Foundation for Medical Care of Sonoma Cty

Nonprofit profile at a glance

EIN
941562300
IRS 990 coverage
2009–2024
Forms available
Form 990 2024
Location
Santa Rosa, CA, USA
Phone
7075442010
Rating
67
Verdict
SUPPORTED
Rating confidence
Moderate

Reported finances

Revenue
$78,497
Expenses
$180,153
Assets
$2,768,519
Liabilities
$125,881

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

Leadership & pay

4 people listed

Executive titles in this filing

  • John Nacol (CEO)

Highest reported compensation

  • John Nacol (CEO): $169,980 total reported compensation
  • Brad Drexler MD (Trustee): $5,000 total reported compensation
  • L Dale Lapp MD (Trustee): $2,000 total reported compensation

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

Overview

Mission

The Organizations mission is to improve patient access to physicians.

What it reported doing in 2024

The Organization develops and offers broader provider networks negotiates equitable reimbursements for health care services promotes affordable quality health care and patient choice offers in-specialty physician claims review and awards grants to nonprofit health care organizations.

Operating model

Revenue model
Investment-supported. 100% of the money available for current operations came from recurring investment income.
Distribution model
Hybrid. The nonprofit split its reported program spending across 76% for direct work, and 24% for grants.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and program spending has declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 82
  • Transparency & Controls: 69
  • Accountability: 60
  • Sustainability: 34
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 78.2%; rating input score 78
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 91.7%; rating input score 92; 22nd percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 80th percentile among comparable filings
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 80%; rating input score 80; 25th percentile among comparable filings
  • Governance controls: 3 of 9 controls in place; rating input score 33
    • Conflict-of-interest policy: Fail
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: -129.5%; rating input score 17; 17th percentile among comparable filings
  • Total-asset coverage ratio: 15.37; rating input score 73; 73rd percentile among comparable filings
  • Liabilities to assets ratio: 0.05; rating input score 22; 22nd percentile among comparable filings
  • Officer compensation ratio: 5.3%; rating input score 18; 18th percentile among comparable filings

Growth

  • Program expense growth: -6.9% per year; rating input score 0; 34th percentile among comparable filings
  • Revenue growth: -5.3% per year; rating input score 0; 42nd percentile among comparable filings
  • Asset growth: -4.1% per year; rating input score 0; 23rd percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 78.2% of spending went to programs
  • Governance: 4 of 5 board members independent · 3 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $141K in reported program spending
  • Leadership: top reported pay $170K · 4 people listed · 1 of 6 pay-setting controls reported
  • Consistency: 42 of 42 current checks pass
  • Schedules: 6 filed schedules · includes grants and executive pay
  • Filing history: 8 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 11 filed money-flow records
  • Related organizations: 10 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.

  • Moderate — Accountability: Governance controls: 5 of 8 not reported.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Operating margin scored 17/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 18/100.
  • High — Sustainability: Liabilities to assets ratio scored 22/100.