Bexar County Medical Library Association

Nonprofit profile at a glance

EIN
740510530
IRS 990 coverage
2010–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
San Antonio, TX, USA
Phone
2103014391
Rating
76
Verdict
SUPPORTED
Rating confidence
Moderate

Reported finances

Revenue
$762,804
Expenses
$817,825
Assets
$5,136,076
Liabilities
$3,493,456

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

9 people listed

Executive titles in this filing

  • EZEQUIEL SILVA III MD (IMMEDIATE PAST PRESIDENT)
  • JOHN MILTON SHEPHERD MD (PRESIDENT)
  • LYSSA N OCHOA MD (VICE PRESIDENT)
  • JENNIFER R RUSHTON MD (PRESIDENT-ELECT)
  • MELODY NEWSOM (EXECUTIVE DIRECTOR)

Highest reported compensation

  • MELODY NEWSOM (EXECUTIVE DIRECTOR): $220,707 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Maintenance of a public medical library and the advancement of the science and art of medicine.

What it reported doing in 2024

Bexar county medical library association provides an historical medical library for the advancement of the science and art of medicine. The library provides a charitable venue for use by non-profit entities for co-sponsorship of conferences, symposiums and other medically related educational programs. Programs include women in medicine program and the physician badging program. The library also provides continuing medical education (cme) to member physicians at general membership meetings along with opportunities to meet together in physician committees to guide its membership and the community in areas like public health, emergency preparedness, physician wellness, ethics, physician-patient issues and physician health and rehabilitation.

Operating model

Revenue model
Other-operating. 74% of the money available for current operations came from other operating 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.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 79
  • Transparency & Controls: 65
  • Accountability: 90
  • Sustainability: 43
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 91.6%; rating input score 92
  • Program expense ratio: 83.1%; rating input score 83
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
  • Governance controls: 6 of 8 controls in place; rating input score 75
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: -7.2%; rating input score 20; 20th percentile among comparable filings
  • Total-asset coverage ratio: 6.28; rating input score 88; 88th percentile among comparable filings
  • Liabilities to assets ratio: 0.68; rating input score 11; 11th percentile among comparable filings
  • Officer compensation ratio: 2.1%; rating input score 58; 58th percentile among comparable filings

Growth

  • Program expense growth: 9.7% per year; rating input score 100; 62nd percentile among comparable filings
  • Revenue growth: 8.7% per year; rating input score 100; 62nd percentile among comparable filings
  • Asset growth: 9.5% per year; rating input score 100; 57th percentile among comparable filings

Details

  • Where the money goes: 91.6% of revenue deployed · 83.1% of spending went to programs
  • Governance: 8 of 8 board members independent · 6 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $680K in reported program spending
  • Leadership: top reported pay $221K · 9 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 27 of 27 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Related organizations: 4 filed related-organization links
  • 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.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Sustainability: Operating margin scored 20/100.
  • Review — Accountability: Governance controls: Independent financial-statement audit not reported.
  • High — Sustainability: Liabilities to assets ratio scored 11/100.
  • Review — Sustainability: Officer compensation ratio scored 58/100.