RealOptions Obria Medical Clinics 
The information on this page was last updated 2/12/2026. If you see errors or omissions, please email: [email protected]
Summary
RealOptions Obria Medical Clinics is a non-profit 501(c)3 recognized for its quality of care since 1981. We provide caring, compassionate, high quality holistic healthcare with or without insurance, support services, optimal health education, and pregnancy loss healing to women, men, students, and families. RealOptions has four licensed medical clinic locations serving Alameda and Santa Clara Counties devoted to caring for patients physically, emotionally, and spiritually. We offer a broad spectrum of prevention, intervention, and restorative services to the community positively impacting thousands of students and families each year.
Contact information
Mailing address:
RealOptions Admin Office
1671 The Alameda
Suite 101
San Jose, CA 95126
Website: friendsofrealoptions.net
Phone: 408-229-9836
Email: [email protected]
Organization details
EIN: 942820673
CEO/President: Tasha Keirns, RN, BSN
Chairman: Paul Sluis
Board size: 8
Founder:
Ruling year: 1983
Tax deductible: Yes
Fiscal year end: 12/31
Member of ECFA: Yes
Member of ECFA since: 2021
Purpose
Women and children are among the most vulnerable populations in the Bay Area. Healthy, educated, and empowered women are better able to raise healthy, educated, and confident children. By empowering women to overcome the effects of poverty and poor health, they can and will live full and productive lives - and so will their children, families, and communities.
Despite important roles within their communities, too many women and children lack access to quality health care, compounding many other threats to their ongoing health and well-being.
We know that improved health means improved lives. We believe that RealOptions helps empower women to overcome obstacles and change the lives of their children for generations to come!
Mission statement
Our purpose is to ensure that women, men, students, and families have a safe place to turn when facing pregnancy decisions, making sexual health choices, and seeking emotional healing from pregnancy loss.
Statement of faith
Donor confidence score
Show donor confidence score details
To understand our donor confidence score, click here.
Transparency grade
A
To understand our transparency grade, click here.
Financial efficiency ratings
Sector: Pro-Life
| Category | Rating | Overall rank | Sector rank |
| Overall efficiency rating | | 186 of 1582 | 4 of 33 |
| Fund acquisition rating | | 665 of 1583 | 13 of 33 |
| Resource allocation rating | | 283 of 1583 | 6 of 33 |
| Asset utilization rating | | 275 of 1583 | 6 of 33 |
According to the organization's Form 990, it received $923,722 in government grants in 2025.
To understand our financial efficiency ratings, click here.
Financial ratios
| Funding ratios | Sector median | 2025 | 2024 | 2023 | 2022 | 2021 |
Return on fundraising efforts Return on fundraising efforts = Fundraising expense / Total contributions | 11% | 10% | 11% | 11% | 10% | 7% |
Fundraising cost ratio Fundraising cost ratio = Fundraising expense / Total revenue | 11% | 10% | 10% | 10% | 9% | 8% |
Contributions reliance Contributions reliance = Total contributions / Total revenue | 97% | 97% | 94% | 96% | 98% | 103% |
Fundraising expense ratio Fundraising expense ratio = Fundraising expense / Total expenses | 11% | 9% | 8% | 8% | 10% | 10% |
Other revenue reliance Other revenue reliance = Total other revenue / Total revenue | 3% | 3% | 6% | 4% | 2% | -3% |
| Operating ratios | Sector median | 2025 | 2024 | 2023 | 2022 | 2021 |
Program expense ratio Program expense ratio = Program services / Total expenses | 78% | 85% | 84% | 80% | 74% | 73% |
Spending ratio Spending ratio = Total expenses / Total revenue | 98% | 103% | 126% | 125% | 94% | 77% |
Program output ratio Program output ratio = Program services / Total revenue | 76% | 87% | 106% | 100% | 70% | 56% |
Savings ratio Savings ratio = Surplus (deficit) / Total revenue | 2% | -3% | -26% | -25% | 6% | 23% |
Reserve accumulation rate Reserve accumulation rate = Surplus (deficit) / Net assets | 3% | -12% | -89% | -44% | 8% | 38% |
General and admin ratio General and admin ratio = Management and general expense / Total expenses | 10% | 6% | 8% | 12% | 16% | 17% |
| Investing ratios | Sector median | 2025 | 2024 | 2023 | 2022 | 2021 |
Total asset turnover Total asset turnover = Total expenses / Total assets | 1.05 | 2.26 | 2.11 | 1.27 | 0.91 | 1.21 |
Degree of long-term investment Degree of long-term investment = Total assets / Total current assets | 1.44 | 2.09 | 2.28 | 1.85 | 1.65 | 1.23 |
Current asset turnover Current asset turnover = Total expenses / Total current assets | 2.09 | 4.72 | 4.80 | 2.34 | 1.50 | 1.48 |
