Buncombe County Medical Society (Foundation)

Nonprofit profile at a glance

EIN
566043400
IRS 990 coverage
2010–2014
Forms available
Form 990 2014
Location
Asheville, NC, USA
Phone
8282742267
Rating
80
Verdict
STRONG
Rating confidence
Moderate
Sector
Ambulatory Health Center, Community Clinic

Official website

Reported finances

Revenue
$684,243
Expenses
$516,514
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2014. Amounts in USD.

Leadership & pay

14 people listed

Executive titles in this filing

  • MIRIAM SCHWARZ CEO (Executive Director (See Note))

Highest reported compensation

  • MIRIAM SCHWARZ CEO (Executive Director (See Note)): $120,530 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2014. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Western Carolina Medical Society Foundation is a physician- and community-led

What it reported doing in 2014

Develop a proposal to move medical interventions upstream toward wellness & prevention: the moving health care upstream committee is co-led by the wcms president and a wnc business leader. July brought a follow-up presentation by bcbs leadership in conjunction with the leader of unca's center for health & wellness and focused on a 'wellness coordinator' model for businesses. The fact-finding phase of our journey came to a close in august with a presentation of a physician-led wellness and prevention model focused on small-to mid-sized businesses. Both september's and october's meetings were physicians- only discussions of the model presented to the full committee back in august. Due to the complexities, time requirements and competing demands on the mhu committee's physicians, the november and december 2014 meetings were cancelled, to resume in january 2015 as we move towards launching a pilot program in the february-march 2015 timeframe.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
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

STRONG - The filed numbers largely add up and a large share of available resources goes toward mission work. Program spending has declined or grown slowly and revenue has declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 75
  • Transparency & Controls: 100
  • Accountability: 90
  • Sustainability: 48
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 67.2%; rating input score 67
  • Program expense ratio: 88.9%; rating input score 89
  • Fundraising efficiency: $28.17 raised per $1 spent on fundraising; rating input score 70; 70th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: Limited
  • 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; 64th 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: 24.5%; rating input score 86; 86th percentile among comparable filings
  • Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: 2.1%; rating input score 65; 65th percentile among comparable filings

Growth

  • Program expense growth: -54.6% per year; rating input score 0; 3rd percentile among comparable filings
  • Revenue growth: -7.1% per year; rating input score 0; 12th percentile among comparable filings
  • Asset growth: -27.3% per year; rating input score 0; 3rd percentile among comparable filings

Details

  • Where the money goes: 67.2% of revenue deployed · 88.9% of spending went to programs
  • Governance: 13 of 13 board members independent · 6 of 8 filing controls reported
  • Programs: 17 filed program accomplishments · $459K in reported program spending
  • Leadership: top reported pay $121K · 14 people listed
  • Consistency: 24 of 24 current checks pass
  • Schedules: 6 filed schedules · includes major donors
  • Filing history: 5 filing years from 2010 to 2014
  • Contacts: How to reach this organization
  • Related organizations: 1 filed related-organization link
  • 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 — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 0/100.
  • Review — Accountability: Governance controls: Independent financial-statement audit not reported.
  • High — Growth: Asset growth scored 0/100.