Civic Intelligence

Tri-State Community Health Center

EIN 52-1516829 • 501(c)3 • Hancock, MD

View Organization Page

Profile

Tri-state community health center is a nonprofit community health center providing affordable health care to people of all ages in the community regardless of their ability to pay.

109 Rayloc DriveHancock, MD 21750

www.tschc.org

Siviq Scores

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

Liabilities / Assets

32nd percentile

0.06x

Higher debt load relative to assets than 32% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2023

Liabilities / Revenue

25th percentile

0.07x

Higher debt load relative to revenue than 25% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2023

Net Margin

22nd percentile

-6.3%

Higher net margin than 22% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2023

Top Officer Pay

90th percentile

$494,178

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 3.4% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2023

Asset Growth

17th percentile

-5.4%

Faster asset growth than 17% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2022 to 2023

Revenue Growth

31st percentile

-1.1%

Faster revenue growth than 31% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2022 to 2023

Balance Sheet
Liabilities / Assets32nd percentile

Assets

Down

$16,748,087

Down $952,867 (-5.4%) from 2022

Liabilities

Down

$985,793

Down $57,553 (-5.5%) from 2022

Net Assets

Down

$15,762,294

Down $895,314 (-5.4%) from 2022

Operations
Liabilities / Revenue25th percentileNet Margin22nd percentile

Revenue

Down

$14,613,587

Down $169,988 (-1.1%) from 2022

Expenses

Up

$15,532,177

Up $863,323 (+5.9%) from 2022

Net Income

Down

-$918,590

Down $1,033,311 (-901%) from 2022

Trend Graphs

Balance Sheet Trend

Asset Growth17th percentile

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

$20M$15M$10M$5.0M$0Assets 2010: $10,829,394Liabilities 2010: $2,116,730Net Assets 2010: $8,712,6642010Assets 2011: $10,639,872Liabilities 2011: $2,036,585Net Assets 2011: $8,603,2872011Assets 2012: $10,709,741Liabilities 2012: $1,892,242Net Assets 2012: $8,817,4992012Assets 2013: $11,126,048Liabilities 2013: $1,796,771Net Assets 2013: $9,329,2772013Assets 2014: $11,977,126Liabilities 2014: $1,686,688Net Assets 2014: $10,290,4382014Assets 2015: $12,994,320Liabilities 2015: $1,686,946Net Assets 2015: $11,307,3742015Assets 2016: $13,620,881Liabilities 2016: $869,297Net Assets 2016: $12,751,5842016Assets 2017: $13,904,551Liabilities 2017: $684,740Net Assets 2017: $13,219,8112017Assets 2018: $14,195,669Liabilities 2018: $618,964Net Assets 2018: $13,576,7052018Assets 2019: $14,714,126Liabilities 2019: $776,739Net Assets 2019: $13,937,3872019Assets 2020: $15,613,936Liabilities 2020: $3,035,883Net Assets 2020: $12,578,0532020Assets 2021: $17,477,213Liabilities 2021: $902,700Net Assets 2021: $16,574,5132021Assets 2022: $17,700,954Liabilities 2022: $1,043,346Net Assets 2022: $16,657,6082022Assets 2023: $16,748,087Liabilities 2023: $985,793Net Assets 2023: $15,762,2942023

