2025-07-09T09:48:49-05:00 2024-08-31 410746749 CLIFTONLARSONALLEN LLP 475 REGENCY PARK SUITE 175 OFALLON IL 62269 990 2023-09-01 452578435 TYLER FAMILY CIRCLE OF CARE TYLE 9035359041 523 SOUTH FANNIN AVENUE TYLER TX 75702 JENNIFER BREEDLOVE CFO 9035359041 2025-07-08 1 0 ERIKA MARTINEZ P02297196 6182331200 2025-07-08 2023 2025-03-06 01:10:19Z JENNIFER BREEDLOVE 523 SOUTH FANNIN AVENUE TYLER TX 75702 22433473 0 X WWW.TYLERCIRCLEOFCARE.ORG X 2011 TX PROVIDING QUALITY HEALTHCARE FOR ALL, DELIVERED WITH COMPASSION, INTEGRITY, AND RESPECT. 12 12 278 12 0 0 7239160 5188997 16311634 16589581 621981 314471 400711 340424 24573486 22433473 0 0 0 0 17383667 18406054 0 0 0 6054934 7386521 23438601 25792575 1134885 -3359102 27947569 24336388 2434085 2182006 25513484 22154382 X PROVIDING QUALITY HEALTHCARE FOR ALL, DELIVERED WITH COMPASSION, INTEGRITY, AND RESPECT. 0 0 19317751 0 16589581 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. 19317751 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 54 0 278 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 X THE ORGANIZATION 9035359041 523 SOUTH FANNIN AVENUE TYLER TX 75702 NICANOR PESINA JR BOARD PRESIDENT 2.00 X X 0 0 0 CLINTON DAVIS BOARD VICE PRESIDENT 2.00 X X 0 0 0 DORETHA WILSON BOARD TREASURER/SECRETARY 2.00 X X 0 0 0 LAMOND DEAN BOARD MEMBER 2.00 X 0 0 0 KRISTI LEMMERTT BOARD MEMBER 2.00 X 0 0 0 ROBERT OGDEN BOARD MEMBER 2.00 X 0 0 0 YANIRA OLIVERAS ORTIZ BOARD MEMBER 2.00 X 0 0 0 AMBRA PHILLIPS BOARD MEMBER 2.00 X 0 0 0 ONA TOLLIVER BOARD MEMBER 2.00 X 0 0 0 IVETTE ZAVARCE BOARD MEMBER 2.00 X 0 0 0 KRISTEN COLE BOARD MEMBER 2.00 X 0 0 0 KHADAYSIA YOUNG BOARD MEMBER 2.00 X 0 0 0 KRISTEN S HARRIS CHIEF EXECUTIVE OFFICER 40.00 X 245643 0 29468 JENNIFER BREEDLOVE CHIEF FINANCIAL OFFICER 40.00 X 154088 0 24103 JOSEPHINE PORTER CHIEF MEDICAL OFFICER/OBGYN PHYSICIAN 40.00 X 363355 0 27996 MICHAEL DONLEY GENERAL COUNSEL & CHIEF ADMIN OFFICER 40.00 X 166101 0 21477 NICHOLAS LUZIETTI OBGYN PHYSICIAN 40.00 X 346097 0 27369 ZAREH KHACHIKIAN OBGYN PHYSICIAN 40.00 X 325993 0 14974 RACHEL EVERSON OBGYN PHYSICIAN 40.00 X 299973 0 33373 JOSEPH PETTY OBGYN PHYSICIAN 40.00 X 278154 0 8753 JEFFREY SMITH PEDIATRIC PHYSICIAN 40.00 X 276764 0 14218 2456168 0 201731 31 0 1 0 0 5072997 116000 5188997 PATIENT SERVICE REVENUE 621110 16589581 16589581 16589581 314471 314471 36528 0 36528 36528 36528 QUALITY INCENTIVES 621110 259339 259339 OTHER OPERATING REVENUE 621110 32342 32342 MEDICAL RECORDS FEE 621110 12215 12215 303896 22433473 16589581 0 654895 X 1113798 1113798 12399969 10303223 2096746 500532 402186 98346 3308042 2658067 649975 1083713 826249 257464 16283 11705 4578 111007 79798 31209 3368093 2233635 1134458 87714 63053 24661 228689 164394 64295 492441 353992 138449 476188 336976 139212 196406 141187 55219 578016 426576 151440 133796 96180 37616 MEDICAL SUPPLIES 1483630 1066511 417119 MEMBERSHIP DUES AND SUB 91480 65761 25719 REPAIRS & MAINTENANCE 74027 53214 20813 SERVICE CHARGES 38639 27776 10863 10112 7268 2844 25792575 19317751 6474824 0 3322315 10321547 13499035 2099032 1268185 1282793 1850497 1870948 321883 551306 9682351 2300719 6736680 7381632 948974 829130 27947569 24336388 1471013 1346841 48940 914132 835165 2434085 2182006 X 25513484 22154382 25513484 22154382 27947569 24336388 -3359102 0 X 0 1 X 1 0 X PART I, LINE 3 IN TAX YEARS FILED PREVIOUSLY, THE ORGANIZATION HAS SELECTED BOX 7 AS A SECTION 170(B)(1)(A)(VI) IN ERROR. AS AN OUTPATIENT CLINIC, THE IRS DETERMINATION LETTER REPORTS THE ORGANIZATION DESCRIBED IN IRC SECTIONS 509(A)(1) AND 170(B)(1)(A)(III), THEREFORE, THE ORGANIZATION IS PROPERLY SELECTING BOX 3 FOR FYE24. