Civic Intelligence

Third Street Community Clinic Inc.

990 • Fiscal year 2014 • EIN 34-1753919

Jan 01, 2014 to Dec 31, 2014 • Filed on Aug 12, 2015

600 W Third StreetMansfield, OH 44906

(419) 522-6191

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

26th percentile

0.05x

Higher debt load relative to assets than 26% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Liabilities / Revenue

11th percentile

0.03x

Higher debt load relative to revenue than 11% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Net Margin

61st percentile

6.3%

Higher net margin than 61% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Top Officer Pay

83rd percentile

$337,253

Higher top officer pay than 83% of similar nonprofits.

Top officer pay equals 3.3% of source-year revenue.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Asset Growth

71st percentile

10%

Faster asset growth than 71% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2013 to 2014

Revenue Growth

69th percentile

12%

Faster revenue growth than 69% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2013 to 2014

Assets

Up

$4,848,304

Up $448,110 (+10%) from 2013

Net Assets

Up

$4,582,142

Up $647,129 (+16%) from 2013

Liabilities

Down

$266,162

Down $199,019 (-43%) from 2013

Revenue

Up

$10,195,097

Up $1,103,652 (+12%) from 2013

Expenses

Up

$9,547,968

Up $868,313 (+10%) from 2013

Net Income

Up

$647,129

Up $235,339 (+57%) from 2013

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0Assets 2012: $4,223,726Liabilities 2012: $700,503Net Assets 2012: $3,523,2232012Assets 2013: $4,400,194Liabilities 2013: $465,181Net Assets 2013: $3,935,0132013Assets 2014: $4,848,304Liabilities 2014: $266,162Net Assets 2014: $4,582,1422014Assets 2015: $6,342,277Liabilities 2015: $842,400Net Assets 2015: $5,499,8772015Assets 2016: $6,602,189Liabilities 2016: $844,940Net Assets 2016: $5,757,2492016Assets 2017: $6,911,145Liabilities 2017: $1,045,664Net Assets 2017: $5,865,4812017Assets 2018: $7,126,739Liabilities 2018: $951,922Net Assets 2018: $6,174,8172018Assets 2019: $7,682,899Liabilities 2019: $1,618,273Net Assets 2019: $6,064,6262019Assets 2020: $10,500,011Liabilities 2020: $1,847,740Net Assets 2020: $8,652,2712020Assets 2021: $11,972,993Liabilities 2021: $2,089,356Net Assets 2021: $9,883,6372021Assets 2022: $11,887,406Liabilities 2022: $2,674,301Net Assets 2022: $9,213,1052022Assets 2023: $18,374,674Liabilities 2023: $6,531,413Net Assets 2023: $11,843,2612023Assets 2024: $21,590,724Liabilities 2024: $9,114,687Net Assets 2024: $12,476,0372024

Highlighted filing

2014

Assets$4,848,304
Liabilities$266,162
Net Assets$4,582,142

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$40M$30M$20M$10M$0-$10MExpenses 2012: $8,171,9592012Revenue 2013: $9,091,445Expenses 2013: $8,679,655Net Income 2013: $411,7902013Revenue 2014: $10,195,097Expenses 2014: $9,547,968Net Income 2014: $647,1292014Revenue 2015: $11,872,260Expenses 2015: $10,938,170Net Income 2015: $934,0902015Revenue 2016: $13,656,677Expenses 2016: $13,398,023Net Income 2016: $258,6542016Revenue 2017: $14,915,075Expenses 2017: $14,833,207Net Income 2017: $81,8682017Revenue 2018: $14,543,027Expenses 2018: $14,173,130Net Income 2018: $369,8972018Revenue 2019: $15,382,728Expenses 2019: $15,583,256Net Income 2019: -$200,5282019Revenue 2020: $19,396,405Expenses 2020: $16,862,075Net Income 2020: $2,534,3302020Revenue 2021: $20,324,464Expenses 2021: $19,068,704Net Income 2021: $1,255,7602021Revenue 2022: $20,772,967Expenses 2022: $21,044,181Net Income 2022: -$271,2142022Revenue 2023: $22,438,116Expenses 2023: $24,966,032Net Income 2023: -$2,527,9162023Revenue 2024: $33,498,931Expenses 2024: $32,946,590Net Income 2024: $552,3412024

Highlighted filing

2014

Revenue$10,195,097
Expenses$9,547,968
Net Income$647,129
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Aug 12, 2015
Return Version
2014v5.0
Gross Receipts
$10,195,097
Mission and Program Overview

Mission

Third street community clinic (dba third street family health services) was incorporated in 1993 for the purpose of providing accessible, primary medical, dental, and behavioral health care to the under-served residents in richland county, ohio.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$3,279,523$3,175,350▼ $104,173
Accounts Receivable$726,412$765,106▲ $38,694
Cash and Non-Interest-Bearing Accounts$262,594$532,012▲ $269,418
Savings and Temporary Cash Investments$120,207$350,046▲ $229,839
Inventories for Sale or Use$9,166$15,289▲ $6,123
Prepaid Expenses and Deferred Charges$2,292$10,501▲ $8,209
Total Assets$4,400,194$4,848,304▲ $448,110
Liabilities
Accounts Payable and Accrued Expenses$448,964$266,162▼ $182,802
Deferred Revenue$16,217$0▼ $16,217
Total Liabilities$465,181$266,162▼ $199,019
Net Assets / Fund Balance
Unrestricted Net Assets$3,893,724$4,509,858▲ $616,134
Temporarily Rstr Net Assets$41,289$72,284▲ $30,995
Total Net Assets Fund Balance$3,935,013$4,582,142▲ $647,129
Total Liabilities and Net Assets / Fund Balance$4,400,194$4,848,304▲ $448,110

