Excelsior Wellness

What it reported doing in 2024

Excelsior Family Medicine: Successfully implemented the Collaborative Care Model within Primary Care by embedding a Licensed Social Worker, Registered Nurse and Community Health Worker into the clinic. A data registry supporting the model was organized and tracked through an Excel spreadsheet, with hopes that in the future an EHR compatible module could be purchased. This care model served approximately 85 patients whose depression and anxiety screeners showed improvement of over 3 points. In August we completed all milestones for the Behavioral Health Integration grant.(Continued on Schedule O)The key activities performed under the Federal Promoting Integration of Primary Care and Behavioral Health (PIPBHC) grant included education for providers and staff in adoption of integrated care models, expansion/refinement planning for integration to include all service lines, and increased patient support through portal messaging and simplified telehealth connectivity.To further our efforts in integrated health, the Epic electronic health record was launched in August for psychiatric services. The purchase and implementation of the system brings more transparency to providers across disciplines, improves patient communications, allows for more accurate patient data exchange, and gives increased visibility to medical and behavioral health services being sought externally.We met a major goal by bringing primary care to the Excelsior main campus. The move increases access to preventative care medical services for Excelsior's broader clientele and to the Indian Trail neighborhood as a whole. The renovated north wing of the building highlights our model of physical and mental wellness care integration. In 2024, providers across our service disciplines completed 10,409 visits. Primary care welcomed 864 new patients into services. We narrowed the focus of outpatient mental health counseling to only serve internal referrals due to the volume of people seeking care and performed 1,407 sessions. In early 2024, we had turnover of all providers in the psychiatric service line and backfilled two of the vacancies with newly graduated PMHNPs. This resulted in less than 300 completed services and this low number is a direct reflection of the scarcity of psychiatric resources in our region.We hired 1.6 additional providers including a part time primary care nurse practitioner and an LMHC Clinical Programs Manager. Support staff numbers remained stable though we experienced typical turnover rates in front desk staff and medical assistants.

Financial Efficiency

• Mission deployment rate: 71.5%; rating input score 71
• Program expense ratio: 76.1%; rating input score 76
• Fundraising efficiency: $22.26 raised per $1 spent on fundraising; rating input score 60; 60th percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 14th 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: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Fail
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 6.2%; rating input score 57; 57th percentile among comparable filings
• Total-asset coverage ratio: 1.36; rating input score 47; 47th percentile among comparable filings
• Liabilities to assets ratio: 0.19; rating input score 59; 59th percentile among comparable filings
• Officer compensation ratio: 7.5%; rating input score 33; 33rd percentile among comparable filings

Growth

• Program expense growth: 10.4% per year; rating input score 100; 72nd percentile among comparable filings
• Revenue growth: 12.8% per year; rating input score 100; 82nd percentile among comparable filings
• Asset growth: 23% per year; rating input score 100; 92nd percentile among comparable filings