Courage Center

What it reported doing in 2012

Physical, occupational, and speech therapy services are available in four metro area locations - golden valley, burnsville, stillwater and forest lake - as well as numerous community-based sites. In june 2012, courage center golden valley partnered with several community organizations to offer rehabilitation therapy at heritage park senior services center in north minneapolis. The center is a fully accessible senior health and wellness center adjacent to the 102 unit heritage commons at pond's edge senior development. The center houses a health clinic, adult daycare program, fitness programs, a therapy pool as well as provides office and program space for various social services providers. Partners include minneapolis public housing authority, neighborhood healthsource inc., ymca of metropolitan minneapolis, augustana care corporation, courage center and the minneapolis highrise representative council. Physician services: courage center's physicians' clinic, staffed by courage center physician associates, is led by courage center medical director bonnie warhol, m.d., a specialist in physical medicine and rehabilitation. In 2012, the centers for medicare and medicaid services (cms) awarded courage center one of the first nationwide health care innovation awards. The three-year $1.8 million grant will allow courage center to further develop its patient-centered medical home model for people with disabilities and complex medical conditions. The award builds on a successful pilot program, launched in 2009, that currently serves more than 220 people in the greater twin cities. Courage center's care model is more than a place; it's a philosophy of care. Where most health care homes seek to add social services and supports to an existing primary care clinic, courage center has added disability-competent primary care to a robust package of existing supports including mental health, rehabilitation therapies, health and wellness services, and other community-based services. This type of medical home is the only one of its kind in Minnesota. Participants in the pilot program have an average of eight chronic health conditions and, prior to enrollment in the medical home, spent nearly 11 days a year in the hospital. After joining courage center's medical home participants reduced their time spent in the hospital by 70 percent, a reduction amounting to yearly savings of over $3.43 million for the 220 current members. Courage center hopes to serve as a model of care for people with disabilities and complex medical needs across the nation. Also, in 2012, courage center was designated as a medical spine center by healthpartners. Courage center st. Croix: located in stillwater, ccsc is a state-of-the-art adult and pediatric rehabilitation center. Stillwater-area clients, from both Minnesota and Wisconsin, receive physical, occupational and/or speech therapy; warm water pool therapy; and can participate in an accessible fitness and wellness center. In september 2012, courage center st. Croix moved therapy services for clients age birth to 8 years old to the new early childhood family center (ecfc), just north of stillwater junior high. In addition to courage center therapy services, the new center houses stillwater early childhood special education, early childhood family education, northeast metro district 916 and a variety of other educational programming. The new location allows courage center st. Croix to enhance and grow at both locations to better serve clients and families. It also facilitates better integration of medical services provided by courage center and educational services provided by the school district. Communication between staff members enables seamless collaboration and continuity of care, improving services for each individual client. The center is more convenient for clients and families by reducing travel time and scheduling issues. As part of the new facility, clients will have access to a large shared gym and playgroun

Financial Efficiency

• Mission deployment rate: Limited
• Program expense ratio: Limited
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 94.1%; rating input score 94; 17th 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: 50%; rating input score 50; 13th 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; 70th 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: -11.1%; rating input score 6; 6th 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: 4.7%; rating input score 38; 38th percentile among comparable filings

Growth

• Program expense growth: Limited
• Revenue growth: -10% per year; rating input score 0; 6th percentile among comparable filings
• Asset growth: -39.2% per year; rating input score 0; 1st percentile among comparable filings