Realoptions
Public records show a registered, tax-exempt organization in good standing.
What it says it does
OUR PURPOSE IS TO PROVIDE COMPASSIONATE, HIGH-QUALITY LIFE AFFIRMING HOLISTIC HEALTH CARE, EDUCATION, AND REPRODUTIVE LOSS HEALING TO WOMEN, MEN, STUDENTS, AND FAMILIES.
- Income
- $4.6 million
- Spending
- $4.7 million
- Spent on programs
- 85%
- Reserves
- 1.6 months of spending
- Largest source of income
- donations and private grants, 77%
- Employees
- 51
- Volunteers
- 400
- Highest pay
- $167,749, chief executive officer (as of 7/1)
Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Fair: 58 out of 100. Higher than 30% of charities in its peer group (health care, $1m to $10m).
Reserves
10 of 35Spendable reserves would cover 1.6 months of spending.
Debt
10 of 20It owes 49% of what it owns.
Living within its means
8 of 15Spending exceeded income by 3% of income.
Income trend
15 of 15Income rose 14% on the year before.
Spending floor
15 of 1585% of spending went to programs and raising each dollar of donations cost 10 cents.
Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 67% of charities in its peer group (health care, $1m to $10m).
Independent board
25 of 2510 of 13 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $4.0 million spent. REALOPTIONS (ORGANIZATION) IS A CALIFORNIA NON-PROFIT CORPORATION, INCORPORATED IN 1981 IN THE STATE OF CALIFORNIA. THE ORGANIZATION PROVIDES COMPASSIONATE, COMPREHENSIVE, HIGH QUALITY HOLISTIC HEALTHCARE, SUPPORT SERVICES, OPTIMAL HEALTH EDUCATION, AND PREGNANCY LOSS HEALING TO WOMEN, MEN, STUDENTS, AND FAMILIES. THE ORGANIZATION HAS FOUR LICENSED MEDICAL CLINIC LOCATIONS SERVING ALAMEDA, AND SANTA CLARA COUNTIES DEVOTED TO CARING FOR PATIENTS PHYSICALLY, EMOTIONALLY, AND SPIRITUALLY. THE ORGANIZATION OFFERS A BROAD SPECTRUM OF PREVENTION, INTERVENTION, AND RESTORATIVE SERVICES TO THE COMMUNITY, POSITIVELY IMPACTING THOUSANDS OF STUDENTS AND FAMILIES EACH YEAR. THE ORGANIZATION HAS A HOLISTIC APPROACH TO HEALTH CARE AND IS COMMITTED TO MEETING THEIR PATIENT'S PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS. THEY PROVIDE WELL WOMAN CARE, STD TESTING AND TREATMENT, PREGNANCY OPTION CONSULTATIONS, PREGNANCY TESTS, ULTRASOUND IMAGING, PRENATAL CARE, WELL WOMAN CARE, GYNECOLOGICAL CARE, ABORTION PILL REVERSAL TREATMENT, CHILDBIRTH CLASSES, AND MATERIAL SUPPORT IN THE FORM OF MATERNITY CLOTHING, FORMULA, DIAPERS, WIPES AND NEW CRIBS, NEW CAR SEATS AND MORE. THEY ALSO PROVIDE REPRODUCTIVE LOSS HEALING PROGRAMS FOR ANYONE IMPACTED BY ABORTION, MISCARRIAGE, INFERTILITY, ADOPTION PLACEMENT AND STILLBIRTH AS WELL AS OPTIMAL HEALTH EDUCATION IN SCHOOLS, YOUTH GROUPS, AND COMMUNITY ORGANIZATIONS FOR FIFTH THROUGH TWELFTH GRADE STUDENTS AND THEIR PARENTS.DURING THE YEAR ENDED DECEMBER 31, 2025, REALOPTIONS