2026-06-11T10:08:25-05:00 2025-08-31 410746749 CLIFTONLARSONALLEN LLP 420 SOUTH ORANGE AVENUE SUITE 900 ORLANDO FL 32801 990 2024-09-01 452578435 TYLER FAMILY CIRCLE OF CARE TYLE 9035359041 523 SOUTH FANNIN AVENUE TYLER TX 75702 JENNIFER BREEDLOVE CFO 9035359041 2026-06-11 1 1 TINA HENTON P00630282 4078021200 2026-06-11 2024 2025-03-06 01:10:19Z JENNIFER BREEDLOVE 523 SOUTH FANNIN AVENUE TYLER TX 75702 24533559 0 X WWW.TYLERCIRCLEOFCARE.ORG X 2011 TX PROVIDING QUALITY HEALTHCARE FOR ALL, DELIVERED WITH COMPASSION, INTEGRITY, AND RESPECT. 9 9 303 9 0 0 5188997 4465427 16589581 19447672 314471 327308 340424 293152 22433473 24533559 0 0 0 0 18406054 21334477 0 0 0 7386521 8311914 25792575 29646391 -3359102 -5112832 24336388 20102233 2182006 3060683 22154382 17041550 X PROVIDING QUALITY HEALTHCARE FOR ALL, DELIVERED WITH COMPASSION, INTEGRITY, AND RESPECT. 0 0 22798268 19447672 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. 22798268 1 1 0 0 0 0 0 0 0 0 1 0 0 1 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 47 0 1 303 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 X JENNIFER BREEDLOVE 9035359041 523 SOUTH FANNIN AVENUE TYLER TX 75702 DORETHA WILSON BOARD PRESIDENT 2.00 X X 0 0 0 CLINTON DAVIS BOARD VICE PRESIDENT 2.00 X X 0 0 0 LAMOND DEAN BOARD SECRETARY & TREASURER 2.00 X X 0 0 0 KRISTEN COLE BOARD MEMBER 2.00 X 0 0 0 MILES MORRISON BOARD MEMBER 2.00 X 0 0 0 ROBERT OGDEN BOARD MEMBER 2.00 X 0 0 0 CHIA PEARSON BOARD MEMBER 2.00 X 0 0 0 NICANOR PESINA JR BOARD MEMBER 2.00 X 0 0 0 AMBRA PHILLIPS BOARD MEMBER (THRU 10/24) 2.00 X 0 0 0 ONA TOLLIVER BOARD MEMBER 2.00 X 0 0 0 KHADAYSIA YOUNG BOARD MEMBER (THRU 11/24) 2.00 X 0 0 0 IVETTE ZAVARCE BOARD MEMBER (THRU 8/25) 2.00 X 0 0 0 JOSEPHINE PORTER CHIEF MEDICAL OFFICER/OBGYN PHYSICIAN 40.00 X 352270 0 27654 KRISTEN S HARRIS CHIEF EXECUTIVE OFFICER 40.00 X 279221 0 22975 JOSHUA MORGAN CHIEF MEDICAL OFFICER/FAMILY PRACTICE PHYSICIAN 40.00 X 244120 0 24816 JENNIFER BREEDLOVE CHIEF FINANCIAL OFFICER 40.00 X 161764 0 16713 BENJAMIN FOUSE CHIEF ADMINISTRATIVE OFFICER 40.00 X 135196 0 28162 NICHOLAS LUZIETTI OBGYN PHYSICIAN 40.00 X 356233 0 26187 ZAREH KHACHIKIAN OBGYN PHYSICIAN (THRU 01/25) 40.00 X 335703 0 9979 RACHEL EVERSON OBGYN PHYSICIAN 40.00 X 306379 0 30136 GERARD E VALLEJO PSYCHIATRIST 40.00 X 296459 0 19578 CHERYL POLKOWSKI FAMILY MEDICINE PHYSICIAN 40.00 X 261221 0 13144 2728566 0 219344 38 0 1 0 0 4446427 19000 4465427 PATIENT SERVICE REVENUE 621110 19447672 19447672 19447672 327308 327308 39572 0 39572 39572 39572 QUALITY INCENTIVES 621110 210898 210898 OTHER OPERATING REVENUE 621110 29187 29187 MEDICAL RECORDS FEE 621110 13495 13495 253580 24533559 19447672 0 620460 X 1265959 404655 861304 13629013 10663098 2965915 548696 489237 59459 4563188 3770108 793080 1327621 989172 338449 42668 33159 9509 87366 67895 19471 3899775 3067282 832493 41879 32546 9333 196733 152888 43845 249607 193978 55629 631827 489480 142347 148265 115222 33043 3 2 1 651461 493696 157765 146424 113791 32633 MEDICAL SUPPLIES 1935811 1504387 431424 MEMBERSHIP DUES AND SUB 173530 134856 38674 REPAIRS & MAINTENANCE 73679 57259 16420 OTHER OPERATING EXPENSE 17216 13379 3837 15670 12178 3492 29646391 22798268 6848123 0 10321547 5347503 2099032 2004367 1282793 521395 1870948 3495991 551306 491189 10184837 2952179 7381632 7232658 829130 1009130 24336388 20102233 1346841 1945713 835165 1114970 2182006 3060683 X 22154382 17041550 22154382 17041550 24336388 20102233 -5112832 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 109203 109203 7887730 1859050 6028680 2187904 1093129 1094775 7232658 RIGHT-OF-USE ASSETS 1009130 1009130 OPERATING LEASE LIABILITY 1114970 1114970 X 24533559 0 24533559 0 24533559 29646391 0 29646391 0 29646391 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 2023, 2024, AND 2025 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 NICHOLAS LUZIETTI OBGYN PHYSICIAN 345983 0 10250 0 0 0 21972 0 4215 0 382420 0 0 0 JOSEPHINE PORTER CHIEF MEDICAL OFFICER/OBGYN PHYSICIA 352020 0 250 0 0 0 22404 0 5250 0 379924 0 0 0 ZAREH KHACHIKIAN OBGYN PHYSICIAN (THRU 01/25) 335453 0 250 0 0 0 5618 0 4361 0 345682 0 0 0 RACHEL EVERSON OBGYN PHYSICIAN 306129 0 250 0 0 0 20251 0 9885 0 336515 0 0 0 GERARD E VALLEJO PSYCHIATRIST 296209 0 250 0 0 0 17537 0 2041 0 316037 0 0 0 KRISTEN S HARRIS CHIEF EXECUTIVE OFFICER 262321 0 16900 0 0 0 16621 0 6354 0 302196 0 0 0 CHERYL POLKOWSKI FAMILY MEDICINE PHYSICIAN 260971 0 250 0 0 0 3189 0 9955 0 274365 0 0 0 JOSHUA MORGAN CHIEF MEDICAL OFFICER/FAMILY PRACTIC 243870 0 250 0 0 0 15301 0 9515 0 268936 0 0 0 JENNIFER BREEDLOVE CHIEF FINANCIAL OFFICER 161514 0 250 0 0 0 10451 0 6262 0 178477 0 0 0 BENJAMIN FOUSE CHIEF ADMINISTRATIVE OFFICER 134946 0 250 0 0 0 10300 0 17862 0 163358 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 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G FEES FOR PROFESSIONAL AND CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,067,282. MANAGEMENT AND GENERAL EXPENSES 832,493. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,899,775.