Blue Circle Health Inc
Nonprofit profile at a glance
- EIN
- 873874220
- IRS 990 coverage
- 2021–2024
- Forms available
- Form 990 2024
- Location
- Boston, MA, USA
- Phone
- 8884044813
- Rating
- 79
- Verdict
- SUPPORTED
- Rating confidence
- Standard
- Sector
- Health Support Services
Reported finances
- Revenue
- $8,477
- Expenses
- $11,537,753
- Assets
- $3,987,500
- Liabilities
- $510,417
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
18 people listed
Executive titles in this filing
- DR LEONARD D'AVOLIO (DIRECTOR, CHIEF EXECUTIVE OFFICER)
Highest reported compensation
- DR LEONARD D'AVOLIO (DIRECTOR, CHIEF EXECUTIVE OFFICER): $478,314 total reported compensation
- ROBIN JENSEN (CHIEF OPERATING OFFICER): $344,608 total reported compensation
- DR MONICA GOMBERG (VP CLINICAL CARE): $325,396 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To learn the best ways to improve the health of people with t1d; to apply those learnings to care for and empower as many as possible; and to share those learnings widely and to improve care everywhere.
What it reported doing in 2024
Blue circle health is a 501(c)(3) nonprofit organization that provides free virtual clinical care, education, and support for adults with type 1 diabetes. Beyond direct care, blue circle health partners with clinicians to learn, demonstrate, and share scalable models that close care gaps, proving that more equitable, effective t1d care is possible nationwide. Designed based on need rather than traditional reimbursement rules, the organization's whole-person model can include endocrinology care, diabetes education, insurance navigation, peer support, diabetes supportive counseling, assistance paying for t1d medication and supplies, and referrals to community resources that can help with access to housing, employment and food. As of september 2025 the program, which typically lasts 6 months, was available in 11 states to adults aged 18+ who speak english or spanish.
Operating model
- Revenue model
- Donor-supported. 83% of the money available for current operations came from contributions and gifts.
- Distribution model
- Hybrid. The nonprofit split its reported program spending across 49% for direct work, and 51% for grants.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 85
- Transparency & Controls: 84
- Accountability: 85
- Sustainability: 7
- Growth: 40
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 85.9%; rating input score 86
- Fundraising efficiency: $0.18 raised per $1 spent on fundraising; rating input score 10; 10th percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
- Pay-setting controls: 2 of 6 controls in place; rating input score 33
- Compensation committee: Missing
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 100%; rating input score 100; 80th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 75%; rating input score 75; 24th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -136,006.6%; rating input score 0; 0th percentile among comparable filings
- Total-asset coverage ratio: 0.35; rating input score 14; 14th percentile among comparable filings
- Liabilities to assets ratio: 0.13; rating input score 17; 17th percentile among comparable filings
- Officer compensation ratio: 28.5%; rating input score 11; 11th percentile among comparable filings
Growth
- Program expense growth: 54.2% per year; rating input score 100; 95th percentile among comparable filings
- Revenue growth: -119.8% per year; rating input score 0; 3rd percentile among comparable filings
- Asset growth: -55.7% per year; rating input score 0; 2nd percentile among comparable filings
Details
- Where the money goes: 100% of revenue deployed · 85.9% of spending went to programs
- Governance: 3 of 4 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $9.9M in reported program spending
- Leadership: top reported pay $478K · 18 people listed · 2 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $968K reported
- Consistency: 30 of 30 current checks pass
- Schedules: 7 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 4 filing years from 2021 to 2024
- Contacts: How to reach this organization
- Money network: 16 filed money-flow records
- Related organizations: 4 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Financial Efficiency: Fundraising efficiency scored 10/100.
- High — Sustainability: Operating margin scored 0/100.
- High — Growth: Revenue growth scored 0/100.
- High — Sustainability: Total-asset coverage ratio scored 14/100.
- High — Growth: Asset growth scored 0/100.
- High — Sustainability: Officer compensation ratio scored 11/100.
- High — Sustainability: Liabilities to assets ratio scored 17/100.