Civic Intelligence

San Antonio Medical Foundation

EIN 74-1366280 • 501(c)3 • San Antonio, TX

Profile

The mission of the san antonio medical foundation is to improve health care, advance biomedical science, and enhance community well-being by providing leadership & active stewardship of our land and other assets.

PO Box 29736San Antonio, TX 78229

samedfoundation.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

30th percentile

0.03x

Higher debt load relative to assets than 30% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Liabilities / Revenue

49th percentile

0.15x

Higher debt load relative to revenue than 49% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Net Margin

73rd percentile

20%

Higher net margin than 73% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Top Officer Pay

87th percentile

$290,640

Higher top officer pay than 87% of similar nonprofits.

Top officer pay equals 15.1% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Asset Growth

59th percentile

7.0%

Faster asset growth than 59% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Revenue Growth

47th percentile

5.5%

Faster revenue growth than 47% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets30th percentile

Assets

Up

$8,856,851

Up $278,699 (+3.2%) from 2023

Liabilities

Down

$53,891

Down $58,466 (-52%) from 2023

Net Assets

Up

$8,802,960

Up $337,165 (+4.0%) from 2023

Operations
Liabilities / Revenue49th percentileNet Margin73rd percentile

Revenue

Up

$1,829,452

Up $248,874 (+16%) from 2023

Expenses

Down

$1,492,287

Down $172,592 (-10%) from 2023

Net Income

Up

$337,165

Up $421,466 (+500%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth59th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2011: $14,494,231Liabilities 2011: $9,688Net Assets 2011: $14,484,5432011Assets 2012: $15,354,332Liabilities 2012: $30,038Net Assets 2012: $15,324,2942012Assets 2013: $16,129,227Liabilities 2013: $19,490Net Assets 2013: $16,109,7372013Assets 2014: $16,701,690Liabilities 2014: $288,317Net Assets 2014: $16,413,3732014Assets 2015: $16,828,313Liabilities 2015: $77,161Net Assets 2015: $16,751,1522015Assets 2016: $17,231,947Liabilities 2016: $204,053Net Assets 2016: $17,027,8942016Assets 2017: $23,449,052Liabilities 2017: $73,009Net Assets 2017: $23,376,0432017Assets 2018: $8,720,260Liabilities 2018: $13,837Net Assets 2018: $8,706,4232018Assets 2019: $8,350,520Liabilities 2019: $22,265Net Assets 2019: $8,328,2552019Assets 2020: $8,415,822Liabilities 2020: $115,435Net Assets 2020: $8,300,3872020Assets 2021: $8,485,166Liabilities 2021: $115,333Net Assets 2021: $8,369,8332021Assets 2022: $8,554,019Liabilities 2022: $3,923Net Assets 2022: $8,550,0962022Assets 2023: $8,578,152Liabilities 2023: $112,357Net Assets 2023: $8,465,7952023Assets 2024: $8,856,851Liabilities 2024: $53,891Net Assets 2024: $8,802,9602024

Highlighted filing

2024

Assets$8,856,851
Liabilities$53,891
Net Assets$8,802,960
Open 2024 Filing

Operations Trend

Revenue Growth47th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$20M$10M$0-$10M-$20MExpenses 2011: $1,149,7282011Expenses 2012: $1,682,6272012Revenue 2013: $1,398,992Expenses 2013: $1,160,530Net Income 2013: $238,4622013Revenue 2014: $1,607,286Expenses 2014: $1,343,411Net Income 2014: $263,8752014Revenue 2015: $1,552,924Expenses 2015: $845,755Net Income 2015: $707,1692015Revenue 2016: $2,025,564Expenses 2016: $1,539,334Net Income 2016: $486,2302016Revenue 2017: $12,998,796Expenses 2017: $7,836,949Net Income 2017: $5,161,8472017Revenue 2018: $1,053,849Expenses 2018: $982,288Net Income 2018: $71,5612018Revenue 2019: $1,163,072Expenses 2019: $11,429,756Net Income 2019: -$10,266,6842019Revenue 2020: $1,134,166Expenses 2020: $8,589,719Net Income 2020: -$7,455,5532020Revenue 2021: $1,195,087Expenses 2021: $1,125,641Net Income 2021: $69,4462021Revenue 2022: $1,417,792Expenses 2022: $1,237,529Net Income 2022: $180,2632022Revenue 2023: $1,580,578Expenses 2023: $1,664,879Net Income 2023: -$84,3012023Revenue 2024: $1,829,452Expenses 2024: $1,492,287Net Income 2024: $337,1652024

