Project Reality

Nonprofit profile at a glance

EIN: 870288734
IRS 990 coverage: 2010–2025
Forms available: Form 990 2025, Form 990-EZ 2019
Location: Murray, UT, USA
Phone: 8013648080
Rating: 82
Verdict: STRONG
Rating confidence: Moderate
Sector: Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment

Official website

Reported finances

Revenue: $4,338,792
Expenses: $3,896,438
Assets: $7,506,868
Liabilities: $337,860

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

11 people listed

Highest reported compensation

KATHERINE CARLSON MD (MEDICAL DIR.): $131,590 total reported compensation
NATALIE CISNEY (PHYSICIAN ASSISTAN): $126,875 total reported compensation
KRISTA BYRD (PROGRAM COORDINATO): $124,403 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To provide mental health and substance use disorder treatment and prevention services.

What it reported doing in 2025

Project reality's purpose is to support individuals who seek to improve the quality of life for themselves, their families, and their community. Our aim is to empower people to strengthen their health and wellness, find meaning and purpose, and to lead a self-directed life. We deliver comprehensive primary care, psychotherapy, care coordination, and substance use recovery services regardless of a person's ability to pay. Our collaborative team of medical, mental health, and case management professionals provide excellent patient care while reducing barriers to service by fostering an environment of acceptance and respect.in 2025, project reality's medication-assisted treatment opioid treatment program treated over 1,000 unique individuals for substance use disorder (sud). Our clinical staff had many encounters with our patients who saw therapists, counselors, case managers, doctors, physician assistants, and nurses for their mental health, medical, and case management needs.our growing certified community behavioral health clinic (ccbhc) saw individuals admitted into the ccbhc-e grant program. These patients are assessed at intake and at six months with an in-depth assessment measuring mental health, substance use, behavioral health, and social determinants of health.due to our performance in the ccbhc-e grant, project reality was awarded a 4-year ccbhc-ia grant in september 2022. This will allow us to expand our medical services and our mat treatment to underserved populations while we build medical billing mechanisms to sustain our expansion into medical care.

Operating model

Revenue model: Earned-program. 70% of the money available for current operations came from fees and other program 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

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

Financial Efficiency: 68
Transparency & Controls: 90
Accountability: 100
Sustainability: 53
Growth: 100

Detailed rating inputs

Financial Efficiency

Mission deployment rate: 73.8%; rating input score 74
Program expense ratio: 81.5%; rating input score 82
Fundraising efficiency: Limited

Transparency & Controls

Consistency checks: 100%; rating input score 100; 63rd 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: 100%; rating input score 100; 63rd 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: 10.2%; rating input score 56; 56th percentile among comparable filings
Total-asset coverage ratio: 1.93; rating input score 56; 56th percentile among comparable filings
Liabilities to assets ratio: 0.05; rating input score 62; 62nd percentile among comparable filings
Officer compensation ratio: 12.3%; rating input score 27; 27th percentile among comparable filings

Growth

Program expense growth: 3.7% per year; rating input score 100; 28th percentile among comparable filings
Revenue growth: 5.5% per year; rating input score 100; 41st percentile among comparable filings
Asset growth: 15.7% per year; rating input score 100; 76th percentile among comparable filings

Details

Where the money goes: 73.8% of revenue deployed · 81.5% of spending went to programs
Governance: 6 of 6 board members independent · 9 of 9 filing controls reported
Programs: 1 filed program accomplishment · $3.2M in reported program spending
Leadership: top reported pay $132K · 11 people listed
Consistency: 28 of 28 current checks pass
Schedules: 3 filed schedules
Filing history: 13 filing years from 2010 to 2025
Contacts: How to reach this organization
Money network: 4 filed money-flow records
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 — Sustainability: Operating margin scored 56/100.
Review — Sustainability: Total-asset coverage ratio scored 56/100.
High — Sustainability: Officer compensation ratio scored 27/100.