Northwinds Integrated Health Network Ipa

Nonprofit profile at a glance

EIN
834123043
IRS 990 coverage
2019–2024
Forms available
Form 990 2024
Location
Plattsburgh, NY, USA
Phone
5185638206
Rating
68
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Group Health Practice (Health Maintenance Organizations)

Reported finances

Revenue
$114,876
Expenses
$477,354
Assets
$1,662,957
Liabilities
$106,974

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

Leadership & pay

11 people listed

Executive titles in this filing

  • ENRICO CULLEN (EXECUTIVE DIRECTOR)
  • JAMES BUTTON (President)

Highest reported compensation

  • ENRICO CULLEN (EXECUTIVE DIRECTOR): $151,000 total reported compensation

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

Overview

Mission

It is the mission of northwinds integrated health network ipa to leverage our extensive network community-based providers to connect people to essentials for living and high quality care.

What it reported doing in 2024

2024 was a strong year for Northwinds, marked by significant advancements in healthcare innovation and collaboration across rural and underserved regions. Our commitment to enhancing care coordination, leveraging data-driven insights, and forging strategic partnerships created remarkable results.Financially, Northwinds secured $138,000 in shared savings from our 2023 Value-Based Payment (VBP) Contract with Fidelis, having met 100% of the Citizenship Requirements. This achievement underscores our operational efficiency and adherence to contractual obligations.Expanding our network and influence, Northwinds joined the HRSA-funded Chronic Disease Care Coordination Network, strengthening clinic-community linkages and broadening access to high-quality chronic disease self-management services. Additionally, we collaborated with Adirondack Health Institute (AHI) and Fort Drum to pursue an 1115 Waiver application, aiming to become the designated System of Care Network (SCN) for the North Country, fostering a more integrated healthcare ecosystem.A key partnership was established with Lambency, LLC, led by Dave Shilane. This collaboration focused on improving services and linkages between behavioral health and primary medical care patients. Dave Shilane's development of a multivariate reporting structure in R has empowered our partners with comprehensive data for informed decision-making and holistic care.At the state level, Northwinds led a statewide Behavioral Health IPA planning committee, working alongside three other IPAs and with support from the NYS Council for Community Behavioral Health, to advance the value position and support of our Behavioral Health networks. On a national stage, we presented at the National Council for Wellbeings annual conference in St. Louis, MO, in partnership with AHI, sharing our expertise on risk contracting in rural settings.A strong partnership was formed with Fort Drum, Finger Lakes and Southern Tier IPA, and Mohawk Valley IPA to pursue the OMH VBP Hospital Discharge Planning grant, with a potential shared award of $1,018,173. This collaborative effort aims to improve Behavioral Health and Substance Use Disorder (SUD) metrics.

Operating model

Revenue model
Earned-program. 71% 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 most voting board members are independent. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of total spending goes to programs.

Rating breakdown

  • Financial Efficiency: 72
  • Transparency & Controls: 60
  • Accountability: 95
  • Sustainability: 26
  • Growth: 20

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 49.6%; rating input score 50
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 64th 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 8 controls in place; rating input score 88
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: -315.5%; rating input score 0; 0th percentile among comparable filings
  • Total-asset coverage ratio: 3.48; rating input score 72; 72nd percentile among comparable filings
  • Liabilities to assets ratio: 0.06; rating input score 30; 30th percentile among comparable filings
  • Officer compensation ratio: 31.6%; rating input score 10; 10th percentile among comparable filings

Growth

  • Program expense growth: -20.8% per year; rating input score 0; 5th percentile among comparable filings
  • Revenue growth: -26.1% per year; rating input score 0; 2nd percentile among comparable filings
  • Asset growth: 8.4% per year; rating input score 100; 61st percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 49.6% of spending went to programs
  • Governance: 5 of 5 board members independent · 7 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $237K in reported program spending
  • Leadership: top reported pay $151K · 11 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 20 of 20 current checks pass
  • Schedules: 3 filed schedules · includes executive pay
  • Filing history: 5 filing years from 2019 to 2024
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • 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.
  • Review — Financial Efficiency: Program expense ratio scored 50/100.
  • High — Sustainability: Operating margin scored 0/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • Review — Accountability: Governance controls: Independent financial-statement audit not reported.
  • High — Sustainability: Officer compensation ratio scored 10/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 30/100.