Sante Health Foundation
Nonprofit profile at a glance
- EIN
- 200517238
- IRS 990 coverage
- 2012–2024
- Forms available
- Form 990 2024, Form 990-N 2011
- Location
- Fresno, CA, USA
- Phone
- 5592285451
- Rating
- 87
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Public Health Program (Includes General Health and Wellness Promotion Services)
Reported finances
- Revenue
- $261,730,868
- Expenses
- $257,868,406
- Assets
- $33,194,195
- Liabilities
- $26,755,316
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
6 people listed
People named in this filing
- Mateo F De Soto (Chairperson)
- Patrick Wymore (Director)
- Grant Nakamura (Secretary)
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 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Santé Health Foundation's mission is to provide medical care and treatment as part of a coordinated healthcare delivery system in the Central Valley. The Foundation provides these services for preventing, treating and otherwise assisting individuals with various diseases and disorders to the extent reasonably permitted by the resources of the Foundation.
What it reported doing in 2024
Santé Health Foundation's mission is to provide medical care and treatment as part of a coordinated healthcare delivery system in the Central Valley. The Foundation provides these services for preventing, treating and otherwise assisting individuals with various diseases and disorders to the extent reasonably permitted by the resources of the Foundation. The medical Foundation provides these services through charity care assistance for patients meeting certain financial eligibility and clinical criteria and persons without insurance or who are under insured, all self-paid, uninsured and under insured patients who do not qualify for charity care under the Foundation's Charity Care Program are offered services through the Foundation at discounted charges. The discount is extended to patients that qualify for the Foundation's Charity Care Program for the out-of-pocket portions of care that are beyond the amount the patient qualified for the Foundation's subsidized care. The Foundation was also formed to conduct or participate in medical and scientific investigations and researches into various diseases and to promote and carry on educational activities related to the health and well-being of the sick, injured and disabled. The Foundation is part of an integrated system that combines medical research activities directly with patient care in both in-patient and out-patient settings. The Foundation also provides or arranges for the provision of certain patient care and on-call coverage services and research, teaching and administrative services to the Central Valley. Through clinics and various agreements, the Foundation is able to insure that patient care as well as accompanying clinical research and community education is provided seamlessly through an integrated network of providers. The Foundation also provides or arranges for the provision of care for vulnerable populations including Medicare and Medi-Cal beneficiaries and charity care patients. Care is made available to beneficiaries of these programs on a non-discriminatory basis within its out-patient facilities. The Foundation also makes investments in community benefit activities.
Operating model
- Revenue model
- Other-operating. 100% 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
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. 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: 88
- Transparency & Controls: 85
- Accountability: 100
- Sustainability: 34
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 98.2%; rating input score 98
- Program expense ratio: 99.7%; rating input score 100
- Fundraising efficiency: $1.67 raised per $1 spent on fundraising; rating input score 4; 4th percentile among comparable filings
Transparency & Controls
- Consistency checks: 87.5%; rating input score 88; 2nd percentile among comparable filings
- Pay-setting controls: Limited
- Foreign activity oversight: Limited
- Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
- Governance controls: 7 of 7 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- 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: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 1.5%; rating input score 40; 40th percentile among comparable filings
- Total-asset coverage ratio: 0.13; rating input score 4; 4th percentile among comparable filings
- Liabilities to assets ratio: 0.81; rating input score 17; 17th percentile among comparable filings
- Officer compensation ratio: 0%; rating input score 98; 98th percentile among comparable filings
Growth
- Program expense growth: 11.4% per year; rating input score 100; 79th percentile among comparable filings
- Revenue growth: 13.2% per year; rating input score 100; 86th percentile among comparable filings
- Asset growth: 6.4% per year; rating input score 100; 47th percentile among comparable filings
Details
- Where the money goes: 98.2% of revenue deployed · 99.7% of spending went to programs
- Governance: 6 of 6 board members independent · 7 of 7 filing controls reported
- Programs: 1 filed program accomplishment · $257.1M in reported program spending
- Leadership: top reported pay $0 · 6 people listed
- Highest-paid contractors: 4 contractors listed · $259.1M reported
- Consistency: 22 of 24 current checks pass · 2 findings to review
- Schedules: 5 filed schedules · includes grants
- Filing history: 12 filing years from 2012 to 2024
- Contacts: How to reach this organization
- Money network: 2 filed money-flow records
- Related organizations: 2 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.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Financial Efficiency: Fundraising efficiency scored 4/100.
- High — Sustainability: Total-asset coverage ratio scored 4/100.
- Moderate — Sustainability: Operating margin scored 40/100.
- Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
- High — Sustainability: Liabilities to assets ratio scored 17/100.