Highlighted filing

2023

Assets$16,748,087
Liabilities$985,793
Net Assets$15,762,294
Open 2023 Filing

Operations Trend

Revenue Growth31st percentile

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

$20M$15M$10M$5.0M$0-$5.0MExpenses 2010: $9,094,6092010Expenses 2011: $9,302,1112011Expenses 2012: $8,963,9662012Expenses 2013: $9,031,1262013Revenue 2014: $10,170,813Expenses 2014: $9,200,940Net Income 2014: $969,8732014Revenue 2015: $11,181,398Expenses 2015: $10,073,654Net Income 2015: $1,107,7442015Revenue 2016: $12,819,332Expenses 2016: $11,358,594Net Income 2016: $1,460,7382016Revenue 2017: $12,548,757Expenses 2017: $12,110,303Net Income 2017: $438,4542017Revenue 2018: $12,997,963Expenses 2018: $12,546,320Net Income 2018: $451,6432018Revenue 2019: $13,094,351Expenses 2019: $12,707,744Net Income 2019: $386,6072019Revenue 2020: $12,331,869Expenses 2020: $13,690,865Net Income 2020: -$1,358,9962020Revenue 2021: $17,682,879Expenses 2021: $13,804,359Net Income 2021: $3,878,5202021Revenue 2022: $14,783,575Expenses 2022: $14,668,854Net Income 2022: $114,7212022Revenue 2023: $14,613,587Expenses 2023: $15,532,177Net Income 2023: -$918,5902023

Highlighted filing

2023

Revenue$14,613,587
Expenses$15,532,177
Net Income-$918,590
Open 2023 Filing

Filings

Most recent year

2023 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$16,748,087
Liabilities
$985,793
Net assets
$15,762,294
Revenue
$14,613,587
Expenses
$15,532,177
Net income
-$918,590
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.7$0.99$15.8$14.6$15.5$0.92
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.7$1.04$16.7$14.8$14.7$0.11
2021Detailed filing. Detailed filing data is available for this year.$17.5$0.90$16.6$17.7$13.8$3.88
2020Detailed filing. Detailed filing data is available for this year.$15.6$3.04$12.6$12.3$13.7$1.36
2019Detailed filing. Detailed filing data is available for this year.$14.7$0.78$13.9$13.1$12.7$0.39
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$14.2$0.62$13.6$13.0$12.5$0.45
2017Detailed filing. Detailed filing data is available for this year.$13.9$0.68$13.2$12.5$12.1$0.44
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.6$0.87$12.8$12.8$11.4$1.46
2015Detailed filing. Detailed filing data is available for this year.$13.0$1.69$11.3$11.2$10.1$1.11
2014Detailed filing. Detailed filing data is available for this year.$12.0$1.69$10.3$10.2$9.20$0.97
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.1$1.80$9.33$9.03
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.7$1.89$8.82$8.96
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.6$2.04$8.60$9.30
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.8$2.12$8.71$9.09
Latest Detailed Filing

The latest 2023 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2021 below.

Jump To
Filing Snapshot
Filing Period
Dec 1, 2020 to Nov 30, 2021
Signed
Oct 13, 2022
Return Version
2020v4.0
Gross Receipts
$17,682,879
Mission and Program Overview

Mission

Tri-state community health center is a nonprofit community health center providing affordable health care to people of all ages in the community regardless of their ability to pay.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$10,069,485$11,635,748▲ $1,566,263
Land, Buildings, and Equipment, Net$2,380,515$2,146,187▼ $234,328
Accounts Receivable$1,086,165$1,863,787▲ $777,622
Investments in Publicly Traded Securities$721,118$1,043,063▲ $321,945
Pledges and Grants Receivable$201,057$548,476▲ $347,419
Prepaid Expenses and Deferred Charges$177,541$201,964▲ $24,423
Investments Other Securities$977,345$37,278▼ $940,067
Cash and Non-Interest-Bearing Accounts$710$710→ $0
Total Assets$15,613,936$17,477,213▲ $1,863,277
Liabilities
Accounts Payable and Accrued Expenses$868,941$660,881▼ $208,060
Deferred Revenue$391,990$176,733▼ $215,257
Other Liabilities$1,774,952$65,086▼ $1,709,866
Total Liabilities$3,035,883$902,700▼ $2,133,183
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$12,568,704$16,565,915▲ $3,997,211
Net Assets With Donor Restrictions$9,349$8,598▼ $751
Total Net Assets Fund Balance$12,578,053$16,574,513▲ $3,996,460
Total Liabilities and Net Assets / Fund Balance$15,613,936$17,477,213▲ $1,863,277

