Civic Intelligence

Care Alliance

EIN 34-1748776 • 501(c)3 • Cleveland, OH

Profile

The mission of care alliance is to provide high-quality, comprehensive medical and dental care, patient advocacy and related services to people who need them most, regardless of their ability to pay. Our goal is to improve the quality of life for our patients by providing holistic and comprehensive health care, integrating critical behavioral health and supportive services needed to achieve and maintain health and wellbeing. As a trusted member of the cleveland safety net dedicated to serving individuals and families living in extreme poverty, care alliance is unwavering in our commitment to make an impact on the cyclic nature of poor health.

1530 Saint Clair AvenueCleveland, OH 44114

www.careallliance.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

40th percentile

0.10x

Higher debt load relative to assets than 40% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

35th percentile

0.12x

Higher debt load relative to revenue than 35% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

18th percentile

-9.5%

Higher net margin than 18% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

87th percentile

$417,302

Higher top officer pay than 87% of similar nonprofits.

Top officer pay equals 3.8% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

14th percentile

-7.5%

Faster asset growth than 14% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

13th percentile

-20%

Faster revenue growth than 13% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Down

$12,839,605

Down $1,035,107 (-7.5%) from 2023

Liabilities

Down

$1,265,771

Down $346,040 (-21%) from 2023

Net Assets

Down

$11,573,834

Down $689,067 (-5.6%) from 2023

Revenue

Down

$10,987,933

Down $2,694,120 (-20%) from 2023

Expenses

Down

$12,033,991

Down $536,582 (-4.3%) from 2023

Net Income

Down

-$1,046,058

Down $2,157,538 (-194%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0Assets 2010: $4,174,072Liabilities 2010: $451,484Net Assets 2010: $3,722,5882010Assets 2011: $4,582,461Liabilities 2011: $374,595Net Assets 2011: $4,207,8662011Assets 2012: $4,798,541Liabilities 2012: $480,196Net Assets 2012: $4,318,3452012Assets 2013: $6,579,678Liabilities 2013: $732,080Net Assets 2013: $5,847,5982013Assets 2014: $16,361,729Liabilities 2014: $2,802,544Net Assets 2014: $13,559,1852014Assets 2015: $16,738,470Liabilities 2015: $1,000,941Net Assets 2015: $15,737,5292015Assets 2016: $16,628,154Liabilities 2016: $938,400Net Assets 2016: $15,689,7542016Assets 2017: $17,652,720Liabilities 2017: $1,795,890Net Assets 2017: $15,856,8302017Assets 2018: $16,615,494Liabilities 2018: $1,373,972Net Assets 2018: $15,241,5222018Assets 2019: $14,674,451Liabilities 2019: $1,150,921Net Assets 2019: $13,523,5302019Assets 2020: $15,436,649Liabilities 2020: $2,925,341Net Assets 2020: $12,511,3082020Assets 2021: $10,389,942Liabilities 2021: $1,134,716Net Assets 2021: $9,255,2262021Assets 2022: $11,078,060Liabilities 2022: $1,361,207Net Assets 2022: $9,716,8532022Assets 2023: $13,874,712Liabilities 2023: $1,611,811Net Assets 2023: $12,262,9012023Assets 2024: $12,839,605Liabilities 2024: $1,265,771Net Assets 2024: $11,573,8342024

