Florida · Nonprofit
SMA HEALTHCARE INC
SMA HEALTHCARE INC (Florida) receives grants from 15 organizations whose IRS filings report $278,312,897 to it, the largest being LUTHERAN SERVICES FLORIDA INC ($262,375,436). 12 of them have funded it in more than one year.
- Revenue FY2025
- $105M
- Funders on record
- 15
- Grants received
- $278M
- Net assets
- $73M
What Sma Healthcare Inc does
Mission
Sma healthcare improves lives through exceptional substance abuse, mental health and primary care services. Sma healthcare envisions a community where all individuals living with addiction and mental health needs, find hope, healing, and recovery.
As stated on its FY2025 Form 990.
Programs
Residential - sma provides residential, gender-specific programs for voluntary or involuntary individuals whose substance abuse/co-occurring disorders cannot be addressed in a less restrictive setting. Residential programs range from 4 weeks to 6 months in duration depending on the individualized needs of the client. Psychiatric evaluation and the management of psychotropic medications are provided in addition to therapeutic interaction. Project warm, a comprehensive substance abuse residential treatment program providing services for pregnant and postpartum women and their children age 5 and under, served 280 women during the fiscal year. A total of 6 drug-free babies were born at project warm during the same period.the reality house work release programs allow selected doc inmates to work at paid employment in the community during the last months of their confinement. Clients served in this program during the fiscal year totaled 357.the residential adolescent program (rap) serves substance dependent youth utilizing individual, group and family interventions. The program is staffed by licensed and certified clinical and nursing staff, case managers and youth specialists with…
$17,728,892 spent$1,922,905 earned by the program21% of program spendingCrisis stabilization: sma healthcare provides crisis stabilization services to individuals experiencing acute mental health and substance use crises. These services are designed to ensure immediate safety, reduce the need for inpatient hospitalization, and connect individuals to appropriate ongoing care. Crisis stabilization programs provide short term assessment, intervention, and support in a structured therapeutic setting, serving adults and youth. These services play a critical role in supporting community well being and continuity of care within the local behavioral health system. The marion and volusia county crisis stabilization unit and detoxification services operate as short term facilities for clients experiencing mental health and/or substance use crises, offering medication management appropriate to individual needs, individual and group counseling, and discharge planning to the next appropriate level of care.
$11,700,373 spent$3,625,912 earned by the program14% of program spendingOutpatient: sma healthcare provides a comprehensive range of outpatient services to support individuals with mental health and substance use treatment needs. Outpatient services include psychiatric evaluation and medication management, individual, group, and family counseling, case management, and evidence based therapeutic interventions. These services are designed to promote stability, recovery, and improved functioning while allowing individuals to remain engaged in their families, work, and communities. Sma's outpatient programs support continuity of care by serving as step down treatment following higher levels of care and as ongoing support for long term recovery.
$10,346,597 spent$862,293 earned by the program12% of program spendingThe organizations other program services include: assessment, crisis support, crisis stabilization, intervention, outpatient, fact team, case management teams, residential level 1, residential detox, prevention, supported employment, sheltered workshop, overlay, drop in center, primary care (a recognized look-alike, federally qualified health center).
$29,390,728 spentof which $23,361 as grants$14,188,345 earned by the program34% of program spendingMedication management services - the physician services medication outpatient program has clinics operating in volusia, flagler, putnam, st johns and marion counties and provide medical and clinical support services to individuals with severe and persistent mental illness and co-occurring disorders. Teams comprised of advanced registered nurse practitioners, nurses, therapists, case managers and life skills coaches provide psychiatric evaluations, treatment planning, medication management, nursing services, therapy and targeted case management. During the fiscal year medical outpatient services were provided to 10,614 clients.
$10,124,236 spent$2,340,826 earned by the program12% of program spendingPharmacy - sma's pharmacy filled 51,346 prescriptions during the fiscal year. Prescriptions are dispensed for the agency's inpatient and residential units as well as to our outpatient clients.
$6,962,257 spent$7,147,700 earned by the program8% of program spending
The 6 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $86,253,083.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2021 to 2022, from $42M to $68M (+62%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2017 70% · 2018 68% · 2019 70% · 2020 71% · 2021 71% · 2022 55% · 2023 68% · 2024 65% · 2025 69%. Grants only. Government contracts and fees sit inside program revenue.
71% of SMA HEALTHCARE INC’s revenue is contributions — more reliant on donations than three-quarters of its peers (1% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 9 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Ivan Cosimi
CEO
Board chair
Salman Ahmed
Chairman
As listed on its FY2025 Form 990.
Who funds it, year by year
2017 → 2023: the base broadened from 7 funders to 8 funders, grant income rose $26M → $41M.
2 of 15 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 0% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
Left out of every figure on this page: $6.9M from 4 payers (the payer shares this organization's board, largest Sma Healthcare Foundation Inc). These are real filings, and they are not money SMA HEALTHCARE INC raised.
From the IRS filings of SMA HEALTHCARE INC’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
SMA HEALTHCARE INC leans on a few funders — its largest provides 94% of grant income and the top three 99%; half comes from just 1 funder.
the vertical line marks half of all grant income — 1 funder to its left
100% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund SMA HEALTHCARE INC.
Largest funder’s share by year: 2017 88% · 2018 90% · 2019 94% · 2020 95% · 2021 95% · 2022 96% · 2023 96% — growing more concentrated.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How long its funders stay
67% of SMA HEALTHCARE INC's funders are still giving 3 years after their first grant; 80% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
100% of SMA HEALTHCARE INC's grant income comes from Florida funders.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $201k arriving through sponsors registered in 2 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
SMA HEALTHCARE INC holds deeper cash reserves than three-quarters of the 1,241 health nonprofits its size.
this organization peer median middle 50% of peers· 1,241 health nonprofits over $100M, FY2025
Government funding SMA HEALTHCARE INC receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $34.5M on record — $30.7M federal, $3.7M state.
- Department of Health and Human Services$20.6M
- Department of Veterans Affairs$10.0M
- Department of Defense$113k
- FL$3.7M
- DE$15
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like SMA HEALTHCARE INC
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In Florida
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
90% of spending goes to programs.
Governance
Public support
99%
Share of support from the public (Schedule A) — the basis for its public-charity status.
Footprint & structure
Part of a family of 1 related entity
- Sma Healthcare Foundation Inc · exempt
Screen this organization
A dated, signed PDF of the compliance screen for SMA HEALTHCARE INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds SMA HEALTHCARE INC?
- SMA HEALTHCARE INC (Florida) receives grants from 15 organizations whose IRS filings report $278,312,897 to it, the largest being LUTHERAN SERVICES FLORIDA INC ($262,375,436). 12 of them have funded it in more than one year.
- How many funders does SMA HEALTHCARE INC have?
- IRS filings report 15 organizations giving $278,312,897 in grants to SMA HEALTHCARE INC, 12 of which have funded it in more than one year.
- Who is the largest funder of SMA HEALTHCARE INC?
- LUTHERAN SERVICES FLORIDA INC is the largest funder on record, with $262,375,436 in grants. The full list of funders is on this page.
- How can an organization like SMA HEALTHCARE INC find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in Florida. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 15 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing