Tyler Family Circle of Care

Nonprofit profile at a glance

EIN
452578435
IRS 990 coverage
2014–2024
Forms available
Form 990 2024
Location
Tyler, TX, USA
Phone
9035359041
Rating
80
Verdict
STRONG
Rating confidence
Moderate
Sector
Health Treatment Facilities, Primarily Outpatient

Official website

Reported finances

Revenue
$24,533,559
Expenses
$29,646,391
Assets
$20,102,233
Liabilities
$3,060,683

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

22 people listed

Executive titles in this filing

  • DORETHA WILSON (BOARD PRESIDENT)
  • CLINTON DAVIS (BOARD VICE PRESIDENT)
  • KRISTEN S HARRIS (CHIEF EXECUTIVE OFFICER)

Highest reported compensation

  • NICHOLAS LUZIETTI (OBGYN PHYSICIAN): $382,420 total reported compensation
  • JOSEPHINE PORTER (CHIEF MEDICAL OFFICER/OBGYN PHYSICIAN): $379,924 total reported compensation
  • ZAREH KHACHIKIAN (OBGYN PHYSICIAN (THRU 01/25)): $345,682 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Providing quality healthcare for all, delivered with compassion, integrity, and respect.

What it reported doing in 2024

Family circle of care is a health center that operates seven medical clinics, one dental clinic, one optometry clinic, and a mobile medical clinic serving the east Texas cities of tyler, athens, and jacksonville and surrounding communities. We provide obstetrics & gynecology, pediatrics, family medicine, internal medicine, mental health services, dental services, optometry services, and social services and resource assistance, and have been the leading community health center (also known as a federally qualified health center or fqhc) in our service area since 2013.fcc's clinics are in tracts designated as opportunity zones and medically underserved areas, with low median household incomes, high unemployment rates, high percentages of poverty, low percentages of residents with an advanced degree, and high percentages of students eligible for free or reduced lunch. Our seven tyler clinics are in non-rural areas and our jacksonville and athens clinics are in rural areas.many of our patients experience barriers to healthcare, and we strive to reduce obstacles to provide trauma-informed, culturally competent, affordable, accessible healthcare for all.

Operating model

Revenue model
Earned-program. 79% 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

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 77
  • Transparency & Controls: 84
  • Accountability: 91
  • Sustainability: 19
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 93%; rating input score 93
  • Program expense ratio: 76.9%; rating input score 77
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Pass
    • Written employment contract: Pass
    • 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: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Fail
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -20.8%; rating input score 5; 5th percentile among comparable filings
  • Total-asset coverage ratio: 0.68; rating input score 23; 23rd percentile among comparable filings
  • Liabilities to assets ratio: 0.15; rating input score 65; 65th percentile among comparable filings
  • Officer compensation ratio: 9.9%; rating input score 20; 20th percentile among comparable filings

Growth

  • Program expense growth: 10.6% per year; rating input score 100; 73rd percentile among comparable filings
  • Revenue growth: 6.7% per year; rating input score 100; 57th percentile among comparable filings
  • Asset growth: 10.8% per year; rating input score 100; 68th percentile among comparable filings

Details

  • Where the money goes: 93% of revenue deployed · 76.9% of spending went to programs
  • Governance: 9 of 9 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $22.8M in reported program spending
  • Leadership: top reported pay $382K · 22 people listed · 4 of 6 pay-setting controls reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 5 filed schedules · includes major donors and executive pay
  • Filing history: 11 filing years from 2014 to 2024
  • Contacts: How to reach this organization
  • Money network: 10 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.

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 5/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 23/100.
  • High — Sustainability: Officer compensation ratio scored 20/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.