Cahaba Medical Care
Legal name: Cahaba Medical Care Foundation
Nonprofit profile at a glance
- EIN
- 273605364
- IRS 990 coverage
- 2013–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Centreville, AL, United States
- Phone
- 205-926-2992
- Rating
- 77
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Health Treatment Facilities, Primarily Outpatient
- Affiliation
- Christianity
Reported finances
- Revenue
- $66,776,780
- Expenses
- $64,428,788
- Assets
- $29,506,774
- Liabilities
- $16,691,092
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
19 people listed
Executive titles in this filing
- JOHN B WAITS MD FAAFP (CEO/DIO/PROG)
Highest reported compensation
- ROWELL ASHFORD (PHYSICIAN): $373,053 total reported compensation
- JOHN B WAITS MD FAAFP (CEO/DIO/PROG): $364,585 total reported compensation
- LACY SMITH MD FAAFP (CMO/COO/PROG): $283,148 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Cahaba Medical Care is a community-based healthcare organization that aims to follow Christ in becoming an incarnation of love, peace, and justice for our patients on their journey towards physical, mental, social and spiritual well-being, as well as being a center for transformational primary care training in rural and urban areas by modeling and exhorting the next generation of medical professionals in a career of excellence, conscientiousness, and compassion.
What it reported doing in 2024
Cahaba medical care foundation (cmcf) provides medical services, dental care, and behavioral health support as a federally qualified health center. Cmcf provided 217,143 medical, 9,545 dental, and 4,173 behavioral health encounters during the year. Cmcf provides patients, whether insured, uninsured, or covered by a government program. Unreimbursed charges for sliding fee discounts and charity care was 9,132,330 for the year.
Operating model
- Revenue model
- Earned-program. 68% 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.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Total assets are small relative to annual expenses; liquid coverage is unknown and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 67
- Transparency & Controls: 77
- Accountability: 100
- Sustainability: 36
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 74.5%; rating input score 74
- Program expense ratio: 77.2%; rating input score 77
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 93.8%; rating input score 94; 25th percentile among comparable filings
- Pay-setting controls: 3 of 6 controls in place; rating input score 50
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 78.7%; rating input score 79; 17th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 77th 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: 3.5%; rating input score 50; 50th percentile among comparable filings
- Total-asset coverage ratio: 0.46; rating input score 16; 16th percentile among comparable filings
- Liabilities to assets ratio: 0.57; rating input score 31; 31st percentile among comparable filings
- Officer compensation ratio: 3.5%; rating input score 31; 31st percentile among comparable filings
Growth
- Program expense growth: 21.5% per year; rating input score 100; 93rd percentile among comparable filings
- Revenue growth: 21.8% per year; rating input score 100; 95th percentile among comparable filings
- Asset growth: 25.6% per year; rating input score 100; 96th percentile among comparable filings
Details
- What they do: 1 operating location identified
- Where the money goes: 74.5% of revenue deployed · 77.2% of spending went to programs
- Governance: 11 of 11 board members independent · 9 of 9 filing controls reported
- Programs: 2 filed program accomplishments · $49.7M in reported program spending
- Leadership: top reported pay $373K · 19 people listed · 3 of 6 pay-setting controls reported
- Highest-paid contractors: 1 contractor listed · $331K reported
- Consistency: 36 of 37 current checks pass · 1 finding to review
- Schedules: 7 filed schedules · includes major donors, grants, and executive pay
- Filing history: 12 filing years from 2013 to 2024
- Contacts: How to reach this organization
- Money network: 10 filed money-flow records
- Related organizations: 2 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.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- High — Sustainability: Total-asset coverage ratio scored 16/100.
- Review — Sustainability: Operating margin scored 50/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 31/100.
- Moderate — Sustainability: Officer compensation ratio scored 31/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.