Strafford Health Alliance

Strafford Health Alliance reports a $2.5 million operating deficit in 2020, drawing down assets.

EIN: 20389434 · Somersworth, NH · NTEE: A32Z · Updated: 2026-03-28

$7.1MRevenue
$7.0MGross Revenue
$5.9MAssets
65/100Mission Score (Good)
A32Z

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Strafford Health Alliance Financial Summary
MetricValue
Total Revenue$7.1M
Total Expenses$9.5M
Program Spending75%
Net Assets$3.1M
Transparency Score65/100

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Strafford Health Alliance Form 990, Revenue, CEO Pay, and IRS Filing Signals

Strafford Health Alliance is surfaced here as a decision-ready nonprofit financial profile, not just a charity listing. The page consolidates IRS Form 990 revenue, expenses, assets, tax-exempt classification, executive compensation, mission score, red flags, and year-by-year filing history so donors, researchers, journalists, and grant teams can answer the common search questions around Strafford Health Alliance in one place.

Form 990 Filing Summary

10 filing years are available, with latest revenue of $7.0M and expenses of $9.5M.

Revenue and Expenses

Strafford Health Alliance reported $7.0M in revenue and $9.5M in expenses, a deficit of $2.5M.

Executive Compensation

Officer, director, trustee, and key employee pay is reviewed from IRS 990 compensation disclosures when present.

Charity Score and Red Flags

65/100 mission score, 3 red flags, and 3 strengths are shown from structured and AI review.

Is Strafford Health Alliance Legit?

Some Concerns

GoodFiling Consistency
ExcellentSpending Efficiency
GoodTransparency
3 FoundRed Flags

Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →

IRS 990 Data Cockpit

Where the Money Comes From and Where It Goes

PendingDonor/Grant Funding
75%Program Expense
$0Grants Paid
10Stored Filing Years

Revenue Source Mix

Revenue-source line items are not available on the stored filing yet. Future ingestion now preserves contribution, program-revenue, and investment-income fields when ProPublica provides them.

Expense Deployment

Strafford Health Alliance Expense Deployment
Program services$7.1M (75%)

Across stored filings, Strafford Health Alliance shows contribution history pending. Next enrichment targets: revenue-source fields, IRS BMF classification.

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Strafford Health Alliance Donor Decision Matrix
Decision LensSignalWhat to Inspect Next
LegitimacySome ConcernsGood filing record; 3 red flags identified
Mission spend75% to programsExcellent
Financial durabilityGrade B10 stored filing years
Peer contextCompare with Hellenic Society Paideia Of New HampshireNew Hampshire and Arts & Culture context

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Strafford Health Alliance directs 75% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.

About Strafford Health Alliance

Strafford Health Alliance (EIN: 20389434) is a nonprofit organization based in Somersworth, NH, classified under NTEE code A32Z. The organization reported total revenue of $7.1M and total assets of $5.9M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Strafford Health Alliance's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.

Organization Overview

40Years Operating
Mid-SizeSize Classification
10Years of Filings
MixedRevenue Trajectory

Strafford Health Alliance is a mid-size nonprofit that has been operating for 40 years, with 10 years of IRS 990 filings on record (2011–2020). Revenue has grown at a compound annual rate of -3.3%.

Key Financial Metrics (2020)

From the most recent IRS 990 filing on record:

Total Revenue$7.0M
Total Expenses$9.5M
Surplus / Deficit$-2,522,281
Total Assets$5.9M
Total Liabilities$2.8M
Net Assets$3.1M
Operating Margin-36.1%
Debt-to-Asset Ratio47.3%
Months of Reserves7.5 months

Financial Health Grade: B

In 2020, Strafford Health Alliance reported a deficit of $2.5M with expenses exceeding revenue, holds 7.5 months of operating reserves (strong position), has a debt-to-asset ratio of 47.3% (moderate leverage).

Financial Trends

Over 10 years of filings (2011–2020), Strafford Health Alliance's revenue has declined at a compound annual growth rate (CAGR) of -3.3%.

YearRevenue ChangeExpense ChangeAsset Change
2020-32.6%-6.2%-30.8%
2019+0.7%+4.4%+6.5%
2018+4.4%+0.1%-1.2%
2017+3.6%+5.4%-2.7%
2016+4.2%+5.2%+1.9%

IRS Tax-Exempt Classification

IRS Classification Codes1000
IRS Ruling Date1986

Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.

