East Texas Border Health Clinic Inc
Nonprofit profile at a glance
- EIN
- 030538912
- IRS 990 coverage
- 2009–2024
- Forms available
- Form 990 2024
- Location
- Marshall, TX, USA
- Phone
- 9039273782
- Rating
- 79
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Ambulatory Health Center, Community Clinic
Reported finances
- Revenue
- $39,167,045
- Expenses
- $36,972,719
- Assets
- $31,112,852
- Liabilities
- $2,535,992
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
21 people listed
Executive titles in this filing
- CARLA ROADCAP (CEO)
Highest reported compensation
- KELSIE COURT (PHYSICIAN): $342,257 total reported compensation
- JAMES SCALES (PHYSICIAN): $335,835 total reported compensation
- GREGORY SCTT HORTMAN (PHYSICIAN): $324,013 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Provide primary healthcare, dental care, and mental care to the communities of harrison, bowie, and cass counties of Texas and the surrounding communities of Texas and miller counties of Arkansas regardless of their ability to pay for services rendered in an office setting. The organization ceased operations in marion county in october 2019.
What it reported doing in 2024
East Texas border health clinic was established in 2006 to provide patient medical care to residents in harrison, bowie and cass counties of the state of Texas as well as residents in miller county, Arkansas. Us census bureau estimated cass county's poverty level at 17.5%, bowie county's poverty level at 16.2%, harrison county's poverty level at 15.6%, and miller county's poverty level at 24.6%. The clinic provides care to patients without regard to race, age, religion, gender, sexual orientation, political views, or ability to pay. Patients are provided assistance and education on available programs and funding for their healthcare needs.
Operating model
- Revenue model
- Earned-program. 88% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.
Rating breakdown
- Financial Efficiency: 70
- Transparency & Controls: 79
- Accountability: 100
- Sustainability: 49
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 77%; rating input score 77
- Program expense ratio: 82.6%; rating input score 83
- Fundraising efficiency: Limited
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: Pass
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- 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: 5.6%; rating input score 56; 56th percentile among comparable filings
- Total-asset coverage ratio: 0.84; rating input score 30; 30th percentile among comparable filings
- Liabilities to assets ratio: 0.08; rating input score 77; 77th percentile among comparable filings
- Officer compensation ratio: 6.5%; rating input score 39; 39th percentile among comparable filings
Growth
- Program expense growth: 13.7% per year; rating input score 100; 81st percentile among comparable filings
- Revenue growth: 14.1% per year; rating input score 100; 85th percentile among comparable filings
- Asset growth: 18.8% per year; rating input score 100; 87th percentile among comparable filings
Details
- Where the money goes: 77% of revenue deployed · 82.6% of spending went to programs
- Governance: 10 of 10 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $30.5M in reported program spending
- Leadership: top reported pay $342K · 21 people listed · 3 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $3.4M reported
- Consistency: 30 of 30 current checks pass
- Schedules: 5 filed schedules · includes major donors and executive pay
- Filing history: 15 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 9 filed money-flow records
- Related organizations: Filed and resolved organization relationships.
- 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.
- Review — Sustainability: Operating margin scored 56/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 30/100.
- Moderate — Sustainability: Officer compensation ratio scored 39/100.