Crisp

What it reported doing in 2024

Health information exchange (hie)- crisp continues to focus on the exchange. Since build-out of the exchange, crisp hie has allowed providers practicing at one location to instantly access patients' records, test results, and other important information even if that information is physically stored miles away in several unrelated locations. A brief description of the hie concept is as follows: while physician access is improved by an hie, so is the security of patients' medical information. Secure electronic transmission of medical data ensures that it has reached the intended recipient and only the intended recipient. Continued on schedule othe instantaneous near real time access and improved security offered by a hie is made possible by the high-speed computer networking hardware used to connect all participating health care facilities and identify the location of patient records within those participating facilities. Increased availability and security of patient information reduces errors, improves patient care, and lowers health care costs. The hie also permits, on a vast scale, the collection of epidemiological and other data providing unique scientific and educational opportunities. Through its ability to access and "de-identify" (remove identifying information, such as names or social security numbers) patient records from many (if not all) of a region's patients, crisp will help providers and public health staff reliably determine the most successful treatments, recognize important areas in need of quality improvement, and identify medical errors and other inefficiencies (such as treatment complications) across an entire region. In sum, hies permit healthcare providers to exchange data on an unprecedented scale which should improve treatment outcomes and lowers healthcare costs for all. Additionally, hies provide a unique public health, scientific and educational opportunity. Crisp intends to operate its hie in such a way as to facilitate all educational and scientific uses of its hie that will not compromise data security or privacy. As crisp develops and gains access to an increasing amount of medical and health data, facilitation will include 1) working with participants to identify areas worth of study and/or research, 2) developing means for data collection while maintaining data security and privacy, and 3) promoting the use of appropriate data mined from crisp in scientific studies and educational settings.

Financial Efficiency

• Mission deployment rate: 87.5%; rating input score 88
• Program expense ratio: 88.2%; rating input score 88
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 10th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • 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: 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: 0.8%; rating input score 37; 37th percentile among comparable filings
• Total-asset coverage ratio: 0.33; rating input score 8; 8th percentile among comparable filings
• Liabilities to assets ratio: 0.44; rating input score 33; 33rd percentile among comparable filings
• Officer compensation ratio: 3.8%; rating input score 61; 61st percentile among comparable filings

Growth

• Program expense growth: 3.3% per year; rating input score 100; 29th percentile among comparable filings
• Revenue growth: 11% per year; rating input score 100; 77th percentile among comparable filings
• Asset growth: 10.2% per year; rating input score 100; 66th percentile among comparable filings