that immunizations are up to date. Based at The Dr. Selma Deitch Center for Children & Teens, the Teen Clinic offers a full range of primary care services to teens from 14-20 years old including confidential reproductive health services with counseling for sexual orientation and identity, pregnancy testing, and testing and treatment for sexually transmitted infections (STIs). At Amoskeag Health, Prenatal Care is a group effort that involves initial screenings by a team that includes social workers, counselors, nutritionists, and prenatal nurses. All prenatal patients are seen primarily by a Nurse Midwife but have the opportunity to meet with all of the medical providers on the prenatal care team. Adult and elder care integrates physical and behavior health with comprehensive screenings for social determinants of health that include their physical environment, safety, substance use, and access to food and transportation.

Financial Efficiency

• Mission deployment rate: 83.4%; rating input score 83
• Program expense ratio: 86.4%; rating input score 86
• Fundraising efficiency: $42.89 raised per $1 spent on fundraising; rating input score 73; 73rd percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.8%; rating input score 94; 17th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 97.9%; rating input score 98; 28th percentile among comparable filings
• 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: 3.5%; rating input score 48; 48th percentile among comparable filings
• Total-asset coverage ratio: 0.3; rating input score 7; 7th percentile among comparable filings
• Liabilities to assets ratio: 0.76; rating input score 15; 15th percentile among comparable filings
• Officer compensation ratio: 10.5%; rating input score 18; 18th percentile among comparable filings

Growth

• Program expense growth: 7.3% per year; rating input score 100; 57th percentile among comparable filings
• Revenue growth: 9.3% per year; rating input score 100; 71st percentile among comparable filings
• Asset growth: 4.8% per year; rating input score 100; 33rd percentile among comparable filings