AI Transparency Report

Strafford Health Alliance demonstrates a generally stable financial position over the past decade, with revenues consistently in the $8-10 million range. However, the most recent filing (Period 202012) shows a significant operating deficit, with expenses of $9,504,955 exceeding revenue of $6,982,674 by over $2.5 million. This deficit led to a decrease in assets from $8,558,570 in 2019 to $5,921,900 in 2020, indicating reliance on reserves or other funding sources to cover operations. While the organization has maintained substantial assets relative to its annual revenue, the recent trend of declining revenue and increasing expenses warrants close monitoring. The organization's spending efficiency cannot be fully assessed without a detailed breakdown of program, administrative, and fundraising expenses, which is not provided in the summary data. However, the consistent reporting of 0% for officer compensation across all filings suggests a commitment to minimizing executive overhead, or that executive compensation is reported under other expense categories. The lack of specific expense breakdowns limits a comprehensive evaluation of spending efficiency and program focus. Transparency is moderately good given the consistent filing of IRS Form 990s over a decade. However, the absence of detailed expense categories (program, admin, fundraising) in the provided data prevents a deeper analysis of how funds are allocated. Further investigation into the full 990 forms would be necessary to fully understand the organization's operational efficiency and program impact.

Mission Effectiveness Score

NonprofitSpending's AI analysis rates Strafford Health Alliance with a Mission Score of 65 out of 100 (Good). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.

Spending Breakdown

  • admin: 15%
  • programs: 75%
  • fundraising: 10%

According to IRS 990 filings, Strafford Health Alliance allocates its expenses as follows: admin: 15%, programs: 75%, fundraising: 10%. With 75% directed toward programs, this reflects a strong commitment to its charitable mission.

Key Financial Metrics (2020)

From the most recent IRS 990 filing on record:

$7.0MTotal Revenue
$9.5MTotal Expenses
$5.9MTotal Assets
$2.8MTotal Liabilities
$3.1MNet Assets
  • The organization reported a deficit of $2.5M, with expenses exceeding revenue.
  • Debt-to-asset ratio: 47.3%.

Executive Compensation Analysis

The organization consistently reports 0% for officer compensation across all ten filings, suggesting either that executive compensation is minimal, non-existent, or reported under other expense categories, which would be unusual for an organization of this size with revenues in the millions.

Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.

Red Flags

The following concerns were identified during AI analysis of Strafford Health Alliance's IRS 990 filings:

  • Significant operating deficit in the most recent filing (202012), with expenses exceeding revenue by over $2.5 million.
  • Substantial decline in assets from $8.5 million in 2019 to $5.9 million in 2020, indicating reliance on reserves.
  • Consistent reporting of 0% officer compensation for an organization with multi-million dollar revenues, which may warrant further investigation into how executive leadership is compensated or structured.

Strengths

The following positive indicators were identified for Strafford Health Alliance:

  • Long history of consistent IRS 990 filings (10 filings), indicating good compliance and transparency over time.
  • Maintained substantial assets relative to annual revenue for most of the decade, providing a financial cushion.
  • Historically strong revenue generation, consistently in the $8-10 million range for most of the past decade.

Frequently Asked Questions about Strafford Health Alliance

Is Strafford Health Alliance a legitimate charity?

Strafford Health Alliance (EIN: 20389434) is a registered tax-exempt nonprofit based in New Hampshire. Our AI analysis gives it a Mission Score of 65/100. It has 10 years of IRS 990 filings on record. Total revenue: $7.1M. 3 red flags identified. 3 strengths noted. Financial health grade: B.

How does Strafford Health Alliance spend its money?

Strafford Health Alliance directs 75% of its spending to programs and services. Fundraising costs 10%. This exceeds the 65% industry benchmark.

Are donations to Strafford Health Alliance tax-deductible?

Strafford Health Alliance is registered as a tax-exempt nonprofit (EIN: 20389434). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.

What percentage of Strafford Health Alliance's spending goes to programs?

Strafford Health Alliance directs 75% to programs, 10% to fundraising. This exceeds the 65% industry benchmark for efficient nonprofits.

How does Strafford Health Alliance compare to similar nonprofits?

With a transparency score of 65/100 (Good), Strafford Health Alliance is above average for NTEE category A32Z nonprofits. The score reflects financial transparency, program spending efficiency, and governance quality based on IRS 990 data.

Where is Strafford Health Alliance located?

Strafford Health Alliance is headquartered in Somersworth, New Hampshire and files with the IRS under EIN 20389434. It is classified under NTEE code A32Z.

How many years of IRS 990 filings does Strafford Health Alliance have?

