Greater Rochester Regional Health Information Organization Inc
Nonprofit profile at a glance
- EIN
- 204669094
- IRS 990 coverage
- 2017–2025
- Forms available
- Form 990 2025
- Location
- Rochester, NY, USA
- Phone
- 5854106800
- Rating
- 87
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Research Institutes and Public Policy Analysis
Reported finances
- Revenue
- $2,611,781
- Expenses
- $2,825,151
- Assets
- $10,631,903
- Liabilities
- $3,070,393
Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.
Leadership & pay
29 people listed
Executive titles in this filing
- MARLENE BESSETTE (CO-CEO)
- WADE NORWOOD (CO-CEO)
People named in this filing
- MELISSA GARDNER (CHAIR)
- ANNE MARIE COOK (VICE CHAIR)
- PETER ROBINSON (BOARD MEMBER)
Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.
Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
The mission of the rochester rhio is to provide the rochester medical service area with a system for a secure health information exchange that allows for timely access to clinical information and improved decision making. The primary goal is to share timely and accurate patient healthcare information in a secure environment to improve patient care.
What it reported doing in 2025
Core services - supports and maintains regional health information exchange for the approximate 1.5 million patients served.
Operating model
- Revenue model
- Mixed. Its operating money came from several sources; no one source provided a clear majority.
- 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
STRONG - 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: 86
- Transparency & Controls: 100
- Accountability: 100
- Sustainability: 41
- Growth: 20
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 99.5%; rating input score 99
- Program expense ratio: 92%; rating input score 92
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
- Pay-setting controls: Limited
- 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; 63rd percentile among comparable filings
- Governance controls: 7 of 7 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: NotApplicable
- Other executive compensation review process: NotApplicable
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -8.2%; rating input score 11; 11th percentile among comparable filings
- Total-asset coverage ratio: 3.76; rating input score 75; 75th percentile among comparable filings
- Liabilities to assets ratio: 0.29; rating input score 27; 27th percentile among comparable filings
- Officer compensation ratio: 0%; rating input score 90; 90th percentile among comparable filings
Growth
- Program expense growth: -2.5% per year; rating input score 0; 7th percentile among comparable filings
- Revenue growth: -3.8% per year; rating input score 0; 3rd percentile among comparable filings
- Asset growth: 1.9% per year; rating input score 100; 17th percentile among comparable filings
Details
- Where the money goes: 99.5% of revenue deployed · 92% of spending went to programs
- Governance: 27 of 27 board members independent · 7 of 7 filing controls reported
- Programs: 1 filed program accomplishment · $2.6M in reported program spending
- Leadership: top reported pay $0 · 29 people listed
- Consistency: 25 of 25 current checks pass
- Schedules: 6 filed schedules · includes major donors
- Filing history: 8 filing years from 2017 to 2025
- Contacts: How to reach this organization
- Money network: Resolved incoming and outgoing counterparties from filed money flows.
- Related organizations: 3 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.
- High — Sustainability: Operating margin scored 11/100.
- High — Growth: Program expense growth scored 0/100.
- High — Growth: Revenue growth scored 0/100.
- High — Sustainability: Liabilities to assets ratio scored 27/100.