Civic Intelligence

Community Health and Emergency Services Inc

EIN 37-1100482 • 501(c)3 • Cairo, IL

View Organization Page

Profile

To maintain an organization that will provide healthcare services which include primary medical and dental healthcare.

PO Box 233Cairo, IL 62914

www.chesi.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

61st percentile

0.28x

Higher debt load relative to assets than 61% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

55th percentile

0.27x

Higher debt load relative to revenue than 55% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

25th percentile

-4.3%

Higher net margin than 25% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

53rd percentile

$193,842

Higher top officer pay than 53% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

9th percentile

-13%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

26th percentile

-4.2%

Faster revenue growth than 26% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets61st percentile

Assets

Down

$10,854,486

Down $1,638,995 (-13%) from 2023

Liabilities

Down

$3,048,507

Down $1,153,019 (-27%) from 2023

Net Assets

Down

$7,805,979

Down $485,976 (-5.9%) from 2023

Operations
Liabilities / Revenue55th percentileNet Margin25th percentile

Revenue

Down

$11,373,954

Down $497,825 (-4.2%) from 2023

Expenses

Up

$11,859,930

Up $1,227,102 (+12%) from 2023

Net Income

Down

-$485,976

Down $1,724,927 (-139%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth9th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0Assets 2010: $9,428,827Liabilities 2010: $6,935,405Net Assets 2010: $2,493,4222010Assets 2012: $12,850,148Liabilities 2012: $8,793,778Net Assets 2012: $4,056,3702012Assets 2013: $11,847,530Liabilities 2013: $7,595,607Net Assets 2013: $4,251,9232013Assets 2014: $12,880,091Liabilities 2014: $8,592,392Net Assets 2014: $4,287,6992014Assets 2015: $12,352,445Liabilities 2015: $7,897,324Net Assets 2015: $4,455,1212015Assets 2016: $11,567,383Liabilities 2016: $6,972,856Net Assets 2016: $4,594,5272016Assets 2018: $11,379,159Liabilities 2018: $8,476,219Net Assets 2018: $2,902,9402018Assets 2019: $8,389,130Liabilities 2019: $7,091,205Net Assets 2019: $1,297,9252019Assets 2020: $9,431,711Liabilities 2020: $6,399,888Net Assets 2020: $3,031,8232020Assets 2021: $10,903,055Liabilities 2021: $5,635,796Net Assets 2021: $5,267,2592021Assets 2022: $11,837,923Liabilities 2022: $4,784,919Net Assets 2022: $7,053,0042022Assets 2023: $12,493,481Liabilities 2023: $4,201,526Net Assets 2023: $8,291,9552023Assets 2024: $10,854,486Liabilities 2024: $3,048,507Net Assets 2024: $7,805,9792024

Highlighted filing

2024

Assets$10,854,486
Liabilities$3,048,507
Net Assets$7,805,979
Open 2024 Filing

Operations Trend

Revenue Growth26th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MExpenses 2010: $13,946,9862010Expenses 2012: $13,100,2212012Expenses 2013: $12,287,0192013Revenue 2014: $10,181,886Expenses 2014: $10,146,110Net Income 2014: $35,7762014Revenue 2015: $9,197,093Expenses 2015: $9,029,671Net Income 2015: $167,4222015Revenue 2016: $9,661,226Expenses 2016: $9,521,820Net Income 2016: $139,4062016Revenue 2018: $9,039,667Expenses 2018: $9,365,553Net Income 2018: -$325,8862018Revenue 2019: $6,737,637Expenses 2019: $8,342,652Net Income 2019: -$1,605,0152019Revenue 2020: $9,480,736Expenses 2020: $7,746,838Net Income 2020: $1,733,8982020Revenue 2021: $11,434,583Expenses 2021: $9,483,896Net Income 2021: $1,950,6872021Revenue 2022: $11,321,043Expenses 2022: $9,535,298Net Income 2022: $1,785,7452022Revenue 2023: $11,871,779Expenses 2023: $10,632,828Net Income 2023: $1,238,9512023Revenue 2024: $11,373,954Expenses 2024: $11,859,930Net Income 2024: -$485,9762024

