TrueCare
Legal name: North County Health Project Inc
Nonprofit profile at a glance
- EIN
- 952847102
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- San Marcos, CA, USA
- Phone
- (760) 736-6767
- Rating
- 77
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
Reported finances
- Revenue
- $130,869,472
- Expenses
- $120,466,852
- Assets
- $115,984,241
- Liabilities
- $41,159,947
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
25 people listed
Executive titles in this filing
- Michelle Gonzalez (President & CEO)
Highest reported compensation
- Michelle Gonzalez (President & CEO): $729,864 total reported compensation
- Marie Russell (CMO & COO): $566,820 total reported compensation
- Garrick Tong (Clinical Director Behavioral Health): $478,464 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 provide high-quality, compassionate healthcare to all, regardless of ability to pay.
What it reported doing in 2024
TrueCare's mission is to improve the health status of our diverse communities by providing the quality health care that is comprehensive, affordable and culturally sensitive.
Operating model
- Revenue model
- Other-operating. 76% of the money available for current operations came from other operating revenue.
- 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
SUPPORTED - A large share of available resources goes toward mission work and most voting board members are independent. Fundraising costs are high for each dollar raised and total assets are small relative to annual expenses; liquid coverage is unknown.
Rating breakdown
- Financial Efficiency: 74
- Transparency & Controls: 66
- Accountability: 100
- Sustainability: 51
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 73.8%; rating input score 74
- Program expense ratio: 80.2%; rating input score 80
- Fundraising efficiency: $17.01 raised per $1 spent on fundraising; rating input score 54; 54th percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th 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: Limited
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
- Governance controls: 9 of 9 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: 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: 7.9%; rating input score 67; 67th percentile among comparable filings
- Total-asset coverage ratio: 0.96; rating input score 38; 38th percentile among comparable filings
- Liabilities to assets ratio: 0.35; rating input score 50; 50th percentile among comparable filings
- Officer compensation ratio: 4.2%; rating input score 24; 24th percentile among comparable filings
Growth
- Program expense growth: 8.3% per year; rating input score 100; 66th percentile among comparable filings
- Revenue growth: 7.7% per year; rating input score 100; 65th percentile among comparable filings
- Asset growth: 7.2% per year; rating input score 100; 53rd percentile among comparable filings
Details
- What they do: 1 programs and campaigns described on the official site · 9 operating locations identified
- Where the money goes: 73.8% of revenue deployed · 80.2% of spending went to programs
- Governance: 14 of 14 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $96.6M in reported program spending
- Leadership: top reported pay $730K · 25 people listed · 1 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $1.6M reported
- Consistency: 31 of 31 current checks pass
- Schedules: 5 filed schedules · includes executive pay
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 11 filed money-flow records
- Related organizations: 1 filed related-organization link
- 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.
- Review — Financial Efficiency: Fundraising efficiency scored 54/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 38/100.
- High — Sustainability: Officer compensation ratio scored 24/100.
- Review — Sustainability: Liabilities to assets ratio scored 50/100.