Coastal Hospice

Nonprofit profile at a glance

EIN
521214775
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
Salisbury, MD, USA
Phone
4107428732
Rating
77
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospices

Official website

Reported finances

Revenue
$18,071,856
Expenses
$19,000,684
Assets
$16,667,589
Liabilities
$5,126,311

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

24 people listed

Executive titles in this filing

  • LORENA A LOVELY (PRESIDENT)
  • MONICA ESCALANTE (FORMER PRESIDENT (UNTIL 06/24))

Highest reported compensation

  • DR GHULAM WARIS (MEDICAL DIRECTOR): $265,092 total reported compensation
  • LORENA A LOVELY (PRESIDENT): $169,519 total reported compensation
  • HOLLY MURRAY (INTERIM CHIEF CLINICAL OFFICER): $144,067 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Coastal hospice promotes dignity and quality of life for patients and families who face life-limiting conditions.

What it reported doing in 2024

Palliative care is delivered to manage the physiological, practical and emotional needs of patients who are facing serious illness. Unlike hospice patients, palliative care patients are receiving medical care in active pursuit of cure or remission. The palliative care team provides patient care that would otherwise have gone by the wayside in the current health care landscape. Physicians have so little time to spend with each patient that it is especially valuable to have to palliative care team on hand to catch those patients and family members reeling from the news of a serious diagnosis. In addition to providing symptom management care, the physician, nurse practitioner, social worker and pastoral counselor help patients and families sort through the practical issues and emotional and spiritual turmoil that follows in the wake of diagnosis. We know well that we have the skills and knowledge to meet this need in our community. Coastal hospice & palliative care operates in partnership with tidal health in this endeavor.

Operating model

Revenue model
Earned-program. 90% 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.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 72
  • Transparency & Controls: 83
  • Accountability: 87
  • Sustainability: 26
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 81.6%; rating input score 82
  • Program expense ratio: 77.3%; rating input score 77
  • Fundraising efficiency: $3.05 raised per $1 spent on fundraising; rating input score 11; 11th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 72nd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 93.8%; rating input score 94; 27th 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: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -5.1%; rating input score 16; 16th percentile among comparable filings
  • Total-asset coverage ratio: 0.88; rating input score 31; 31st percentile among comparable filings
  • Liabilities to assets ratio: 0.31; rating input score 45; 45th percentile among comparable filings
  • Officer compensation ratio: 7.3%; rating input score 34; 34th percentile among comparable filings

Growth

  • Program expense growth: 5.9% per year; rating input score 100; 49th percentile among comparable filings
  • Revenue growth: 5.9% per year; rating input score 100; 51st percentile among comparable filings
  • Asset growth: 10.3% per year; rating input score 100; 66th percentile among comparable filings

Details

  • Where the money goes: 81.6% of revenue deployed · 77.3% of spending went to programs
  • Governance: 15 of 16 board members independent · 7 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $14.7M in reported program spending
  • Leadership: top reported pay $265K · 24 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 2 contractors listed · $458K reported
  • Consistency: 38 of 38 current checks pass
  • Schedules: 8 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 15 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 9 filed money-flow records
  • 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 — Financial Efficiency: Fundraising efficiency scored 11/100.
  • High — Sustainability: Operating margin scored 16/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • Moderate — Sustainability: Total-asset coverage ratio scored 31/100.
  • Moderate — Sustainability: Officer compensation ratio scored 34/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 45/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.