Highlighted filing

2024

Revenue$11,373,954
Expenses$11,859,930
Net Income-$485,976
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$10,854,486
Liabilities
$3,048,507
Net assets
$7,805,979
Revenue
$11,373,954
Expenses
$11,859,930
Net income
-$485,976
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$10.9$3.05$7.81$11.4$11.9$0.49
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.5$4.20$8.29$11.9$10.6$1.24
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.8$4.78$7.05$11.3$9.54$1.79
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.9$5.64$5.27$11.4$9.48$1.95
2020Detailed filing. Detailed filing data is available for this year.$9.43$6.40$3.03$9.48$7.75$1.73
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.39$7.09$1.30$6.74$8.34$1.61
2018Detailed filing. Detailed filing data is available for this year.$11.4$8.48$2.90$9.04$9.37$0.33
2016Detailed filing. Detailed filing data is available for this year.$11.6$6.97$4.59$9.66$9.52$0.14
2015Detailed filing. Detailed filing data is available for this year.$12.4$7.90$4.46$9.20$9.03$0.17
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.9$8.59$4.29$10.2$10.1$0.04
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.8$7.60$4.25$12.3
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.9$8.79$4.06$13.1
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.43$6.94$2.49$13.9
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Mar 18, 2026
Return Version
2023v6.0
Gross Receipts
$11,373,954
Mission and Program Overview

Mission

To maintain an organization that will provide healthcare services that include primary medical and dental services, lab, radiology, psychological, and other disease prevention services and health promotion services.

To provide primary medical, dental, behavioral health, and specialty services to 7 counties.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$5,960,574$6,044,041▲ $83,467
Accounts Receivable$1,680,045$1,877,672▲ $197,627
Cash and Non-Interest-Bearing Accounts$3,725,650$1,737,080▼ $1,988,570
Savings and Temporary Cash Investments$385,259$530,518▲ $145,259
Pledges and Grants Receivable$623,641$403,999▼ $219,642
Inventories for Sale or Use$92,174$109,292▲ $17,118
Prepaid Expenses and Deferred Charges$24,357$28,171▲ $3,814
Total Assets$12,493,481$10,854,486▼ $1,638,995
Other Assets Total$1,781$123,713▲ $121,932
Liabilities
Unsecured Notes Loans Payable$1,154,150$829,233▼ $324,917
Mortgage Notes Payable Secured by Investment Property$1,030,569$728,562▼ $302,007
Accounts Payable and Accrued Expenses$516,895$683,803▲ $166,908
Deferred Revenue$1,498,131$683,196▼ $814,935
Other Liabilities$1,781$123,713▲ $121,932
Total Liabilities$4,201,526$3,048,507▼ $1,153,019
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$8,291,955$7,805,979▼ $485,976
Total Net Assets Fund Balance$8,291,955$7,805,979▼ $485,976
Total Liabilities and Net Assets / Fund Balance$12,493,481$10,854,486▼ $1,638,995

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,403,096$3,637,990$9,041,086
Equipment$506,268$4,691,663$5,197,931
Land$118,355-$118,355
Other Land Buildings$16,322$14,266$30,588
Leasehold Improvements$0$18,756$18,756
Compensation and Service Providers
Top Officer Pay53rd percentile

Employees

NameTitleFull / Part TimeBaseTotal
Elizabeth MooreDentistFT$193,842$193,842
Amir NamaziDentistFT$184,995$184,995
James BowmanDentistFT$173,071$173,071
Robert Dansby IiiNurse PractitionerFT$165,006$165,006
Mahmoud JalladDentistFT$146,151$146,151
Kanci HoustonCEOFT$126,235$126,235
Jp ChampionCFOFT$100,152$100,152

