Columbia-montour Home Health Svcs- Visiting Nurses Association Inc

Nonprofit profile at a glance

EIN
231704399
IRS 990 coverage
2010–2013
Forms available
Form 990 2013
Location
Danville, PA, USA
Phone
5702716624
Rating
58
Verdict
MIXED
Rating confidence
Moderate
Sector
Home Health Care

Official website

Reported finances

Revenue
$4,033,314
Expenses
$3,421,306
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2013. Amounts in USD.

Leadership & pay

13 people listed

Highest reported compensation

  • GLENN D STEELE JR MD PHD (PRES, CHAIR): $2,652,295 total reported compensation
  • FRANK J TREMBULAK (SR VP, TREA): $1,386,952 total reported compensation
  • JOANNE E WADE (DIRECTOR): $1,314,569 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2013. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Columbia montour home health services (cmhhs) shall deliver comprehensive home health services of high quality to members of the community without regard to age, gender, color, creed, national origin, disability status, diagnosis or socio-economic status within the constraint of maintaining financial viability.

What it reported doing in 2013

See schedule o i. General program service information columbia-montour home health services (cmhhs) was established in july 1967 as a 501(c)(3) not-for-profit corporation to provide home health and hospice services in central Pennsylvania. Cmhhs is located in bloomsburg, pa. Cmhhs includes one major program: 1.columbia montour hospice (cmh): a hospice program that provides care to the patient who is terminally ill with a life expectancy of 6 months or less. Base services include: skilled nursing, hospice aide, medical social work, spiritual care, bereavement. In addition, physical therapy, occupational therapy, and speech therapy are utilized when the patient can benefit from those disciplines. Needs of the hospice patient family are also addressed by the hospice team, ie. Caregiver stress, depression, anxiety. Hospice services are provided to patients in central Pennsylvania and are available 24 hours a day. Patients are served in their place of residence - their home, skilled nursing facility or assisted living facility. The hospice program is both medicare and medicaid certified, and therefore may provide hospice services to all payor categories. Ii. Uncompensated care cmhhs recognizes that its mission is to promote excellence in end of life care to patients with a life-limiting illness and their families. Care is provided by an interdisciplinary team delivering physical, emotional, psychosocial and spiritual support in a cost efficient manner. In this regard, cmhhs provides free or subsidized care below cost and supports various health activities and programs in support of the community. A. Other uncompensated patient services in addition to the above, cmhhs provides other patient services for which full payment is not received. The uncompensated cost of providing such patient services during the fiscal year ended june 30, 2014 was 59. Iii. Community health, education, and outreach cmhhs serves the community thru provision of the following uncompensated programs valued at 50,450 for fiscal year ended june 30, 2014: health fairs and screenings community bereavement groups bereavement camp for children bereavement retreat for parents community health education v. Volunteer services the volunteers of the hospice program are an active and vital part of the activities and mission of columbia montour home health services. Volunteers from local communities contributed 7,071 hours toward the common purpose of servicing the healthcare of the community. The value of this contribution, 164,754, is given back to the community through lower costs. Vi. Community benefit summary other compensated care 59 community health, education, and outreach 50,450 volunteer services (valued at 01/01/2014 statewide average weekly wage) 164,754 total 215,263 vi. Operational changes expected during fiscal 2015 during fiscal year 2015, columbia-montour home health services merged with geisinger community health services, a 501(c)(3) tax-exempt organization which will continue the charitable mission of cmhhs.

Operating model

Revenue model
Earned-program. 99% 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 - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and revenue has declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 66
  • Transparency & Controls: 72
  • Accountability: 42
  • Sustainability: 37
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 69.3%; rating input score 69
  • Program expense ratio: 81.7%; rating input score 82
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 0%; rating input score 0; 3rd 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: 15.2%; rating input score 79; 79th 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: 45.7%; rating input score 1; 1st percentile among comparable filings

Growth

  • Program expense growth: Limited
  • Revenue growth: -11.5% per year; rating input score 0; 7th percentile among comparable filings
  • Asset growth: -51.3% per year; rating input score 0; 1st percentile among comparable filings

Details

  • Where the money goes: 69.3% of revenue deployed · 81.7% of spending went to programs
  • Governance: 0 of 5 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $2.8M in reported program spending
  • Leadership: top reported pay $2.7M · 13 people listed · 1 of 6 pay-setting controls reported
  • Consistency: 17 of 17 current checks pass
  • Schedules: 7 filed schedules · includes executive pay and related organizations
  • Filing history: 4 filing years from 2010 to 2013
  • Contacts: How to reach this organization
  • Related organizations: 36 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.

  • High — Accountability: Independent voting board scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 1/100.