Institute for Research and Education in Family Medicine

Nonprofit profile at a glance

EIN
431863752
IRS 990 coverage
2009–2024
Forms available
Form 990 2024
Location
St Louis, MO, USA
Phone
3148334030
Rating
81
Verdict
STRONG
Rating confidence
Moderate
Sector
Health Treatment Facilities, Primarily Outpatient

Official website

Reported finances

Revenue
$2,294,049
Expenses
$2,421,812
Assets
$1,368,180
Liabilities
$950,793

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

Leadership & pay

16 people listed

Executive titles in this filing

  • DAVID C CAMPBELL MD (PRESIDENT AN)
  • DENISE BUCK MD (CEO)

Highest reported compensation

  • DAVID C CAMPBELL MD (PRESIDENT AN): $148,365 total reported compensation
  • RAELYN SMEATHERS (COO): $85,907 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 organization's mission is to strengthen underserved communities, one patient at a time. This is accomplished through community clinics providing primary care, physicals, immunizations, acute care, chronic disease management, screenings, and preventative care. These clinics target underserved patients and provide care at little or no cost.

What it reported doing in 2024

In fy 2025, ifm served 6,377 unique patients and provided 12,205 patient appointments across 33 clinic sites in collaboration with 26 community partners. This represents significant program growth over the prior year. We added an additional partner clinic site in 2025: the guardian angel settlement association's community service center/pantry in st. Louis city. Our two newest community clinic sites, the community connections health clinic in bridgeton, mo and youth and family center health clinic in north st. Louis city, both increased clinic hours, programming, and subsequently increased the number of patients served over the prior year. These two sites, in addition to our hancock place community clinic, represent our community clinic model which serve not only the clients of the community partner where the clinic is located, but also serve individuals in need from the entire surrounding community. Our connections clinic's spanish speaking patient population grew significantly during 2025 and now makes up approximately 40% of the patients seen there.

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 - A large share of available resources goes toward mission work and the filed numbers largely add up. Revenue has declined or grown slowly and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 83
  • Transparency & Controls: 86
  • Accountability: 91
  • Sustainability: 20
  • Growth: 60

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 86.1%; rating input score 86
  • Program expense ratio: 81.4%; rating input score 81
  • Fundraising efficiency: $39.7 raised per $1 spent on fundraising; rating input score 75; 75th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 93.3%; rating input score 93; 17th 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; 63rd percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -5.6%; rating input score 19; 19th percentile among comparable filings
  • Total-asset coverage ratio: 0.56; rating input score 20; 20th percentile among comparable filings
  • Liabilities to assets ratio: 0.69; rating input score 13; 13th percentile among comparable filings
  • Officer compensation ratio: 9.7%; rating input score 31; 31st percentile among comparable filings

Growth

  • Program expense growth: 10% per year; rating input score 100; 64th percentile among comparable filings
  • Revenue growth: -0.7% per year; rating input score 0; 9th percentile among comparable filings
  • Asset growth: 18.6% per year; rating input score 100; 82nd percentile among comparable filings

Details

  • Where the money goes: 86.1% of revenue deployed · 81.4% of spending went to programs
  • Governance: 13 of 13 board members independent · 7 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $2M in reported program spending
  • Leadership: top reported pay $148K · 16 people listed
  • Consistency: 31 of 32 current checks pass · 1 finding to review
  • Schedules: 4 filed schedules · includes major donors
  • Filing history: 14 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 2 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • 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.

  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Operating margin scored 19/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 20/100.
  • Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.
  • High — Sustainability: Liabilities to assets ratio scored 13/100.
  • Moderate — Sustainability: Officer compensation ratio scored 31/100.