Spectrum Health Care
Nonprofit profile at a glance
- EIN
- 431633822
- IRS 990 coverage
- 2015–2024
- Forms available
- Form 990 2024, Form 990-EZ 2018
- Location
- Columbia, MO, USA
- Phone
- 5735147312
- Rating
- 82
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- AIDS
Reported finances
- Revenue
- $363,684
- Expenses
- $442,268
- Assets
- $241,979
- Liabilities
- $0
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
6 people listed
Executive titles in this filing
- Becky Acton (Executive Director)
Highest reported compensation
- Becky Acton (Executive Director): $24,730 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Eliminate health disparities and barriers to care for marginalized individuals and families across Missouri regardless of insurance status or ability to pay.
What it reported doing in 2024
Spectrum Health Care is an essential access point for comprehensive primary care in a federally designated health professional shortage area serving patients in more than 40 rural counties across Missouri. No patient is turned away for inability to pay. Services include primary and preventive medical care integrated behavioral health medication-assisted treatment and other substance use disorder SUD care family planning and sexual health services including HIV and sexually transmitted infection testing treatment and prevention. Crisis response for substance use disorder and HIV is built directly into the primary care workflow rather than referred out so a patient who arrives in crisis at any entry point is treated as a priority same day. During the tax year the organization provided 767 patient visits to 383 unduplicated individuals of whom approximately 11% percent were uninsured or underinsured. Patient assistance and benefit enrollment support is offered at the point of care to connect patients to coverage the same day they receive treatment. During the year the organization expanded services to include additional clinicians expanded primary care and behavioral health services.
Operating model
- Revenue model
- Affiliate-supported. 71% of the money available for current operations came from contributions from related organizations.
- Distribution model
- Direct operator. The filing allocates 99% 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 expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 89
- Transparency & Controls: 94
- Accountability: 84
- Sustainability: 27
- Growth: 0
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 100%; rating input score 100
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 92.9%; rating input score 93; 25th percentile among comparable filings
- Pay-setting controls: Limited
- 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: 5 of 8 controls in place; rating input score 62
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- 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: -21.6%; rating input score 13; 13th percentile among comparable filings
- Total-asset coverage ratio: 0.55; rating input score 26; 26th percentile among comparable filings
- Liabilities to assets ratio: 0; rating input score 80; 80th percentile among comparable filings
- Officer compensation ratio: 5.6%; rating input score 32; 32nd percentile among comparable filings
Growth
- Program expense growth: -8.7% per year; rating input score 0; 12th percentile among comparable filings
- Revenue growth: -13% per year; rating input score 0; 4th percentile among comparable filings
- Asset growth: -9.8% per year; rating input score 0; 6th percentile among comparable filings
Details
- Where the money goes: 100% of revenue deployed · 100% of spending went to programs
- Governance: 5 of 5 board members independent · 5 of 8 filing controls reported
- Programs: 3 filed program accomplishments · $442K in reported program spending
- Leadership: top reported pay $25K · 6 people listed
- Consistency: 41 of 42 current checks pass · 1 finding to review
- Schedules: 4 filed schedules · includes major donors
- Filing history: 9 filing years from 2015 to 2024
- Contacts: How to reach this organization
- Money network: 1 filed money-flow record
- Related organizations: Filed and resolved organization relationships.
- 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.
- Review — Accountability: Governance controls: 2 of 7 not reported.
- High — Sustainability: Operating margin scored 13/100.
- High — Growth: Program expense growth scored 0/100.
- High — Growth: Revenue growth scored 0/100.
- High — Sustainability: Total-asset coverage ratio scored 26/100.
- High — Growth: Asset growth scored 0/100.
- Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.
- Moderate — Sustainability: Officer compensation ratio scored 32/100.