Element Care Inc

Overview

Mission

Provide healthcare and social services to frail participants in the northshore, merrimack valley, and brighton communities by keeping them at home with dignity and respect.

What it reported doing in 2024

In june 2004 element care, along with glss and lchc became a member of the senior care options (sco) program, the parent organization is commonwealth care alliance. This is a state-run program similar to the pace program, where patients are cared for. However, cca is the direct recipient of the medicare and medicaid revenue. This program allows element care to reach a wider population, as the qualification to become a member of the sco program are more flexible than the pace program. Whereas pace requires all members to be "nursing home eligible", sco may allow for much healthier members to join the program, thereby giving element care the opportunity to assist these patients earlier. Element care is considered a primary care site and provides services to participants in the north shore, merrimack valley, and brighton, ma. Up until december 31, 2018, element care operated under a full risk model whereby, cca received medicare and medicaid reimbursement (similar to element care) and then remitted 86% of the premium received less claims expenses to element care. Element care in turn provided care management services to these participants, and remitted required funds to its vendors, including glss and lchc for the services they provide. Element care renegotiated its contract more recently with cca effective january 1, 2022, and now is reimbursed for case management services on a per member per month basis at a rate of $306 pmpm.element care has started negotiations for a new contract with cca.in 2023 element care completed construction on the new lynn site for participants and the administrative team. Construction was also completed on a new brighton site in august 2024. Element care maintains an investment in a pace center in Washington dc.

Operating model

Revenue model
Earned-program. 98% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The nonprofit carried out 100% of its reported program work directly.

Nonprofit profile at a glance

EIN
043267751
IRS 990 coverage
2009–2024
Forms available
Form 990 2024
Headquarters
Lynn, MA, USA
Rating
84
Verdict
STRONG
Rating confidence
Moderate
Sector
Human Services

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The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing does not identify recipients for some grant dollars and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 87
  • Transparency & Controls: 77
  • Accountability: 100
  • Sustainability: 27
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 88.5%; rating input score 88
  • Program expense ratio: 85%; rating input score 85
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.9%; rating input score 93; 19th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 53.4%; rating input score 53; 11th percentile among comparable filings
  • Major donor itemization: Limited
  • Related-party transparency: Limited
  • Public monitoring controls: Limited
  • Public policy transparency: Limited
  • Public financial transparency: Limited
  • Impact reporting controls: Limited
  • Public relationship transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 76th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
  • Public governance controls: Limited
  • Zakat policy transparency: Limited

Sustainability

  • Operating margin: -5%; rating input score 13; 13th percentile among comparable filings
  • Operating reserve ratio: 0.84; rating input score 33; 33rd percentile among comparable filings
  • Liabilities to assets ratio: 0.3; rating input score 55; 55th percentile among comparable filings
  • Officer compensation ratio: 2.7%; rating input score 43; 43rd percentile among comparable filings

Growth

  • Program expense growth: 3.6% per year; rating input score 100; 27th percentile among comparable filings
  • Revenue growth: 4.5% per year; rating input score 100; 38th percentile among comparable filings
  • Asset growth: 6% per year; rating input score 100; 44th percentile among comparable filings

Details

  • Where the money goes: 88.5% of revenue deployed · 85% of spending went to programs
  • Governance: 10 of 10 board members independent · 9 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $110.1M in reported program spending
  • Leadership: top reported pay $475K · 24 people listed · 4 of 6 pay-setting controls reported
  • Consistency: 35 of 36 current checks pass · 1 finding to review
  • Schedules: 7 filed schedules · includes grants and executive pay
  • Filing history: 15 annual filings from 2009 to 2024
  • Money network: 16 filed money-flow records
  • Related organizations: 4 filed related-organization links