The Institute for Functional Medicine

Nonprofit profile at a glance

EIN
912107518
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
Federal Way, WA, USA
Phone
2536613020
Rating
82
Verdict
STRONG
Rating confidence
Moderate
Sector
Professional Societies, Associations

Official website

Reported finances

Revenue
$18,114,740
Expenses
$18,147,620
Assets
$10,921,730
Liabilities
$3,410,239

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

17 people listed

Executive titles in this filing

  • AMY MACK (CHIEF EXECUTIVE OFFICER)

Highest reported compensation

  • AMY MACK (CHIEF EXECUTIVE OFFICER): $324,334 total reported compensation
  • STEPHANIE SHARKEY (CHEIF OPERATING OFFICER): $241,045 total reported compensation
  • KAREN KINSELLA-OBREITAN (CHIEF PEOPLE OFFICER): $205,557 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To serve the highest expression of individual health through widespread adoption of functional medicine as the standard of care. Functional medicine is patient-centered health care that addresses the unique interactions among genetic, environmental and lifestyle factors influencing both health and complex chronic disease. Our innovative and visionary leadership model for personalized patient care, and commitment to quality drive our success.

What it reported doing in 2024

Provide education programs to medical practitioners in applying the principles and processes of functional medicine to enhance patient outcomes. Courses are taught using a combination of lectures, small group case studies in classroom settings and on-line. Education programs include an annual international conference, an online cohort teaching the application of functional medicine in clinical practice (afmcp), several courses in advance clinical training of functional medicine and several online courses and tutorials. Continuing medical education (cme) is offered for courses within the us. Licensed clinicians may complete rigorous studies and testing to achieve certification in functional medicine

Operating model

Revenue model
Other-operating. 93% of the money available for current operations came from other operating revenue.
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.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 91
  • Transparency & Controls: 70
  • Accountability: 89
  • Sustainability: 28
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 95.5%; rating input score 95
  • Program expense ratio: 95.2%; rating input score 95
  • Fundraising efficiency: $18.77 raised per $1 spent on fundraising; rating input score 55; 55th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • 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: 88.9%; rating input score 89; 21st 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: -0.2%; rating input score 30; 30th percentile among comparable filings
  • Total-asset coverage ratio: 0.6; rating input score 20; 20th percentile among comparable filings
  • Liabilities to assets ratio: 0.31; rating input score 45; 45th percentile among comparable filings
  • Officer compensation ratio: 10.4%; rating input score 19; 19th percentile among comparable filings

Growth

  • Program expense growth: 9.6% per year; rating input score 100; 69th percentile among comparable filings
  • Revenue growth: 10% per year; rating input score 100; 74th percentile among comparable filings
  • Asset growth: 11.3% per year; rating input score 100; 70th percentile among comparable filings

Details

  • Where the money goes: 95.5% of revenue deployed · 95.2% of spending went to programs
  • Governance: 8 of 9 board members independent · 8 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $17.3M in reported program spending
  • Leadership: top reported pay $324K · 17 people listed · 1 of 6 pay-setting controls reported
  • Highest-paid contractors: 1 contractor listed · $242K reported
  • Consistency: 44 of 44 current checks pass
  • Schedules: 5 filed schedules · includes major donors and executive pay
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 9 filed money-flow records
  • 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 — Financial Efficiency: Fundraising efficiency scored 55/100.
  • Moderate — Sustainability: Operating margin scored 30/100.
  • High — Sustainability: Total-asset coverage ratio scored 20/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • High — Sustainability: Officer compensation ratio scored 19/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 45/100.