Care Alliance

What it reported doing in 2024

Health care for the homeless: care alliance health center was established in 1985 as one of the original robert wood johnson foundation health care for the homeless projects in the nation and in 1993 became an independent nonprofit organization. Today, care alliance continues its focus on providing health care to those experiencing homelessness in the city of cleveland as a federally qualified health center receiving funding through the u.s. Department of health resources and services administration (hrsa). After more than forty years of providing health care to the homeless population, care alliance has built a strong rapport with this population as well as developing tremendous respect as an integral member of the local delivery system of safety-net providers. The health care for the homeless program offers primary health care and supportive services at all three of care alliance's primary clinic locations as well as at outreach sites throughout the city where people who are homeless tend to congregate. Comprehensive dental, optometry and behavioral health services are provided at our main clinic. Individuals and families experiencing homelessness have unique health care needs. They are at high-risk of contracting or exacerbating serious health conditions as a result of prolonged exposure to severe weather and reduced access to health care. As a result, individuals are often treated at later stages of disease and have higher mortality and chronic morbidity than individuals with access to consistent health care. At our outreach clinics, we see many patients who have chronic illnesses and acute health issues. In an attempt to reach a greater number of homeless persons who may not be connected through safety net services, care alliance has established collaborative agreements with various locations throughout the community where homeless individuals tend to congregate so that they may provide medical and supportive care. These outreach locations include: norma herr women's shelter. Bishop cosgrove, and others. Through our outreach program, care alliance is able to offer clinics throughout the city of cleveland where individuals experiencing homelessness may meet to obtain a meal, social services, a shower, or shelter. In 2015, care alliance launched a mobile clinic program to serve chronically homeless individuals living in permanent supportive housing. By providing these services in environments where these individuals are comfortable, our outreach staff are better able to engage patients into care with the long-term goal of bringing them into one of our primary clinics to obtain the full scope of comprehensive services needed to transition from homelessness into stable housing. Clients served = 2,001.

Financial Efficiency

• Mission deployment rate: 76.1%; rating input score 76
• Program expense ratio: 77.3%; rating input score 77
• Fundraising efficiency: $38.58 raised per $1 spent on fundraising; rating input score 71; 71st percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.8%; rating input score 94; 17th percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Missing
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Missing
  • 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: 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: 2.1%; rating input score 42; 42nd percentile among comparable filings
• Total-asset coverage ratio: 1.01; rating input score 36; 36th percentile among comparable filings
• Liabilities to assets ratio: 0.09; rating input score 75; 75th percentile among comparable filings
• Officer compensation ratio: 5.9%; rating input score 43; 43rd percentile among comparable filings

Growth

• Program expense growth: 2.5% per year; rating input score 100; 22nd percentile among comparable filings
• Revenue growth: 5% per year; rating input score 100; 44th percentile among comparable filings
• Asset growth: 4% per year; rating input score 100; 29th percentile among comparable filings