Coastal Healthcare Alliance

Nonprofit profile at a glance

EIN
222494475
IRS 990 coverage
2009–2018
Forms available
Form 990 2018
Location
Belfast, ME, USA
Phone
2075054378
Rating
57
Verdict
MIXED
Rating confidence
Moderate
Sector
Community Health Systems

Reported finances

Revenue
$890,492
Expenses
$883,397
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2018. Amounts in USD.

Leadership & pay

23 people listed

Executive titles in this filing

  • Elizabeth Connelly DO (Medical Staff President - WCGH)
  • Stephanie Lash MD (Medical Staff President - PBMC)
  • Lee Woodward Jr (President)
  • Carole Brand (Vice President)
  • Mark Fourre MD (CEO)

Highest reported compensation

  • Elizabeth Connelly DO (Medical Staff President - WCGH): $495,943 total reported compensation
  • Mark Fourre MD (CEO): $495,153 total reported compensation
  • Cornelius Yetman DO (Trustee): $376,356 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2018. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Coastal Healthcare Alliance is a community healthcare system dedicated to caring for the sick and injured and to improving the health and quality of life of the people of mid-coast Maine.

What it reported doing in 2018

Coastal Healthcare Alliance (CHA) was formed in 2015 when Waldo County Healthcare, Inc. merged into Pen Bay Healthcare and was renamed Coastal Healthcare Alliance (CHA). CHA is a community health care system dedicated to caring for the sick and injured and to improving the health and quality of life of the people of mid-coast Maine. CHA provides support services to several of its affiliates including Waldo County General Hospital, Coastal Medical Care, Waldo County Healthcare Management Company, Penobscot Bay Medical Center, Quarry Hill and Pen Bay Waldo Healthcare Foundation.

Operating model

Revenue model
Earned-program. 78% 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

MIXED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.

Rating breakdown

  • Financial Efficiency: 50
  • Transparency & Controls: 71
  • Accountability: 76
  • Sustainability: 19
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 53.5%; rating input score 53
  • Program expense ratio: 60.9%; rating input score 61
  • Fundraising efficiency: $0.39 raised per $1 spent on fundraising; rating input score 2; 2nd percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 75%; rating input score 75; 14th 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: 0.8%; rating input score 40; 40th 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: 46.4%; rating input score 2; 2nd percentile among comparable filings

Growth

  • Program expense growth: -27.1% per year; rating input score 0; 2nd percentile among comparable filings
  • Revenue growth: -7.8% per year; rating input score 0; 6th percentile among comparable filings
  • Asset growth: -25.8% per year; rating input score 0; 2nd percentile among comparable filings

Details

  • Where the money goes: 53.5% of revenue deployed · 60.9% of spending went to programs
  • Governance: 15 of 20 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $538K in reported program spending
  • Leadership: top reported pay $496K · 23 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 26 of 26 current checks pass
  • Schedules: 7 filed schedules · includes major donors, executive pay, and related organizations
  • Filing history: 10 filing years from 2009 to 2018
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Related organizations: 22 filed related-organization links
  • 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.

  • Review — Financial Efficiency: Mission deployment rate scored 53/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Financial Efficiency: Fundraising efficiency scored 2/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 0/100.
  • Moderate — Sustainability: Operating margin scored 40/100.
  • Review — Accountability: Governance controls: Independent financial-statement audit not reported.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 2/100.