Highlighted filing

2024

Assets$12,839,605
Liabilities$1,265,771
Net Assets$11,573,834

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MExpenses 2010: $4,474,3042010Expenses 2011: $4,541,2322011Expenses 2012: $4,764,0512012Expenses 2013: $5,234,2552013Revenue 2014: $13,033,033Expenses 2014: $5,321,446Net Income 2014: $7,711,5872014Revenue 2015: $10,546,576Expenses 2015: $8,368,232Net Income 2015: $2,178,3442015Revenue 2016: $9,964,323Expenses 2016: $10,012,098Net Income 2016: -$47,7752016Revenue 2017: $11,747,228Expenses 2017: $11,977,669Net Income 2017: -$230,4412017Revenue 2018: $12,918,157Expenses 2018: $13,494,746Net Income 2018: -$576,5892018Revenue 2019: $12,751,144Expenses 2019: $14,326,012Net Income 2019: -$1,574,8682019Revenue 2020: $12,712,240Expenses 2020: $13,118,845Net Income 2020: -$406,6052020Revenue 2021: $9,008,179Expenses 2021: $12,355,910Net Income 2021: -$3,347,7312021Revenue 2022: $12,500,197Expenses 2022: $11,669,583Net Income 2022: $830,6142022Revenue 2023: $13,682,053Expenses 2023: $12,570,573Net Income 2023: $1,111,4802023Revenue 2024: $10,987,933Expenses 2024: $12,033,991Net Income 2024: -$1,046,0582024

Highlighted filing

2024

Revenue$10,987,933
Expenses$12,033,991
Net Income-$1,046,058

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.8$1.27$11.6$11.0$12.0$1.05
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.9$1.61$12.3$13.7$12.6$1.11
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.1$1.36$9.72$12.5$11.7$0.83
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.4$1.13$9.26$9.01$12.4$3.35
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.4$2.93$12.5$12.7$13.1$0.41
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$14.7$1.15$13.5$12.8$14.3$1.57
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.6$1.37$15.2$12.9$13.5$0.58
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.7$1.80$15.9$11.7$12.0$0.23
2016Detailed filing. Detailed filing data is available for this year.$16.6$0.94$15.7$9.96$10.0$0.05
2015Detailed filing. Detailed filing data is available for this year.$16.7$1.00$15.7$10.5$8.37$2.18
2014Detailed filing. Detailed filing data is available for this year.$16.4$2.80$13.6$13.0$5.32$7.71
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.58$0.73$5.85$5.23
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.80$0.48$4.32$4.76
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.58$0.37$4.21$4.54
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.17$0.45$3.72$4.47
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Nov 1, 2023 to Oct 31, 2024
Signed
Sep 11, 2025
Return Version
2023v6.0
Gross Receipts
$11,274,586
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$4,118,003$3,765,301▼ $352,702
Cash and Non-Interest-Bearing Accounts$5,369,650$3,509,621▼ $1,860,029
Investments in Publicly Traded Securities$2,139,241$2,454,761▲ $315,520
Savings and Temporary Cash Investments$623,142$1,913,718▲ $1,290,576
Accounts Receivable$1,143,485$814,554▼ $328,931
Prepaid Expenses and Deferred Charges$57,254$143,027▲ $85,773
Inventories for Sale or Use$121,823$121,582▼ $241
Pledges and Grants Receivable$302,114$117,041▼ $185,073
Total Assets$13,874,712$12,839,605▼ $1,035,107
Liabilities
Accounts Payable and Accrued Expenses$1,345,968$1,048,595▼ $297,373
Other Liabilities$217,176$217,176→ $0
Deferred Revenue$48,667--
Total Liabilities$1,611,811$1,265,771▼ $346,040
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$12,208,439$11,523,803▼ $684,636
Net Assets With Donor Restrictions$54,462$50,031▼ $4,431
Total Net Assets Fund Balance$12,262,901$11,573,834▼ $689,067
Total Liabilities and Net Assets / Fund Balance$13,874,712$12,839,605▼ $1,035,107

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,439,002$1,505,695$2,944,697
Equipment$415,732$2,510,042$2,925,774
Other Land Buildings$1,187,178$483,270$1,670,448
Leasehold Improvements$473,389$572,856$1,046,245
Land$250,000-$250,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Claude L JonesChief Executive OfficerFT$340,755$76,547$417,302
Doris WilliamsChief Operating OfficerFT$147,588$18,147$165,735
Chineze EnwonwuChief Dental OfficerFT$136,090$21,219$157,309
Angela AndersonChief Human ResourcesFT$127,058$21,604$148,662
David SiegelChief Information OfficerFT$129,417$18,491$147,908
Jasmina SaricDirector of Clinical OutreachFT$120,743$26,591$147,334
Anna KackiControllerFT$128,951$8,680$137,631

