Foundation for Health Leadership and Innovation

Nonprofit profile at a glance

EIN
581461316
IRS 990 coverage
2012–2024
Forms available
Form 990 2024
Location
Cary, NC, USA
Phone
9198210485
Rating
82
Verdict
STRONG
Rating confidence
Moderate

Official website

Reported finances

Revenue
$8,908,242
Expenses
$10,147,704
Assets
$15,015,637
Liabilities
$1,280,085

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

Leadership & pay

18 people listed

Executive titles in this filing

  • DAVID REESE (PRESIDENT/CEO (THR 12/31/24))

Highest reported compensation

  • DAVID REESE (PRESIDENT/CEO (THR 12/31/24)): $286,061 total reported compensation
  • JEAN SHAW (CFO): $173,075 total reported compensation
  • BRANDY HARRELL (CHIEF OF STAFF (THR 3/20/2025)): $153,834 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 foundation is committed to finding ways to make affordable, quality healthcare available to all individuals by partnering with business, medical, civic, and non-profit leaders to develop innovative health care strategies with special focus on the needs of low-income and underserved patients.

What it reported doing in 2024

Community voice: community voice is a values-based community engagement framework to co-create solutions to health equity challenges for north carolinians. The community voice model includes engagement principles and stated values that ensure accountability to true, community-based public health work across fhli. When implemented, the cv model positions a community that knows its needs best to build their own long-term, sustainable systems-level change. Fhli's community voice builds upwards and outwards, leveraging fhli's unique portfolio of programs and expertise to provide robust support, connection to statewide and federal resources, and advocacy to drive system-wide, community-based change.nc rural health leadership alliance: the nc rural health leadership alliance supports partnerships and strategies that improve health outcomes in rural North Carolina.bernstein fellows and scholars: the jim bernstein community health leadership fellows program prepares emerging health leaders to work in and improve the health of rural and underserved communities in North Carolina. The jim and sue bernstein health center scholarship program provides scholarships to families employed in North Carolina's rural health clinics.

Operating model

Revenue model
Earned-program. 90% of the money available for current operations came from fees and other program 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

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing does not identify recipients for some grant dollars and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 85
  • Transparency & Controls: 70
  • Accountability: 100
  • Sustainability: 30
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 87.4%; rating input score 87
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.8%; rating input score 94; 20th 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: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 44.8%; rating input score 45; 15th 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; 63rd 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: -13.9%; rating input score 10; 10th percentile among comparable filings
  • Total-asset coverage ratio: 1.48; rating input score 51; 51st percentile among comparable filings
  • Liabilities to assets ratio: 0.09; rating input score 62; 62nd percentile among comparable filings
  • Officer compensation ratio: 10.1%; rating input score 29; 29th percentile among comparable filings

Growth

  • Program expense growth: 13.4% per year; rating input score 100; 74th percentile among comparable filings
  • Revenue growth: 12.2% per year; rating input score 100; 75th percentile among comparable filings
  • Asset growth: 8.2% per year; rating input score 100; 51st percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 87.4% of spending went to programs
  • Governance: 12 of 12 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $8.9M in reported program spending
  • Leadership: top reported pay $286K · 18 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 3 contractors listed · $7.6M reported
  • Consistency: 32 of 33 current checks pass · 1 finding to review
  • Schedules: 7 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 11 filing years from 2012 to 2024
  • Contacts: How to reach this organization
  • Money network: 7 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.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • Moderate — Transparency & Controls: Grant itemization coverage scored 45/100.
  • High — Sustainability: Operating margin scored 10/100.
  • Review — Sustainability: Total-asset coverage ratio scored 51/100.
  • High — Sustainability: Officer compensation ratio scored 29/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.