Family HealthCare
Legal name: Family Healthcare Center
Nonprofit profile at a glance
- EIN
- 450430628
- IRS 990 coverage
- 2012–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Fargo, ND, US
- Phone
- 701-271-3344
- Rating
- 78
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
Reported finances
- Revenue
- $25,845,011
- Expenses
- $26,018,995
- Assets
- $28,989,647
- Liabilities
- $6,165,707
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
22 people listed
Executive titles in this filing
- STEVE SKOBLIK (PRESIDENT)
- TONYA SIRLEAF (VICE PRESIDENT)
- MARGARET ASHEIM (CEO)
Highest reported compensation
- NAPOLEAN ESPEJO (MEDICAL DIRECTOR): $247,438 total reported compensation
- MATTHEW EATON (DENTAL DIRECTOR): $229,766 total reported compensation
- NICOLE WEEKLEY (DENTIST): $224,602 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Family HealthCare provides high quality medical and dental care to everyone who needs it, regardless of age, nationality, or ability to pay.
What it reported doing in 2024
To provide affordable, quality healthcare for every person. Number of patients seen annually is approximately 15,000, with the majority of these patients living under the federal definition of poverty, and eligible for discounted care.
Operating model
- Revenue model
- Earned-program. 82% 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: 73
- Transparency & Controls: 74
- Accountability: 100
- Sustainability: 36
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 82.7%; rating input score 83
- Program expense ratio: 82.1%; rating input score 82
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd 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: 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: -0.7%; rating input score 28; 28th percentile among comparable filings
- Total-asset coverage ratio: 1.11; rating input score 40; 40th percentile among comparable filings
- Liabilities to assets ratio: 0.21; rating input score 57; 57th percentile among comparable filings
- Officer compensation ratio: 6.7%; rating input score 38; 38th percentile among comparable filings
Growth
- Program expense growth: 7.4% per year; rating input score 100; 58th percentile among comparable filings
- Revenue growth: 7.2% per year; rating input score 100; 61st percentile among comparable filings
- Asset growth: 8% per year; rating input score 100; 55th percentile among comparable filings
Details
- What they do: 8 programs and campaigns described on the official site · 6 operating locations identified
- Where the money goes: 82.7% of revenue deployed · 82.1% of spending went to programs
- Governance: 11 of 11 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $21.4M in reported program spending
- Leadership: top reported pay $247K · 22 people listed · 2 of 6 pay-setting controls reported
- Highest-paid contractors: 2 contractors listed · $600K reported
- Consistency: 30 of 30 current checks pass
- Schedules: 5 filed schedules · includes major donors and executive pay
- Filing history: 13 filing years from 2012 to 2024
- Contacts: How to reach this organization
- Money network: 9 filed money-flow records
- 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.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- High — Sustainability: Operating margin scored 28/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 40/100.
- Moderate — Sustainability: Officer compensation ratio scored 38/100.
- Review — Sustainability: Liabilities to assets ratio scored 57/100.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.