Board Members and Trustees

NameTitle
Renee Tramble RichardBoard Chair
Mecca East MphVice Chair
Bilal S AkramBoard Member
Chris a MundorfBoard Member
Cynthia Moore-hardyBoard Member
Jareed RobinsonBoard Member
Kathy HarrisBoard Member
Kristie F GrovesBoard Member
Lissette RiveraBoard Member
Michael G Evans CPABoard Member
Sandra Fleming-brooksBoard Member
Bruce JohnsOutgoing Board Member (until 2/21/24)
Linda BrownOutgoing Board Member (until 2/21/24)
Lolita M Mcdavid Md Mpa FaapSecretary
Jennifer Demmerle CPA MbaTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Calfee Halter & Griswold LLPLegal Services1405 E 6TH STREET, Cleveland, OH 44114$245,052
Silverbacc Protective Services LLCSecurity Services1440 ROCKSIDE RD STE 309, Parma, OH 44134$237,909
Janitorial Services INCJanitorial Services4830 E 49TH STREET, Cleveland, OH 44125$212,821
Revenue and Support

Revenue Composition

Contributions and Grants
$5,035,983
Program Service Revenue
$5,109,480
Investment Income
$102,883
Other Revenue
$739,587
All Other Contributions
$63,333
Change in Net Assets
$-1,046,058

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies3$93,692Fair Market Value (FMV)
Total Noncash Contributions3$93,692-

Audited Revenue Reconciliation

Revenue per Audited Statements
$10,973,675
Revenue Not Reported on Financial Statements
$14,258
Revenue Not Reported on Form 990
$356,991
Total Revenue per Audited Statements
$11,330,666
Total Revenue per Form 990
$10,987,933
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$6,683,550
Salaries, Compensation, and Employee Benefits$5,350,441
Total Fundraising Expense$124,103
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,280,537$1,072,142$32,780$4,385,459
Fees for Services Other$2,596,323$369,020-$2,965,343
Occupancy$637,696$79,546$24,892$742,134
Depreciation Depletion$320,658$95,752-$416,410
Other Employee Benefits$264,733$86,520$2,644$353,897
Payroll Taxes$250,907$82,001$2,507$335,415
Fees for Services Legal-$206,609-$206,609
Current Officers, Directors, Trustees, and Key Employees$132,391$43,267$1,324$176,982
All Other Expenses$125,431$41,884$4,593$171,908
Other Expenses$96,343$12,261$4,429$113,033
Pension Plan Contributions$73,823$24,127$738$98,688
Insurance$74,318$10,659$3,555$88,532
Advertising$1,121$36,858$41,243$79,222
Fees for Services Accounting-$75,000-$75,000
Information Technology$7,370$58,809$107$66,286
Office Expenses$34,309$7,462$1,737$43,508
Travel$15,879$18,580-$34,459
Conferences and Meetings$11,261$13,178-$24,439
Fees for Service Investment Mgmnt Fees-$14,258-$14,258
Total Functional Expenses$9,402,184$2,507,704$124,103$12,033,991

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$12,377,418
Total Expenses per Form 990$12,033,991
Expenses per Audited Statements$12,019,733
Expenses Not Reported on Form 990$357,685
Expenses Not Reported on Financial Statements$14,258
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Party$217,176
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

Beginning september 2023, the organization outsourced the role of its' ceo to medic management group, llc. Medic managemnt group was compensated $692,410 in fye 24. Care alliance hired a permanent ceo, dr. Kenneth griffin on 12/03/24. Beginning september 2023, the organization outsourced the role of its' cmo to integr8 health ltd. Integr8 health was compensated $467,056 in fye 24.

Form 990, Part VI, Section B, Line 11B

Review of form 990 - a draft copy of form 990 is reviewed by management and members of the finance committee with the assistance of an outside public accounting firm. After any changes are made, an updated version of form 990 is e-mailed to all board members for comment before it is filed.

