Endless Mountains Health Systems Inc

Nonprofit profile at a glance

EIN
232720289
IRS 990 coverage
2010–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Montrose, PA, USA
Phone
5702783801
Rating
78
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$20,965,547
Expenses
$26,063,237
Assets
$28,669,749
Liabilities
$25,017,169

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

Leadership & pay

17 people listed

Executive titles in this filing

  • LOREN STONE (CHIEF EXECUTIVE OFFICER)

Highest reported compensation

  • IHAB DANA MD (DIRECTOR/PHYSICIAN): $710,811 total reported compensation
  • JOSEPH SPEICHER DO (DIRECTOR/PHYSICIAN): $235,983 total reported compensation
  • VICTORIJA PAOLUCCI (RN): $206,596 total reported compensation

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

Overview

Mission

The endless mountains health systems ("emhs") is a not-for-profit corporation committed to the operation and development of a health system which will provide optimum care within the scope of its abilities. Continued on schedule o.the key elements in the emhs process are quality, service, safety, cost, flexibility, and access.

What it reported doing in 2024

Operated a not-for-profit acute care hospital which provides inpatient, outpatient, and emergency care services. During the year ended december 31, 2024, patient days were 1,711, outpatient visits were 21,161 and emergency department visits were 8,253.emhs also provided charity care to patients who met certain criteria. Cost of charges forgone for services rendered and supplies furnished under the charity care policy amounted to approximately $10,873 in 2024.

Operating model

Revenue model
Earned-program. 92% 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.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and program spending has declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 84
  • Transparency & Controls: 79
  • Accountability: 85
  • Sustainability: 19
  • Growth: 60

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 86.5%; rating input score 86
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • 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: 75%; rating input score 75; 14th 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: -24.3%; rating input score 4; 4th percentile among comparable filings
  • Total-asset coverage ratio: 1.1; rating input score 39; 39th percentile among comparable filings
  • Liabilities to assets ratio: 0.87; rating input score 11; 11th percentile among comparable filings
  • Officer compensation ratio: 7%; rating input score 36; 36th percentile among comparable filings

Growth

  • Program expense growth: -0.2% per year; rating input score 0; 10th percentile among comparable filings
  • Revenue growth: 1.8% per year; rating input score 100; 16th percentile among comparable filings
  • Asset growth: 3.2% per year; rating input score 100; 24th percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 86.5% of spending went to programs
  • Governance: 9 of 12 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $22.5M in reported program spending
  • Leadership: top reported pay $711K · 17 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $2.2M reported
  • Consistency: 29 of 29 current checks pass
  • Schedules: 8 filed schedules · includes major donors and executive pay
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: 1 filed related-organization link
  • 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.

  • High — Sustainability: Operating margin scored 4/100.
  • High — Growth: Program expense growth scored 0/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 39/100.
  • High — Sustainability: Liabilities to assets ratio scored 11/100.
  • Moderate — Sustainability: Officer compensation ratio scored 36/100.