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,844,002$3,126,569$4,970,571
Equipment$163,301$1,495,481$1,658,782
Land$138,884-$138,884
Leasehold Improvements-$24,250$24,250
Other Land Buildings-$20,358$20,358
Compensation and Service Providers
Top Officer Pay90th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Surendranath P EkanayakePhysicianFT$383,082$77,936$461,018
Raymond E BanferPhysicianFT$156,026$39,637$195,663
Ryan M HikesPhysicianFT$164,215$30,813$195,028
Liza D HilesPhysicianFT$148,467$37,390$185,857
Susan WalterCEOFT$163,520$18,269$181,789
Terry E HarveyCrnpFT$148,019$30,005$178,024
Sheila DeshongCOO/CFOFT$157,216$19,863$177,079
James D HelsleyMedical DirePT$88,767$18,181$106,948

Board Members and Trustees

NameTitle
Tracy SalvagnoPresident
Bill GarlitzBoard Member
Carolyn ClingermanBoard Member
Lee BeemanBoard Member
Pamela MannBoard Member
Ramani PillaiBoard Member
Cordelia CarsonSecretary
Richard StraitTreasurer
Elen OttVice Preside

Highest Paid Contractors

ContractorServicesLocationCompensation
Cleaning SpacesCleaning58 GEORGE LANE, Berkeley Springs, WV 25411$119,466
Revenue and Support

Revenue Composition

Contributions and Grants
$7,987,380
Program Service Revenue
$9,634,612
Investment Income
$22,207
Other Revenue
$38,680
All Other Contributions
$10,400
Change in Net Assets
$3,878,520

Audited Revenue Reconciliation

Revenue per Audited Statements
$17,682,879
Total Revenue per Audited Statements
$17,682,879
Total Revenue per Form 990
$17,682,879
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$9,631,820
Other Expenses$4,172,539
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,142,122$2,043,823-$7,185,945
Fees for Services Other$1,497,334$115,292-$1,612,626
Other Employee Benefits$642,004$447,237-$1,089,241
Payroll Taxes$387,349$196,361-$583,710
Current Officers, Directors, Trustees, and Key Employees-$479,696-$479,696
All Other Expenses$105,404$189,967-$295,371
Pension Plan Contributions$221,887$71,341-$293,228
Depreciation Depletion$243,436$5,873-$249,309
Other Expenses$119,708$28,063-$119,708
Occupancy$108,724--$108,724
Fees for Services Accounting-$59,636-$59,636
Insurance-$34,169-$34,169
Office Expenses$24,915--$24,915
Advertising-$13,435-$13,435
Travel$382$5,101-$5,483
Fees for Services Legal-$4,981-$4,981
Interest-$4,905-$4,905
Total Functional Expenses$9,900,634$3,903,725$0$13,804,359

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$13,804,359
Total Expenses per Audited Statements$13,804,359
Total Expenses per Form 990$13,804,359
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
Capital Lease Liability$65,086
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
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, Page 6, Part VI, Line 11B

“The form 990 is presented to the governing body at the monthly meeting before it is filed. If the form 990 is not available in time for the monthly meeting, then it is sent electronically to the governing body for review.”

Form 990, Page 6, Part VI, Line 12C

“Directors are under an obligation to disclose any actual or potential conflict of interest as soon as it is known. At the time an actual or potential conflict of interest arises, the director shall report it to the board president and excuse themselves from further involvement in the issue.”

Form 990, Page 6, Part VI, Line 15A

“The salary of the ceo is based on the market level salary of similar organizations, based on size and budget.”

Form 990, Page 6, Part VI, Line 15B

“Salaries are based on the market level salary of similar organizations, based on size and budget.”

Form 990, Page 6, Part VI, Line 19

“Tri-state community health center does not make available to the public their governing documents, conflict of interest policy, and financial statements.”

