Hcrs

Legal name: Health Care & Rehabilitation Services of Southeastern Vt Inc

Nonprofit profile at a glance

EIN
237017624
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Brattleboro, VT, US
Phone
802-886-4500
Rating
83
Verdict
STRONG
Rating confidence
Moderate
Sector
Ambulatory Health Center, Community Clinic

Official website

Reported finances

Revenue
$70,942,779
Expenses
$71,558,106
Assets
$26,621,572
Liabilities
$15,912,475

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

Leadership & pay

23 people listed

Executive titles in this filing

  • GEORGE KARABAKAKIS (CEO)
  • PHIL BLACKBURN (PRESIDENT)

Highest reported compensation

  • PAUL BOUTIN MD (MEDICAL DIRE): $378,859 total reported compensation
  • KULSOOM KHAN (MD): $322,731 total reported compensation
  • GEORGE KARABAKAKIS (CEO): $313,178 total reported compensation

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

Overview

Mission

To provide creative, collaborative, and compassionate health care services that are responsive to the needs of our communities.

What it reported doing in 2024

Hcrs' developmental services program provides comprehensive, community- based supports for individuals with developmental disabilities. The program assists individuals and families in navigating state and local service systems, with a focus on preserving family and community connections and promoting choice in all aspects of life. Services include residential options, as well as school, community, and employment supports. Hcrs staff work alongside individuals in their communities to help them reach their full potential and achieve greater independence. Staff also support and participate in community activities, including social events, fostering inclusion and connection. Kindle farm is an independent alternative school for boys in grades 3-12, providing a safe, structured environment for students who struggle in traditional classroom settings. Through a combination of academic instruction, hands-on activities, and strong supervision and guidance, students develop new skills in communication, problem-solving, and learning. Located in newfane, Vermont, the program includes a working vegetable farm, sugar bush, and woodlot, where students gain practical vocational skills that support future success. Other non-mental health services include community, social, and support services provided through fiscal agent arrangements with hcrs, as well as other non-program-specific activities.

Operating model

Revenue model
Earned-program. 86% 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.

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 total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 79
  • Transparency & Controls: 89
  • Accountability: 95
  • Sustainability: 21
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 88.7%; rating input score 89
  • Program expense ratio: 87.9%; rating input score 88
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Pass
    • Written employment contract: Pass
    • 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; 77th 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: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Fail
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -0.9%; rating input score 23; 23rd percentile among comparable filings
  • Total-asset coverage ratio: 0.37; rating input score 13; 13th percentile among comparable filings
  • Liabilities to assets ratio: 0.6; rating input score 28; 28th percentile among comparable filings
  • Officer compensation ratio: 3.6%; rating input score 30; 30th percentile among comparable filings

Growth

  • Program expense growth: 3.2% per year; rating input score 100; 24th percentile among comparable filings
  • Revenue growth: 4.5% per year; rating input score 100; 37th percentile among comparable filings
  • Asset growth: 1.5% per year; rating input score 100; 12th percentile among comparable filings

Details

  • What they do: 5 programs and campaigns described on the official site
  • Where the money goes: 88.7% of revenue deployed · 87.9% of spending went to programs
  • Governance: 11 of 11 board members independent · 8 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $62.9M in reported program spending
  • Leadership: top reported pay $379K · 23 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $7.2M reported
  • Consistency: 36 of 36 current checks pass
  • Schedules: 7 filed schedules · includes major donors and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 11 filed money-flow records
  • 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 — Sustainability: Operating margin scored 23/100.
  • High — Sustainability: Total-asset coverage ratio scored 13/100.
  • Review — Accountability: Governance controls: Audit committee oversight not reported.
  • High — Sustainability: Liabilities to assets ratio scored 28/100.
  • Moderate — Sustainability: Officer compensation ratio scored 30/100.