Carolina Family Health Centers Inc

What it reported doing in 2024

Carolina family health centers, inc. Is a non-profit, federally qualified community health/migrant health center serving the eastern North Carolina counties of edgecombe, nash and wilson. Eastern North Carolina has particularly high rates of poverty and unemployment. Low birth weights are among the highest in this region, as are syphilis rates and HIV/AIDS rates. Carolina family health centers, inc. Was incorporated in 1993 dba wilson community health center. A grass-roots effort by local residents resulted in initial funding through the nc office of rural health and a private endowment. In 1999, the corporation was successful in its bid to obtain federally qualified status and now operates five clinical sites under the umbrella of carolina family health centers, inc.; wilson community health center (wilson county), harvest family health center (nash county), freedom hill community health center (edgecombe county), carolina family dental center (nash county), and the lee student health center (wilson county). The five centers provide services five days a week. Healthcare services are provided through three primary departments - medical (including behavioral health), dental and pharmacy. Uninsured patients are charged for medical and dental services according to their ranking on the federally established poverty guideline. The lowest on the scale pay a nominal fee of just $20 for each medical visit and $50 for each dental visit. In fy 2025 the organization served 22,984 patients. Uninsured patients pay based on a sliding fee scale providing $6,960,218 in unbilled care for patients. Pharmaceuticals are provided to all of our patients at a reduced rate made possible by our ability to purchase medications through the federal 340b program. Interpreters trained in medical terminology are available free of charge to our spanish speaking patients. Provided interpreting services for over 200 languages and the hearing impaired. Our general hours of operation are monday through friday from 8am to 5pm, and each clinic is open during evening hours one night a week.

Financial Efficiency

• Mission deployment rate: 69.9%; rating input score 70
• Program expense ratio: 94%; rating input score 94
• Fundraising efficiency: $115.9 raised per $1 spent on fundraising; rating input score 86; 86th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 2 of 6 controls in place; rating input score 33
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 77th 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: 27.1%; rating input score 91; 91st percentile among comparable filings
• Total-asset coverage ratio: 2.25; rating input score 67; 67th percentile among comparable filings
• Liabilities to assets ratio: 0.03; rating input score 92; 92nd percentile among comparable filings
• Officer compensation ratio: 7.5%; rating input score 6; 6th percentile among comparable filings

Growth

• Program expense growth: 9.1% per year; rating input score 100; 70th percentile among comparable filings
• Revenue growth: 10.6% per year; rating input score 100; 79th percentile among comparable filings
• Asset growth: 18.5% per year; rating input score 100; 91st percentile among comparable filings