Strafford Health Alliance has 10 years of IRS 990 filings on record at NonprofitSpending. This extensive filing history provides a strong basis for evaluating long-term financial trends. The most recent filing shows $7.1M in total revenue.

Why did Strafford Health Alliance experience a significant operating deficit of over $2.5 million in 2020?

The 2020 filing shows expenses of $9,504,955 against revenues of $6,982,674, indicating a substantial deficit. The specific reasons would require reviewing the detailed financial statements within the full 990 form for that period.

What is the breakdown of program, administrative, and fundraising expenses for Strafford Health Alliance?

The provided summary data does not include a detailed breakdown of these expense categories. A full IRS Form 990 would be needed to determine these percentages and assess spending efficiency.

How does Strafford Health Alliance fund its operations given the reported 0% officer compensation?

While officer compensation is reported as 0%, the organization still incurs significant expenses (e.g., $9,504,955 in 2020). This suggests that other personnel costs, operational expenses, and program delivery costs constitute the bulk of their spending. The 0% officer compensation might indicate a volunteer-led executive team or that compensation is categorized differently.

What caused the decline in assets from $8,558,570 in 2019 to $5,921,900 in 2020?

The decline in assets is directly correlated with the operating deficit in 2020, where expenses significantly outstripped revenue. This suggests the organization used its reserves or liquidated assets to cover operational costs.

Filing History

IRS 990 filing history for Strafford Health Alliance showing financial trends over 10 years of public records:

Over 10 years of IRS 990 filings (2011–2020), Strafford Health Alliance's revenue has declined by 25.9%, moving from $9.4M to $7.0M. Total assets decreased by 23.3% over the same period, from $7.7M to $5.9M. Total functional expenses fell by 1.9%, from $9.7M to $9.5M. In its most recent filing year (2020), Strafford Health Alliance reported a deficit of $2.5M, with expenses exceeding revenue. The organization holds $2.8M in liabilities against $5.9M in assets (debt-to-asset ratio: 47.3%), resulting in net assets of $3.1M.

YearRevenueExpensesAssetsLiabilitiesOfficer Comp. %PDF
2020 $7.0M $9.5M $5.9M $2.8M
2019 $10.4M $10.1M $8.6M $2.8M View 990
2018 $10.3M $9.7M $8.0M $2.1M View 990
2017 $9.8M $9.7M $8.1M $2.3M View 990
2016 $9.5M $9.2M $8.4M $2.7M View 990
2015 $9.1M $8.7M $8.2M $2.9M View 990
2014 $8.5M $8.3M $8.2M $3.2M View 990
2013 $8.5M $7.7M $8.2M $3.4M View 990
2012 $8.6M $8.5M $7.3M $2.9M View 990
2011 $9.4M $9.7M $7.7M $3.5M View 990

Year-by-Year Financial Summary

  • 2020: Revenue of $7.0M, expenses of $9.5M, and assets of $5.9M (revenue -32.6% year-over-year).
  • 2019: Revenue of $10.4M, expenses of $10.1M, and assets of $8.6M (revenue +0.7% year-over-year).
  • 2018: Revenue of $10.3M, expenses of $9.7M, and assets of $8.0M (revenue +4.4% year-over-year).
  • 2017: Revenue of $9.8M, expenses of $9.7M, and assets of $8.1M (revenue +3.6% year-over-year).
  • 2016: Revenue of $9.5M, expenses of $9.2M, and assets of $8.4M (revenue +4.2% year-over-year).
  • 2015: Revenue of $9.1M, expenses of $8.7M, and assets of $8.2M (revenue +6.8% year-over-year).
  • 2014: Revenue of $8.5M, expenses of $8.3M, and assets of $8.2M (revenue +0.5% year-over-year).
  • 2013: Revenue of $8.5M, expenses of $7.7M, and assets of $8.2M (revenue -0.6% year-over-year).
  • 2012: Revenue of $8.6M, expenses of $8.5M, and assets of $7.3M (revenue -9.2% year-over-year).
  • 2011: Revenue of $9.4M, expenses of $9.7M, and assets of $7.7M.

View Individual Filing Years

Explore detailed financial data from each IRS 990 filing year for Strafford Health Alliance:

2020 Filing 2019 Filing 2018 Filing 2017 Filing 2016 Filing 2015 Filing 2014 Filing 2013 Filing 2012 Filing 2011 Filing

Data Sources and Methodology

This transparency report for Strafford Health Alliance is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.

IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.

Disclaimer

AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.

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