Exceptional Care for Children

Nonprofit profile at a glance

EIN
800748765
IRS 990 coverage
2015–2024
Forms available
Form 990 2024, Form 990-N 2014
Location
Newark, DE, USA
Phone
3028941001
Rating
78
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospitals and Related Primary Medical Care Facilities

Official website

Reported finances

Revenue
$19,828,393
Expenses
$18,320,026
Assets
$47,608,846
Liabilities
$9,556,048

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

Leadership & pay

16 people listed

Executive titles in this filing

  • STEPHEN J FALCHEK MD (PRESIDENT/CHAIRMAN)

Highest reported compensation

  • JOHN WHITE (ADMINISTRATOR): $251,088 total reported compensation
  • HEATHER CASILE (DIRECTOR OF NURSING): $186,784 total reported compensation
  • MICHELLE BRAYMAN (ASSOCIATE ED, COMPTROLLER): $179,892 total reported compensation

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

Overview

Mission

Exceptional care for children improves the lives of technology-dependent children and their families through skilled nursing, transitional and palliative care. We are a haven for healing fragile bodies when improvement is possible, and a refuge for nurturing vulnerable spirits when a cure is unattainable.

What it reported doing in 2024

Exceptional care for children is a 46 bed facility to care for children with chronic and terminal conditions. It is a home-away-from-home for children who are too sick to go home yet too well to develop normally in an acute care hospital.

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.
  • 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. Fundraising costs are high for each dollar raised and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 75
  • Transparency & Controls: 70
  • Accountability: 95
  • Sustainability: 60
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 80.7%; rating input score 81
  • Program expense ratio: 88.3%; rating input score 88
  • Fundraising efficiency: $2.23 raised per $1 spent on fundraising; rating input score 8; 8th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • 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 8 controls in place; rating input score 88
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: NotApplicable
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 7.6%; rating input score 61; 61st percentile among comparable filings
  • Total-asset coverage ratio: 2.6; rating input score 70; 70th percentile among comparable filings
  • Liabilities to assets ratio: 0.2; rating input score 58; 58th percentile among comparable filings
  • Officer compensation ratio: 7%; rating input score 36; 36th percentile among comparable filings

Growth

  • Program expense growth: 6.3% per year; rating input score 100; 51st percentile among comparable filings
  • Revenue growth: 6.9% per year; rating input score 100; 59th percentile among comparable filings
  • Asset growth: 11.2% per year; rating input score 100; 69th percentile among comparable filings

Details

  • Where the money goes: 80.7% of revenue deployed · 88.3% of spending went to programs
  • Governance: 8 of 8 board members independent · 7 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $16.2M in reported program spending
  • Leadership: top reported pay $251K · 16 people listed · 1 of 6 pay-setting controls reported
  • Highest-paid contractors: 3 contractors listed · $9.3M reported
  • Consistency: 33 of 33 current checks pass
  • Schedules: 8 filed schedules · includes major donors and executive pay
  • Filing history: 9 filing years from 2015 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • 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 — Financial Efficiency: Fundraising efficiency scored 8/100.
  • Review — Accountability: Governance controls: Other executive compensation review process not reported.
  • Moderate — Sustainability: Officer compensation ratio scored 36/100.
  • Review — Sustainability: Liabilities to assets ratio scored 58/100.