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 109203 109203 7626537 1487175 6139362 1819837 813544 1006293 126774 126774 7381632 OPERATING LEASE LIABILITY 835165 835165 X 22433473 0 22433473 0 22433473 25792575 0 25792575 0 25792575 PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION EVALUATES AND ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES (FORMERLY FASB INTERPRETATION 48 (FIN 48) ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES). THIS STANDARD REQUIRES CERTAIN DISCLOSURES ABOUT UNCERTAIN INCOME TAX POSITIONS. THE ORGANIZATION EVALUATES ANY UNCERTAIN TAX POSITIONS USING THE PROVISIONS OF ASC 450, CONTINGENCIES. AS A RESULT, MANAGEMENT DOES NOT BELIEVE THAT ANY UNCERTAIN TAX POSITIONS CURRENTLY EXIST AND NO LOSS CONTINGENCY HAS BEEN RECOGNIZED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION HAS FILED ALL APPLICABLE TAX RETURNS. THE ORGANIZATION'S FORMS 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, FOR THE YEARS ENDED 2022, 2023, AND 2024 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. X X X X 0 0 0 0 0 0 0 0 0 JOSEPHINE PORTER CHIEF MEDICAL OFFICER/OBGYN PHYSICIA 347335 0 16020 0 0 0 15457 0 12539 0 391351 0 0 0 NICHOLAS LUZIETTI OBGYN PHYSICIAN 339347 0 6750 0 0 0 16282 0 11087 0 373466 0 0 0 ZAREH KHACHIKIAN OBGYN PHYSICIAN 319243 0 6750 0 0 0 0 0 14974 0 340967 0 0 0 RACHEL EVERSON OBGYN PHYSICIAN 293223 0 6750 0 0 0 14914 0 18459 0 333346 0 0 0 JEFFREY SMITH PEDIATRIC PHYSICIAN 276514 0 250 0 0 0 12093 0 2125 0 290982 0 0 0 JOSEPH PETTY OBGYN PHYSICIAN 272904 0 5250 0 0 0 2671 0 6082 0 286907 0 0 0 KRISTEN S HARRIS CHIEF EXECUTIVE OFFICER 245643 0 0 0 0 0 12507 0 16961 0 275111 0 0 0 MICHAEL DONLEY GENERAL COUNSEL & CHIEF ADMIN OFFICE 165851 0 250 0 0 0 8099 0 13378 0 187578 0 0 0 JENNIFER BREEDLOVE CHIEF FINANCIAL OFFICER 153838 0 250 0 0 0 6442 0 17661 0 178191 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE CEO AND CFO REVIEW THE FORM 990 BEFORE SUBMITTING IT TO THE BOARD FOR REVIEW. THE BOARD REVIEWS THE FORM 990 ONE WEEK PRIOR TO THE BOARD MEETING. ANY QUESTIONS THE BOARD MAY HAVE ARE ADDRESSED AT THE BOARD MEETING. ONCE ALL QUESTIONS OR CONCERNS HAVE BEEN ADDRESSED, THE FORM 990 IS ELECTRONICALLY FILED. FORM 990, PART VI, SECTION B, LINE 12C WHEN WE BRING ON A NEW BOARD MEMBER, THE CEO GIVES THEM AN ORIENTATION. IT INCLUDES CONFLICT OF INTEREST TRAINING AND THE SIGNING OF A CONFLICT OF INTEREST DISCLOSURE STATEMENT. ANNUALLY, WE TRAIN THE BOARD OF DIRECTORS ON THE CONFLICT OF INTEREST POLICY AND THEY SIGN THE DISCLOSURE STATEMENT. WHEN THERE IS MATTER TO BE VOTED ON INVOLVING A POTENTIAL CONFLICT OF INTEREST, CEO KRISTEN HARRIS REQUESTS THE BOARD MEMBER RECUSE HIM/HERSELF FROM ANY DECISION-MAKING REGARDING THE ORGANIZATION OR INDIVIDUAL WITH THE POTENTIAL CONFLICT. THIS HAS OCCURRED SEVERAL TIMES AND ALL BOARD MEMBERS UNDERSTAND THEIR ROLES AND VOLUNTARILY RECUSE THEMSELVES. ANNUALLY WE TRAIN STAFF MEMBERS ON CONFLICT OF INTERESTS AS PART OF OUR CODE OF CONDUCT TRAINING. WE ASK THEM TO DISCLOSE ANY POTENTIAL CONFLICTS. IF ANYONE BELIEVES THERE IS AN UNDISCLOSED CONFLICT OF INTEREST, THEY MAY FILE AN INCIDENT REPORT FORM OR MAKE THE REPORT THROUGH LIGHTHOUSE SERVICES, OUR ANONYMOUS REPORTING SERVICE. FORM 990, PART VI, SECTION B, LINE 15A WE USE FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL OF THE BOARD GOVERNANCE COMMITTEE TO ESTABLISH COMPENSATION OF THE CEO. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: ACCOUNTING POLICY #1.45 PROVIDES THAT TFCC SHALL RESPOND TO REQUEST FOR INFORMATION PURSUANT TO IRC SECTION 301.6104(D). FORM 990, PART IX, LINE 11G FEES FOR PROFESSIONAL AND CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,233,635. MANAGEMENT AND GENERAL EXPENSES 1,134,458. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,368,093.