Healthcare Regulatory Research Institute

Nonprofit profile at a glance

EIN
611848085
IRS 990 coverage
2018–2024
Forms available
Form 990 2024
Location
Alexandria, VA, USA
Phone
7032993100
Rating
45
Verdict
MIXED
Rating confidence
Moderate
Sector
Single Organization Support

Official website

Reported finances

Revenue
$6,239,526
Expenses
$685,202
Assets
$34,692,495
Liabilities
$8,400

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

Leadership & pay

14 people listed

Executive titles in this filing

  • DAVID RELLING (PRESIDENT)
  • MICHELE THORMAN (VICE PRESIDENT)
  • WILLIAM HATHERILL (CEO)

Highest reported compensation

  • WILLIAM HATHERILL (CEO): $1,259,571 total reported compensation
  • LINDA MICHELSEN (CFO (THRU 8/16/24)): $302,669 total reported compensation
  • DAVID SIGMAN (CFO (EFF 9/16/24)): $100,423 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 healthcare regulatory research institute's mission is to protect the public through regulatory research and collaborative exchange with strategic partners to promote evidence-based healthcare regulation. Hrri's vision is a world in which regulation ensure people (see sch o) can trust the healthcare that is provided.

What it reported doing in 2024

Hrri partnered with human resources research organization (humrro) to update the dry needling competency paper to reflect changes in the national physical therapy examination practice analysis. The goals of this effort were to (a) review and update hrri's definition of dry needling to ensure it reflects current practice, (b) assess the current state of the competencies needed by physical therapists to perform dry needling safely and effectively, and (c) determine the need for additional research to ensure the competencies accurately and faithfully represent the dry needling domain of practice. This report represents a continuation of hrri's efforts to support state boards' decisions regarding the scope of physical therapy practice related to dry needling. This work builds on the 2015 and 2020 analyses of dry needling competencies conducted by hrri and humrro to define the minimum competency requirements for dry needling.

Operating model

Revenue model
Other-operating. 85% of the money available for current operations came from other operating revenue.
Distribution model
No current program activity. The filing reports no program spending for the current year.

The verdict

MIXED - Most voting board members are independent and the filed numbers largely add up. A relatively small share of available resources goes toward mission work and a relatively small share of total spending goes to programs.

Rating breakdown

  • Financial Efficiency: 0
  • Transparency & Controls: 60
  • Accountability: 100
  • Sustainability: 87
  • Growth: 60

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 0%; rating input score 0
  • Program expense ratio: 0%; rating input score 0
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • 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: 89%; rating input score 99; 99th percentile among comparable filings
  • Total-asset coverage ratio: 50.63; rating input score 99; 99th percentile among comparable filings
  • Liabilities to assets ratio: 0; rating input score 94; 94th percentile among comparable filings
  • Officer compensation ratio: 51.3%; rating input score 1; 1st percentile among comparable filings

Growth

  • Program expense growth: Limited
  • Revenue growth: 28.2% per year; rating input score 100; 93rd percentile among comparable filings
  • Asset growth: 38% per year; rating input score 100; 96th percentile among comparable filings

Details

  • Where the money goes: 0% of revenue deployed · 0% of spending went to programs
  • Governance: 8 of 8 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments
  • Leadership: top reported pay $1.3M · 14 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 3 contractors listed · $472K reported
  • Consistency: 18 of 18 current checks pass
  • Schedules: 5 filed schedules · includes executive pay
  • Filing history: 7 filing years from 2018 to 2024
  • Contacts: How to reach this organization
  • 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 — Financial Efficiency: Mission deployment rate scored 0/100.
  • High — Financial Efficiency: Program expense ratio scored 0/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 1/100.