Endeavor Health Clinical Operations

Nonprofit profile at a glance

EIN
362167060
IRS 990 coverage
2009–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Arlington Heights, IL, USA
Phone
8475702000
Rating
66
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Reported finances

Revenue
$2,288,929,952
Expenses
$1,996,084,358
Assets
$6,827,544,435
Liabilities
$3,341,952,556

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

Leadership & pay

48 people listed

Executive titles in this filing

  • Sean O'Grady (Director and President, Acute & Ambulatory Operations)
  • Gerald P Gallagher (President and Chief Executive Officer)
  • Brian Washa (Senior Vice President, Supply Chain Management)
  • Gabrielle Cummings (President, Evanston Hospital and NorthShore Hospitals)
  • Jeffery Biesczat (Senior Vice President, Financial Planning and Accounting)
  • Nicole Fernandez (President, Highland Park Hospital and NorthShore Chief Nursing Officer)

Highest reported compensation

  • Gerald P Gallagher (President and Chief Executive Officer): $5,191,626 total reported compensation
  • Sean O'Grady (Director and President, Acute & Ambulatory Operations): $2,479,109 total reported compensation
  • Douglas D Welday (System Treasurer and CFO): $2,184,620 total reported compensation

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

Overview

Mission

See Schedule O

What it reported doing in 2024

Patient care - see schedule o

Operating model

Revenue model
Other-operating. 93% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 99% 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 - 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 few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.

Rating breakdown

  • Financial Efficiency: 70
  • Transparency & Controls: 62
  • Accountability: 55
  • Sustainability: 70
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 77.4%; rating input score 77
  • Program expense ratio: 75%; rating input score 75
  • Fundraising efficiency: $5.54 raised per $1 spent on fundraising; rating input score 24; 24th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 94.7%; rating input score 95; 33rd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 97%; rating input score 97; 31st percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 46.7%; rating input score 47; 12th percentile among comparable filings
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 12.8%; rating input score 79; 79th percentile among comparable filings
  • Total-asset coverage ratio: 3.42; rating input score 79; 79th percentile among comparable filings
  • Liabilities to assets ratio: 0.49; rating input score 37; 37th percentile among comparable filings
  • Officer compensation ratio: 2.4%; rating input score 48; 48th percentile among comparable filings

Growth

  • Program expense growth: 3.6% per year; rating input score 100; 27th percentile among comparable filings
  • Revenue growth: 3.8% per year; rating input score 100; 30th percentile among comparable filings
  • Asset growth: 7.2% per year; rating input score 100; 52nd percentile among comparable filings

Details

  • Where the money goes: 77.4% of revenue deployed · 75% of spending went to programs
  • Governance: 7 of 15 board members independent · 6 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $1.5B in reported program spending
  • Leadership: top reported pay $5.2M · 48 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $124.3M reported
  • Consistency: 42 of 43 current checks pass · 1 finding to review
  • Schedules: 14 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
  • Filing history: 15 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 89 filed money-flow records
  • Related organizations: 86 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.

  • Moderate — Accountability: Independent voting board scored 47/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Financial Efficiency: Fundraising efficiency scored 24/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • Moderate — Sustainability: Liabilities to assets ratio scored 37/100.
  • Moderate — Sustainability: Officer compensation ratio scored 48/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.