Highlighted filing

2024

Revenue$1,829,452
Expenses$1,492,287
Net Income$337,165
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$8,856,851
Liabilities
$53,891
Net assets
$8,802,960
Revenue
$1,829,452
Expenses
$1,492,287
Net income
$337,165
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$8.86$0.05$8.80$1.83$1.49$0.34
2023Detailed filing. Detailed filing data is available for this year.$8.58$0.11$8.47$1.58$1.66$0.08
2022Detailed filing. Detailed filing data is available for this year.$8.55$0.00$8.55$1.42$1.24$0.18
2021Detailed filing. Detailed filing data is available for this year.$8.49$0.12$8.37$1.20$1.13$0.07
2020Detailed filing. Detailed filing data is available for this year.$8.42$0.12$8.30$1.13$8.59$7.46
2019Detailed filing. Detailed filing data is available for this year.$8.35$0.02$8.33$1.16$11.4$10.3
2018Detailed filing. Detailed filing data is available for this year.$8.72$0.01$8.71$1.05$0.98$0.07
2017Detailed filing. Detailed filing data is available for this year.$23.4$0.07$23.4$13.0$7.84$5.16
2016Detailed filing. Detailed filing data is available for this year.$17.2$0.20$17.0$2.03$1.54$0.49
2015Detailed filing. Detailed filing data is available for this year.$16.8$0.08$16.8$1.55$0.85$0.71
2014Detailed filing. Detailed filing data is available for this year.$16.7$0.29$16.4$1.61$1.34$0.26
2013Detailed filing. Detailed filing data is available for this year.$16.1$0.02$16.1$1.40$1.16$0.24
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.4$0.03$15.3$1.68
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.5$0.01$14.5$1.15
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jun 4, 2025
Return Version
2024v5.1
Gross Receipts
$1,981,984
Mission and Program Overview

Mission

The mission of the san antonio medical foundation is to improvehealth care, advance biomedical science, and enhance communitywell-being by providing leadership & active stewardship of our landand other assets.

The mission of the san antonio medical foundation is to improve health care, advance biomedical science, and provide leadership & active stewardship of our land and other assets.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$7,935,329$8,203,383▲ $268,054
Cash and Non-Interest-Bearing Accounts$588,678$416,963▼ $171,715
Accounts Receivable$4,105$229,388▲ $225,283
Prepaid Expenses and Deferred Charges$50,040$0▼ $50,040
Total Assets$8,578,152$8,856,851▲ $278,699
Other Assets Total$0$7,117▲ $7,117
Liabilities
Accounts Payable and Accrued Expenses$100,194$41,250▼ $58,944
Deferred Revenue$12,163$12,641▲ $478
Total Liabilities$112,357$53,891▼ $58,466
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$8,465,795$8,802,960▲ $337,165
Total Net Assets Fund Balance$8,465,795$8,802,960▲ $337,165
Total Liabilities and Net Assets / Fund Balance$8,578,152$8,856,851▲ $278,699

Asset Categories

AssetBook ValueDepreciationBasis
Land$6,429,383-$6,429,383
Buildings$1,774,000$500,482$2,274,482
Other Land Buildings$0$63,196$63,196
Compensation and Service Providers
Top Officer Pay87th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Richard PerezPresidentFT$200,000$46,208$246,208
James R ReedFormer PresidentFT$67,380-$67,380

Board Members and Trustees

NameTitle
Byron Hepburn MdChair
Gabriele Niederauer PhdChair-elect
Stephanie ChandlerPast Chair
Alan GretzingerDirector
Bob ShemwellDirector
Brenda Vickrey JohnsonDirector
Brigitta GlickDirector
Chris CarmonaDirector
Christopher TalleyDirector
Connie GilbertDirector
Elizabeth CrawfordDirector
George Peoples MdDirector
George WommackDirector
Gurpaul SinghDirector
Harry Schwethelm JrDirector
Jelyne Leblanc JamisonDirector
Joe MckinneyDirector
John Hinchey MdDirector
John KeetonDirector
Leticia MondDirector
Lyssa Ochoa MdDirector
Madeline SlayDirector
Marcel JohnsonDirector
Mark CarvajalDirector
Mary StephensonDirector
Merdith HowardDirector
Michael L KreagerDirector
Philip PfeifferDirector
Phyllis GallayDirector
Pj PfeifferDirector
Rob KillenDirector
Steven Davis MdDirector
Susan McgeeDirector
Warren Branch DdsDirector
Ed RiceFormer Director
Lisa CruzFormer Director
Mario BarreraSecretary
Denise GreenTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Pesado ConstructionConstruction Of Retention Pond K-104848 SINCLAIR RD, San Antonio, TX 78222$330,443
Revenue and Support

Revenue Composition

Contributions and Grants
$60,725
Program Service Revenue
$0
Investment Income
$-7,124
Other Revenue
$1,775,851
All Other Contributions
$60,725
Change in Net Assets
$337,165

