International Medical Alliance of Tennessee

Nonprofit profile at a glance

EIN
311724114
IRS 990 coverage
2020–2024
Forms available
Form 990 2024
Location
Knoxville, TN, USA
Phone
8654141431
Rating
70
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Human Service Organizations

Reported finances

Revenue
$257,861
Expenses
$275,972
Assets
$-110,929
Liabilities
$0

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

Leadership & pay

5 people listed

Executive titles in this filing

  • Dorothy M Davison (President, Treasurer)
  • Linda Douville (Vice President)

People named in this filing

  • Dorothy M Davison (President, Treasurer)
  • Linda Douville (Vice President)
  • Thomas E Koehl (Operations Officer)

Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.

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

Overview

Mission

Free health care services for poor and under-served people in the United States and abroad. Nutrition and education support in developing nations.

What it reported doing in 2024

Western Kenya, Ikolomani District, State of Kakamega (1). Lymphatic Filariasis foot care and general wound care program, A trained wound care nurse conducts rotating clinics in eleven villages. Funding includes her salary, medication and wound care supplies. (2). Worming program for 1,100 children providing semi annual doses of Albendazole and Ivermectin. (3). Tuition assistance for 4 high school students. Tuition and room and board for 2 medical students from Western Kenya attending University of Nairobi. Tuition and boarding for one student attending Medical Officer Training Program at St. Mary's Mumias Hospital. (4). October 31 - November 11, 2024 Medical Clinics were held in 5 villages. MDs, FNP's RN's with Senior Kenyan nursing students serving as translators. 803 patients were seen, 2,388 Rx's were given. 2418 people received Ivermectin and Alnendazole per protocol for prevention of Lymphatic Filariasis. (5) Two pediatric patients who needed urgent surgical intervention were referred to St Elizabeth's Hospital all costs were underwritten by IMA. (6) A Duffel of essential medications was sent with Sr Susan to Horr for the clinic her order operates for the Samburu tribe. (7) All medications remaining were given to St Elizabeth's Hospital, Mukumu. (8) All dressing supplies were left with our wound care nurse. (9) The wells in Matunda and Shichinji drilled in 2006 were repaired..

Operating model

Revenue model
Donor-supported. 100% of the money available for current operations came from contributions and gifts.
Distribution model
Grant intermediary. The nonprofit sent 100% of its reported program spending out as grants.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and most voting board members are independent. The filing reports few safeguards for money sent abroad and the filing does not identify recipients for some grant dollars.

Rating breakdown

  • Financial Efficiency: 88
  • Transparency & Controls: 51
  • Accountability: 70
  • Sustainability: 20
  • Growth: 80

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 97.4%; rating input score 97
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 90.9%; rating input score 91; 13th percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: 0 of 8 controls in place; rating input score 0
    • Claims monitoring procedures: Limited
    • Requires narrative reports: Limited
    • Conducts field audits: Limited
    • May suspend future funding: Limited
    • Requires financial reports: Limited
    • Conducts site visits: Limited
    • Requires grant agreements: Limited
    • May require repayment: Limited
  • Grant itemization coverage: 0%; rating input score 0; 19th 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: 2 of 7 controls in place; rating input score 29
    • Conflict-of-interest policy: Fail
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: NotApplicable
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: -7%; rating input score 26; 26th percentile among comparable filings
  • Total-asset coverage ratio: -0.4; rating input score 0; 0th percentile among comparable filings
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: 0%; rating input score 69; 69th percentile among comparable filings

Growth

  • Program expense growth: 5.4% per year; rating input score 100; 55th percentile among comparable filings
  • Revenue growth: 4.8% per year; rating input score 100; 52nd percentile among comparable filings
  • Asset growth: Limited

Details

  • Where the money goes: 100% of revenue deployed · 97.4% of spending went to programs
  • Governance: 5 of 5 board members independent · 2 of 7 filing controls reported
  • Programs: 3 filed program accomplishments · $269K in reported program spending
  • Leadership: top reported pay $0 · 5 people listed
  • Consistency: 42 of 43 current checks pass · 1 finding to review
  • Schedules: 4 filed schedules · includes major donors and foreign activity
  • Filing history: 5 filing years from 2020 to 2024
  • Contacts: How to reach this organization
  • 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.

  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Transparency & Controls: Grant itemization coverage scored 0/100.
  • High — Accountability: Governance controls: 4 of 6 not reported.
  • High — Sustainability: Operating margin scored 26/100.
  • High — Sustainability: Total-asset coverage ratio scored 0/100.
  • Review — Transparency & Controls: Foreign grant itemization did not reconcile in the filed values.