SAFEGUARDED THE LIVES OF 6,499 WOMEN, MEN, STUDENTS AND PREBORN BABIES THROUGH THEIR MEDICAL CLINICS, REALTALK EDUCATION PROGRAM, AND REPRODUCTIVE LOSS HEALING PROGRAMS. THROUGH THEIR MEDICAL CLINICS REALOPTIONS SERVED 3,049 UNIQUE PATIENTS WITH LIFE-AFFIRMING SERVICES WHICH INCLUDED: 1,343 PREGNANCY TESTS, 2,467 ULTRASOUNDS, 308 STD SCREENINGS, 603 PRENATAL EXAMS, 18 ABORTION PILL REVERSAL PATIENTS, 81 WELL WOMAN EXAMS, AND 15,919 MATERIAL SUPPORT ITEMS GIVEN TO FAMILIES IN NEED. THESE NUMBERS REPRESENT 8,019 PATIENT ENCOUNTERS FOR MEDICAL AND NON-MEDICAL SERVICES AND SUPPORT.DURING THE YEAR ENDED DECEMBER 31, 2025, REALOPTIONS' REALTALK EDUCATION CONTINUED THEIR THIRD ROUND OF A TITLE V TWO-YEAR GRANT CYCLE. THE ORGANIZATION ALSO COMPLETED YEAR TWO OF THE SRAE GRANT, ANOTHER FIRST IN THE HISTORY OF THE ORGANIZATION. THIS AWARD WIDENED THE ORGANIZATION'S REACH TO LOCAL AND UNDER-SERVED STUDENTS IN SANTA CLARA AND ALAMEDA COUNTIES FOR OPTIMAL HEALTH EDUCATION WHICH INCLUDES HEALTHY RELATIONSHIP AND SEXUAL RISK AVOIDANCE CURRICULUMS. DURING THE YEAR ENDED DECEMBER 31, 2025, THE ORGANIZATION PROVIDED 785 PRESENTATIONS TO REACH 2,029 STUDENTS, FACULTY, AND PARENTS AT 30 SCHOOLS AND ORGANIZATIONS, WITH A TOTAL OF 22,520 TOTAL HOURS OF STUDENT IMPACT. THROUGH DECEMBER 31, 2025, THE ORGANIZATION OPERATED CLINICS SERVING ALAMEDA, AND SANTA CLARA COUNTIES OF THE SF BAY AREA. THE ORGANIZATION WAS ABLE TO GROW THE NUMBER OF PEOPLE SERVED IN THESE COMMUNITIES THROUGH OUR COMMUNITY OUTREACH TEAM AND BY EMPLOYING COMPREHENSIVE DIGITAL MARKETING PROGRAMS. THE ORGANIZATION'S COLLEGE CAMPUS OUTREACH TO SAN JOSE STATE UNIVERSITY AND UC BERKELEY CAMPUSES GAVE OUT 279 PREGNANCY TESTS WITH A COUPON FOR A FREE ULTRASOUND IN ONE OF THEIR MEDICAL CLINICS, HAD 115 MEANINGFUL CONVERSATIONS TO SUPPORT STUDENTS, AND 180 COLLEGE STUDENTS CAME TO THEIR MEDICAL CLINICS FOR SERVICES.DURING THE YEAR ENDED DECEMBER 31, 2025, THE REPRODUCTIVE LOSS HEALING PROGRAMS IMPACTED 350 PEOPLE (WOMEN & MEN) WHO CAME TO THE RETREATS, CONFERENCES, AND WEEKLY ONLINE SUPPORT GROUPS. THE ORGANIZATION SERVES THESE GROUPS IN BOTH ENGLISH AND SPANISH.DURING THE YEAR ENDED DECEMBER 31, 2025, REALOPTIONS CONTINUED TO UTILIZE THEIR BENEVOLENCE COMMITTEE TO OVERSEE THE DISTRIBUTION OF FUNDS TO HELP PATIENTS WITH DESPERATE FINANCIAL NEEDS. THE COMMITTEE CONSISTS OF OUR DIRECTOR OF OPERATIONS & HR, OUR SENIOR DIRECTOR OF COMMUNITY OUTREACH, AND A DONOR WHO IS A PREVIOUS BOARD MEMBER. PATIENTS MUST FILE A SIMPLE BUT DETAILED APPLICATION FOR ASSISTANCE. ONCE AN APPLICATION IS APPROVED BY THE COMMITTEE THE FUNDS ARE PAID DIRECTLY TO THEIR NEEDED REQUEST (IE: GAS BILL, LANDLORD FOR RENT, ETC.)
Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since January 1983.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.