Community Care Alliance

What it reported doing in 2024

Social health services (formerly housing. Workforce development & basic needs services)social health services address issues that go beyond physical health and provides supports for multiple factors that include education, employment, housing, income and social status, and relationships, to name just a few. The woonsocket family shelter housed 104 individuals. Nearly half of all clients served were children (47 of 104), underscoring the program's role in family stabilization. Special populations served included 27 chronically homeless, 5 youth under age 25, and 3 parenting youth under 25 years of age with children. Of 51 leavers, 29.4% (15 households) exited into permanent housing. This included 6 with subsidy, 2 without subsidy, and 7 reunified with family/friends. 33% (17 leavers) transferred into other emergency shelters, remaining connected within the homeless response system. If transfers are excluded, 44.1% of households (15 of 34) exited to permanent housing still below the 70% goal, but more reflective of true program completions. Of 29 adult leavers, 20 (69%) exited with income and 9 (31%) exited without income. While only 2 leavers (6.9%) increased their income during participation, this mirrors fy24 levels (7.3%). Income sources included ssi (8), ssdi (4), tanf (5), other benefits (2), and earned income (2). Among adult leavers, 76% (22 of 29) exited with snap and 100% (29 of 29) exited with medicaid, exceeding the 70% benchmark. Medicaid retention improved dramatically, with all adult leavers (100%) exiting covered, up from just 56% in fy24. Medicare (17%) and schip (59%) were also accessed. This reflects stronger case management follow-through and represents a major improvement from fy24, when only 56% of leavers exited with medicaid. Ensuring universal medicaid coverage at exit is a significant achievement, safeguarding continued access to healthcare. Snap retention also remained strong at 76%.the northern Rhode Island shelter served 200 individuals in 71 households136 adults and 64 children. People served included 73 chronically homeless persons, 4 veterans, and 24 adults fleeing domestic violence, demonstrating impact across highly vulnerable groups. 106 individuals left the shelter and 94 stayed. The average length of stay was 167 days. Of 106 leavers, 44 (42.3%) exited into permanent housing, including 19 rentals with subsidy, 10 rentals without subsidy, and 15 reunified with family/friends on a permanent basis. Another 22 (21%) transferred into other shelters, and 18 (17%) exited to unsheltered situations. Of those who stayed, the average length of stay was 346 days. Medicaid coverage at exit rose from 56% to 61%, and snap remained high (71% 56%, a slight decline). Schip was notable at 46%.overall, fy25 reflects progress in housing outcomes and benefit r etention, while income stability remains a challenge.the dignity bus is an overnight emergency shelter located at the holy family church in woonsocket that provided 2636 bed nights between january 6, 2025 and june 30, 2025 (75% average capacity). 133 unduplicated people utilized the bus for shelter. Clients using the dignity bus help each other as they formed a communal bond and watch out for one another on the streets. We have directed clients to other cca facilities where they could get further assistance. Multiple clients were transferred to full time shelters as openings arose.the home stabilization program rendered 464 services (330 billable hours) such as rental assistance, case management and collaborations with landlords or housing authorities; and enrolled 113 households. We placed 10 clients successfully to permenant locations. It is extremely difficult with the lack of available units, subsidies and prices of fair market rents. Of the 10 clients placed we were able to perform home maintenance services to 8 of them ensuring they could stay in their home. Cca's community action programs served 4052 individual clients, as part of 3670 households. The

Financial Efficiency

• Mission deployment rate: 77.6%; rating input score 78
• Program expense ratio: 85.7%; rating input score 86
• Fundraising efficiency: $46.9 raised per $1 spent on fundraising; rating input score 74; 74th percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Missing
  • 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; 77th 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: 10%; rating input score 73; 73rd percentile among comparable filings
• Total-asset coverage ratio: 0.47; rating input score 17; 17th percentile among comparable filings
• Liabilities to assets ratio: 0.55; rating input score 32; 32nd percentile among comparable filings
• Officer compensation ratio: 5.2%; rating input score 16; 16th percentile among comparable filings

Growth

• Program expense growth: 4.9% per year; rating input score 100; 39th percentile among comparable filings
• Revenue growth: 6.6% per year; rating input score 100; 57th percentile among comparable filings
• Asset growth: 5.3% per year; rating input score 100; 38th percentile among comparable filings