Silver State Health Services

Nonprofit profile at a glance

EIN
471575922
IRS 990 coverage
2017–2020
Forms available
Form 990 2020, Form 990-N 2016
Location
Las Vegas, NV, USA
Phone
7024109195
Rating
74
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Support Services

Official website

Reported finances

Revenue
$6,877,372
Expenses
$5,782,021
Assets
$4,142,806
Liabilities
$1,283,743

Source: IRS Form 990. Selected filing: tax year 2020. Amounts in USD.

Leadership & pay

19 people listed

Executive titles in this filing

  • Tam Nguyen (Interim CEO/CFO)
  • D Ryan Linden (CEO)
  • Ron Clark (President)
  • Regina Coward (Vice President)

Highest reported compensation

  • Tom Ancy (APRN): $204,348 total reported compensation
  • Tam Nguyen (Interim CEO/CFO): $169,234 total reported compensation
  • D Ryan Linden (CEO): $136,497 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2020. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Provide health-related services to the underserved and low-income residents and others who have difficulty accessing health care services.

What it reported doing in 2020

During 2020, the organization continued outreach efforts through professional associations and other community and business organizations throughout Las Vegas and increased medical and behavioral services to the underserved and unserved populations. During 2020, Silver State Health Services served more than twice the number of patients served in 2019, at 4,353 patients. During the year, 34,986 visits were provided, as compared to nearly 20,000 visits in 2019.

Operating model

Revenue model
Earned-program. 64% 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 - The filed numbers largely add up and most voting board members are independent. Some filing-based governance responses are negative or unanswered and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 59
  • Transparency & Controls: 84
  • Accountability: 91
  • Sustainability: 45
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 62.2%; rating input score 62
  • Program expense ratio: 74%; rating input score 74
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Missing
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • 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; 64th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • 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: 15.9%; rating input score 64; 64th percentile among comparable filings
  • Total-asset coverage ratio: 0.72; rating input score 26; 26th percentile among comparable filings
  • Liabilities to assets ratio: 0.31; rating input score 36; 36th percentile among comparable filings
  • Officer compensation ratio: 10.6%; rating input score 26; 26th percentile among comparable filings

Growth

  • Program expense growth: 62.2% per year; rating input score 100; 98th percentile among comparable filings
  • Revenue growth: 58.4% per year; rating input score 100; 98th percentile among comparable filings
  • Asset growth: 81% per year; rating input score 100; 99th percentile among comparable filings

Details

  • Where the money goes: 62.2% of revenue deployed · 74% of spending went to programs
  • Governance: 9 of 9 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $4.3M in reported program spending
  • Leadership: top reported pay $204K · 19 people listed · 4 of 6 pay-setting controls reported
  • Consistency: 29 of 29 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 4 filing years from 2017 to 2020
  • Contacts: How to reach this organization
  • Money network: 4 filed money-flow records
  • 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.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 26/100.
  • High — Sustainability: Officer compensation ratio scored 26/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 36/100.
  • High — Grant Readiness: Automatic revocation: this organization had its federal tax-exempt status automatically revoked.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.