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,667,240$1,039,146$3,706,386
Equipment$208,363$1,051,342$1,259,705
Other Land Buildings$210,682$438,786$649,468
Land$89,065-$89,065
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
James Alford MdMedical Director of Ob/gynFT$273,092$64,161$337,253
Carolyn Chambers MdPhysicianFT$247,516$60,388$307,904
Edward Zarczynski MdPhysicianFT$239,786$53,393$293,179
Brett Toward MdCMOFT$189,539$31,955$221,494
Ujkwala Pagedar MdPhysicianFT$155,739$6,365$162,104
Jared PollickCEOFT$122,736$35,257$157,993
Steven Mcnutt MdPhysicianFT$132,136$20,842$152,978
Chinmay Vyas MdPhysicianFT$146,846$4,622$151,468
Barbara SullingerCFOFT$56,788$17,145$73,933

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$2,428,617
Program Service Revenue
$7,759,201
Investment Income
$209
Other Revenue
$7,070
All Other Contributions
$194,467
Change in Net Assets
$647,129

Audited Revenue Reconciliation

Revenue per Audited Statements
$10,195,097
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$10,195,097
Total Revenue per Form 990
$10,195,097
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$6,965,059
Other Expenses$2,582,909
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,642,548$430,183-$5,072,731
Current Officers, Directors, Trustees, and Key Employees$491,152$299,521-$790,673
Other Employee Benefits$505,489$50,859-$556,348
Payroll Taxes$415,207$48,437-$463,644
Office Expenses$305,851$97,661-$403,512
Fees for Services Other$321,488$52,627-$374,115
Occupancy$277,740$30,131-$307,871
Depreciation Depletion$145,489$65,364-$210,853
Advertising$82,535$23,120-$105,655
Pension Plan Contributions$73,474$8,189-$81,663
Information Technology$39,230$24,828-$64,058
Conferences and Meetings$50,166$12,952-$63,118
Fees for Services Accounting-$45,962-$45,962
Travel$15,442$18,284-$33,726
Fees for Services Legal$11,965$3,695-$15,660
All Other Expenses$2,628$9,569-$12,197
Insurance-$5,847-$5,847
Other Expenses$3,574$26,761-$3,574
Total Functional Expenses$8,293,978$1,253,990$0$9,547,968

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$9,547,968
Total Expenses per Audited Statements$9,547,968
Total Expenses per Form 990$9,547,968
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

Federal form 990 is prepared by the clinic's independent auditor and is reviewed by the clinic's chief financial officer and executive director. After this review the federal form 990 is made available to the board of directors for approval prior to its being filed.

Form 990, Part VI, Section B, Line 12C

The clinic provides all board members with a copy of its "conflict of interest" policy annually. Board members are required to notify the clinic of any conflicts they may have.

Form 990, Part VI, Section B, Line 15

Compensation of the executive director and upper level management is approved by the board of directors and is typically based on wage comparability data and performance.

Form 990, Part VI, Section C, Line 19

The clinic makes its governing documents, conflict of interest policy and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Third Street Community Clinic
EIN
34-1753919
Phone
4195226191
Address
600 W THIRD STREET, MANSFIELD, OH 44906
Doing Business As
Third Street Family Health Services

Signing Officer

Name
Jared M Pollick
Title
CEO
Phone
4195226191
Signed
2015-08-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jared M Pollick
Formed
1993
Legal Domicile
Oh
Voting Board Members
11
Independent Board Members
11
Employees
129
Volunteers
11

Preparer

Firm
Gilmore Jasion Mahler Ltd
Address
1715 INDIAN WOOD CIRCLE STE 100, MAUMEE, OH 43537
Preparer
Heidi Ferguson
Phone
4197942000
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

Management of the clinic is required to determine whether a tax position of the clinic is more likely than not to be sustained upon examination by the applicable taxing authority, including resolution of any related appeals or litigation processes, based on the technical merits of the position. Management of the clinic is not aware of any tax positions for which it is reasonably possible that the total amounts of unrecognized tax benefits will significantly change in the next twelve months. However, management's conclusions may be subject to review and adjustment at a later date based on factors including, but not limited to, new tax laws, regulations, and administrative interpretations (including relevant court decisions). The clinic's federal tax returns for the prior three fiscal years remain subject to examination by the internal revenue service.

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IRS990/Desc0THIRD STREET FAMILY HEALTH SERVICES PROVIDED MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES TO A TOTAL OF 17,366 PATIENTS DURING ITS FISCAL YEAR ENDED DECEMBER 31, 2014. THESE PATIENTS MADE A TOTAL OF 14,999 VISITS TO THE CLINIC'S DENTAL FACILITY DURING 2014; 49,852 VISITS TO THE CLINIC'S MEDICAL FACILITY DURING 2014 (FOR MEDICAL AND BEHAVIORAL HEALTH SERVICES) AND 11,208 VISITS TO ITS OBSTETRICS AND GYNECOLOGY FACILITY DURING 2014.
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