Child Health Investment Partnership Dba Chip of Roanoke Valley

What it reported doing in 2024

During the 2025 fiscal year (july 1, 2024-june 30, 2025), chip staff served 439 low-income chldren from 328 families while providing a total of 3,547 visits including 2,945 in-person home visits and 602 tele-health visits during that period. Of the 602 tele-health visits, 455 virtual visits (audio & video) and 147 telephone visits (audio only) were conducted. Health literacy 339/431 or 78.65% of chip children had a medical home (have had at least 1 wcv in the past year). 172/232 or 74.14% of chip children (age 1+)had a dental home (have had at least 1 maintenance dental visit in the past year). Physical health 50/64 or 78.13% of infants enrolled before 15 months had 6 well-child (epsdt) visits within the first 15 months of life. 74/145 or 51.03% of children ages 3,4,5 or 6 years old who had at least one comprehensive well care visit (epsdt) per year. 47/68 or 69.12% of children enrolled in services at 2 years of age had 4 dtap, 3 ipv, 1 mmr, 3 hib, 3 hbv, 1 vzv, 4 pcv immunizations by 24 months. 62/68 or 91.18% of children enrolled in services at 2 years of age were screened for lead at least once on or before their second birthday. Asthma 18 asthma case managed (acm)/6 respiratory monitored (rm). 10/11 or 91% of children had a current asthma action plan on the most recent assessment completed. Prenatal 21/21 or 100% of children born were enrolled in chip services. 9/21 or 42.86% of medicaid/chip deliveries of live births during measurement period had a prenatal care visit in the first trimester. 6/8 or 75% of mothers who were enrolled in chip during the first trimester also had a prenatal care visit in the first trimester. 19/21 or 90.48% of mothers with deliveries of live births during the measurement period received a behavioral health screening risk assessment as part of chip prenatal services. 13/21 or 61.97% of chip enrolled postpartum moms breastfed their babies, self-reported at 1st postpartum visit. Mental health adults served - 20 (received at least 1 counseling session) children served - 3 (received at least 1 counseling session) behavioral health risk assessment - 16/22 or 73% of caregivers who engaged with chip mental health services received a behavioral health screening risk assessment within the past 6 months. School readiness immunization record - 40/44 or 90.91% of served children eligible to enter kindergarten who have completed their immunization series as required by the Virginia dept of health and based on the schedule defined by the cdc- revised as of july 1, 2021. 29/35 or 82.86% of chip children who took the 5 year asq scored at or above the standard development milestones in all areas.

Financial Efficiency

• Mission deployment rate: 96.2%; rating input score 96
• Program expense ratio: 78.7%; rating input score 79
• Fundraising efficiency: $7.4 raised per $1 spent on fundraising; rating input score 28; 28th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: Limited
• 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; 63rd percentile among comparable filings
• Governance controls: 8 of 8 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: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -22.2%; rating input score 8; 8th percentile among comparable filings
• Total-asset coverage ratio: 2; rating input score 65; 65th percentile among comparable filings
• Liabilities to assets ratio: 0.08; rating input score 46; 46th percentile among comparable filings
• Officer compensation ratio: 6.7%; rating input score 48; 48th percentile among comparable filings

Growth

• Program expense growth: -0.9% per year; rating input score 0; 15th percentile among comparable filings
• Revenue growth: -3.3% per year; rating input score 0; 7th percentile among comparable filings
• Asset growth: 0.4% per year; rating input score 100; 19th percentile among comparable filings