Hope Family Health Services

Nonprofit profile at a glance

EIN
201944166
IRS 990 coverage
2013–2025
Forms available
Form 990 2025
Location
Westmoreland, TN, USA
Phone
6156442000
Rating
75
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Ambulatory Health Center, Community Clinic

Reported finances

Revenue
$16,624,954
Expenses
$13,697,878
Assets
$9,308,764
Liabilities
$2,074,332

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

24 people listed

Executive titles in this filing

  • JENNIFER DITTES (FORMER CHIEF EXECUTIVE OFFICER)
  • LAUREN SMITH (CHIEF EXECUTIVE OFFICER)

Highest reported compensation

  • JENNIFER DITTES (FORMER CHIEF EXECUTIVE OFFICER): $190,073 total reported compensation
  • RICHARD COX (PHARMACY DIRECTOR): $154,698 total reported compensation
  • AMANDA PERRY (PHYSICIAN ASSISTANT): $133,221 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To improve access to primary healthcare in rural middle Tennessee, with an emphasis on vulnerable populations such as the uninsured, under-insured, poor, homeless, children, migrant workers, and those with addictions.

What it reported doing in 2025

Operate health clinic to improve access to primary healthcare in rural middle Tennessee, with an emphasis on vulnerable populations such as the uninsured, under-insured, poor, homeless, children, migrant workers and those addicted to substances. Over 29,400 visits were provided during the year.

Operating model

Revenue model
Earned-program. 64% 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. Total assets are small relative to annual expenses; liquid coverage is unknown and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 67
  • Transparency & Controls: 74
  • Accountability: 95
  • Sustainability: 48
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 69.6%; rating input score 70
  • Program expense ratio: 84.3%; rating input score 84
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 64th 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; 64th 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: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Fail
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 17.6%; rating input score 72; 72nd percentile among comparable filings
  • Total-asset coverage ratio: 0.68; rating input score 18; 18th percentile among comparable filings
  • Liabilities to assets ratio: 0.22; rating input score 49; 49th percentile among comparable filings
  • Officer compensation ratio: 10.3%; rating input score 23; 23rd percentile among comparable filings

Growth

  • Program expense growth: 18% per year; rating input score 100; 85th percentile among comparable filings
  • Revenue growth: 16.6% per year; rating input score 100; 88th percentile among comparable filings
  • Asset growth: 21.6% per year; rating input score 100; 92nd percentile among comparable filings

Details

  • Where the money goes: 69.6% of revenue deployed · 84.3% of spending went to programs
  • Governance: 12 of 12 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $11.5M in reported program spending
  • Leadership: top reported pay $190K · 24 people listed · 2 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $807K reported
  • Consistency: 31 of 31 current checks pass
  • Schedules: 5 filed schedules · includes major donors and executive pay
  • Filing history: 13 filing years from 2013 to 2025
  • Contacts: How to reach this organization
  • Money network: 12 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.

  • High — Sustainability: Total-asset coverage ratio scored 18/100.
  • Review — Accountability: Governance controls: Audit committee oversight not reported.
  • High — Sustainability: Officer compensation ratio scored 23/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 49/100.