Community Health Care Center Inc

Nonprofit profile at a glance

EIN
352631980
IRS 990 coverage
2018–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Great Falls, MT, USA
Phone
4067917827
Rating
68
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Community Health Systems

Official website

Reported finances

Revenue
$24,774,914
Expenses
$21,587,908
Assets
$9,018,183
Liabilities
$6,376,424

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

Leadership & pay

25 people listed

Executive titles in this filing

  • William Preston (chief executive officer)
  • Tom Jacobson (President)
  • Wyatt Johnson (Vice President)
  • Phoebe Marcinek (President (THRU 10/23/24))
  • Deb Kottel (VICE PRESIDENT (THRU 03/20/24))

Highest reported compensation

  • Guy Venuti MD (cmo (eff 12/11/23)): $258,508 total reported compensation
  • Elaine Barbieri md (medical doctor): $232,684 total reported compensation
  • Michelle Nieset dmd (Dental Director): $191,193 total reported compensation

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

Overview

Mission

Alluvion health is a not-for-profit federally qualified health center focusing on providing high quality, cost-effective, comprehensive primary and preventive medical, dental, and behavioral health care.

What it reported doing in 2024

Alluvion Health Is a Not-for-profit Federally Qualified Health Center Focusing on Providing High Quality, Cost effective, Comprehensive Primary and Preventive Medical, Dental, And Behavioral Health Care.

Operating model

Revenue model
Earned-program. 80% 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 - 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 some related-organization disclosures are missing.

Rating breakdown

  • Financial Efficiency: 55
  • Transparency & Controls: 67
  • Accountability: 95
  • Sustainability: 43
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 58.1%; rating input score 58
  • Program expense ratio: 66.8%; rating input score 67
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 85.7%; rating input score 86; 1st percentile among comparable filings
  • Pay-setting controls: 2 of 6 controls in place; rating input score 33
    • Compensation committee: Missing
    • 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: No; rating input score 0

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • 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: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 12.9%; rating input score 73; 73rd percentile among comparable filings
  • Total-asset coverage ratio: 0.42; rating input score 12; 12th percentile among comparable filings
  • Liabilities to assets ratio: 0.71; rating input score 17; 17th percentile among comparable filings
  • Officer compensation ratio: 7.9%; rating input score 30; 30th percentile among comparable filings

Growth

  • Program expense growth: 15.6% per year; rating input score 100; 84th percentile among comparable filings
  • Revenue growth: 14.9% per year; rating input score 100; 86th percentile among comparable filings
  • Asset growth: 13.4% per year; rating input score 100; 77th percentile among comparable filings

Details

  • Where the money goes: 58.1% of revenue deployed · 66.8% of spending went to programs
  • Governance: 7 of 7 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $14.4M in reported program spending
  • Leadership: top reported pay $259K · 25 people listed · 2 of 6 pay-setting controls reported
  • Highest-paid contractors: 4 contractors listed · $884K reported
  • Consistency: 31 of 33 current checks pass · 2 findings to review
  • Schedules: 7 filed schedules · includes major donors, executive pay, and related organizations
  • Filing history: 7 filing years from 2018 to 2024
  • Contacts: How to reach this organization
  • Money network: 10 filed money-flow records
  • Related organizations: 4 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.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Financial Efficiency: Mission deployment rate scored 58/100.
  • High — Transparency & Controls: Related-party transparency scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 12/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • High — Sustainability: Liabilities to assets ratio scored 17/100.
  • Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • Moderate — Sustainability: Officer compensation ratio scored 30/100.