United States of Care Action

Nonprofit profile at a glance

EIN
861861283
IRS 990 coverage
2022–2025
Forms available
Form 990 2025, Form 990-N 2021
Location
Arlington, VA, USA
Phone
7039636633
Rating
75
Verdict
SUPPORTED
Rating confidence
Moderate

Reported finances

Revenue
$1,778,388
Expenses
$1,642,366
Assets
$374,292
Liabilities
$187,662

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

Leadership & pay

9 people listed

Executive titles in this filing

  • NATALIE DAVIS (CHIEF EXECUTIVE OFFICER/CHAIR)

Highest reported compensation

  • NATALIE DAVIS (CHIEF EXECUTIVE OFFICER/CHAIR): $430,351 total reported compensation
  • KRISTIN WIKELIUS (CHIEF PROGRAM OFFICER): $283,458 total reported compensation
  • LEIGH WARREN (CHIEF OPERATING OFFICER/TREASURER): $283,115 total reported compensation

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

Overview

Mission

Enacting solutions into law to ensure that everyone has access to quality, affordable health care regardless of health status, social need, or income.

What it reported doing in 2025

United states of care action works to support efforts to make health care more affordable and accessible. In 2025, usofcare action supported efforts in multiple states, providing technical and strategic assistance to partners to advance these priorities. We continued to convene advocacy partners, hosting four virtual and one in-person gatherings to facilitate learning, resource sharing, and the application of effective strategies across different state contexts. Additionally, usofcare action has successfully supported cross-state collaboration and coordination on the implementation of a total cost of care payment reform model, engaging state advocacy and agency stakeholders, national organizations providing technical assistance, and relevant federal agency officials, to facilitate information sharing and build stakeholder alignment.

Operating model

Revenue model
Donor-supported. 68% of the money available for current operations came from contributions and gifts.
Distribution model
Direct operator. The filing allocates 95% 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. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 90
  • Transparency & Controls: 71
  • Accountability: 57
  • Sustainability: 30
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 87.9%; rating input score 88
  • Program expense ratio: 95.2%; rating input score 95
  • Fundraising efficiency: $92.23 raised per $1 spent on fundraising; rating input score 84; 84th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 78th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 66.7%; rating input score 67; 17th percentile among comparable filings
  • Governance controls: 4 of 9 controls in place; rating input score 44
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Fail
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 7.6%; rating input score 51; 51st percentile among comparable filings
  • Total-asset coverage ratio: 0.23; rating input score 12; 12th percentile among comparable filings
  • Liabilities to assets ratio: 0.5; rating input score 12; 12th percentile among comparable filings
  • Officer compensation ratio: 28.7%; rating input score 8; 8th percentile among comparable filings

Growth

  • Program expense growth: 55.5% per year; rating input score 100; 96th percentile among comparable filings
  • Revenue growth: 43.2% per year; rating input score 100; 95th percentile among comparable filings
  • Asset growth: 4.9% per year; rating input score 100; 35th percentile among comparable filings

Details

  • Where the money goes: 87.9% of revenue deployed · 95.2% of spending went to programs
  • Governance: 2 of 3 board members independent · 4 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $1.6M in reported program spending
  • Leadership: top reported pay $430K · 9 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 25 of 25 current checks pass
  • Schedules: 6 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 4 filing years from 2022 to 2025
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: 2 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.

Key Signals

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

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Moderate — Accountability: Governance controls: 5 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 12/100.
  • Review — Sustainability: Operating margin scored 51/100.
  • High — Sustainability: Officer compensation ratio scored 8/100.
  • High — Sustainability: Liabilities to assets ratio scored 12/100.