Leadingage Illinois

What it reported doing in 2024

Government relations: leadingage Illinois provides advocacy and regulatory technical support to members, including state and federal advocacy representation. Activities include education and updates to members on the impact of recent and anticipated legislation, regulatory changes affecting service providers and residents. Leadingage Illinois also educates and alerts legislators on issues and interests of the senior care industry, including coordinating legislator visits and providing quantitative support of legislative challenges. In 2024, leadingage Illinois advocated to pass legislation to create a permanent medication aide program. Medication aides are now permitted in assisted living, supportive living, and nursing homes. Leadingage Illinois worked to unanimously pass a bill allowing nurses in assisted living communities to provide catheter care to residents, eliminating the need for external care. Leadingage Illinois also worked to pass legislation that states that when a health care facility is found liable for an injury to a patient or resident because of a negligent act performed by an agency nurse or cna, the health care facility has a right to be compensated by the nurse agency for any and all expenses, fines, or damages incurred related to any liability for the nurse agency's negligence, including negligent hiring. It further requires a contract entered into between the nurse agency and health care facility to contain a provision specifying that the health care facility has a right to be compensated by the nurse agency for any and all expenses, fines, or damages incurred related to any liability for a negligent act performed by a nurse or cna employed, assigned, or referred by the nurse agency. Leadingage Illinois negotiated a high-priority bill on reporting, postings, and disclosures with more favorable language than initially proposed for life plan communities. This followed extensive advocacy work, including multiple meetings with key legislators. Ultimately, the bill passed with less burdensome requirements. Additionally, leadingage Illinois was able to stop another bill that would have drastically changed the entrance fee refund process for life plan communities. Leadingage Illinois negotiated language on a bill that would have changed the composition of the assisted living advisory board, making it unfair and unbalanced. This would have negatively impacted the provider perspective on the board, which leadingage Illinois created through passed legislation in 2023. We stopped the senate version of this year's bill and negotiated with the sponsor and stakeholders on the house version, simply clarifying the board positions, rather than changing the composition.

Financial Efficiency

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

Transparency & Controls

• Consistency checks: 88.9%; rating input score 89; 3rd percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • 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: 8 of 8 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: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 34.4%; rating input score 86; 86th percentile among comparable filings
• Total-asset coverage ratio: 2.41; rating input score 68; 68th percentile among comparable filings
• Liabilities to assets ratio: 0.12; rating input score 55; 55th percentile among comparable filings
• Officer compensation ratio: 38.6%; rating input score 3; 3rd percentile among comparable filings

Growth

• Program expense growth: Limited
• Revenue growth: 0.8% per year; rating input score 100; 14th percentile among comparable filings
• Asset growth: 7.3% per year; rating input score 100; 47th percentile among comparable filings