North Star Health Alliance Inc

Nonprofit profile at a glance

EIN
161449491
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
Ogdensburg, NY, USA
Phone
3153933600
Rating confidence
Limited

Reported finances

Revenue
$0
Expenses
$0
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

11 people listed

Executive titles in this filing

  • RICHARD DUVALL (PRESIDENT AND CEO)

Highest reported compensation

  • RICHARD DUVALL (PRESIDENT AND CEO): $1,158,675 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The corporation is organized and shall be operated exclusively for the benefit of its members, which comprise: claxton-hepburn medical center, claxton-hepburn medical center foundation, and carthage area hospital. The corporation monitors mission objectives, activities, and resources of its members, and advises in respect to the monitored matters to further the purpose of promoting efficient, effective, and economical health care services in rural areas of northern New York.

What it reported doing in 2024

North star health alliance (north star) is a parent company for healthcare entities and their related foundations. Members of north star will have their certificates of incorporation and bylaws indicate that north star is their sole member allowing north star to be empowered under the New York not-for-profit corporation law to appoint the board of directors of each member, to amend certificates of incorporation and bylaws and approve dissolutions, mergers, and acquisitions. As the parent company, north star will act to promote high quality health care services to the community through efficient, effective, and economical systems. The increasingly regulated, competitive, and cost-conscious environment has led members to decreased resources and an increased need for collaborative approaches to these challenges. In the role of a parent company, it is not anticipated that north star will itself become a provider of healthcare services or other services directed to the public but rather will continue to coordinate efforts in a collaborative manner to address the challenges faced by its members specifically by reducing functional overlaps and maximizing the utilization of available resources.

Operating model

Revenue model
No positive adjusted resources. The filing reports no positive adjusted operating resources.
Distribution model
No current program activity. The filing reports no program spending for the current year.

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: 43
  • Accountability: 68
  • Sustainability: NotEnoughData
  • Growth: 0

Detailed rating inputs

Financial Efficiency

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

Transparency & Controls

  • Consistency checks: 66.7%; rating input score 67; 0th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • 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; 27th percentile among comparable filings
  • Governance controls: 3 of 8 controls in place; rating input score 38
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: Fail
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: Limited
  • Total-asset coverage ratio: Limited
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: Limited

Growth

  • Program expense growth: Limited
  • Revenue growth: Limited
  • Asset growth: -9.3% per year; rating input score 0; 14th percentile among comparable filings

Details

  • Where the money goes: Financial trends and filed revenue, expense, asset, and liability detail
  • Governance: 9 of 10 board members independent · 3 of 8 filing controls reported
  • Programs: 1 filed program accomplishment
  • Leadership: top reported pay $1.2M · 11 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 7 of 9 current checks pass · 2 findings to review
  • Schedules: 4 filed schedules · includes executive pay
  • Filing history: 13 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Related organizations: 7 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 — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Growth: Asset growth scored 0/100.
  • Moderate — Accountability: Governance controls: 4 of 7 not reported.
  • Moderate — Transparency & Controls: Series filing activity did not reconcile in the filed values.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.