Northland PACE Program

Nonprofit profile at a glance

EIN
261689193
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
Bismarck, ND, USA
Phone
7012500709
Rating
70
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Community Health Systems

Official website

Reported finances

Revenue
$23,723,197
Expenses
$23,425,981
Assets
$16,039,382
Liabilities
$5,941,435

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

Leadership & pay

13 people listed

Executive titles in this filing

  • Reed Reyman (President)
  • Dan Kelly (Vice President (Until Aug 2024))
  • Lynn Grimm (CEO)

Highest reported compensation

  • Kurt Datz (Medical Director): $329,319 total reported compensation
  • Lynn Grimm (CEO): $211,461 total reported compensation
  • Huyen Buegel - Nurse (Practitioner/Primary Care Provider): $166,388 total reported compensation

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

Overview

Mission

Northland PACE Senior Care Services promotes independence through coordination of all health services allowing participants to continue living safely and with dignity at home.

What it reported doing in 2024

Northland PACE program was incorporated January 4, 2008, to engage in the business of providing all-inclusive care for the elderly (PACE) services in accordance with the PACE program agreement. The PACE services is an all-inclusive set of services to meet the healthcare needs of the frail elderly as defined by CMS (Centers for Medicare and Medicaid Services) in the PACE regulations. Those services include but are not limited to primary and preventive care, specialty care, vision and dental care, pharmaceuticals, nutrition, mental and social health, physical, occupational and speech therapies and other services to maintain the health of the plan participants. The project target population is the frail elderly over 55 population, which averages 15-35% of the service area's population. The project is designed to develop a network-based PACE program in seven rural areas in three phases over a period of three years. While PACE has mostly been implemented in urban communities nationally, this PACE project will use a sophisticated telehealth conferencing system and an electronic medical record system to launch this rural health project in coordination with local providers to deliver a full spectrum of health care services to this frail elderly population in the seven rural areas.

Operating model

Revenue model
Earned-program. 99% 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 - A large share of available resources goes toward mission work 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 some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 77
  • Transparency & Controls: 60
  • Accountability: 74
  • Sustainability: 37
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 85.9%; rating input score 86
  • Program expense ratio: 87.6%; rating input score 88
  • 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; 66th percentile among comparable filings
  • Governance controls: 3 of 9 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: Limited
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Fail
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 1.3%; rating input score 39; 39th percentile among comparable filings
  • Total-asset coverage ratio: 0.68; rating input score 24; 24th percentile among comparable filings
  • Liabilities to assets ratio: 0.37; rating input score 39; 39th percentile among comparable filings
  • Officer compensation ratio: 3.9%; rating input score 60; 60th percentile among comparable filings

Growth

  • Program expense growth: 8.9% per year; rating input score 100; 66th percentile among comparable filings
  • Revenue growth: 10% per year; rating input score 100; 74th percentile among comparable filings
  • Asset growth: 13.7% per year; rating input score 100; 78th percentile among comparable filings

Details

  • Where the money goes: 85.9% of revenue deployed · 87.6% of spending went to programs
  • Governance: 7 of 7 board members independent · 3 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $20.5M in reported program spending
  • Leadership: top reported pay $329K · 13 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 30 of 30 current checks pass
  • Schedules: 5 filed schedules · includes executive pay
  • Filing history: 15 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 5 filed money-flow records
  • Related organizations: 2 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.
  • Moderate — Accountability: Governance controls: 5 of 8 not reported.
  • Moderate — Sustainability: Operating margin scored 39/100.
  • High — Sustainability: Total-asset coverage ratio scored 24/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 39/100.