Music City PrEP Clinic
Nonprofit profile at a glance
- EIN
- 821619750
- IRS 990 coverage
- 2018–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-N 2017
- Location
- Nashville, TN, US
- Phone
- (615) 469-1065
- Rating
- 80
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Ambulatory Health Center, Community Clinic
Reported finances
- Revenue
- $79,866,335
- Expenses
- $76,445,196
- Assets
- $34,016,157
- Liabilities
- $12,560,124
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
7 people listed
Executive titles in this filing
- RICHARD C MACKINNON (PRESIDENT)
- STEVE B GOLAB (PRESIDENT (I)
Highest reported compensation
- RICHARD C MACKINNON (PRESIDENT): $232,881 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To eliminate new transmissions of HIV in Tennessee and Kentucky by making PrEP and HIV care accessible to more people.
What it reported doing in 2024
Empowering tennesseans and kentuckians to live HIV-free by providing discrete, no-cost HIV & std/sti testing and treatment. Prescriptions for prep medication are provided to patients who are insured, underinsured or uninsured. With 135 staff members and 97 volunteers serving approximately 7,000 patients, over 43,000 prescriptions were provided during the 2024- 2025 fiscal year. As part of this program, mcpc provides benevolent assistance to low-income individuals to cover the costs of the medication as well as the required lab work. Primary funding comes from insurance proceeds.
Operating model
- Revenue model
- Earned-program. 99% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 99% 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. Total assets are small relative to annual expenses; liquid coverage is unknown and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 84
- Transparency & Controls: 72
- Accountability: 90
- Sustainability: 46
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 93%; rating input score 93
- Program expense ratio: 97.4%; rating input score 97
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 94.1%; rating input score 94; 28th 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: 97.1%; rating input score 97; 31st percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 83.3%; rating input score 83; 31st percentile among comparable filings
- Governance controls: 8 of 8 controls in place; rating input score 100
- 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: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 4.3%; rating input score 53; 53rd percentile among comparable filings
- Total-asset coverage ratio: 0.44; rating input score 16; 16th percentile among comparable filings
- Liabilities to assets ratio: 0.37; rating input score 48; 48th percentile among comparable filings
- Officer compensation ratio: 0.3%; rating input score 88; 88th percentile among comparable filings
Growth
- Program expense growth: 33.1% per year; rating input score 100; 97th percentile among comparable filings
- Revenue growth: 29.8% per year; rating input score 100; 97th percentile among comparable filings
- Asset growth: 27.1% per year; rating input score 100; 97th percentile among comparable filings
Details
- What they do: 2 programs and campaigns described on the official site · 4 operating locations identified
- Where the money goes: 93% of revenue deployed · 97.4% of spending went to programs
- Governance: 5 of 6 board members independent · 8 of 8 filing controls reported
- Programs: 2 filed program accomplishments · $74.5M in reported program spending
- Leadership: top reported pay $233K · 7 people listed · 1 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $1.2M reported
- Consistency: 33 of 34 current checks pass · 1 finding to review
- Schedules: 6 filed schedules · includes major donors, grants, and executive pay
- Filing history: 7 filing years from 2018 to 2024
- Contacts: How to reach this organization
- Money network: 4 filed money-flow records
- Related organizations: 3 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.
- 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 — Sustainability: Total-asset coverage ratio scored 16/100.
- Review — Sustainability: Operating margin scored 53/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
- Moderate — Sustainability: Liabilities to assets ratio scored 48/100.