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East Texas Border Health Clinic

EIN 03-0538912 · Marshall, TX

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthGood85 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

PROVIDE PRIMARY HEALTHCARE, DENTAL CARE, AND MENTAL CARE TO THE COMMUNITIES OF HARRISON, BOWIE, AND CASS COUNTIES OF TEXAS AND THE SURROUNDING COMMUNITIES OF TEXAS AND MILLER COUNTIES OF ARKANSAS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES RENDERED IN AN OFFICE SETTING. THE ORGANIZATION CEASED OPERATIONS IN MARION COUNTY IN OCTOBER 2019.

Income
$39.2 million
Spending
$37.0 million
Spent on programs
83%
Reserves
4.9 months of spending
Largest source of income
fees for its services, 88%
Employees
411
Volunteers
10
Highest pay
$342,257, physician

Source: Form 990 for the year ending August 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Good: 85 out of 100. Higher than 76% of charities in its peer group (health care, $10m to $100m).

  • Reserves

    20 of 35

    Spendable reserves would cover 4.9 months of spending.

  • Debt

    20 of 20

    It owes 8% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 6% of income.

  • Income trend

    15 of 15

    Income rose 23% on the year before.

  • Spending floor

    15 of 15

    83% of spending went to programs and raising each dollar of donations cost 0 cents.

Source: Form 990 for the year ending August 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 100 out of 100. Higher than 52% of charities in its peer group (health care, $10m to $100m).

  • Independent board

    25 of 25

    10 of 10 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending August 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (1)
  1. $30.5 million spent. EAST 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 PROGRAMS AND FUNDING FOR THEIR HEALTHCARE NEEDS.

Source: Form 990 for the year ending August 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending August 2025.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since August 2004.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.