Akron Children's Health Collaborative

Nonprofit profile at a glance

EIN
870853487
IRS 990 coverage
2022–2024
Forms available
Form 990 2024
Location
Akron, OH, USA
Phone
3305438171
Rating
66
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Management & Technical Assistance

Reported finances

Revenue
$216,786,907
Expenses
$237,869,715
Assets
$42,055,387
Liabilities
$82,021,926

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

16 people listed

Executive titles in this filing

  • KRISTENE GRAYEM (EXECUTIVE DIRECTOR/CHIEF POPULATION OFFICER)

Highest reported compensation

  • SHAWN LYDEN - PART YEAR (BOARD MEMBER/CHIEF STRATEGY OFFICER): $1,693,201 total reported compensation
  • TSULEE CHEN MD (BOARD MEMBER/NEUROSURGEON): $1,124,787 total reported compensation
  • GORDON EDWARDS (BOARD MEMBER/TREASURER): $963,211 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Akron children's health collaborative (achc) improves child health through family-centered care coordination, an engaged network of providers, and a united focus on quality, access and health equity.

What it reported doing in 2024

Akron children's health collaborative (achc) is a provider led, pediatric accountable care organization currently focusing on Ohio medicaid pediatric members to improve child health by empowering providers and engaging patients and communities. Achc will achieve this by partnering with Ohio medicaid managed care organizations and medicaid payors; partnering with health care providers, community organizations and other key stakeholders; offering a network of providers to deliver high quality, high value health care to children; and investing in care management and population health capabilities that advance our mission of improving child health.

Operating model

Revenue model
Earned-program. 99% 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.

The verdict

SUPPORTED - A large share of available resources goes toward mission work. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.

Rating breakdown

  • Financial Efficiency: 89
  • Transparency & Controls: 55
  • Accountability: 59
  • Sustainability: 16
  • Growth: 20

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 100%; rating input score 100
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 90.9%; rating input score 91; 6th 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: Limited
  • Related-party transparency: No; rating input score 0

Accountability

  • Independent voting board: 46.2%; rating input score 46; 12th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • 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: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -9.7%; rating input score 8; 8th percentile among comparable filings
  • Total-asset coverage ratio: 0.18; rating input score 5; 5th percentile among comparable filings
  • Liabilities to assets ratio: 1.95; rating input score 2; 2nd percentile among comparable filings
  • Officer compensation ratio: 0.2%; rating input score 90; 90th percentile among comparable filings

Growth

  • Program expense growth: -10.4% per year; rating input score 0; 1st percentile among comparable filings
  • Revenue growth: -14.1% per year; rating input score 0; 0th percentile among comparable filings
  • Asset growth: 11.6% per year; rating input score 100; 77th percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 100% of spending went to programs
  • Governance: 6 of 13 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $237.9M in reported program spending
  • Leadership: top reported pay $1.7M · 16 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 21 of 22 current checks pass · 1 finding to review
  • Schedules: 4 filed schedules · includes executive pay
  • Filing history: 3 filing years from 2022 to 2024
  • Contacts: How to reach this organization
  • Related organizations: 5 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.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Moderate — Accountability: Independent voting board scored 46/100.
  • High — Sustainability: Operating margin scored 8/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Transparency & Controls: Related-party transparency scored 0/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 5/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • High — Sustainability: Liabilities to assets ratio scored 2/100.