North Carolina Health Information Exchange

Nonprofit profile at a glance

EIN
273541505
IRS 990 coverage
2011–2014
Forms available
Form 990 2014
Location
Raleigh, NC, USA
Phone
9199263963
Rating
76
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Public Health Program (Includes General Health and Wellness Promotion Services)

Reported finances

Revenue
$3,355,144
Expenses
$4,530,185
Assets
$1,878,263
Liabilities
$3,160,944

Source: IRS Form 990. Selected filing: tax year 2014. Amounts in USD.

Leadership & pay

9 people listed

Executive titles in this filing

  • CHRIS SCARBORO MPH (PRESIDENT)

Highest reported compensation

  • MARYA UPCHURCH (VP CUSTOMER SOLUTIONS): $169,313 total reported compensation
  • CHRIS SCARBORO MPH (PRESIDENT): $168,815 total reported compensation
  • DAVID WELKER II (CHIEF OPERATING OFFICER): $148,168 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2014. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Nc hie will provide a set of secure and scalable services that promote the access to, the exchange of, and the analysis of health care information. Nc hie services will also enable participating organizations to improve medical decision-making and coordination of care, improve health outcomes, and control health care costs.

What it reported doing in 2014

North Carolina program to advance technology for health ("nc path")- blue cross and blue shield of North Carolina, in collaboration with the nc hie and allscripts, launched nc path - a program created to place North Carolina at the forefront of health care reform. Nc path equips physicians with allscripts ehr software and support, connects health care providers accross the state through nc hie and provides assistance to practices with achieving meaningful use and patient center medical home recognition. Designed to meet the needs of both physicians and patients, nc path will move North Carolina into a new era of quality health care. Nc path streamlines coordinated care, elevates the quality of patient care, improves health outcomes, reduces health care spending, and AIDS practices in becoming hit compliant.

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 program spending has declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 99
  • Transparency & Controls: 70
  • Accountability: 76
  • Sustainability: 12
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 96.2%; rating input score 96
  • Fundraising efficiency: $2,784.39 raised per $1 spent on fundraising; rating input score 99; 99th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 66.7%; rating input score 67; 11th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • 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: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -35%; rating input score 2; 2nd percentile among comparable filings
  • Total-asset coverage ratio: 0.41; rating input score 20; 20th percentile among comparable filings
  • Liabilities to assets ratio: 1.68; rating input score 2; 2nd percentile among comparable filings
  • Officer compensation ratio: 5.3%; rating input score 44; 44th percentile among comparable filings

Growth

  • Program expense growth: -20.9% per year; rating input score 0; 7th percentile among comparable filings
  • Revenue growth: -14.4% per year; rating input score 0; 4th percentile among comparable filings
  • Asset growth: -39.9% per year; rating input score 0; 1st percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 96.2% of spending went to programs
  • Governance: 4 of 6 board members independent · 8 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $4.4M in reported program spending
  • Leadership: top reported pay $169K · 9 people listed · 1 of 6 pay-setting controls reported
  • Highest-paid contractors: 4 contractors listed · $1.3M reported
  • Consistency: 33 of 33 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 4 filing years from 2011 to 2014
  • Contacts: How to reach this organization
  • Money network: 2 filed money-flow records
  • 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.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Sustainability: Operating margin scored 2/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 20/100.
  • High — Growth: Asset growth scored 0/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • High — Sustainability: Liabilities to assets ratio scored 2/100.
  • Moderate — Sustainability: Officer compensation ratio scored 44/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.