Form 990, Part VI, Section B, Line 12C

Monitoring and enforcement of conflict policy - care alliance has identified the vice president of finance as the individual responsible for monitoring and enforcing compliance with the conflict of interest policy. The vp of finance reviews the annual disclosure forms of covered persons and compiles and maintains a list of potentially conflicted entities and individuals. The vp of finance follows the procedures of the policy to determine whether a conflict of interest exists and the procedures for addressing it. The vp of finance documents the decisions related to transactions involving an actual or possible conflict of interest and the appropriate action taken. Such decisions are made by individuals who do not have a conflict with respect to the transaction.

Form 990, Part VI, Section B, Line 15

Compensation review and approval - care alliance's board of trustees engaged an outside consultant to perform a market-based compensation assessment for all positions. The findings were that, although care alliance's compensation structure was below market, the altruistic mission was a beneficial factor in attracting and retaining qualified staff at the appropriate staffing levels. Annual compensation decisions for executives are made by a sub-committee of the board of trustees based on the compensation survey and performance evaluations. Members of the sub-committee are independent of the individuals whose compensation is being determined.

Form 990, Part VI, Section C, Line 19

Availability of documents - the governing documents, conflict of interest policy, and financial statements are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Care Alliance
EIN
34-1748776
Phone
2167816228
Address
1530 SAINT CLAIR AVENUE, CLEVELAND, OH 44114

Signing Officer

Name
Derrick Howell
Title
CFO
Phone
2167816228
Signed
2025-09-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Claude L Jones
Formed
1994
Legal Domicile
Oh
Voting Board Members
13
Independent Board Members
13
Employees
113
Volunteers
15

Preparer

Firm
Cohnreznick Advisory LLC
Address
350 CHURCH STREET 12TH FLOOR, HARTFORD, CT 06103
Preparer
Lori Rothe Yokobosky
Phone
9592007000
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1

To provide high-quality, comprehensive medical & dental care, patient advocacy & related services to people who need them most, regardless of their ability to pay.

FORM 990, PART III, LINE 1:

The mission of care alliance is to provide high-quality, comprehensive medical and dental care, patient advocacy and related services to people who need them most, regardless of their ability to pay. Our goal is to improve the quality of life for our patients by providing holistic, comprehensive health care integrating the supportive services needed to achieve and maintain health and wellbeing. As a trusted member of the cleveland safety net dedicated to serving individuals and families living in extreme poverty, care alliance is unwavering in our commitment to make an impact on the cyclic nature of poor health.

Form 990, Part IX, Line 11G

Consulting: program service expenses 2,540,129. Management and general expenses 369,020. Fundraising expenses 0. Total expenses 2,909,149. Laboratory fees: program service expenses 56,194. Management and general expenses 0. Fundraising expenses 0. Total expenses 56,194.

Financial Statement Notes

PART X, LINE 2:

Management has analyzed the tax positions taken by the organization and has concluded that, as of october 31, 2024 and 2023, there are no uncertain tax positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the consolidated financial statements. The organization's federal and state information returns prior to fiscal year 2021 are closed and management continually evaluates expiring statutes of limitations, audits, proposed settlements, changes in tax law and new authoritative rulings.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Related organization expenses 357,685.

