Family Health Center of Worcester

Overview

Mission

Family Health Center of Worcester is a Federally-Qualified Health Center. To improve the health and well-being of all residents in the Greater Worcester area, especially culturally diverse populations, by providing affordable, high quality, integrated, comprehensive, respectful primary health care and social services, regardless of patients’ ability to pay.

What it reported doing in 2024

Primary health care services - fhcw provides a broad array of healthcare services, which require numerous and diverse funding streams in order to sustain. We practice family medicine, maternal and child health, behavioral health, nursing, and dentistry. We operate a walk-in center for urgent and primary care, a 340b pharmacy, 7 school-based health centers, refugee health assessment program, specialty clinics, health education and outreach, HIV counseling and testing, and public health programs for the early detection and prevention of disease. In fiscal year 2025, family health center of worcester performed 121,317 medical visits.

Operating model

Revenue model
Earned-program. 65% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The nonprofit carried out 100% of its reported program work directly.

Nonprofit profile at a glance

EIN
042485308
IRS 990 coverage
2009–2024
Website reviewed
Jul 2026
Forms available
Form 990 2024
Headquarters
Worcester, MA, USA
Rating
83
Verdict
STRONG
Rating confidence
Moderate

Official website

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The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Available reserves provide a limited financial cushion and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 88
  • Transparency & Controls: 74
  • Accountability: 94
  • Sustainability: 31
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 86.5%; rating input score 87
  • Program expense ratio: 88.9%; rating input score 89
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 71st percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited
  • Public monitoring controls: 0 of 8 controls in place; rating input score 0
  • Public policy transparency: 0 of 7 controls in place; rating input score 0
  • Public financial transparency: 0 of 5 controls in place; rating input score 0
  • Impact reporting controls: 2 of 7 controls in place; rating input score 29
  • Public relationship transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 100%; rating input score 100; 76th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
  • Public governance controls: 2 of 4 controls in place; rating input score 50
  • Zakat policy transparency: Limited

Sustainability

  • Operating margin: 2.7%; rating input score 46; 46th percentile among comparable filings
  • Operating reserve ratio: 0.28; rating input score 9; 9th percentile among comparable filings
  • Liabilities to assets ratio: 0.65; rating input score 24; 24th percentile among comparable filings
  • Officer compensation ratio: 3.6%; rating input score 29; 29th percentile among comparable filings

Growth

  • Program expense growth: 8% per year; rating input score 100; 64th percentile among comparable filings
  • Revenue growth: 8.2% per year; rating input score 100; 68th percentile among comparable filings
  • Asset growth: 5.8% per year; rating input score 100; 43rd percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 86.5% of revenue deployed · 88.9% of spending went to programs
  • Governance: 13 of 13 board members independent · 9 of 9 filing controls reported
  • Programs: 7 filed program accomplishments · $70.4M in reported program spending
  • Leadership: top reported pay $487K · 25 people listed · 4 of 6 pay-setting controls reported
  • Consistency: 33 of 34 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes major donors and executive pay
  • Filing history: 16 annual filings from 2009 to 2024
  • Money network: 10 filed money-flow records
  • Related organizations: 1 filed related-organization link