Indian Stream Health Center Inc
Nonprofit profile at a glance
- EIN
- 200999212
- IRS 990 coverage
- 2010–2021
- Forms available
- Form 990 2021, Form 990-T 2021
- Location
- Colebrook, NH, USA
- Phone
- 6032378336
- Rating
- 77
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Ethnic, Immigrant Centers
Reported finances
- Revenue
- $5,675,031
- Expenses
- $5,486,143
- Assets
- $0
- Liabilities
- $0
Source: IRS Form 990. Selected filing: tax year 2021. Amounts in USD.
Leadership & pay
14 people listed
Executive titles in this filing
- Gail Fisher (President)
- Suzanne Phinney (Vice President)
- Sergio Zullich (CEO)
- Greg Culley (Past CEO)
Highest reported compensation
- Sergio Zullich (CEO): $236,497 total reported compensation
- Jose Zirena (Past CFO): $103,878 total reported compensation
- Arthur Nichols (Interim CFO): $58,820 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2021. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To provide excellent preventive, acute, and wellness-focused health care to residents within the organization's service area regardless of patient's ability to pay. We will focus our resources to maximize the quality of life of area residents in a cost-effective and efficient manner.
What it reported doing in 2021
Provide primary health care to the residents of the Colebrook, NH region and ensure a transition at the closing of the merger for primary care and pharmacy operations to UCVH and its affiliates.
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 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: 66
- Transparency & Controls: 84
- Accountability: 100
- Sustainability: 20
- Growth: 80
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 73.7%; rating input score 74
- Program expense ratio: 76.2%; rating input score 76
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Missing
- 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; 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: 3.3%; rating input score 33; 33rd 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: 7.7%; rating input score 34; 34th percentile among comparable filings
Growth
- Program expense growth: 1.3% per year; rating input score 100; 30th percentile among comparable filings
- Revenue growth: 5.2% per year; rating input score 100; 49th percentile among comparable filings
- Asset growth: -2% per year; rating input score 0; 10th percentile among comparable filings
Details
- Where the money goes: 73.7% of revenue deployed · 76.2% of spending went to programs
- Governance: 9 of 9 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $4.2M in reported program spending
- Leadership: top reported pay $236K · 14 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 4 contractors listed · $1.1M reported
- Consistency: 30 of 30 current checks pass
- Schedules: 6 filed schedules · includes major donors and executive pay
- Filing history: 12 filing years from 2010 to 2021
- Contacts: How to reach this organization
- Money network: 4 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.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- Moderate — Sustainability: Operating margin scored 33/100.
- High — Sustainability: Total-asset coverage ratio scored 0/100.
- High — Growth: Asset growth scored 0/100.
- Moderate — Sustainability: Officer compensation ratio scored 34/100.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.