Medical Care Development Inc

Overview

Mission

Medical Care Development, dba MCD Global Health's (MCD) mission is to improve the health and well-being of people worldwide through enduring, high-quality, cost-effective and universally accessible public health solutions.

What it reported doing in 2024

Since 1966, MCD's U.S. Programs have been a transforming force in public health, earning a reputation for responsive, impactful public health initiatives. MCD has earned the designation as a Category A Public Health Institute, within the National Network of Public Health Institutes, driving public health innovation across the U.S., drawing from and contributing to a national pool of evidence-based research, practices, and training. Programs have included HIV/AIDS, diabetes prevention and management, oral health, lead poisoning prevention, screening and management, cardiovascular disease prevention and management, tobacco and substance use prevention and treatment, suicide prevention, antibiotic resistance, infectious disease epidemiology and prevention, cancer screening and prevention, and worksite health.

Operating model

Revenue model
Earned-program. 100% of the money available for current operations came from fees and other program revenue.
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.

Nonprofit profile at a glance

EIN
016022787
IRS 990 coverage
2010–2024
Forms available
Form 990 2024, Form 990-T 2024
Headquarters
Hallowell, ME, USA
Phone
2076227566
Rating
69
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Community Health Systems

Official website

The verdict

SUPPORTED - A large share of available resources goes toward mission work and most voting board members are independent. The filing reports few safeguards for money sent abroad and the filing does not identify recipients for some grant dollars.

Rating breakdown

  • Financial Efficiency: 73
  • Transparency & Controls: 64
  • Accountability: 100
  • Sustainability: 19
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 82.6%; rating input score 83
  • Program expense ratio: 80.6%; rating input score 81
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 6 of 6 controls in place; rating input score 100
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: Scored; rating input score 0
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -2.6%; rating input score 22; 22nd percentile among comparable filings
  • Total-asset coverage ratio: 0.36; rating input score 10; 10th percentile among comparable filings
  • Liabilities to assets ratio: 0.76; rating input score 15; 15th percentile among comparable filings
  • Officer compensation ratio: 6.7%; rating input score 37; 37th percentile among comparable filings

Growth

  • Program expense growth: -3.8% per year; rating input score 0; 4th percentile among comparable filings
  • Revenue growth: -2.2% per year; rating input score 0; 4th percentile among comparable filings
  • Asset growth: -4.6% per year; rating input score 0; 3rd percentile among comparable filings

Details

  • Where the money goes: 82.6% of revenue deployed · 80.6% of spending went to programs
  • Governance: 21 of 21 board members independent · 9 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $27.3M in reported program spending
  • Leadership: top reported pay $405K · 32 people listed · 6 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $1.8M reported
  • Consistency: 30 of 30 current checks pass
  • Schedules: 6 filed schedules · includes major donors, foreign activity, and executive pay
  • Filing history: 14 annual filings from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 11 filed money-flow records
  • 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.

Leadership & pay

32 people listed

Highest reported compensation

  • Christopher Schwabe (President & CEO): $404,835 total reported compensation
  • Josea Ratsirarson (Director of International Programs): $244,206 total reported compensation
  • Edward M Aldrich (Director of Operations): $205,256 total reported compensation

Source: IRS Form 990. Selected filing: FY2024.