Thresholds Health Nfp

Nonprofit profile at a glance

EIN
874515023
IRS 990 coverage
2021–2024
Forms available
Form 990 2024
Location
Chicago, IL, USA
Phone
7732856400
Rating
75
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Ambulatory Health Center, Community Clinic

Official website

Reported finances

Revenue
$833,954
Expenses
$803,531
Assets
$80,028
Liabilities
$109,006

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

Leadership & pay

7 people listed

Executive titles in this filing

  • MARK ISHAUG (CHIEF EXECUTIVE OFFICER)
  • RON GRAIS (VICE PRESIDENT)
  • SUZET MCKINNEY (PRESIDENT)

Highest reported compensation

  • MARK ISHAUG (CHIEF EXECUTIVE OFFICER): $563,071 total reported compensation
  • AL SHOREIBAH (CHIEF FINANCIAL OFFICER): $306,098 total reported compensation
  • J WESLEY COOK DO (CHIEF MEDICAL OFFICER): $250,691 total reported compensation

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

Overview

Mission

Thresholds health strives to expand access to high-quality health care services, nurture well-being, and inspire hope in medically-underserved and low-income communities.

What it reported doing in 2024

Thresholds health is a nonprofit health center providing exceptional primary healthcare, mental health, and substance use treatment services to individuals in under-served and low-income communities. Thresholds health welcomes all members of the communities on the west side of chicago, regardless of insurance status or ability to pay, and offers the following services: - primary care, adult and pediatric, including diabetes care and hypertension care - mental health - substance use treatment, including medication-assisted treatment and prenatal substance use treatment - family planning and reproductive health - prenatal care and nutrition - school and sports physicals - immunizations

Operating model

Revenue model
Affiliate-supported. 72% of the money available for current operations came from contributions from related organizations.
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. Revenue has declined or grown slowly and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 68
  • Transparency & Controls: 87
  • Accountability: 91
  • Sustainability: 24
  • Growth: 40

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 74.8%; rating input score 75
  • Program expense ratio: 77.7%; rating input score 78
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 85.7%; rating input score 86; 2nd percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • 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; 63rd percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • 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: Pass

Sustainability

  • Operating margin: 3.6%; rating input score 46; 46th percentile among comparable filings
  • Total-asset coverage ratio: 0.1; rating input score 5; 5th percentile among comparable filings
  • Liabilities to assets ratio: 1.36; rating input score 3; 3rd percentile among comparable filings
  • Officer compensation ratio: 28.2%; rating input score 8; 8th percentile among comparable filings

Growth

  • Program expense growth: 31.8% per year; rating input score 100; 91st percentile among comparable filings
  • Revenue growth: -2.9% per year; rating input score 0; 8th percentile among comparable filings
  • Asset growth: -73.6% per year; rating input score 0; 0th percentile among comparable filings

Details

  • Where the money goes: 74.8% of revenue deployed · 77.7% of spending went to programs
  • Governance: 3 of 3 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $624K in reported program spending
  • Leadership: top reported pay $563K · 7 people listed · 5 of 6 pay-setting controls reported
  • Consistency: 27 of 28 current checks pass · 1 finding to review
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 4 filing years from 2021 to 2024
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Related organizations: 27 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 — Growth: Revenue growth scored 0/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 5/100.
  • Moderate — Sustainability: Operating margin scored 46/100.
  • High — Growth: Asset growth scored 0/100.
  • Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.
  • High — Sustainability: Liabilities to assets ratio scored 3/100.
  • High — Sustainability: Officer compensation ratio scored 8/100.