Ellis County Coalition for Health Options Inc Dba Hope Health
Nonprofit profile at a glance
- EIN
- 752813621
- IRS 990 coverage
- 2010–2024
- Forms available
- Form 990 2024
- Location
- Waxahachie, TX, USA
- Phone
- 9729232440
- Rating
- 69
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Health Treatment Facilities, Primarily Outpatient
Reported finances
- Revenue
- $9,496,111
- Expenses
- $9,010,246
- Assets
- $16,140,082
- Liabilities
- $8,700,407
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
21 people listed
Executive titles in this filing
- KATHLEEN MARSHALL (CEO TO 8/22/25)
- MICHAEL RANDLE (CEO EFF 8/22/25)
- ELLEN SALTZMAN (Board President)
- FERNANDO SANCHEZ (Vice President)
Highest reported compensation
- KATHLEEN MARSHALL (CEO TO 8/22/25): $202,712 total reported compensation
- KIMBERLY SWEET (Pediatrician): $161,403 total reported compensation
- RACHEL DAVIS-SULLINS (COO TO 5/15/25): $141,594 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 health, dental and behavioral health care services along with educational information on these services to the local community and indigent citizens of ellis county, Texas and surrounding areas regardless of ability to pay.
What it reported doing in 2024
Provided health, dental and behavioral health services and related educational services to the local community and surrounding areas and to indigent citizens of ellis county, Texas regardless of their ability to pay. The clinic provided 25,957 medical encounters during the year.
Operating model
- Revenue model
- Grant-funded. 63% of the money available for current operations came from government grants.
- 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.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
SUPPORTED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and a relatively small share of total spending goes to programs.
Rating breakdown
- Financial Efficiency: 57
- Transparency & Controls: 66
- Accountability: 95
- Sustainability: 46
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 51.7%; rating input score 52
- Program expense ratio: 54.6%; rating input score 55
- Fundraising efficiency: $127.57 raised per $1 spent on fundraising; rating input score 89; 89th percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
- Pay-setting controls: 1 of 6 controls in place; rating input score 17
- Compensation committee: Missing
- Independent consultant: Missing
- 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: Limited
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- 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: Fail
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 5.1%; rating input score 51; 51st percentile among comparable filings
- Total-asset coverage ratio: 1.79; rating input score 58; 58th percentile among comparable filings
- Liabilities to assets ratio: 0.54; rating input score 19; 19th percentile among comparable filings
- Officer compensation ratio: 11.9%; rating input score 25; 25th percentile among comparable filings
Growth
- Program expense growth: 7.3% per year; rating input score 100; 52nd percentile among comparable filings
- Revenue growth: 10.7% per year; rating input score 100; 71st percentile among comparable filings
- Asset growth: 22.2% per year; rating input score 100; 87th percentile among comparable filings
Details
- Where the money goes: 51.7% of revenue deployed · 54.6% of spending went to programs
- Governance: 8 of 8 board members independent · 8 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $4.9M in reported program spending
- Leadership: top reported pay $203K · 21 people listed · 1 of 6 pay-setting controls reported
- Consistency: 32 of 32 current checks pass
- Schedules: 5 filed schedules · includes executive pay
- Filing history: 15 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 8 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.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Review — Financial Efficiency: Mission deployment rate scored 52/100.
- Review — Financial Efficiency: Program expense ratio scored 55/100.
- Review — Sustainability: Operating margin scored 51/100.
- Review — Accountability: Governance controls: Form 990 shared with the board not reported.
- Review — Sustainability: Total-asset coverage ratio scored 58/100.
- High — Sustainability: Liabilities to assets ratio scored 19/100.
- High — Sustainability: Officer compensation ratio scored 25/100.