Alivia Care Solutions Inc

What it reported doing in 2024

Alivia supportive care provides specialized, person-centered, coordinated care to people with late-stage, serious life-limiting illness. Our program moves the focus of care out of the hospital and into the home and community. Our dedicated palliative care team provides patients with the tools to manage their illness and improve quality of life. Through regular home visits, our aprns help create a personalized care plan unique to the individual and based on their needs. Patients and families benefit from our program by receiving practical and emotional support, guidance in planning and making decisions about future health care needs, peace of mind navigating complex health care systems, and relief from pain and challenging symptoms. Serving over 50 zip codes in duval, clay, nassau, st. Johns, and baker counties, this year we are projected to treat over 950 patients. To help our patients avoid unnecessary hospitalizations and visits to the emergency room, we coordinate with primary care and specialty physicians, connect patients to community resources, and provide education about serious illness and end of life planning. In addition to aprn home visits, we offer a 24-hour call center staffed by rns, rn and social worker telephonic and home visits, and a well-trained operations team. Although most of these services are not covered by insurance plans, we are committed to our program and believe these services provide value to our patients and their loved ones.

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 90.4%; rating input score 90
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 50%; rating input score 50; 8th 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: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: -134.9%; rating input score 0; 0th percentile among comparable filings
• Total-asset coverage ratio: 0.2; rating input score 6; 6th percentile among comparable filings
• Liabilities to assets ratio: 4.74; rating input score 0; 0th percentile among comparable filings
• Officer compensation ratio: 15.2%; rating input score 18; 18th percentile among comparable filings

Growth

• Program expense growth: 36.2% per year; rating input score 100; 95th percentile among comparable filings
• Revenue growth: 34.7% per year; rating input score 100; 95th percentile among comparable filings
• Asset growth: 12.3% per year; rating input score 100; 67th percentile among comparable filings