Healthlinc Incorporated

Nonprofit profile at a glance

EIN
263571507
IRS 990 coverage
2014–2017
Forms available
Form 990 2017
Location
Bloomington, IN, USA
Phone
8773315477
Rating
64
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Research Institutes and Public Policy Analysis

Official website

Reported finances

Revenue
$728,247
Expenses
$738,802
Assets
$640,724
Liabilities
$77,468

Source: IRS Form 990. Selected filing: tax year 2017. Amounts in USD.

Leadership & pay

13 people listed

Executive titles in this filing

  • J MICHAEL SULLIVAN MD (DIRECTOR/EXEC. DIRECTOR/CEO)
  • KAREN E SHACKLETTE (DIRECTOR/PRESIDENT)

Highest reported compensation

  • WESLEY W RATLIFF MD (DIRECTOR (PARTIAL YEAR)): $287,015 total reported compensation
  • MICHAEL J MELBY (DIRECTOR): $231,513 total reported compensation
  • SONYA M ZELLER RN (DIRECTOR/VP (PARTIAL YEAR)): $189,901 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2017. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Coordinate health care information by providing a community-wide clinical data and information exchange to the health care community.

What it reported doing in 2017

HealthLINC Incorporated ("HealthLINC") serves medical providers and institutions throughout Indiana by supporting health information technology ("HIT") adoption, health information exchange ("HIE"), and innovative use of information for improved health care outcomes. HealthLINC enables healthcare providers to make smarter decisions that enhance care, improve outcomes, enhance efficiencies, and lower healthcare costs. HealthLINC achieves these goals with its clients by eliminating duplicate medical testing, providing a secure environment for providers to share patient information, and providing real time electronic delivery of lab, radiology, and transcribed reports. HealthLINC provides the following services: Care Notification Service ("CNS") Quality care often depends on knowing where patients have received care. Hospital visits cost significantly more than a regular office visit, and result in fragmented care, medication confusion, and missed opportunities for preventive and routine examination. Timely follow-up and collaboration on transitions can improve patient outcomes. With daily notification, physicians and other clinicians can accelerate their patients follow-up care in the office following ED visits, outpatient procedures, or hospitalizations. CNS notifies physicians and other clinicians when their patients are admitted to the emergency or other hospital department, receive outpatient procedures, are admitted or discharged from the hospital, or experience a significant change in Medication or Re-Admission Risk Score. Community Medication Management ("CMM") A transition from one care setting to another is a vulnerable time for patients. Many medication errors occur during these transitions. The CMM tool aggregates multiple medical lists into one shared location allowing healthcare professionals to better understand a patients' medication history and use that information to make a difference. CMM is a web-based application that allows providers from multiple care settings to impart vital information about their shared patients in a secure environment. CMM has a variety of tools to assist in medication management. Automated medication feeds are updated daily or in some cases real-time. Those medications are displayed in a comparison chart, which sorts medication by therapeutic class, grouping medications that are identical, similar and unique into an easy to read format, allowing easy identification of errors, potential drug therapy problems, and deprescription opportunities. Conferences HealthLINC has held annual conferences for many years. Its conferences are excellent ways for medical providers and their staff to learn about the latest developments in HIT and Practice Transformation. DIRECT Secure Email DIRECT Secure Email is a secure, encrypted web-based communication system for physicians, nurse practitioners, physician assistants, and other healthcare providers to share protected health information with providers outside of their organization. E-mail, fax, or regular mail involves the inherent risks of information being compromised or accessed by unauthorized users. Direct messaging is HIPAA-compliant and mitigates these risks by providing an easy way for health care providers to securely share patient information electronically with providers who are outside of their internal system. Great Lakes Practice Transformation Network ("GLTPN") The GLTPN helps approximately 11,500 clinicians prepare for anticipated industry changes calling for better care at lower costs. HealthLINC's networked, five-state coalition is dedicated to coaching clinicians through the five phases of patient-centric practice transformation necessary to effectively participate in value-based payment systems. HealthLINC guides clinicians through the various CMS phases by utilizing a Transformational Change Toolkit to help them achieve associated milestones as well as clinical operational results. IU Health Medical Records Remote Access Support As

Operating model

Revenue model
Earned-program. 84% 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

SUPPORTED - A large share of available resources goes toward mission work and most voting board members are independent. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and the required major-donor schedule is missing or incomplete.

Rating breakdown

  • Financial Efficiency: 73
  • Transparency & Controls: 49
  • Accountability: 78
  • Sustainability: 35
  • Growth: 60

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 81.7%; rating input score 82
  • Program expense ratio: 80.6%; rating input score 81
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th 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: No; rating input score 0
  • Related-party transparency: No; rating input score 0

Accountability

  • Independent voting board: 80%; rating input score 80; 16th percentile among comparable filings
  • Governance controls: 6 of 8 controls in place; rating input score 75
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: NotApplicable
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -1.4%; rating input score 30; 30th percentile among comparable filings
  • Total-asset coverage ratio: 0.87; rating input score 41; 41st percentile among comparable filings
  • Liabilities to assets ratio: 0.12; rating input score 46; 46th percentile among comparable filings
  • Officer compensation ratio: 11.6%; rating input score 30; 30th percentile among comparable filings

Growth

  • Program expense growth: 9.4% per year; rating input score 100; 68th percentile among comparable filings
  • Revenue growth: -4.6% per year; rating input score 0; 11th percentile among comparable filings
  • Asset growth: 2.1% per year; rating input score 100; 38th percentile among comparable filings

Details

  • Where the money goes: 81.7% of revenue deployed · 80.6% of spending went to programs
  • Governance: 8 of 10 board members independent · 6 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $595K in reported program spending
  • Leadership: top reported pay $287K · 13 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 1 contractor listed · $198K reported
  • Consistency: 20 of 21 current checks pass · 1 finding to review
  • Schedules: 5 filed schedules · includes major donors, executive pay, and related organizations
  • Filing history: 4 filing years from 2014 to 2017
  • Contacts: How to reach this organization
  • Related organizations: 84 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 — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Transparency & Controls: Major donor itemization scored 0/100.
  • Review — Accountability: Governance controls: 2 of 8 not reported.
  • High — Growth: Revenue growth scored 0/100.
  • High — Transparency & Controls: Related-party transparency scored 0/100.
  • Moderate — Sustainability: Operating margin scored 30/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 41/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • Moderate — Sustainability: Officer compensation ratio scored 30/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 46/100.