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,829,452
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$1,830,209
Total Revenue per Audited Statements
$3,659,661
Total Revenue per Form 990
$1,829,452
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$705,345
Salaries, Compensation, and Employee Benefits$478,054
Other Expenses$308,888
Total Fundraising Expense$42,266
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$705,345--$705,345
Current Officers, Directors, Trustees, and Key Employees$235,190$62,718$15,680$313,588
Other Salaries and Wages$93,819$25,018$6,255$125,092
Advertising$68,462-$17,115$85,577
Fees for Services Legal$24,959$24,959-$49,918
Payroll Taxes$21,093$5,625$1,406$28,124
Depreciation Depletion$18,699$4,986$1,247$24,932
Insurance$12,849$5,507-$18,356
Pension Plan Contributions$8,437$2,250$563$11,250
Other Expenses$2,899$0$0$2,899
Total Functional Expenses$1,252,848$197,173$42,266$1,492,287

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$3,171,151
Expenses Not Reported on Form 990$1,830,209
Total Expenses per Form 990$1,492,287
Expenses per Audited Statements$1,340,942
Expenses Not Reported on Financial Statements$151,345
Other Expense Adjustments$151,345
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Clarity Child Guidance CenterSan Antonio, TX-Infastructure$100,000
Hope Lodge (american Cancer Society)San Antonio, TX-Infastructure$100,000
Medical Center AllianceSan Antonio, TX-To Enhance the South Texas Medical Center$100,000
KlrnSan Antonio, TX-Klrn Healthy Kids$75,000
Ut Health San AntonioSan Antonio, TX-Wellnness 360$50,000
Ut Health San AntonioSan Antonio, TX-Veteran and Caregiver Health Partnership$40,000
Respite Care of San Antonio IncorporatedSan Antonio, TX-Respite Care$29,250
Thrivewell Cancer FoundationSan Antonio, TX-Thrivewell Cancer Foundation$29,250
Slew Cancer Wellness CenterSan Antonio, TX-Slew Cancer Wellness Center$26,500
Slew Cancer Wellness CenterSan Antonio, TX-Slew Cancer Wellness Center$4,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$49,759
Fundraising Gross Income$11,900
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“The form 990 is given to the entire board electronically for their review prior to filing.”

Form 990, Part VI, Section B, Line 12C

“Board members are required to sign a statement annually to comply with the conflict of interest policy. If any conflicts arise, they must be disclosed fully and documented in the minutes. The policy is administered and enforced by the executive committee of the board of trustees. The executive committee will review apparent violations of the policy and if a violation is determined to have occurred, the results and conclusions are referred to the board of trustees.”

Form 990, Part VI, Section B, Line 15A

“The organization's compensation of the president is subject to the review of a compensation committee and is based in part on a compensation survey/study. The last compensation review was performed november 2017.”

Form 990, Part VI, Section C, Line 19

“The governing documents, conflict of interest policy, financial statements, and form 990 are available upon request. The annual report is also available on the organization's website, www.samedfoundation.org.”

Filing and Contact Details

Filer

Filer Name
San Antonio Medical Foundation
EIN
74-1366280
Phone
2106143724
Address
PO BOX 29736, SAN ANTONIO, TX 78229

Signing Officer

Name
Richard Perez
Title
President
Phone
2106143724
Signed
2025-06-04
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Richard Perez
Formed
1947
Legal Domicile
TX
Voting Board Members
38
Independent Board Members
38
Employees
5
Volunteers
102

Preparer

Firm
Adkf Pc
Address
9601 MCALLISTER FREEWAY SUITE 800, SAN ANTONIO, TX 78216
Preparer
Joseph a Hernandez
Phone
2108291300
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

“The foundation is a not-for-profit, section 501(c) (3) organization. The foundation accounts for uncertain tax positions, when applicable, through the provisions of asc 740-10-25. Under asc 740-10-25, an organization must recognize the tax benefit associated with tax positions taken for tax return purposes when it is more-likely-than-not that the position will be sustained. At december 31, 2024 and 2023, no uncertain tax positions have been identified. Federal tax returns for the last four years remain subject to examination. If applicable, interest and penalties related to uncertain tax positions will be recognized in income tax expense. For the years ended december 31, 2024 and 2023, the foundation did not recognize any related interest or penalties.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Special event netted with revenue 37,859. Rental expenses netted with revenue 90,298.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Special event netted with revenue 37,859. Rental expenses netted with revenue 90,298.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Transfers to samf fund 151,345.”

