Community of Hope

What it reported doing in 2024

Health services coh works to improve health in Washington, dc by providing high-quality, affordable, and accessible primary healthcare with a focus on serving the uninsured and underinsured in our community. As a federally qualified health center (fqhc), coh provides medical, dental, and emotional wellness services at three health centers and emotional wellness services at four other community locations. These services are offered to all persons regardless of their ability to pay. Maternal and child health supports include centeringpregnancy group perinatal care, labor and delivery services at the free-standing birth centercenter and hospital, perinatal care coordination, doulas, transportation to visits, and more. In 2024, coh served 15,716 unique patients in 84,037 medical, dental, emotional wellness and care management visits. The largest health center, the conway health and resource center (chrc) provides medical, dental, and emotional wellness services in ward 8, filling a critical gap in a historically under-resourced community. Medical, dental, and emotional wellness services are also provided at the marie reed health center (mrhc) in ward 1. The family health and birth center (fhbc) in ward 5 provides primary care and emotional wellness services and is especially known for its robust maternal and child health programs. It is the only free-standing birth center in dc and is also one of only two fqhcs in the u.s. With a birth center. . The on-site pharmacy at fhbc provided over 33,000 prescriptions to patients served at all three health centers in 2024. The commons at stanton square (ward 8) is a community resource hub for emotional wellness services, a homelessness prevention program, and resources for babies and families. School-based mental health services also continued in 20243 at two high-need elementary schools in ward 8 and one high school in ward 4.coh's health centers are patient-centered medical homes. Patient support programs are critical and include a home-visiting program for families with young children. Through this program, case managers educate parents about infants and toddlers' physical and emotional development and connect families to resources. Coh has a comprehensive care coordination program for perinatal patients, patients with multiple chronic diseases, and refugees.coh serves a largely low-income population. 92% of patients live at or below 200% of the federal poverty level and 88% have medicaid, medicare, or dc alliance, or are uninsured. Among patients who reported this information, 92% are people of color and 66% are female.

Financial Efficiency

• Mission deployment rate: 78.4%; rating input score 78
• Program expense ratio: 85.7%; rating input score 86
• Fundraising efficiency: $46.97 raised per $1 spent on fundraising; rating input score 74; 74th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th 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: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• 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: 9.2%; rating input score 70; 70th percentile among comparable filings
• Total-asset coverage ratio: 1.54; rating input score 54; 54th percentile among comparable filings
• Liabilities to assets ratio: 0.08; rating input score 85; 85th percentile among comparable filings
• Officer compensation ratio: 5.9%; rating input score 11; 11th percentile among comparable filings

Growth

• Program expense growth: 13.6% per year; rating input score 100; 85th percentile among comparable filings
• Revenue growth: 11.5% per year; rating input score 100; 82nd percentile among comparable filings
• Asset growth: 12.6% per year; rating input score 100; 80th percentile among comparable filings