Northern New Hampshire Healthcare Collaborative Inc

Nonprofit profile at a glance

EIN
462459559
IRS 990 coverage
2014–2017
Forms available
Form 990 2017, Form 990-N 2012
Location
Berlin, NH, USA
Phone
6034445317
Rating
61
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Community Health Systems

Reported finances

Revenue
$1,486,296
Expenses
$1,388,968
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2017. Amounts in USD.

Leadership & pay

11 people listed

Executive titles in this filing

  • Michael Counter (President)

Highest reported compensation

  • Michael Counter (President): $187,724 total reported compensation
  • Claudette Audette (Finance Director): $104,651 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2017. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Northern New Hampshire Healthcare Collaborative, Inc. will ensure access to quality care within the communities in which our patients live, provide local and high quality care with positive outcomes to our patients in Coos County while controlling the cost of care through innovative programs and the use of shared resources.

What it reported doing in 2017

Northwoods Hospice provides services throughout Coos County to assist patients to enhance their quality of life and achieve personal goals in the months and weeks near the end of life by providing comfort and support as well as the highest level of skilled medical and personal care for the patient and their family.The staff help develop a comprehensive personal care plan that involves the patient, the family, physicians, nurses, counselors, and aides; providing care in the patient's home, nursing homes, assisted living residences, as well as hospitals. Patient care services available include: Hospice Care Coordinator, Skilled Nursing, management of necessary medical equipment and medications, Physical Therapy, Occupational Therapy, Speech Therapy, Social Worker, Home Health Aides, as well as Homemaker services. Volunteers are available for companionship, reading, recreation, as well as assistance with household activities.

Operating model

Revenue model
Earned-program. 88% of the money available for current operations came from fees and other program revenue.
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 - Most voting board members are independent and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and program spending has declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 58
  • Transparency & Controls: 60
  • Accountability: 91
  • Sustainability: 34
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 63.3%; rating input score 63
  • Program expense ratio: 67.8%; rating input score 68
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd 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: 100%; rating input score 100; 63rd 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: 6.5%; rating input score 58; 58th 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: 4.2%; rating input score 59; 59th percentile among comparable filings

Growth

  • Program expense growth: -26.5% per year; rating input score 0; 3rd percentile among comparable filings
  • Revenue growth: -17.8% per year; rating input score 0; 3rd percentile among comparable filings
  • Asset growth: -51.3% per year; rating input score 0; 0th percentile among comparable filings

Details

  • Where the money goes: 63.3% of revenue deployed · 67.8% of spending went to programs
  • Governance: 11 of 11 board members independent · 7 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $942K in reported program spending
  • Leadership: top reported pay $188K · 11 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 29 of 29 current checks pass
  • Schedules: 6 filed schedules · includes executive pay
  • Filing history: 4 filing years from 2014 to 2017
  • Contacts: How to reach this organization
  • 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 — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 0/100.
  • Review — Sustainability: Operating margin scored 58/100.
  • Review — Accountability: Governance controls: Independent financial-statement audit not reported.
  • High — Growth: Asset growth scored 0/100.
  • Review — Sustainability: Officer compensation ratio scored 59/100.