St James Health and Wellness Inc

Nonprofit profile at a glance

EIN
570722653
IRS 990 coverage
2010–2025
Forms available
Form 990 2025
Location
Mcclellanville, SC, USA
Phone
8438873274
Rating
73
Verdict
SUPPORTED
Rating confidence
Moderate

Reported finances

Revenue
$7,992,322
Expenses
$8,467,020
Assets
$6,400,792
Liabilities
$443,915

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

Leadership & pay

20 people listed

Executive titles in this filing

  • SANDRA GILLIARD (CHIEF EXECUTIVE OFFICER)

Highest reported compensation

  • MARY BAKER (PHYSICIAN): $198,709 total reported compensation
  • ALFRED DANIELS (PHYSICIAN): $196,178 total reported compensation
  • SANDRA GILLIARD (CHIEF EXECUTIVE OFFICER): $177,661 total reported compensation

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

Overview

Mission

The organization provides health care to individuals regardless of their ability to pay. This is a direct fulfillment of their tax exempt purpose.

What it reported doing in 2025

The organization provides health care regardless of individuals ability to pay. These medical services are provided in areas that have a shortage of health care providers. This is a direct fulfillment of their tax exempt purpose. Over 23,000 visits were provided during the year.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
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

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 64
  • Transparency & Controls: 74
  • Accountability: 95
  • Sustainability: 23
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 74.1%; rating input score 74
  • Program expense ratio: 69.8%; rating input score 70
  • Fundraising efficiency: Limited

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: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Fail
    • 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: -5.9%; rating input score 14; 14th percentile among comparable filings
  • Total-asset coverage ratio: 0.76; rating input score 25; 25th percentile among comparable filings
  • Liabilities to assets ratio: 0.07; rating input score 55; 55th percentile among comparable filings
  • Officer compensation ratio: 15.7%; rating input score 21; 21st percentile among comparable filings

Growth

  • Program expense growth: 7.7% per year; rating input score 100; 50th percentile among comparable filings
  • Revenue growth: 7.1% per year; rating input score 100; 52nd percentile among comparable filings
  • Asset growth: 7.9% per year; rating input score 100; 49th percentile among comparable filings

Details

  • Where the money goes: 74.1% of revenue deployed · 69.8% of spending went to programs
  • Governance: 11 of 11 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $5.9M in reported program spending
  • Leadership: top reported pay $199K · 20 people listed · 2 of 6 pay-setting controls reported
  • Highest-paid contractors: 4 contractors listed · $697K reported
  • Consistency: 30 of 30 current checks pass
  • Schedules: 5 filed schedules · includes major donors and executive pay
  • Filing history: 16 filing years from 2010 to 2025
  • Contacts: How to reach this organization
  • Money network: 9 filed money-flow records
  • 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.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Sustainability: Operating margin scored 14/100.
  • High — Sustainability: Total-asset coverage ratio scored 25/100.
  • Review — Accountability: Governance controls: Document-retention policy not reported.
  • High — Sustainability: Officer compensation ratio scored 21/100.
  • Review — Sustainability: Liabilities to assets ratio scored 55/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.