Choice in Aging
Public records show a registered, tax-exempt organization in good standing.
What it says it does
TO PROMOTE THE DIGNITY AND INDEPENDENCE OF PEOPLE WITH DISABILITIES AND SPECIAL NEEDS.
- Income
- $12.8 million
- Spending
- $9.6 million
- Spent on programs
- 80%
- Reserves
- 1.3 months of spending
- Largest source of income
- government grants, 45%
- Employees
- 119
- Volunteers
- 148
- Highest pay
- $149,921, members/ ceo & president
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Good: 75 out of 100. Higher than 62% of charities in its peer group (health care, $10m to $100m).
Reserves
10 of 35Spendable reserves would cover 1.3 months of spending.
Debt
20 of 20It owes 7% of what it owns.
Living within its means
15 of 15Income exceeded spending by 24% of income.
Income trend
15 of 15Income rose 48% on the year before.
Spending floor
15 of 1580% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 52% of charities in its peer group (health care, $10m to $100m).
Independent board
25 of 258 of 9 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 June 30, 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 (3)
- $3.2 million spent. ADULT DAY HEALTH CARE (ADHC), WHICH SERVED 121 CLIENTS WITHIN THE YEAR, WAS DEVELOPED IN CALIFORNIA IN THE 1970S AND HAS SPREAD ACROSS THE NATION AS A VALUABLE PROGRAM THAT CAN HELP THOSE WITH THE MOST SERIOUS HEALTH CONDITIONS THRIVE WHILE LIVING IN THEIR OWN HOMES INSTEAD OF BEING FORCED TO MOVE TO A SKILLED NURSING FACILITY. ADHC PROGRAMS INCLUDE INDIVIDUALIZED THERAPEUTIC, SOCIAL, AND HEALTH SERVICES PROVIDED BY A MULTIDISCIPLINARY TEAM OF NURSES, SOCIAL WORKERS, THERAPISTS, ACTIVITY COORDINATORS, AND OTHER PROFESSIONALS WHO ARE EXPERTS IN GERIATRIC CARE.THESE SERVICES HELP FRAIL OR VULNERABLE OLDER ADULTS AND PEOPLE WITH DISABILITIES MAINTAIN THEIR HEALTH AND SOCIAL CONTACTS, ACCESS NURSING, OCCUPATIONAL, AND SPEECH THERAPY, GET EXERCISE, PREVENT FALLS, AND SLOW THE DETERIORATION OF COGNITIVE FUNCTIONING BY PROVIDING A SENSE OF JOY AND BELONGING. AS THEIR LOVED ONES ARE BEING SAFELY CARED FOR AT THE CENTER FOR PART OF THE DAY, CAREGIVERS ARE ALSO PROVIDED WITH ESSENTIAL RESPITEOUR MT. DIABLO CENTER IN PLEASANT HILL OFFERS SPECIALIZED MULTICULTURAL PROGRAMMING FOR RUSSIAN AND FARSI/DARI SPEAKERS. WE ALSO OFFER PROGRAMMING FOR THOSE WITH MID-TO-LATE STAGE ALZHEIMER'S DISEASE IN MULTIPLE LANGUAGES.ADHC SERVICES INCLUDE A FORMAL ASSESSMENT PROCESS, A HOME VISIT, AND AN INDIVIDUALIZED PLAN OF CARE TO MEET EACH PARTICIPANT'S NEEDS.
