North Carolina Healthcare Quality Alliance

Nonprofit profile at a glance

EIN
272498233
IRS 990 coverage
2011–2025
Forms available
Form 990 2025, Form 990-EZ 2019, Form 990-N 2015
Location
Chapel Hill, NC, USA
Phone
9192404420
Rating
78
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health, General and Financing

Official website

Reported finances

Revenue
$60,093
Expenses
$196,234
Assets
$86,068
Liabilities
$1,175

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

15 people listed

Highest reported compensation

  • Tyler Wikoff (Director of Operations): $90,500 total reported compensation
  • Alan Hirsch (PresidentCEO): $64,136 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Improve healthcare quality in NC. Provide leadership for improving healthcare delivery. Facilitate transparency and accountability. Foster innovative and sustainable activities to improve the value and outcomes of NC healthcare.

What it reported doing in 2025

Peer-Run Mental Health Services Continuum Project-In 2025, NCHQA continued a partnership with Promise Resource Network (PRN), a NC leader operating peer-operated mental health recovery alternatives, to continue growing service provision in Wake, Durham, Orange, Mecklenburg, and Cabarrus Counties. NCHQA supported PRNs expansion of operations, facilities, and programming in Wake and Cabarrus, including via the opening of a resource hub and recovery cafe in Wake County and the purchase of a future respite house in Cabarrus County. Additionally, NCHQA conducted research into expansion into Durham and Orange Counties. NCHQA also supported operational improvements at PRN, such that PRN is now better poised to continue growing the continuum of care offered to individuals experiencing mental and behavioral health challenges. Finally NCHQA began researching pathways for PRN to garner Medicaid funding.

Operating model

Revenue model
Donor-supported. 94% of the money available for current operations came from contributions and gifts.
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 - The filed numbers largely add up and a large share of available resources goes toward mission work. A relatively small share of total spending goes to programs and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 62
  • Transparency & Controls: 100
  • Accountability: 91
  • Sustainability: 13
  • Growth: 80

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 94.4%; rating input score 94
  • Program expense ratio: 28.8%; rating input score 29
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: Limited
  • 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; 64th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • 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: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: -226.6%; rating input score 11; 11th percentile among comparable filings
  • Total-asset coverage ratio: 0.44; rating input score 18; 18th percentile among comparable filings
  • Liabilities to assets ratio: 0.01; rating input score 21; 21st percentile among comparable filings
  • Officer compensation ratio: 78.8%; rating input score 2; 2nd percentile among comparable filings

Growth

  • Program expense growth: 8.9% per year; rating input score 100; 72nd percentile among comparable filings
  • Revenue growth: 0.2% per year; rating input score 100; 58th percentile among comparable filings
  • Asset growth: -12% per year; rating input score 0; 12th percentile among comparable filings

Details

  • Where the money goes: 94.4% of revenue deployed · 28.8% of spending went to programs
  • Governance: 15 of 15 board members independent · 7 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $56K in reported program spending
  • Leadership: top reported pay $90K · 15 people listed
  • Consistency: 21 of 21 current checks pass
  • Schedules: 5 filed schedules · includes major donors
  • Filing history: 11 filing years from 2011 to 2025
  • Contacts: How to reach this organization
  • Money network: 6 filed money-flow records
  • Related organizations: 4 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 — Financial Efficiency: Program expense ratio scored 29/100.
  • High — Sustainability: Operating margin scored 11/100.
  • High — Sustainability: Total-asset coverage ratio scored 18/100.
  • Review — Accountability: Governance controls: Independent financial-statement audit not reported.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 2/100.
  • High — Sustainability: Liabilities to assets ratio scored 21/100.