Regional Home Health and Hospice

Nonprofit profile at a glance

EIN
830371265
IRS 990 coverage
2010–2017
Forms available
Form 990 2017
Location
Pittsburgh, PA, USA
Phone
4125446668
Rating
60
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Home Health Care

Official website

Reported finances

Revenue
$5,250,200
Expenses
$6,929,207
Assets
$227,684
Liabilities
$2,822,555

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

Leadership & pay

8 people listed

Executive titles in this filing

  • MARY ECKERT (PRESIDENT & DIRECTOR)
  • BARBARA NICHOLS (DIRECTOR/VICE PRESIDENT)
  • JEANINE TOME (EXECUTIVE DIRECTOR)

Highest reported compensation

  • SCOTT WHALEN (CHAIR & DIRECTOR (THRU 6/1/17)): $1,433,315 total reported compensation
  • CHRISTOPHER CLARK DO (CHAIRMAN & DIRECTOR): $444,605 total reported compensation
  • MAUREEN CHADWICK (DIRECTOR/SECRETARY): $287,046 total reported compensation

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

Overview

Mission

To promote, organize, establish, maintain, manage and operate a home health and hospice service which will provide skilled nursing, physical therapy, occupational therapy, speech therapy, social work and home health aide services to eligible patients in need of such services.

What it reported doing in 2017

The regional home health and hospice exists to care for the homebound by 1) cooperating with referring entities and physicians to provide continuity of care. 2) assessing the physical, emotional, social, financial and material needs and resources of patients and their caregivers. 3) providing appropriate services, including: skilled nursing, wound care, iv therapy, psychiatric nursing, physical therapy, speech therapy, occupational therapy, medical social service and home health aide services. 4) teaching patients and their caregiver(s) ways in which they may be able to function at their maximum potential. 5) utilizing community resources. The regional home health and hospice services focus on meeting the emotional, social, physical, and spiritual needs of patients with a life limiting illness. Hospice services are designed for patients with a prognosis of 6 months or less, should their disease follow its normal course. Hospice services are designed to meet the needs of the patient, and their family. Patient and family needs are met through an interdisciplinary team which includes the attending physician, hospice medical director, rn, cna, social worker, spiritual care coordinator, bereavement counselor, and volunteers. Available resources may also include physical, occupational and speech therapy, dieticians, and others to meet a patients needs. The regional home health and hospice provides care to hospice patients in their private homes, assisted living, personal care homes, skilled nursing facilities, or anywhere the patient may call home. Regional home health and hospice provides all medical equipment and medications related to the patients hospice diagnosis. There is a regional home health and hospice nurse working 24 hours a day, 7 days a week. A patient or caregiver can call hospice any time of the day or night and a nurse can come to their home. Regional home health and hospice provides routine hospice services, as well as respite, general inpatient services, and continuous care. The regional home health and hospice provides services in erie, crawford and warren counties, for a coverage area of 2,695 miles. The daily census of regional home health and hospice is typically over 400 patients and the regional home health and hospice team makes over 5,000 visits annually. The regional home health and hospice team travels over 540,000 miles a year and is the equivalent of 21 trips around the globe each year. The regional home health and hospice employs 125 employees.

Operating model

Revenue model
Earned-program. 96% 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 filed governance safeguards are in place. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and the required major-donor schedule is missing or incomplete.

Rating breakdown

  • Financial Efficiency: 70
  • Transparency & Controls: 53
  • Accountability: 81
  • Sustainability: 4
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 86.1%; rating input score 86
  • Program expense ratio: 65.6%; rating input score 66
  • 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: No; rating input score 0
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 66.7%; rating input score 67; 10th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • 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: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -32%; rating input score 3; 3rd percentile among comparable filings
  • Total-asset coverage ratio: 0.03; rating input score 1; 1st percentile among comparable filings
  • Liabilities to assets ratio: 12.4; rating input score 0; 0th percentile among comparable filings
  • Officer compensation ratio: 11.4%; rating input score 21; 21st percentile among comparable filings

Growth

  • Program expense growth: -11.9% per year; rating input score 0; 5th percentile among comparable filings
  • Revenue growth: -0.1% per year; rating input score 0; 20th percentile among comparable filings
  • Asset growth: -17.7% per year; rating input score 0; 2nd percentile among comparable filings

Details

  • Where the money goes: 86.1% of revenue deployed · 65.6% of spending went to programs
  • Governance: 4 of 6 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $4.5M in reported program spending
  • Leadership: top reported pay $1.4M · 8 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 27 of 27 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 5 filing years from 2010 to 2017
  • Contacts: How to reach this organization
  • Related organizations: 9 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 — Transparency & Controls: Major donor itemization scored 0/100.
  • High — Sustainability: Operating margin scored 3/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 1/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Liabilities to assets ratio scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 21/100.