United Health Centers of the San Joaquin

Nonprofit profile at a glance

EIN
941732538
IRS 990 coverage
2010–2025
Forms available
Form 990 2025
Location
Fresno, CA, USA
Phone
5596466618
Rating
79
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Ambulatory Health Center, Community Clinic

Official website

Reported finances

Revenue
$291,404,276
Expenses
$259,470,329
Assets
$457,950,441
Liabilities
$213,948,670

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

Leadership & pay

22 people listed

Executive titles in this filing

  • JUSTIN PREAS (CEO)

Highest reported compensation

  • JUSTIN PREAS (CEO): $993,736 total reported compensation
  • DR MABODAWILAGE HEMATILAKE (INTERNAL MEDICINE PROGRAM DIRECTOR): $583,664 total reported compensation
  • STEVEN CONNELL (PHYSICIAN ASSISTANT CERTIFIED): $576,499 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 is committed to the lifetime wellness of the communities by providing accessible, comprehensive quality health care to everyone with compassion and respect, regardless of ability to pay.

What it reported doing in 2025

Uhc primary/specialty care, pharmacy, 340b program: united health centers of the san joaquin valley (uhc) is licensed as a federally qualified health center (fqhc) and provides patient care at several outpatient centers in the central san joaquin valley in California. Uhc provides medical, dental, optometry, and other supportive health services to a largely medically underserved population. In addition, the 340b pharmacy program, administered by the health resources and services administration (hrsa), provides low cost prescription drugs to eligible unisured and low income patients. In 2025, uhc serviced 195,622 patients, incurring 1,138,510 visits.

Operating model

Revenue model
Other-operating. 90% 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.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing does not identify recipients for some grant dollars and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 73
  • Transparency & Controls: 79
  • Accountability: 91
  • Sustainability: 59
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 78.3%; rating input score 78
  • Program expense ratio: 87.6%; rating input score 88
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.8%; rating input score 94; 21st percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Missing
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 49.6%; rating input score 50; 13th 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; 65th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 11%; rating input score 71; 71st percentile among comparable filings
  • Total-asset coverage ratio: 1.76; rating input score 44; 44th percentile among comparable filings
  • Liabilities to assets ratio: 0.47; rating input score 43; 43rd percentile among comparable filings
  • Officer compensation ratio: 1.9%; rating input score 63; 63rd percentile among comparable filings

Growth

  • Program expense growth: 18% per year; rating input score 100; 89th percentile among comparable filings
  • Revenue growth: 14.3% per year; rating input score 100; 86th percentile among comparable filings
  • Asset growth: 16.8% per year; rating input score 100; 89th percentile among comparable filings

Details

  • Where the money goes: 78.3% of revenue deployed · 87.6% of spending went to programs
  • Governance: 13 of 13 board members independent · 7 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $227.3M in reported program spending
  • Leadership: top reported pay $994K · 22 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $12.1M reported
  • Consistency: 36 of 37 current checks pass · 1 finding to review
  • Schedules: 9 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 16 filing years from 2010 to 2025
  • Contacts: How to reach this organization
  • Money network: 23 filed money-flow records
  • Related organizations: 5 filed related-organization links
  • 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.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Transparency & Controls: Grant itemization coverage scored 50/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • Moderate — Sustainability: Total-asset coverage ratio scored 44/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Moderate — Sustainability: Liabilities to assets ratio scored 43/100.