ALCONA CITIZENS FOR HEALTH INC

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1978

Legal Domicile

Principal Officer

NANCY SPENCER

Phone

9897363020

Tax Period

2024-05-01 to 2025-04-30

ALCONA CITIZENS FOR HEALTH INC, founded in 1978, is a mid-sized nonprofit in the Health Care sector that reported $58.7M in total revenue in fiscal year 2024. Revenue grew 16% year-over-year, indicating healthy expansion. Expenses of $54.1M left a modest 8% surplus.

Mission

MISSION STATEMENT: TO PROVIDE PATIENT-CENTERED, QUALITY HEALTHCARE SERVICES REGARDLESS OF ABILITY TO PAY. VISION STATEMENT: TO BE THE LEAD PROVIDER OF INNOVTIVE, QUALITY HEALTHCARE SERVICES.

Program Service Accomplishments

Program 1

Expenses: $22,255,009 Revenue: $25,212,110

MEDICAL SERVICES - TO PROVIDE HIGH QUALITY, EFFECTIVE AND COMPREHENSIVE PRIMARY CARE SERVICES THAT ARE ACCESSIBLE TO ALL REGARDLESS OF THE ABILITY TO PAY AND OTHER SOCIAL AND ECONOMICAL FACTORS BY...

MEDICAL SERVICES - TO PROVIDE HIGH QUALITY, EFFECTIVE AND COMPREHENSIVE PRIMARY CARE SERVICES THAT ARE ACCESSIBLE TO ALL REGARDLESS OF THE ABILITY TO PAY AND OTHER SOCIAL AND ECONOMICAL FACTORS BY ACTING AS A MEDICAL PROVIDER OFFERING ROUTINE, PREVENTATIVE AND CHRONIC CARE MANAGEMENT THAT IS CONTINUOUS FOR INDIVIDUALS AND FAMILIES OF ALL AGES.

Program 2

Expenses: $4,463,746 Revenue: $5,056,860

BEHAVIORAL HEALTH - TO PROVIDE HIGH QUALITY, EFFECTIVE AND COMPREHENSIVE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES THAT ARE ACCESSIBLE TO ALL REGARDLESS OF THE ABILITY TO PAY AND OTHER SOCIAL AND...

BEHAVIORAL HEALTH - TO PROVIDE HIGH QUALITY, EFFECTIVE AND COMPREHENSIVE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES THAT ARE ACCESSIBLE TO ALL REGARDLESS OF THE ABILITY TO PAY AND OTHER SOCIAL AND ECONOMICAL FACTORS BY OFFERING A COMPREHENSIVE LIST OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES SPECIALIZING AND INTEGRATION BETWEEN PRIMARY CARE AND MENTAL HEALTH SERVICES.

Program 3

Expenses: $13,830,203 Revenue: $15,667,871

PHARMACY - TO OPERATE IN-HOUSE PHARMACIES FOR THE CONVENIENCE OF OUR PATIENTS AND THE GREATER COMMUNITY.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $9,515,930

Program Service Revenue $48,551,828

Investment Income $530,381

Other Revenue $85,023

TOTAL REVENUE $58,683,162

Expense Breakdown

Grants Paid $0

Salaries & Benefits $31,731,012

Fundraising Expenses $0

Program Expenses $42,857,236

Other Expenses $22,395,207

TOTAL EXPENSES $54,126,219

Year-over-Year Comparison

	2024	2023	Change
Revenue	$58,683,162	$50,500,435	+0.2%
Expenses	$54,126,219	$48,530,106	+0.1%
Net Income	$4,556,943	$1,970,329	+1.3%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

438

Volunteers

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$614,048

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
CAROLYNN BRUMMUND	PRESIDENT	0.50	Officer Director	$0	$0	$0
JOE GARBER	TREASURER/SE	0.50	Officer Director	$0	$0	$0
CAROL LUND	MEMBER	0.50	Director	$0	$0	$0
RICHARD SANGSTER	MEMBER	0.50	Director	$0	$0	$0
SHELLEY CHAMBERLAIN	MEMBER	0.50	Officer Director	$0	$0	$0
TERI JOHNSON	MEMBER	0.50	Director	$0	$0	$0
SCOTT KORB	MEMBER	0.50	Director	$0	$0	$0
MIKE ERICKSON	MEMBER	0.50	Director	$0	$0	$0
GAIL STIMSON	MEMBER	0.50	Director	$0	$0	$0
ANGIE BRUNING	MEMBER	0.50	Director	$0	$0	$0
NANCY SPENCER	CEO	40.00	Officer	$268,737	$26,000	$294,737
SUSAN HOES	CFO	40.00	Officer	$136,843	$6,673	$143,516
JOHN MCMASTER	CMO	24.00	Officer	$170,675	$5,120	$175,795
ADRIENNE WESTPHAL	PHYSICIAN	40.00	Highest	$309,542	$27,328	$336,870
RAJ RAO	PHYSICIAN	40.00	Highest	$272,041	$26,084	$298,125
NATHAN BARDEN	PA	38.00	Highest	$260,793	$25,814	$286,607
MICHELLE LAFAVE	PHYSICIAN	40.00	Highest	$252,369	$14,995	$267,364
ELEANOR MANZINI	DDS	40.00	Highest	$251,834	$14,820	$266,654

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$58,683,162	$54,126,219	$39,869,370	$4,556,943
2024	$50,500,435	$48,530,106	$34,785,077	$1,970,329
2023	$49,138,484	$45,706,772	$32,508,810	$3,431,712
2022	$47,746,050	$40,514,770	$28,434,044	$7,231,280
2021	$40,733,138	$36,560,365	$25,167,952	$4,172,773
2020	$36,252,144	$34,860,733	$18,912,473	$1,391,411
2019	$34,436,581	$33,378,247	$12,467,244	$1,058,334