The Health Trust

What it reported doing in 2024

Grant making: as a funder, the health trust invests in community-based organizations and public agencies advancing health equity and systems-level change.annually, the health trust commits to invest over $2.3 million through its endowment, which provides a direct benefit to residents of santa clara and northern san benito counties. These restricted dollars are awarded through health partnership grants, where the health trust invests in organizations, programs, and projects that seek to address health inequality, prioritizing deeply impacted communities. The health trust focuses on key drivers of health, like (continued on schedule o) food and nutrition, chronic disease prevention and management, housing support, and other approaches to building health equity.the health trust's philanthropic investments are guided by a regional health-equity framework that seeks to align government, philanthropy, and the community around shared priorities. Funding approaches include multi-year health partnership grants, community grants, and rapid response grants that collectively strengthen the capacity of local organizations to drive measurable and lasting impact.during the year ended june 30, 2025, the health trust awarded $3.65 million, partnering with 77 nonprofit and public-sector organizations through grants, convenings, and collaborative initiatives. Grantmaking supported a range of strategies from rapid-response efforts addressing urgent community needs to long-term investments in food-system transformation, housing stability, and policy advocacy that tackles structural inequities.in an effort to deepen its impact, the health trust remains dedicated to collaboratively funding initiatives with like-minded partners. It successfully co-funded four projects, contributing $747,000 from its restricted fund and leveraging an additional $700,000 from other funding sources, resulting in a total investment of $1,447,000 in its community.

Financial Efficiency

• Mission deployment rate: 75.7%; rating input score 76
• Program expense ratio: 69.8%; rating input score 70
• Fundraising efficiency: $5.05 raised per $1 spent on fundraising; rating input score 20; 20th percentile among comparable filings

Transparency & Controls

• Consistency checks: 94.7%; rating input score 95; 24th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Missing
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: 97.3%; rating input score 97; 27th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 100%; rating input score 100; 66th 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: 39.7%; rating input score 91; 91st percentile among comparable filings
• Total-asset coverage ratio: 13.73; rating input score 93; 93rd percentile among comparable filings
• Liabilities to assets ratio: 0.02; rating input score 90; 90th percentile among comparable filings
• Officer compensation ratio: 16.3%; rating input score 7; 7th percentile among comparable filings

Growth

• Program expense growth: -0.6% per year; rating input score 0; 9th percentile among comparable filings
• Revenue growth: 3.3% per year; rating input score 100; 28th percentile among comparable filings
• Asset growth: 1.1% per year; rating input score 100; 14th percentile among comparable filings