Homefirst Inc

Nonprofit profile at a glance

EIN
113325280
IRS 990 coverage
2010–2010
Forms available
Form 990 2010
Location
Brooklyn, NY, USA
Phone
7189217742
Rating confidence
Limited
Sector
Home Health Care

Official website

Reported finances

Revenue
$147,009,628
Expenses
$134,836,237
Assets
$64,490,121
Liabilities
$17,645,371

Source: IRS Form 990. Selected filing: tax year 2010. Amounts in USD.

Leadership & pay

21 people listed

Source: IRS Form 990. Selected filing: tax year 2010. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Homefirst is a not-for-profit, managed long-term care plan designed exclusively for medicaid-eligible New York area residents who have chronic or disabling conditions.

What it reported doing in 2010

A managed long-term care plan, homefirst provides services to medicaid-eligible new yorkers, age 18 and older, who are qualified for a nursing home level of care according to New York state assessment criteria. Homefirst focuses on helping its members remain in the comfortable surroundings of their own homes and ensures accessible, appropriate, high quality and cost-effective delivery by coordinating acute and long-term care services. These services include: nurse supervision and home visits, coordination of medicaid and medicare services, and comprehensive assessment of environmental, social and caregiver factors, as well as respite services to alleviate caregiver stress. Total membership increased from 3,461 in 2009 to 3,543 in 2010.

Operating model

Revenue model
Earned-program. 100% of the money available for current operations came from fees and other program revenue.
Distribution model
Cannot be determined from the filing. The filing does not provide enough consistent spending detail to tell whether the nonprofit works directly or through others.

The verdict

- The available evidence is not sufficient to produce an overall rating for this filing. This is not a warning sign.

Rating breakdown

  • Financial Efficiency: NotEnoughData
  • Transparency & Controls: 100
  • Accountability: 94
  • Sustainability: 56
  • Growth: NotEnoughData

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: Limited
  • Program expense ratio: Limited
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 6 of 6 controls in place; rating input score 100
    • Compensation committee: Pass
    • Independent consultant: Pass
    • 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: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 90%; rating input score 90; 47th 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: 8.3%; rating input score 75; 75th percentile among comparable filings
  • Total-asset coverage ratio: 0.48; rating input score 19; 19th percentile among comparable filings
  • Liabilities to assets ratio: 0.27; rating input score 74; 74th percentile among comparable filings
  • Officer compensation ratio: 1.7%; rating input score 58; 58th percentile among comparable filings

Growth

  • Program expense growth: Limited
  • Revenue growth: Limited
  • Asset growth: Limited

Details

  • Where the money goes: Financial trends and filed revenue, expense, asset, and liability detail
  • Governance: 9 of 10 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $121.1M in reported program spending
  • Leadership: top reported pay $1.5M · 21 people listed · 6 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed
  • Consistency: 30 of 30 current checks pass
  • Schedules: 5 filed schedules · includes executive pay
  • Related organizations: 11 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: Total-asset coverage ratio scored 19/100.
  • Review — Sustainability: Officer compensation ratio scored 58/100.