| Liquidity ratios | Sector median | 2025 | 2024 | 2023 | 2022 | 2021 |
Current ratio Current ratio = Total current assets / Total current liabilities | 11.35 | 3.99 | 4.38 | 7.30 | 14.83 | 14.66 |
Current liabilities ratio Current liabilities ratio = Total current liabilities / Total current assets | 0.06 | 0.25 | 0.23 | 0.14 | 0.07 | 0.07 |
Liquid reserve level Liquid reserve level = (Total current assets - Total current liabilities) / (Total expenses / 12) | 5.01 | 1.90 | 1.93 | 4.42 | 7.47 | 7.54 |
| Solvency ratios | Sector median | 2025 | 2024 | 2023 | 2022 | 2021 |
Liabilities ratio Liabilities ratio = Total liabilities / Total assets | 12% | 49% | 51% | 41% | 33% | 6% |
Debt ratio Debt ratio = Debt / Total assets | 0% | 0% | 0% | 0% | 0% | 0% |
Reserve coverage ratio Reserve coverage ratio = Net assets / Total expenses | 66% | 22% | 23% | 47% | 74% | 78% |
Financials
| Balance sheet | |||||
| Assets | 2025 | 2024 | 2023 | 2022 | 2021 |
| Cash | $624,122 | $810,703 | $1,519,657 | $1,925,608 | $2,229,537 |
| Receivables, inventories, prepaids | $164,726 | $83,389 | $68,563 | $741,805 | $120,146 |
| Short-term investments | $215,698 | $171,137 | $345,053 | $61,704 | $69,046 |
| Other current assets | $0 | $0 | $0 | $0 | $0 |
| Total current assets | $1,004,546 | $1,065,229 | $1,933,273 | $2,729,117 | $2,418,729 |
| Long-term investments | $0 | $0 | $0 | $0 | $0 |
| Fixed assets | $337,322 | $385,580 | $446,022 | $467,343 | $526,236 |
| Other long-term assets | $760,313 | $975,978 | $1,192,974 | $1,316,005 | $22,337 |
| Total long-term assets | $1,097,635 | $1,361,558 | $1,638,996 | $1,783,348 | $548,573 |
| Total assets | $2,102,181 | $2,426,787 | $3,572,269 | $4,512,465 | $2,967,302 |
| Liabilities | 2025 | 2024 | 2023 | 2022 | 2021 |
| Payables and accrued expenses | $251,891 | $243,113 | $265,007 | $184,031 | $164,976 |
| Other current liabilities | $0 | $0 | $0 | $0 | $0 |
| Total current liabilities | $251,891 | $243,113 | $265,007 | $184,031 | $164,976 |
| Debt | $0 | $0 | $0 | $0 | $0 |
| Due to (from) affiliates | $0 | $0 | $0 | $0 | $0 |
| Other long-term liabilities | $788,053 | $996,587 | $1,199,094 | $1,309,008 | $0 |
| Total long-term liabilities | $788,053 | $996,587 | $1,199,094 | $1,309,008 | $0 |
| Total liabilities | $1,039,944 | $1,239,700 | $1,464,101 | $1,493,039 | $164,976 |
| Net assets | 2025 | 2024 | 2023 | 2022 | 2021 |
| Without donor restrictions | $982,644 | $1,135,001 | $1,937,012 | $2,955,470 | $2,664,979 |
| With donor restrictions | $79,593 | $52,086 | $171,156 | $63,956 | $137,347 |
| Net assets | $1,062,237 | $1,187,087 | $2,108,168 | $3,019,426 | $2,802,326 |
| Revenues and expenses | |||||
| Revenue | 2025 | 2024 | 2023 | 2022 | 2021 |
| Total contributions | $4,495,714 | $3,828,781 | $3,461,371 | $4,254,956 | $4,809,372 |
| Program service revenue | $103,692 | $182,482 | $111,783 | $64,451 | $12,536 |
| Membership dues | $0 | $0 | $0 | $0 | $0 |
| Investment income | $12,819 | $46,484 | $25,415 | $13,205 | ($166,130) |
| Other revenue | $0 | $65 | $14,201 | $0 | $952 |
| Total other revenue | $116,511 | $229,031 | $151,399 | $77,656 | ($152,642) |
| Total revenue | $4,612,225 | $4,057,812 | $3,612,770 | $4,332,612 | $4,656,730 |
| Expenses | 2025 | 2024 | 2023 | 2022 | 2021 |
| Program services | $4,009,255 | $4,299,969 | $3,607,668 | $3,031,758 | $2,623,702 |
| Management and general | $291,072 | $409,538 | $545,007 | $645,690 | $612,500 |
| Fundraising | $441,826 | $406,202 | $378,771 | $409,938 | $349,871 |
| Total expenses | $4,742,153 | $5,115,709 | $4,531,446 | $4,087,386 | $3,586,073 |
| Change in net assets | 2025 | 2024 | 2023 | 2022 | 2021 |
| Surplus (deficit) | ($129,928) | ($1,057,897) | ($918,676) | $245,226 | $1,070,657 |
| Other changes in net assets | $0 | $0 | $0 | $0 | $0 |
| Total change in net assets | ($129,928) | ($1,057,897) | ($918,676) | $245,226 | $1,070,657 |
Compensation
| Name | Title | Compensation |
| Tasha Keirns | Chief Executive Officer (as of 7/1) | $167,749 |
| Valerie Hill | Chief Executive Officer (thr. 6/30) | $160,975 |
| Donna Hecke | Chief Marketing Officer | $107,588 |
| Rebecca Shi | Lead Nurse Sonographer | $104,344 |
| Alyssa Negrette | Nurse Sonographer | $102,007 |
| Donna Rhodes | Prayer Chairman | $56,280 |
Compensation data as of: 12/31/2025
Response from ministry
No response has been provided by this ministry.
The information below was provided to MinistryWatch by the ministry itself. It was last updated 2/12/2026. To update the information below, please email: [email protected]
History
Program accomplishments
This past year through your faithful support at RealOptions, you have helped us safeguard over 5300 individual lives of women, men, children, and students through our five medical clinics, in classrooms, and through our pregnancy loss healing programs.