Sea Mar Community Health Centers

What it reported doing in 2024

In fy 2025, sea mar community health centers was one of the leading providers of medical, dental, behavioral health, social, and housing services for low-income, uninsured, and otherwise underserved individuals and families in western Washington state. Sea mar's network of services spans 18 counties, including adams, chelan, clallam, clark, cowlitz, franklin, grant, grays harbor, island, king, pierce, skagit, skamania, snohomish, spokane, thurston, whatcom, and yakima. Together, in fy 2025 sea mar served approximately 298,000 patients with over 1.1 million encounters. These services reach the most vulnerable members of these western Washington communities, with 85% living below the 200% federal poverty level. Sea mar's 45 medical clinics served approximately 150,000 patients with over 420,000 visits in fy 2025. Comprehensive medical services run the full spectrum from family medicine, obstetrics, and preventive care to internal medicine, chronic disease management, and geriatrics. Additionally, sea mar's medical providers have privileges in community hospitals throughout the agency's service area, ensuring inpatient care for patients as needed. Sea mar's 30 dental clinics served approximately 70,000 patients with over 214,000 visits in fy 2025. Dental services include pediatric and adult oral health exams and education, cleanings, fillings, extractions, diagnosis, and treatment of various dental conditions, preventive oral health care including fluoride treatments and dental sealants, consultations for crowns and bridges, and some orthodontics.sea mar's medical and dental clinics offer same-day appointments for emergency or urgent care, and the agency has lab, x-ray, and pharmacy services available in some locations throughout its service area. Sea mar follows a patient-centered medical home model of care and focuses on population health management. To serve its clients best, sea mar provides all services in english, spanish and other languages as needed. All of sea mar's clients are served regardless of insurance status or ability to pay for services.behavioral health care services are among the most challenging for vulnerable populations to access, due to stigma, cost, and the limited availability of such services for low-income, uninsured, homeless, or non-english speaking individuals. Sea mar's outpatient behavioral health clinics provide multi-lingual, culturally appropriate mental health and chemical dependency treatment support to clients regardless of insurance status or ability to pay for services. Sea mar's 39 outpatient behavioral health clinics served approximately 19,000 clients with over 189,000 visits in fy 2024. During the fiscal year, sea mar continues to integrate its behavioral health services with primary care wherever possible, ensuring that patients in need are accessing all options for achieving positive health outcomes. During the pandemic, sea mar's behavioral health services adapted to hybrid telehealth and in-person service delivery models to avoid any service disruptions and to ensure client needs continuously are met.

Financial Efficiency

• Mission deployment rate: 95.5%; rating input score 95
• Program expense ratio: 97.5%; rating input score 97
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th 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: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • 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: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 2.1%; rating input score 43; 43rd percentile among comparable filings
• Total-asset coverage ratio: 0.82; rating input score 33; 33rd percentile among comparable filings
• Liabilities to assets ratio: 0.39; rating input score 46; 46th percentile among comparable filings
• Officer compensation ratio: 1.4%; rating input score 66; 66th percentile among comparable filings

Growth

• Program expense growth: 11.2% per year; rating input score 100; 78th percentile among comparable filings
• Revenue growth: 10.9% per year; rating input score 100; 80th percentile among comparable filings
• Asset growth: 10.5% per year; rating input score 100; 72nd percentile among comparable filings