Choice in Aging

What it reported doing in 2024

The multipurpose senior services program (mssp), which served 383 clients within the year, is a medi-cal program that provides intensive care management and services to people 60+ who meet the criteria to be placed in a skilled nursing facility but would prefer to remain in their own homes. The program helps prevent or delay nursing home placement by providing a complete assessment of the client's physical, mental, and social well-being. The mssp nurse and social worker partner with the participants, their doctors, and caregivers to create personalized care plans that support living safely at home.services provided through mssp may include minor home modification, supplemental personal and chore care, respite, transportation, counseling, therapy, meals, translation support, and other services.the state of California budgeted $1,071,200 for 200 mssp participants, which equals approximately $5,356 per participant per year for the mssp program. In comparison, nursing facility costs are approximately $130,000 per person per year.based upon individual needs, mssp arranges for services available in the community. If eligible, the program may purchase items and services not covered by medi-cal or medicare, such as: supplemental personal and chore care respite care home safety equipment, such as ramps and grab bars personal emergency response system counseling transportation to medical appointments minor home modifications incontinence supplies

Financial Efficiency

• Mission deployment rate: 61.6%; rating input score 62
• Program expense ratio: 79.7%; rating input score 80
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd 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: 88.9%; rating input score 89; 21st 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: 24.4%; rating input score 85; 85th percentile among comparable filings
• Total-asset coverage ratio: 2.18; rating input score 65; 65th percentile among comparable filings
• Liabilities to assets ratio: 0.07; rating input score 79; 79th percentile among comparable filings
• Officer compensation ratio: 2.7%; rating input score 70; 70th percentile among comparable filings

Growth

• Program expense growth: 8.4% per year; rating input score 100; 63rd percentile among comparable filings
• Revenue growth: 11.2% per year; rating input score 100; 78th percentile among comparable filings
• Asset growth: 16.9% per year; rating input score 100; 84th percentile among comparable filings