Medical Mission International - USA
Nonprofit profile at a glance
- EIN
- 208525614
- IRS 990 coverage
- 2011–2023
- Forms available
- Form 990 2023, Form 990-N 2009
- Location
- San Jose, CA, USA
- Phone
- 4082262001
- Rating
- 59
- Verdict
- MIXED
- Rating confidence
- Standard
- Sector
- Christianity
- Affiliation
- Christianity
Reported finances
- Revenue
- $1,381,895
- Expenses
- $1,357,409
- Assets
- $31,170
- Liabilities
- $130,746
Source: IRS Form 990. Selected filing: tax year 2023. Amounts in USD.
Leadership & pay
5 people listed
Executive titles in this filing
- JOSEPH LAM (President & CEO)
Highest reported compensation
- JOSEPH LAM (President & CEO): $235,134 total reported compensation
- RUTH KENDRICK (high comp employee): $175,995 total reported compensation
- DOUG KENDRICK (CFO/PROGRAM DIR): $50,904 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2023. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To relieve and alleviate human suffering, misery, poverty, sickness, and distress throughout the world by providing emergency medical relief, funding, and support.
Operating model
- Revenue model
- Donor-supported. 97% of the money available for current operations came from contributions and gifts.
- Distribution model
- Hybrid. The nonprofit split its reported program spending across 47% for direct work, and 53% for grants.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
MIXED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and a relatively small share of total spending goes to programs.
Rating breakdown
- Financial Efficiency: 51
- Transparency & Controls: 77
- Accountability: 67
- Sustainability: 22
- Growth: 20
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 54.6%; rating input score 55
- Program expense ratio: 55.6%; rating input score 56
- Fundraising efficiency: $3.66 raised per $1 spent on fundraising; rating input score 12; 12th percentile among comparable filings
Transparency & Controls
- Consistency checks: 93.3%; rating input score 93; 22nd percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Missing
- Independent consultant: Pass
- Other Form 990s reviewed: Pass
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: 1 of 8 controls in place; rating input score 12
- Claims monitoring procedures: Pass
- 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: 99.6%; rating input score 100; 49th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 66.7%; rating input score 67; 13th percentile among comparable filings
- Governance controls: 6 of 9 controls in place; rating input score 67
- Conflict-of-interest policy: Fail
- Whistleblower policy: Fail
- Document-retention policy: Fail
- 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: 1.8%; rating input score 43; 43rd percentile among comparable filings
- Total-asset coverage ratio: 0.02; rating input score 2; 2nd percentile among comparable filings
- Liabilities to assets ratio: 4.19; rating input score 1; 1st percentile among comparable filings
- Officer compensation ratio: 27.7%; rating input score 8; 8th percentile among comparable filings
Growth
- Program expense growth: -14.9% per year; rating input score 0; 3rd percentile among comparable filings
- Revenue growth: -7.8% per year; rating input score 0; 4th percentile among comparable filings
- Asset growth: 3.8% per year; rating input score 100; 34th percentile among comparable filings
Details
- Where the money goes: 54.6% of revenue deployed · 55.6% of spending went to programs
- Governance: 2 of 3 board members independent · 6 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $754K in reported program spending
- Leadership: top reported pay $235K · 5 people listed · 4 of 6 pay-setting controls reported
- Consistency: 28 of 29 current checks pass · 1 finding to review
- Schedules: 10 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
- Filing history: 11 filing years from 2011 to 2023
- Contacts: How to reach this organization
- Money network: 10 filed money-flow records
- Related organizations: 4 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.
- Review — Financial Efficiency: Mission deployment rate scored 55/100.
- Review — Financial Efficiency: Program expense ratio scored 56/100.
- High — Financial Efficiency: Fundraising efficiency scored 12/100.
- Review — Accountability: Governance controls: 3 of 9 not reported.
- High — Growth: Program expense growth scored 0/100.
- High — Growth: Revenue growth scored 0/100.
- High — Sustainability: Total-asset coverage ratio scored 2/100.
- Moderate — Sustainability: Operating margin scored 43/100.
- High — Sustainability: Liabilities to assets ratio scored 1/100.
- High — Sustainability: Officer compensation ratio scored 8/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.