Raw XML AppendixShowing 400 of 769 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0HEALTH CARE FOR THE HOMELESS: CARE ALLIANCE HEALTH CENTER WAS ESTABLISHED IN 1985 AS ONE OF THE ORIGINAL ROBERT WOOD JOHNSON FOUNDATION HEALTH CARE FOR THE HOMELESS PROJECTS IN THE NATION AND IN 1993 BECAME AN INDEPENDENT NONPROFIT ORGANIZATION. TODAY, CARE ALLIANCE CONTINUES ITS FOCUS ON PROVIDING HEALTH CARE TO THOSE EXPERIENCING HOMELESSNESS IN THE CITY OF CLEVELAND AS A FEDERALLY QUALIFIED HEALTH CENTER RECEIVING FUNDING THROUGH THE U.S. DEPARTMENT OF HEALTHRESOURCES AND SERVICES ADMINISTRATION (HRSA). AFTER MORE THAN THIRTY YEARS OF PROVIDING HEALTH CARE TO THE HOMELESS POPULATION, CARE ALLIANCE HAS BUILT A STRONG RAPPORT WITH THIS POPULATION AS WELL AS DEVELOPING TREMENDOUS RESPECT AS AN INTEGRAL MEMBER OF THE LOCAL DELIVERY SYSTEM OF SAFETY-NET PROVIDERS. THE HEALTH CARE FOR THE HOMELESS PROGRAM OFFERS PRIMARY HEALTH CARE AND SUPPORTIVE SERVICES AT ALL THREE OF CARE ALLIANCE'S PRIMARY CLINIC LOCATIONS AS WELL AS AT OUTREACH SITES THROUGHOUT THE CITY WHERE PEOPLE WHO ARE HOMELESS TEND TO CONGREGATE. COMPREHENSIVE DENTAL AND BEHAVIORAL HEALTH SERVICES ARE PROVIDED AT OUR MAIN CLINIC. INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS HAVE UNIQUE HEALTH CARE NEEDS. THEY ARE AT HIGH-RISK OF CONTRACTING OR EXACERBATING SERIOUS HEALTH CONDITIONS AS A RESULT OF PROLONGED EXPOSURE TO SEVERE WEATHER AND REDUCED ACCESS TO HEALTH CARE. AS A RESULT, INDIVIDUALS ARE OFTEN TREATED AT LATER STAGES OF DISEASE AND HAVE HIGHER MORTALITY AND CHRONIC MORBIDITY THAN INDIVIDUALS WITH ACCESS TO CONSISTENT HEALTH CARE. AT OUR OUTREACH CLINICS, WE SEE MANY PATIENTS WHO HAVE CHRONIC ILLNESSES AND ACUTE HEALTH ISSUES. IN AN ATTEMPT TO REACH A GREATER NUMBER OF HOMELESS PERSONS WHO MAY NOT BE CONNECTED THROUGH SAFETY NET SERVICES, CARE ALLIANCE HAS ESTABLISHED COLLABORATIVE AGREEMENTS WITH VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY WHERE HOMELESS INDIVIDUALS TEND TO CONGREGATE SO THAT THEY MAY PROVIDE MEDICAL AND SUPPORTIVE CARE. THESE OUTREACH LOCATIONS INCLUDE: THE LUTHERAN METROPOLITAN MINISTRY MEN'S SHELTER, NORMA HERR WOMEN'S SHELTER. BISHOP COSGROVE, WEST SIDE CATHOLIC CENTER, AND THE SALVATION ARMY ADULT REHABILITATION CENTER, AMONG OTHERS. THROUGH OUR OUTREACH PROGRAM, CARE ALLIANCE IS ABLE TO OFFER CLINICS THROUGHOUT THE CITY OF CLEVELAND WHERE INDIVIDUALS EXPERIENCING HOMELESSNESS MAY MEET TO OBTAIN A MEAL, SOCIAL SERVICES, A SHOWER, OR SHELTER. IN 2015, CARE ALLIANCE LAUNCHED A MOBILE CLINIC PROGRAM TO SERVE CHRONICALLY HOMELESS INDIVIDUALS LIVING IN PERMANENT SUPPORTIVE HOUSING. BY PROVIDING THESE SERVICES IN ENVIRONMENTS WHERE THESE INDIVIDUALS ARE COMFORTABLE, OUR OUTREACH STAFF ARE BETTER ABLE TO ENGAGE PATIENTS INTO CARE WITH THE LONG-TERM GOAL OF BRINGING THEM INTO ONE OF OUR PRIMARY CLINICS TO OBTAIN THE FULL SCOPE OF COMPREHENSIVE SERVICES NEEDED TO TRANSITION FROM HOMELESSNESS INTO STABLE HOUSING. CLIENTS SERVED = 2,138.
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