Tennessee · Nonprofit
HOPE FAMILY HEALTH SERVICES
HOPE FAMILY HEALTH SERVICES (Tennessee) receives grants from 10 organizations whose IRS filings report $1,803,126 to it, the largest being UNITED HEALTH FOUNDATION ($1,005,000). 6 of them have funded it in more than one year.
- Revenue FY2025
- $17M
- Funders on record
- 10
- Grants received
- $1.8M
- Net assets
- $7.2M
What Hope Family Health Services does
Mission
To improve access to primary healthcare in rural middle tennessee, with an emphasis on vulnerable populations such as the uninsured, under-insured, poor, homeless, children, migrant workers, and those with addictions.
As stated on its FY2025 Form 990.
Program
Operate health clinic to improve access to primary healthcare in rural middle tennessee, with an emphasis on vulnerable populations such as the uninsured, under-insured, poor, homeless, children, migrant workers and those addicted to substances. Over 29,400 visits were provided during the year.
$11,541,827 spent$10,680,278 earned by the program100% of program spending
The program described on its FY2025 Form 990. Program spending in total: $11,541,827.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2024 to 2025, from $6.1M to $9.3M (+53%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2017 51% · 2018 48% · 2019 38% · 2020 43% · 2021 48% · 2022 41% · 2023 36% · 2024 32% · 2025 34%. Grants only. Government contracts and fees sit inside program revenue.
35% of HOPE FAMILY HEALTH SERVICES’s revenue is contributions — more donation-reliant than the typical peer (7% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 1 of the last 9 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Lauren Smith
Chief executive officer
Board chair
Brad Tuttle
Chairman
As listed on its FY2025 Form 990.
The chief executive listed changed between the FY2024 and FY2025 filings.
Who funds it, year by year
2017 → 2023: the base broadened from 1 funder to 5 funders, grant income rose $63k → $69k.
3 of 10 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 2% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
From the IRS filings of HOPE FAMILY HEALTH SERVICES’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
HOPE FAMILY HEALTH SERVICES leans on a few funders — its largest provides 56% of grant income and the top three 90%; half comes from just 1 funder.
the vertical line marks half of all grant income — 1 funder to its left
Largest funder’s share by year: 2017 100% · 2018 62% · 2019 76% · 2020 80% · 2021 67% · 2022 32% · 2023 46% — diversifying over time.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How long its funders stay
100% of HOPE FAMILY HEALTH SERVICES's funders are still giving 3 years after their first grant; 60% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
HOPE FAMILY HEALTH SERVICES draws 57% of its grant income from funders outside Tennessee, across 2 states in all.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $34k arriving through sponsors registered in 3 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
HOPE FAMILY HEALTH SERVICES runs a healthier operating margin than three-quarters of the 2,843 health nonprofits its size.
this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025
Government funding HOPE FAMILY HEALTH SERVICES receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $26.7M on record.
- Department of Health and Human Services$26.5M
- Department of Agriculture$150k
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like HOPE FAMILY HEALTH SERVICES
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In Tennessee
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
84% of spending goes to programs.
Governance
Public support
99%
Share of support from the public (Schedule A) — the basis for its public-charity status.
Screen this organization
A dated, signed PDF of the compliance screen for HOPE FAMILY HEALTH SERVICES: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds HOPE FAMILY HEALTH SERVICES?
- HOPE FAMILY HEALTH SERVICES (Tennessee) receives grants from 10 organizations whose IRS filings report $1,803,126 to it, the largest being UNITED HEALTH FOUNDATION ($1,005,000). 6 of them have funded it in more than one year.
- How many funders does HOPE FAMILY HEALTH SERVICES have?
- IRS filings report 10 organizations giving $1,803,126 in grants to HOPE FAMILY HEALTH SERVICES, 6 of which have funded it in more than one year.
- Who is the largest funder of HOPE FAMILY HEALTH SERVICES?
- UNITED HEALTH FOUNDATION is the largest funder on record, with $1,005,000 in grants. The full list of funders is on this page.
- How can an organization like HOPE FAMILY HEALTH SERVICES find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in Tennessee. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
Play a game about who funds Hope Family Health Services →
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 10 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing