RealOptions Obria Medical Clinic

What it reported doing in 2025

Realoptions (organization) is a California non-profit corporation, incorporated in 1981 in the state of California. The organization provides compassionate, comprehensive, high quality holistic healthcare, support services, optimal health education, and pregnancy loss healing to women, men, students, and families. The organization has four licensed medical clinic locations serving alameda, and santa clara counties devoted to caring for patients physically, emotionally, and spiritually. The organization offers a broad spectrum of prevention, intervention, and restorative services to the community, positively impacting thousands of students and families each year. The organization has a holistic approach to health care and is committed to meeting their patient's physical, emotional, and spiritual needs. They provide well woman care, std testing and treatment, pregnancy option consultations, pregnancy tests, ultrasound imaging, prenatal care, well woman care, gynecological care, abortion pill reversal treatment, childbirth classes, and material support in the form of maternity clothing, formula, diapers, wipes and new cribs, new car seats and more. They also provide reproductive loss healing programs for anyone impacted by abortion, miscarriage, infertility, adoption placement and stillbirth as well as optimal health education in schools, youth groups, and community organizations for fifth through twelfth grade students and their parents.during the year ended december 31, 2025, realoptions safeguarded the lives of 6,499 women, men, students and preborn babies through their medical clinics, realtalk education program, and reproductive loss healing programs. Through their medical clinics realoptions served 3,049 unique patients with life-affirming services which included: 1,343 pregnancy tests, 2,467 ultrasounds, 308 std screenings, 603 prenatal exams, 18 abortion pill reversal patients, 81 well woman exams, and 15,919 material support items given to families in need. These numbers represent 8,019 patient encounters for medical and non-medical services and support.during the year ended december 31, 2025, realoptions' realtalk education continued their third round of a title v two-year grant cycle. The organization also completed year two of the srae grant, another first in the history of the organization. This award widened the organization's reach to local and under-served students in santa clara and alameda counties for optimal health education which includes healthy relationship and sexual risk avoidance curriculums. During the year ended december 31, 2025, the organization provided 785 presentations to reach 2,029 students, faculty, and parents at 30 schools and organizations, with a total of 22,520 total hours of student impact. Through december 31, 2025, the organization operated clinics serving alameda, and santa clara counties of the sf bay area. The organization was able to grow the number of people served in these communities through our community outreach team and by employing comprehensive digital marketing programs. The organization's college campus outreach to san jose state university and uc berkeley campuses gave out 279 pregnancy tests with a coupon for a free ultrasound in one of their medical clinics, had 115 meaningful conversations to support students, and 180 college students came to their medical clinics for services.during the year ended december 31, 2025, the reproductive loss healing programs impacted 350 people (women & men) who came to the retreats, conferences, and weekly online support groups. The organization serves these groups in both english and spanish.during the year ended december 31, 2025, realoptions continued to utilize their benevolence committee to oversee the distribution of funds to help patients with desperate financial needs. The committee consists of our director of operations & hr, our senior director of community outreach, and a donor who is a previous board member. Patients must fil

Financial Efficiency

• Mission deployment rate: 87%; rating input score 87
• Program expense ratio: 84.5%; rating input score 85
• Fundraising efficiency: $10.18 raised per $1 spent on fundraising; rating input score 36; 36th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 76.9%; rating input score 77; 15th 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: -2.8%; rating input score 19; 19th percentile among comparable filings
• Total-asset coverage ratio: 0.44; rating input score 14; 14th percentile among comparable filings
• Liabilities to assets ratio: 0.49; rating input score 16; 16th percentile among comparable filings
• Officer compensation ratio: 14.7%; rating input score 23; 23rd percentile among comparable filings

Growth

• Program expense growth: 12.1% per year; rating input score 100; 68th percentile among comparable filings
• Revenue growth: 9.8% per year; rating input score 100; 65th percentile among comparable filings
• Asset growth: 8.2% per year; rating input score 100; 50th percentile among comparable filings