Health Care Incentives Improvement Institute Inc
Nonprofit profile at a glance
- EIN
- 510461495
- IRS 990 coverage
- 2013–2017
- Forms available
- Form 990 2017
- Location
- Ann Arbor, MI, USA
- Phone
- 7343024600
- Rating
- 63
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Research Institutes and/or Public Policy Analysis
Reported finances
- Revenue
- $4,062,298
- Expenses
- $4,032,543
- Assets
- $0
- Liabilities
- $0
Source: IRS Form 990. Selected filing: tax year 2017. Amounts in USD.
Leadership & pay
5 people listed
Executive titles in this filing
- Francois De Brantes (President)
- Lincoln T Smith (CEO)
Highest reported compensation
- Lincoln T Smith (CEO): $1,493,205 total reported compensation
- Alicia Torres (VP/Treasurer): $829,662 total reported compensation
- Douglas R Gilbert (Treasurer (Thru 8/31/17)): $418,178 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2017. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
HEALTH CARE INCENTIVES IMPROVEMENT INSTITUTE (HCI3) creates, develops and implements evidence-informed and effective solutions that recognize and reward physicians and hospitals that deliver better quality care; increase value of health care dollars spent by employers and consumers; and improve the quality of care.
What it reported doing in 2017
Bridges to Excellence - A family of programs designed to measure the quality of care delivered in provider practices in order to recognize and reward clinicians who deliver superior patient care. The programs place a special emphasis on managing patients with chronic conditions, who are most at-risk of incurring potentially avoidable complications. The programs' recognitions cover all major chronic conditions, practice management systems, and a medical home management methodology, to promote comprehensive care delivery and strong relationships between patients and their care teams.
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
SUPPORTED - A large share of available resources goes toward mission work and program spending has grown recently. A relatively small share of voting board members are independent and the required major-donor schedule is missing or incomplete.
Rating breakdown
- Financial Efficiency: 83
- Transparency & Controls: 58
- Accountability: 37
- Sustainability: 18
- Growth: 80
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 93.3%; rating input score 93
- Program expense ratio: 94%; rating input score 94
- Fundraising efficiency: Limited
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: No; rating input score 0
- Related-party transparency: Limited
Accountability
- Independent voting board: 0%; rating input score 0; 3rd percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- 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: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 0.7%; rating input score 37; 37th percentile among comparable filings
- Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
- Liabilities to assets ratio: Limited
- Officer compensation ratio: 22.2%; rating input score 7; 7th percentile among comparable filings
Growth
- Program expense growth: 17.7% per year; rating input score 100; 85th percentile among comparable filings
- Revenue growth: 12.6% per year; rating input score 100; 80th percentile among comparable filings
- Asset growth: -39.7% per year; rating input score 0; 0th percentile among comparable filings
Details
- Where the money goes: 93.3% of revenue deployed · 94% of spending went to programs
- Governance: 0 of 3 board members independent · 8 of 9 filing controls reported
- Programs: 3 filed program accomplishments · $3.8M in reported program spending
- Leadership: top reported pay $1.5M · 5 people listed · 1 of 6 pay-setting controls reported
- Highest-paid contractors: 1 contractor listed · $2.9M reported
- Consistency: 17 of 17 current checks pass
- Schedules: 6 filed schedules · includes major donors and executive pay
- Filing history: 5 filing years from 2013 to 2017
- Contacts: How to reach this organization
- Related organizations: 7 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 — Accountability: Independent voting board scored 0/100.
- High — Transparency & Controls: Major donor itemization scored 0/100.
- Moderate — Sustainability: Operating margin scored 37/100.
- High — Sustainability: Total-asset coverage ratio scored 0/100.
- High — Growth: Asset growth scored 0/100.
- Review — Accountability: Governance controls: Other executive compensation review process not reported.
- High — Sustainability: Officer compensation ratio scored 7/100.