East Texas Border Health Clinic
Also known as Genesis Primecare
East Texas Border Health Clinic reported $39.2 million in revenue and $37.0 million in expenses for the fiscal year ending August 31, 2025. Of every $100 it spent, $82.57 went to program services, $17.43 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 88.1% of the total. Government grants made up 8.9%. The highest compensation it reported for one person was $342,257 (PHYSICIAN). 46 people received more than $100,000 in reportable compensation. Revenue rose 44% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending August 31, 2025 · Form 990, Part IX, line 25 · total expenses $37MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending August 31, 2025 · Form 990, Part VIII · total revenue $39MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 82.6% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 17.4% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 9.7% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 8.9% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 88.1% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $342,257 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.93% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 46 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 9.3 | 6.6 |
| Independent voting board members Part VI 1a–1b | 10 of 10 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseEast Texas Border Health Clinic was established in 2006 to provide patient medical care to residents in harrison, bowie and cass counties of the state of texas as well as residents in miller county, arkansas. Us census bureau estimated cass county's poverty level at 17.5%, bowie county's poverty level at 16.2%, harrison county's poverty level at 15.6%, and miller county's poverty level at 24.6%. The clinic provides care to patients without regard to race, age, religion, gender, sexual orientation, political views, or ability to pay. Patients are provided assistance and education on available…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $324,921 | $0 | $17,336 | $342,257 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $318,425 | $0 | $17,410 | $335,835 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $290,452 | $0 | $33,561 | $324,013 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $310,000 | $0 | $0 | $310,000 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $277,088 | $0 | $26,471 | $303,559 |
| CEO Officer, 40.00 hrs/week | $249,586 | $0 | $20,577 | $270,163 |
| COO Officer, 40.00 hrs/week | $155,759 | $0 | $21,093 | $176,852 |
| CFO Officer, 40.00 hrs/week | $158,795 | $0 | $16,802 | $175,597 |
46 people received more than $100,000 in reportable compensation from East Texas Border Health Clinic (Part VII, line 2).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b10 · 10 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5411
- Volunteers Part I, line 610
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| CATBIRD CONSTRUCTION Construction services | $2,349,890 |
| STEPHENS SERVICES GROUP LLC General contracting services | $593,062 |
| RVP CONSTRUCTION Construction services | $227,366 |
| DURBIN AND COMPANY LLP Audit, cost report, tax services | $110,623 |
| QUEST DIAGNOSTICS Lab services | $108,180 |
Individuals listed as contractors are left out. 5 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from East Texas Border Health Clinic's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for East Texas Border Health Clinic, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 East Texas Border Health Clinic spent in FY2025, $82.57 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Children's National Rehabilitation and Specialized CAREWashington, DC · revenue $39M · programs 61.0% · FY2025
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Questions people ask
How much of East Texas Border Health Clinic's spending goes to programs?
In the fiscal year ending August 31, 2025, East Texas Border Health Clinic reported that 82.6% of its $37.0 million in expenses went to program services, 17.4% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does East Texas Border Health Clinic pay its top executive?
The largest total compensation East Texas Border Health Clinic reported for one person in the fiscal year ending August 31, 2025 was $342,257, for the role of PHYSICIAN (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does East Texas Border Health Clinic get its money?
Of $39.2 million in revenue in the fiscal year ending August 31, 2025, 9.7% came from contributions and grants (including 8.9% from government grants) and 88.1% from program service revenue (Form 990, Part VIII).
Is East Texas Border Health Clinic a registered charity?
The IRS lists EIN 03-0538912 as a 501(c)(3) organization (publicly supported organization (170(b)(1)(a)(vi))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending August 31, 2025, object 202621879349300222 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending August 31, 2024, object 202511959349300121 · read the filing
- FY2023: Form 990 for the fiscal year ending August 31, 2023, object 202401979349302385 · read the filing
- FY2022: Form 990 for the fiscal year ending August 31, 2022, object 202311989349302351 · read the filing
- FY2021: Form 990 for the fiscal year ending August 31, 2021, object 202212459349300836 · read the filing
- FY2020: Form 990 for the fiscal year ending August 31, 2020, object 202111959349302086 · read the filing
All filings for EIN 03-0538912: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.