Northern New York Rural Behavioral Health Institute
Nonprofit profile at a glance
- EIN
- 141800916
- IRS 990 coverage
- 2012–2020
- Forms available
- Form 990 2020
- Location
- Saranac Lake, NY, USA
- Phone
- 5188919460
- Rating
- 77
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Mental Health Association
Reported finances
- Revenue
- $391,547
- Expenses
- $468,335
- Assets
- $418,175
- Liabilities
- $88,019
Source: IRS Form 990. Selected filing: tax year 2020. Amounts in USD.
Leadership & pay
10 people listed
Executive titles in this filing
- JOANNE CASWELL (Vice President)
Highest reported compensation
- BARRY BROGAN (Executive Dir.): $74,753 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2020. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Assist in meeting the behavioral health needs of persons residing primarily in northern New York state. Assistance is provided in the form of planning and administrative coordination for a network or organizations that provide behavioral health care.
What it reported doing in 2020
Health reformthe network's system reform expenses include assisting member agencies in preparing for the transition from fee for service to a managed care environment. Objectives included understanding contracting requirements of managed care organizations, implementation of evidence based practices, and development of value based payment (risk sharing) behavioral health products and services.regional health planning activities were also included in this functional area. This functional area was primarly funded through a nys doh grant. These actvities were accomplished through executive level educational programming, engagement of consultants to meet with members, and staff participation in regional planning activites. Some individual management consulting also took place under this category and was provided on a fee for service basis through north country management services. Ncbhn worked with a number of member agencies to develop the peer integrated care (pic) demonstration project. Pic is a value based payment/shared savings model that engages lived experience peers with high utilitzers of emergency departments. The model focuses on individuals who are admitted to the emergency department six or more times per year. Ncbhn worked to develop a partnership with a major managed care organization but these efforts were interrupted with the onset of the covid-19 pandemic.
Operating model
- Revenue model
- Grant-funded. 74% of the money available for current operations came from government grants.
- 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. Some filing-based governance responses are negative or unanswered and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 63
- Transparency & Controls: 92
- Accountability: 90
- Sustainability: 22
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 75.7%; rating input score 76
- Program expense ratio: 63.2%; rating input score 63
- 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; 63rd percentile among comparable filings
- Governance controls: 6 of 8 controls in place; rating input score 75
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: NotApplicable
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Fail
Sustainability
- Operating margin: -19.6%; rating input score 15; 15th percentile among comparable filings
- Total-asset coverage ratio: 0.89; rating input score 31; 31st percentile among comparable filings
- Liabilities to assets ratio: 0.21; rating input score 25; 25th percentile among comparable filings
- Officer compensation ratio: 16%; rating input score 28; 28th percentile among comparable filings
Growth
- Program expense growth: 2.1% per year; rating input score 100; 56th percentile among comparable filings
- Revenue growth: 3.3% per year; rating input score 100; 55th percentile among comparable filings
- Asset growth: 4.5% per year; rating input score 100; 48th percentile among comparable filings
Details
- Where the money goes: 75.7% of revenue deployed · 63.2% of spending went to programs
- Governance: 9 of 9 board members independent · 6 of 8 filing controls reported
- Programs: 3 filed program accomplishments · $296K in reported program spending
- Leadership: top reported pay $75K · 10 people listed
- Consistency: 25 of 25 current checks pass
- Schedules: 5 filed schedules · includes major donors
- Filing history: 9 filing years from 2012 to 2020
- Contacts: How to reach this organization
- Money network: 1 filed money-flow record
- Related organizations: 1 filed related-organization link
- 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.
- Review — Accountability: Governance controls: 2 of 8 not reported.
- High — Sustainability: Operating margin scored 15/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 31/100.
- High — Sustainability: Liabilities to assets ratio scored 25/100.
- High — Sustainability: Officer compensation ratio scored 28/100.