Monarchcare Inc

What it reported doing in 2024

Monarchcare provides quality care management, guardianship and personalized financial services to at-risk individuals across south Florida regardless of the clients' ability to pay. Clients range from minor children to the frail elderly, from mentally ill youths to adults with developmental disabilities. Challenges faced by our clients include: -inability to manage daily needs due to decline in physical health or cognitive functioning, and/or multiple medical issues. -easily confused, vulnerable, and at-risk for abuse, exploitation and/or self-neglect. -difficulty navigating the complex healthcare system. Monarchcare is recognized as a leader in filling the gaps in services for south Florida's vulnerable citizens. Over the years, monarchcare has rescued susceptible individuals from financial exploitation, restored institutionalized persons to independent lifestyles and reconnected isolated persons with long lost family and friends. In fiscal year 2024- 2025, monarchcare served over 45 clients, providing intensive case management, personalized financial and guardianship services. Monarchcare programs and services ensure our clients have a stable and supportive lifestyle within the least restrictive environment. Monarchcare serves some clients for a lifetime. We have three inter-related programs that provide direct services to clients and a fourth service offering community education. Our care management program provided over 2,200 hours of intense care management to at-risk individuals, including persons who are legally incapacitated. Our care managers provided regular client visits at their homes, facilities and doctor's offices to ensure that program participants received all needed services along with dignified and compassionate treatment from other service providers. Individuals who benefit from care management live alone, have no family or support system nearby, have multiple medical issues, poor nutrition, or are easily influenced or confused. This year we provided over 1,200 hours of guardianship services to incapacitated individuals, many of whom also receive our care management services. If an individual is legally incapacitated, has no advance directives, and is non-compliant with the necessary assistance to provide for their well-being, then guardianship may be the only alternative to keep him or her safe. Because guardianship removes a person's rights, it is used only as a last resort, to protect the most vulnerable of individuals.

Financial Efficiency

• Mission deployment rate: 67.8%; rating input score 68
• Program expense ratio: 63.8%; rating input score 64
• Fundraising efficiency: $0.02 raised per $1 spent on fundraising; rating input score 3; 3rd percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 80%; rating input score 80; 21st percentile among comparable filings
• Governance controls: 6 of 8 controls in place; rating input score 75
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • 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: -6.3%; rating input score 27; 27th percentile among comparable filings
• Total-asset coverage ratio: 0.56; rating input score 27; 27th percentile among comparable filings
• Liabilities to assets ratio: 0.3; rating input score 16; 16th percentile among comparable filings
• Officer compensation ratio: 22.6%; rating input score 17; 17th percentile among comparable filings

Growth

• Program expense growth: -2.5% per year; rating input score 0; 22nd percentile among comparable filings
• Revenue growth: -3.8% per year; rating input score 0; 12th percentile among comparable filings
• Asset growth: -1.8% per year; rating input score 0; 18th percentile among comparable filings