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

$5.9MAssets

65/100Mission Score (Good)

A32Z

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.

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.

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

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.

Year	Revenue	Expenses	Assets	Liabilities	Officer 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.

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.