Bay Clinic Inc

Nonprofit profile at a glance

EIN
990222784
IRS 990 coverage
2009–2021
Forms available
Form 990 2021, Form 990-T 2021
Location
Hilo, HI, USA
Phone
8083333600
Rating
80
Verdict
STRONG
Rating confidence
Moderate
Sector
Ambulatory Health Center, Community Clinic

Official website

Reported finances

Revenue
$27,528,249
Expenses
$22,591,263
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2021. Amounts in USD.

Leadership & pay

21 people listed

Executive titles in this filing

  • CHRISTIAN ALAMEDA (CHIEF EXECUTIVE OFFICER)

Highest reported compensation

  • CHRISTIAN ALAMEDA (CHIEF EXECUTIVE OFFICER): $273,344 total reported compensation
  • BRIAN HIGA (CHIEF DENTAL OFFICER): $232,098 total reported compensation
  • MICHAEL TREECE (PHYSICIAN): $196,393 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2021. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

A community directed healthcare organization that provides quality primary and preventive care services to the people of east Hawaii. We ensure that patient centered, culturally responsive, and affordable healthcare services are locally accessible in our communities.

What it reported doing in 2021

The bay clinic inc. Is a federally qualified community health enters serving 21,000 ethnically diverse patients with 58,000 visits in the districts of hilo, puna and kau in east and south Hawaii island. In the fiscal year ending 2022, the bay clinic, inc. Had approx 16k+ medical visits, 14k+ dental visits, and 3k+ bh visits between face to face and virtual visits during covid declaration of emergency. Bay clinic's state of the art mobile health unit continues its dual use, primary medical and dental services, the unit expands access to comprehensive health care services to the most remote and rural east Hawaii communities.

Operating model

Revenue model
Earned-program. 69% 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

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Total assets are small relative to annual expenses; liquid coverage is unknown and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 73
  • Transparency & Controls: 84
  • Accountability: 91
  • Sustainability: 38
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 64.8%; rating input score 65
  • Program expense ratio: 78.9%; rating input score 79
  • Fundraising efficiency: $299.68 raised per $1 spent on fundraising; rating input score 91; 91st percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • 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: 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: 17.9%; rating input score 75; 75th percentile among comparable filings
  • Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: 8.2%; rating input score 24; 24th percentile among comparable filings

Growth

  • Program expense growth: 5.1% per year; rating input score 100; 52nd percentile among comparable filings
  • Revenue growth: 5.3% per year; rating input score 100; 51st percentile among comparable filings
  • Asset growth: 9.2% per year; rating input score 100; 63rd percentile among comparable filings

Details

  • Where the money goes: 64.8% of revenue deployed · 78.9% of spending went to programs
  • Governance: 9 of 9 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $17.8M in reported program spending
  • Leadership: top reported pay $273K · 21 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $837K reported
  • Consistency: 29 of 29 current checks pass
  • Schedules: 5 filed schedules · includes major donors and executive pay
  • Filing history: 13 filing years from 2009 to 2021
  • Contacts: How to reach this organization
  • Money network: 10 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • 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.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Sustainability: Total-asset coverage ratio scored 0/100.
  • Review — Accountability: Governance controls: Independent financial-statement audit not reported.
  • High — Sustainability: Officer compensation ratio scored 24/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.