Board Members and Trustees

NameTitle
Tyrone ColemanChairman
Charles SowardVice Chair
Jan LewisOfficer
Josie EasonOfficer
Marlene RiveroOfficer
Varetta GarnettOfficer
Vickie FoulksOfficer
Heather GreenSecretary
Theresa DelsoinTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$7,095,528
Program Service Revenue
$4,221,573
Investment Income
$26,193
Other Revenue
$30,660
All Other Contributions
$434,938
Change in Net Assets
$-485,976
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$7,678,023
Other Expenses$4,181,907
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$6,215,025$234,724-$6,449,749
Fees for Services Other$358,786$932,405-$1,291,191
Payroll Taxes$252,523$262,830-$515,353
Occupancy$291,651$146,119-$437,770
Other Employee Benefits$209,439$217,987-$427,426
Depreciation Depletion$296,843$33,084-$329,927
Current Officers, Directors, Trustees, and Key Employees-$226,387-$226,387
All Other Expenses$69,551$137,930-$207,481
Other Expenses$128,190$129,899-$129,899
Information Technology-$118,668-$118,668
Travel$37,503$71,424-$108,927
Interest$59,790$46,667-$106,457
Pension Plan Contributions$28,963$30,145-$59,108
Office Expenses-$54,771-$54,771
Insurance-$37,173-$37,173
Fees for Services Accounting-$19,575-$19,575
Fees for Services Legal-$5,300-$5,300
Advertising-$574-$574
Total Functional Expenses$9,112,554$2,747,376$0$11,859,930
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Leased Asset Liability$123,713
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Audit committee
Yes
Business relationship with 35% controlled entity
No
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
No
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 11B

“Form 990 is presented to the board at a regular board meeting for review.”

Form 990, Part VI, Section B, Line 15A

“Board of directors determine compensation of ceo by obtaining comparable data.”

Form 990, Part VI, Section C, Line 19

“The organization provides governing documents, the conflict of interest policy, financial statements, and the 990 upon request.”

Filing and Contact Details

Filer

Filer Name
Community Health & Emergency Services in
EIN
37-1100482
Phone
6184570450
Address
PO BOX 233, CAIRO, IL 62914

Signing Officer

Name
Kanci Houston
Title
CEO
Phone
6184570450
Signed
2026-03-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kanci Houston
Formed
1981
Legal Domicile
Il
Voting Board Members
9
Independent Board Members
9
Employees
136
Volunteers
9

Preparer

Firm
Kerber Eck & Braeckel Llp
Address
3401 OFFICE PARK DRIVE, MARION, IL 62959
Preparer
Anna Guetersloh
Phone
6189938724
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Professional and medical services : program service expenses 358,786. Management and general expenses 365,133. Fundraising expenses 0. Total expenses 723,919. It network services & electronic health records: program service expenses 0. Management and general expenses 567,272. Fundraising expenses 0. Total expenses 567,272.”

Form 990, Page 1, Item B - Reason for Amended Return

“As a result of the audit of the organization, adjustments were made to the financial statement amounts to correct the final financial statements. These corrections resulted in changes to the following financial sections of the 990: - part 1 summary financial information for the current year - part iii - disclosure of revenues and expenses for program service accomplishments - part viii - statement of revenue - part ix - statement of functional expenses - part x - balance sheet - part xi - reconciliation of net assets - part xii - financial statements and reporting (amended to indicate audits have been completed) - schedule a - part ii - financial information for current year - schedule d - part vi - land, building, and equipment”

Financial Statement Notes

PART X, LINE 2:

“Community health and emergency services, inc. Is a not-for-profit corporation exempt from federal income tax under code sec. 501(c)(3) for activities directly related to its tax-exempt functions. It has been classified as an organization that is not a private foundation under section 509(a)(2), but it falls under section 170(b)(l)(a)(vi) of the internal revenue code and qualified for the fifty (50%) percent charitable contributions deductions for individual donors. Unrelated business income is subject to income tax. The corporation has recognized in the financial statements the effects of all tax positions and continually evaluates expiring statutes of limitations, audits, changes in tax law, and new authoritative rulings. The corporation is not aware of any significant circumstances or events that make it reasonably possible that unrecognized tax benefits may increase or decrease within 12 months of the statement of financial position date. Penalties and interest assessed by taxing authorities are included in general and administrative expenses, if applicable. Penalties paid during fiscal years 2024 and 2023 were $100,000 and $27, respectively. Penalties paid in fiscal year 2024 were the result of underpayment of payroll taxes for fiscal year 2017. As of june 30, 2024, the corporation has resolved the issue is not aware of any uncertain tax positions.”

Raw XML AppendixShowing 400 of 616 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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