School Health Clinics of Santa Clara County

What it reported doing in 2024

School health clinics of santa clara county (shc) is a nonprofit organization that operates federally qualified health centers (fqhc) that are entirely school-based. Shc provides high-quality, easily accessible primary medical care and preventive health services to low income children and adolescents. Under the governance of its board of directors, the organization provides the following services: preventative care (including physical examinations and immunizations), urgent care, chronic disease management, treatment of illness and injuries, comprehensive adolescent services, behavioral health support, dental screenings, and referrals to specialty care. During the year ended june 30, 2025, the organization continued to strive to provide high-quality, affordable health care to low income families in santa clara county. School health clinics provided 16,980 healthcare visits to 4,978 patients across all five school health clinics sites. In may 2025, the organization's administrative staff participated in an operational site visit (osv) conducted bythe health services and resources administration (hrsa). The purpose of the osv is to "provide an objectiveassessment that verifies a health center's compliance with the statutory and regulatory requirements of the healthcenter program" (bureau of primary health care, 2026). The osv was completed with no findings.towards the end of the 2025 fiscal year, the organization began planning to implement dental services in the clinics.the addition of dental services was a high priority for patients when asked for additional services. This will alsoallow the organization to request a pps rate review once the services are implemented.

Financial Efficiency

• Mission deployment rate: 77.6%; rating input score 78
• Program expense ratio: 83.6%; rating input score 84
• Fundraising efficiency: $19.56 raised per $1 spent on fundraising; rating input score 58; 58th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 2 of 6 controls in place; rating input score 33
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• 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: 7.8%; rating input score 58; 58th percentile among comparable filings
• Total-asset coverage ratio: 1.26; rating input score 45; 45th percentile among comparable filings
• Liabilities to assets ratio: 0.29; rating input score 35; 35th percentile among comparable filings
• Officer compensation ratio: 20.1%; rating input score 12; 12th percentile among comparable filings

Growth

• Program expense growth: 11.8% per year; rating input score 100; 70th percentile among comparable filings
• Revenue growth: 9% per year; rating input score 100; 64th percentile among comparable filings
• Asset growth: 13.8% per year; rating input score 100; 71st percentile among comparable filings