Raw XML AppendixShowing 400 of 837 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0THE MISSION OF THE SAN ANTONIO MEDICAL FOUNDATION IS TO IMPROVE HEALTH CARE, ADVANCE BIOMEDICAL SCIENCE, AND PROVIDE LEADERSHIP & ACTIVE STEWARDSHIP OF OUR LAND AND OTHER ASSETS.
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IRS990/Desc0THE FOUNDATION PROMOTES AND PROVIDES ASSISTANCE IN THE ESTABLISHMENT, SUPPORT, AND MAINTENANCE OF NOT-FOR-PROFIT HEALTH CARE FACILITIES. IT ALSO PROMOTES AND PROVIDES ASSISTANCE IN HEALTH CARE EDUCATION. ORGANIZATIONS THAT MEET THE ABOVE CRITERIA MAY SUBMIT A LETTER OF INTENT TO THE LAND USE COMMITTEE, WHO RECOMMENDS THE ORGANIZATION TO THE BOARD OF TRUSTEES. THE BOARD OF THE TRUSTEES GRANTS APPROVAL FOR ALL QUALIFIED LAND REQUESTS AND OTHER PROGRAM SERVICE DISBURSEMENTS. DURING 2024, THE ESTIMATED VALUE OF DONATED LEASES FOR MEDICAL ORGANIZATIONS WAS $3,079,458. IN AN EFFORT TO PROMOTE HEALTH AND WELLNESS, A WALKING/JOGGING TRAIL IS AVAILABLE FOR USE BY THE GENERAL PUBLIC. THE HEALTHY KIDS PROJECT IS FOCUSED ON GRADES K-2 BELIEVING THAT IF YOU TEACH THE CHILD EARLY IN LIFE, YOU MAY AFFECT NOT ONLY THE CHILD, BUT THE CHILD'S FAMILY AS WELL. THE PROJECT WAS PRODUCED IN CONJUNCTION WITH KLRN (PUBLIC TELEVISION). THE PROGRAM CONSISTS OF: 1) INTERSTITIALS BETWEEN CHILDREN'S EDUCATIONAL PROGRAMS ON KLRN (THINK COMMERCIALS ON REGULAR TELEVISION), 2) DOWNLOADABLE LESSON PLANS ON THE KLRN WEBSITE FOR USE IN CLASSROOMS, AND 3) DVDS FOR THE CLASSROOM AND HOME LOAN. LESSONS INCLUDE SHORT VIDEOS, SONGS AND CHANTS THAT THE STUDENTS CAN LEARN QUICKLY AND EASILY TO HELP THEM REMEMBER SUCH THINGS AS "DRINK WATER AND ARE AVAILABLE IN BOTH ENGLISH AND SPANISH. INPUT FROM LOCAL EDUCATORS, DIETICIANS AND PHYSICIANS WAS CRITICAL IN DEVELOPING THE CURRICULUM FOR THIS PROJECT. THE PROJECT HAS BEEN DISTRIBUTED AND PROMOTED IN SCHOOL DISTRICTS THROUGHOUT THE LOCAL COMMUNITY. THE LOCAL CHAPTER OF THE UNITED WAY IS ALSO USING IT IN SEVERAL INITIATIVES WITH CHILDREN AND ALSO PARENT GROUPS. THE LESSON PLANS NOT ONLY MEET THE TEXAS EDUCATIONAL CRITERIA BUT HAS ALSO BEEN MODIFIED TO MEET NATIONAL EDUCATIONAL STANDARDS AS WELL. IT HAS BEEN PLACED ON PBS LEARNING MEDIA. THE HEALTHY KIDS PROJECT IS FREE TO EVERYONE. THE SAN ANTONIO MOBILE MENTAL WELLNESS COLLABORATIVE IS THE FIRST OF ITS KIND IN THE NATION. THE COLLABORATIVE IS MADE UP OF SEVERAL NONPROFIT ORGANIZATIONS WHO MAKE IT THEIR MISSION TO BRING THE MUCH-NEEDED MENTAL HEALTH SERVICES OUT OF THE AGENCY AND INTO THE PUBLIC SCHOOL SETTING. IT IS AN UPSTREAM COLLABORATIVE FOCUSING ON PREVENTION SO THAT PUBLIC SCHOOLS DO NOT HAVE TO CONCENTRATE FULLY ON INTERVENTION. IN ORDER FOR THE COLLABORATIVE TO ENSURE THE PARTNERSHIP IS SUCCESSFUL AND CONTINUE TO EXPAND AND REACH MORE CHILDREN AND THEIR FAMILIES, IT NEEDED AN EXECUTIVE DIRECTOR. THE FOUNDATION PROVIDED FUNDS FOR AN EXECUTIVE DIRECTOR'S SALARY AND MAY PROVIDE ADDITIONAL FUNDS BASED ON GROWTH AND EXPANSION IN FUTURE YEARS.
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