2026 Current Reality
$40,000 cash on hand to run two programs with a combined 2026 cost of ~$252,919. A $162,527 gap must be closed through donor contributions, grants, and revenue growth.
Foundation of Care — 2026 total cost
$98,434
~14 clients/month avg · 100% donor funded
Bridge to Care — 2026 net need
$89,093
$50,392 revenue vs. $139,485 in ramp-up costs
Combined 2026 program cost
$252,919
Including $15K marketing / growth investment
2026 funding gap
$162,527
After $40K cash + $50K B2C Medi-Cal revenue
Path to Sustainability
2026
Invest & Build
Donors fund both programs while B2C ramps its Medi-Cal census from 0 to 17 members
→
Mid-2027
B2C Turns Green
32 members = B2C revenue covers its own costs (~May 2027). Small surplus begins offsetting FOC.
→
2028
B2C Subsidizes FOC
$149K surplus revenue flows to fund FOC patients, reducing donor dependency as FOC scales to 60 clients
The mission math: A donor investing today is funding the infrastructure that makes FundaMental Health self-sustaining. Bridge to Care generates $513K in revenue by 2028 — enough to meaningfully subsidize Foundation of Care therapy costs.
Avg clients served / month
14
Ranging 10–16 across 2026
Cost per client / month
$586
Fully loaded (staff + provider + overhead)
2026 Cost Breakdown
| Program Director (annual) | $28,455 |
| Admin Support (annual) | $3,590 |
| CCO / Clinical Oversight (annual) | $6,975 |
| Total Salary Costs | $39,020 |
| Provider / Therapist Costs | $51,043 |
| Overhead (tech, admin, etc.) | $8,372 |
| Total 2026 Cost | $98,434 |
| Revenue | $0 |
| Donor Need | $98,434 |
Growth Trajectory — Clients Served
2026 — 14 clients/month avg$98,434 needed
2027 — 30 clients/month (2×)~$210,930 needed
2028 — 60 clients/month (4×)~$421,859 needed (before B2C offset)
In 2028, $149,447 in B2C surplus directly offsets FOC costs — reducing donor need to $272,412
What Your Gift Funds
| $586 / month | 1 client in therapy for a month |
| $7,032 / year | 1 client in therapy for a full year |
| $25,000 | ~3.5 clients in care for 12 months |
| $50,000 | ~7 clients in care for 12 months |
| $98,434 | Full 2026 FOC program — all 14 clients |
2026 members (Jan → Dec)
0 → 17
Ramping through 2026
2026 Medi-Cal Revenue
$50,392
Molina 80%, Blue Shield 15%, Kaiser 5%
Breakeven Timeline — Monthly Net (Revenue − Costs)
Jan–Apr '26 deficit
May–Dec '26 growing
Jan–Apr '27 near zero
May '27+ ✓ Green
Cash-flow breakeven reached at ~32 members · May 2027
3-Year Revenue vs. Cost Projection
|
2026 |
2027 |
2028 |
| Members (Dec) |
17 |
53 |
101 |
| Medi-Cal Revenue |
$50,392 |
$237,145 |
$513,274 |
| Staffing Costs |
$139,485 |
$231,877 |
$363,827 |
| Net Surplus / (Deficit) |
(−$89,093) |
+$5,269 |
+$149,447 |
| Applied to FOC |
$0 |
$5,269 |
$149,447 |
Donor investment in B2C today is self-liquidating. Every dollar that bridges the 2026 ramp-up deficit is recovered as B2C reaches and exceeds breakeven. By 2028, B2C generates $149K in surplus that directly funds FOC therapy clients.
3-Year Investment Summary
Year 1 · 2026
$162,527
Total donor need (net of $40K cash)
FOC direct care $98,434
B2C bridge funding $49,093
Marketing / growth $15,000
Cash on hand offset −$40,000
Year 2 · 2027
$230,661
Total donor need
FOC (30 clients) $210,930
Marketing / growth $25,000
B2C surplus offset −$5,269
Year 3 · 2028
$307,412
Total donor need
FOC (60 clients) $421,859
Marketing / growth $35,000
B2C surplus offset −$149,447
Combined Donor Need by Year
Bridge to Care (2026 bridge)
B2C Surplus (offsets FOC)
Full 3-Year Detail
| Metric |
2026 |
2027 |
2028 |
| FOC Clients (avg/mo) | 14 | 30 | 60 |
| FOC Total Cost | $98,434 | $210,930 | $421,859 |
| B2C Members (Dec) | 17 | 53 | 101 |
| B2C Medi-Cal Revenue | $50,392 | $237,145 | $513,274 |
| B2C Staffing Costs | $139,485 | $231,877 | $363,827 |
| B2C Net | (−$89,093) | +$5,269 | +$149,447 |
| B2C Surplus → FOC | $0 | $5,269 | $149,447 |
| Marketing Investment | $15,000 | $25,000 | $35,000 |
| Cash on Hand Applied | $40,000 | — | — |
| Total Donor Need |
$162,527 |
$230,661 |
$307,412 |
3-Year Total Investment: $700,600. This funds therapy for 100+ San Diegans annually, builds a self-sustaining Medi-Cal program, and creates an organizational model where medical revenue subsidizes donated care — permanently expanding access.