Circle the City

What it reported doing in 2024

Medical respite care: ctc operates two 50-bed medical respite centers to provide a safe place to heal during periods of acute illness or injury for adult men and women experiencing homelessness. The ctc medical respite centers admit 400-500 homeless individuals per year for an average length of stay of 30 to 60 days. While in medical respite care, patients receive integrated medical services from ctc's interdisciplinary team of physicians, behavioral health consultants, nurses, and care givers. Patients are screened for eligibility for social benefit entitlements, such as health insurance, food assistance, housing, and disability benefits.(continued on scheudle o)the organization does not recognize revenue for services provided without charge to patients who meet the criteria of its charity care policy. The organization desires to assure that no patient will be denied health care services due to an individual's inability to pay for such services and wishes to ensure that any fees or payments required for such services will be reduced or waived for eligible patients. In accordance with hrsa requirements, the organization offers all services within the approved scope of project, whether required or additional, under a sliding fee discount schedule and, accordingly, no patient will be denied services based on their inability to pay. Therefore, many eligible patients receive charity care in the absence of an external payer covering costs of services rendered to them. The organization treats all patients referred to the organization who meet basic admitting criteria without consideration of financial status, demographic, or any protected class. The organization provided charity care under its policy totaling $982,049 during the year ended june 30, 2025.

Financial Efficiency

• Mission deployment rate: 78.7%; rating input score 79
• Program expense ratio: 81.4%; rating input score 81
• Fundraising efficiency: $8.77 raised per $1 spent on fundraising; rating input score 34; 34th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • 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; 66th 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: 3.3%; rating input score 48; 48th percentile among comparable filings
• Total-asset coverage ratio: 0.58; rating input score 19; 19th percentile among comparable filings
• Liabilities to assets ratio: 0.22; rating input score 56; 56th percentile among comparable filings
• Officer compensation ratio: 10.1%; rating input score 20; 20th percentile among comparable filings

Growth

• Program expense growth: 18.3% per year; rating input score 100; 88th percentile among comparable filings
• Revenue growth: 16.5% per year; rating input score 100; 89th percentile among comparable filings
• Asset growth: 12.9% per year; rating input score 100; 75th percentile among comparable filings