- $2.7 million spent. THE MULTIPURPOSE SENIOR SERVICES PROGRAM (MSSP), WHICH SERVED 383 CLIENTS WITHIN THE YEAR, IS A MEDI-CAL PROGRAM THAT PROVIDES INTENSIVE CARE MANAGEMENT AND SERVICES TO PEOPLE 60+ WHO MEET THE CRITERIA TO BE PLACED IN A SKILLED NURSING FACILITY BUT WOULD PREFER TO REMAIN IN THEIR OWN HOMES. THE PROGRAM HELPS PREVENT OR DELAY NURSING HOME PLACEMENT BY PROVIDING A COMPLETE ASSESSMENT OF THE CLIENT'S PHYSICAL, MENTAL, AND SOCIAL WELL-BEING. THE MSSP NURSE AND SOCIAL WORKER PARTNER WITH THE PARTICIPANTS, THEIR DOCTORS, AND CAREGIVERS TO CREATE PERSONALIZED CARE PLANS THAT SUPPORT LIVING SAFELY AT HOME.SERVICES PROVIDED THROUGH MSSP MAY INCLUDE MINOR HOME MODIFICATION, SUPPLEMENTAL PERSONAL AND CHORE CARE, RESPITE, TRANSPORTATION, COUNSELING, THERAPY, MEALS, TRANSLATION SUPPORT, AND OTHER SERVICES.THE STATE OF CALIFORNIA BUDGETED $1,071,200 FOR 200 MSSP PARTICIPANTS, WHICH EQUALS APPROXIMATELY $5,356 PER PARTICIPANT PER YEAR FOR THE MSSP PROGRAM. IN COMPARISON, NURSING FACILITY COSTS ARE APPROXIMATELY $130,000 PER PERSON PER YEAR.BASED UPON INDIVIDUAL NEEDS, MSSP ARRANGES FOR SERVICES AVAILABLE IN THE COMMUNITY. IF ELIGIBLE, THE PROGRAM MAY PURCHASE ITEMS AND SERVICES NOT COVERED BY MEDI-CAL OR MEDICARE, SUCH AS: SUPPLEMENTAL PERSONAL AND CHORE CARE RESPITE CARE HOME SAFETY EQUIPMENT, SUCH AS RAMPS AND GRAB BARS PERSONAL EMERGENCY RESPONSE SYSTEM COUNSELING TRANSPORTATION TO MEDICAL APPOINTMENTS MINOR HOME MODIFICATIONS INCONTINENCE SUPPLIES
- $1.8 million spent. ONE-THIRD OF COVID-19 DEATHS IN CALIFORNIA HAVE BEEN AMONG NURSING HOME RESIDENTS, AND WE KNOW THAT SENIORS AND PEOPLE WITH DISABILITIES ARE SAFER LIVING AT HOME. THE CALIFORNIA COMMUNITY TRANSITIONS (CCT) PROJECT , WHICH SERVED 82 CLIENTS WITHIN THE YEAR, HELPS MEDI-CAL ELIGIBLE CALIFORNIANS WHO LIVE IN SKILLED NURSING FACILITIES MOVE INTO THEIR OWN HOMES OR OTHER COMMUNITY SETTINGS WITH APPROPRIATE SUPPORTS TO HELP THEM LIVE SAFELY.AS CALIFORNIA'S VERSION OF THE NATIONAL MONEY FOLLOWS THE PERSON (MFP) PROGRAM, THE CCT PROJECT HELPS INDIVIDUALS LIVING IN SKILLED NURSING FACILITIES RETURN TO THEIR HOMES OR COMMUNITIES, WITH PERSONALIZED SUPPORT FROM A TRANSITION COORDINATOR. THE COORDINATOR HELPS WITH EXPLORING LIVING CHOICES AND EXPLAINING THE SERVICES THE PROGRAM OFFERS, SUCH AS HOME AND VEHICLE ADAPTATION, ASSISTIVE DEVICES, TRANSPORTATION OPTIONS, WHEELCHAIRS AND OTHER MEDICAL EQUIPMENT, SELF-CARE TRAINING, AND GETTING A PERSONAL CARE ATTENDANT. THE PROGRAM ALSO PROVIDES ASSISTANCE COORDINATING WITH PHYSICIANS, FAMILY, THE NURSING FACILITY, LANDLORDS AND OTHERS.ONCE THE CLIENT HAS MOVED, THE TRANSITION COORDINATOR FOLLOWS THE PARTICIPANT FOR A YEAR, HELPING WITH ISSUES THAT ARISE AND CONNECTING THE CLIENT TO SERVICES THAT WILL ALLOW THEM TO REMAIN AT HOME. THIS PROGRAM HELPS PEOPLE MAKE THEIR OWN DECISIONS ABOUT WHERE AND WITH WHOM TO LIVE, AND IT'S AVAILABLE FREE OF CHARGE TO ANYONE 18 OR OVER WHO QUALIFIES
Source: Form 990 for the year ending June 30, 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 November 6, 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 June 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 December 1982.
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 November 4, 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.