San Diego Emergency Medical Associates Inc

Nonprofit profile at a glance

EIN
992216878
IRS 990 coverage
2024–2025
Forms available
Form 990 2025
Location
Escondido, CA, USA
Phone
8588693426
Rating
82
Verdict
STRONG
Rating confidence
Moderate
Sector
Nonmonetary Support N.E.C.

Reported finances

Revenue
$9,890,393
Expenses
$8,468,944
Assets
$2,387,485
Liabilities
$371,034

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

Leadership & pay

4 people listed

Executive titles in this filing

  • THOMAS VELKY MD (PRESIDENT/CEO)

People named in this filing

  • RUSS RIEHL CEO OF PHMG (CHAIR OF THE BOARD)
  • RICHARD ENGEL MD (TREASURER & SECRETARY)
  • THOMAS VELKY MD (PRESIDENT/CEO)

Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.

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

Overview

Mission

To contract with physicians to provide reliable on-call coverage to the hospitals.

What it reported doing in 2025

Sandema provides physician trauma call coverage services at two operated by palomar health, a California local healthcare district, including a level ii trauma center, to ensure reliable on-call coverage to the hospitals. The services benefit the general public as they ensure the local level ii trauma center is reliably covered. Palomar health contracts with phmg for such coverage services, and phmg in turn contracts with sandema to provide the services. The compensation is passed through from sandema to the contracted physicians who provide the call coverage services via contract with sandema.

Operating model

Revenue model
Earned-program. 100% 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. Some filing-based governance responses are negative or unanswered and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 81
  • Transparency & Controls: 90
  • Accountability: 76
  • Sustainability: 48
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 85.4%; rating input score 85
  • Program expense ratio: 99.8%; rating input score 100
  • 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: 3 of 7 controls in place; rating input score 43
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: NotApplicable
    • 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: 14.4%; rating input score 64; 64th percentile among comparable filings
  • Total-asset coverage ratio: 0.28; rating input score 8; 8th percentile among comparable filings
  • Liabilities to assets ratio: 0.16; rating input score 40; 40th percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 90; 90th percentile among comparable filings

Growth

  • Program expense growth: 86.8% per year; rating input score 100; 99th percentile among comparable filings
  • Revenue growth: 86.2% per year; rating input score 100; 99th percentile among comparable filings
  • Asset growth: 98.5% per year; rating input score 100; 99th percentile among comparable filings

Details

  • Where the money goes: 85.4% of revenue deployed · 99.8% of spending went to programs
  • Governance: 4 of 4 board members independent · 3 of 7 filing controls reported
  • Programs: 1 filed program accomplishment · $8.4M in reported program spending
  • Leadership: top reported pay $0 · 4 people listed
  • Highest-paid contractors: 5 contractors listed · $4.4M reported
  • Consistency: 13 of 13 current checks pass
  • Schedules: 2 filed schedules
  • Filing history: 2 filing years from 2024 to 2025
  • Contacts: How to reach this organization
  • 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.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Moderate — Accountability: Governance controls: 3 of 6 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 8/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 40/100.