Care4u Community Health Center

What it reported doing in 2024

The Organization's mission is to fulfill the unmet needs of individuals and families to build a healthier community. We ameliorate barriers to primary care by expanding medical care services to reach low-income individuals regardless of their ability to pay. We provide primary medical care, well-child visits including immunizations, STD/HIV screening and treatment, and HIV prevention services to low-income individuals with a service delivery model that assures the integration of enabling services including case management, outreach, transportation, on-site pharmacy, and access to a continuum of care and specialty care services. Section 340B is a US federal government program created in 1992 that requires drug manufacturers to provide outpatient drugs to eligible healthcare organizations and covered entities at significantly reduced prices. The intent of the program is to allow covered entities to stretch scarce federal resources as far as possible, reaching more eligible patients and providing more comprehensive services. Maintaining services and lowering medication costs for patients is consistent with the purpose of the program, which is named for the section authorizing it in the Public Health Service Act In cases where the covered entity treats an insured patient with discounted medication, the federal government or the patient's private insurance routinely reimburses the entity for the full price of the medication, and the entity is able to retain the difference between the reduced price it pays for the drug and the full amount for which it is reimbursed. As of December 31 2024, Care 4 U provided healthcare services to over 12,000 men, women , and children -- the majority of which were uninsured. Through our HIV/STD prevention and care programs, in 2024, we screened 500+ people for HIV/STDs and diagnosed approximately 50 with an STD or HIV. In addition, more than 1,000 people at high-risk for HIV infection were prescribed PrEP to reduce their risk of contracting the disease. We also provided mental health screenings to approximately 200 clients and medical case management services to about 150 people living with HIV.

Financial Efficiency

• Mission deployment rate: 97.2%; rating input score 97
• Program expense ratio: 88.8%; rating input score 89
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd 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: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 72nd 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; 63rd percentile among comparable filings
• Governance controls: 6 of 9 controls in place; rating input score 67
  • 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: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: -9.5%; rating input score 14; 14th percentile among comparable filings
• Total-asset coverage ratio: 0.73; rating input score 27; 27th percentile among comparable filings
• Liabilities to assets ratio: 0.01; rating input score 84; 84th percentile among comparable filings
• Officer compensation ratio: 35.7%; rating input score 3; 3rd percentile among comparable filings

Growth

• Program expense growth: 11.5% per year; rating input score 100; 69th percentile among comparable filings
• Revenue growth: 2.8% per year; rating input score 100; 26th percentile among comparable filings
• Asset growth: 12.1% per year; rating input score 100; 66th percentile among comparable filings