Filing and Contact Details

Filer

Filer Name
Tri-state Community Health Center
EIN
52-1516829
Phone
3016785187
Address
109 RAYLOC DRIVE, HANCOCK, MD 21750

Signing Officer

Name
Susan Walter
Title
CEO
Phone
3016787256
Signed
2022-10-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Susan Walter
Formed
1987
Legal Domicile
Md
Voting Board Members
9
Independent Board Members
9
Employees
187

Preparer

Firm
Smith Elliott Kearns & Company LLC
Address
19 BROOKWOOD AVE STE 101, CARLISLE, PA 17015
Preparer
Gregory P Hall CPA
Phone
7172439104
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Contracted services 1,497,334 115,292 0”

Financial Statement Notes

Schedule D, Page 3, Part X

“The center is a not-for-profit corporation organized under the provisions of the non-profit laws of the commonwealth of pennsylvania and the state of maryland. The center has received a ruling from the internal revenue service that it is exempt from federal income tax under section 501(c)(3) of the internal revenue code and files a form 990, "return of organization exempt from income tax". The forms 990 are generally subject to examination for a period of three years after the returns are filed. The center is classified as a public charity.”

Raw XML AppendixShowing 400 of 606 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
IRS990/AccountantCompileOrReviewInd0false
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt0868941
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt0660881
IRS990/AccountsReceivableGrp/BOYAmt01086165
IRS990/AccountsReceivableGrp/EOYAmt01863787
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0TRI-STATE COMMUNITY HEALTH CENTER IS A NONPROFIT COMMUNITY HEALTH CENTER PROVIDING AFFORDABLE HEALTH CARE TO PEOPLE OF ALL AGES IN THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY.
IRS990/AdvertisingGrp/ManagementAndGeneralAmt013435
IRS990/AdvertisingGrp/TotalAmt013435
IRS990/AllOtherContributionsAmt010400
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt0189967
IRS990/AllOtherExpensesGrp/ProgramServicesAmt0105404
IRS990/AllOtherExpensesGrp/TotalAmt0295371
IRS990/AnnualDisclosureCoveredPrsnInd0true
IRS990/AuditCommitteeInd0true
IRS990/BackupWthldComplianceInd0true
IRS990/BooksInCareOfDetail/PersonNm0SHEILA DESHONG
IRS990/BooksInCareOfDetail/PhoneNum03016785187
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0109 RAYLOC DRIVE
IRS990/BooksInCareOfDetail/USAddress/CityNm0HANCOCK
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0MD
IRS990/BooksInCareOfDetail/USAddress/ZIPCd021750
IRS990/BusinessRlnWith35CtrlEntInd0false
IRS990/BusinessRlnWithFamMemInd0false
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IRS990/CashNonInterestBearingGrp/BOYAmt0710
IRS990/CashNonInterestBearingGrp/EOYAmt0710
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CntrctRcvdGreaterThan100KCnt01
IRS990/CollectionsOfArtInd0false
IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt0479696
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt0479696
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0true
IRS990/CompensationProcessOtherInd0true
IRS990/ConflictOfInterestPolicyInd0true
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/ContractorCompensationGrp/CompensationAmt0119466
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt058 GEORGE LANE
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm0BERKELEY SPRINGS
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd0WV
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd025411
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0CLEANING SPACES
IRS990/ContractorCompensationGrp/ServicesDesc0CLEANING
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt07987380
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt022207
IRS990/CYOtherExpensesAmt04172539
IRS990/CYOtherRevenueAmt038680
IRS990/CYProgramServiceRevenueAmt09634612
IRS990/CYRevenuesLessExpensesAmt03878520
IRS990/CYSalariesCompEmpBnftPaidAmt09631820
IRS990/CYTotalExpensesAmt013804359
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt017682879
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DeferredRevenueGrp/BOYAmt0391990
IRS990/DeferredRevenueGrp/EOYAmt0176733
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt05873
IRS990/DepreciationDepletionGrp/ProgramServicesAmt0243436
IRS990/DepreciationDepletionGrp/TotalAmt0249309
IRS990/Desc0TO PROVIDE MEDICAL AND HEALTH CARE SERVICES TO MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0true
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRestrictionNetAssetsGrp/BOYAmt09349
IRS990/DonorRestrictionNetAssetsGrp/EOYAmt08598
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt0187
IRS990/EmploymentTaxReturnsFiledInd0true
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/ExpenseAmt09900634
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditPerformedInd0true
IRS990/FederalGrantAuditRequiredInd0true
IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt059636
IRS990/FeesForServicesAccountingGrp/TotalAmt059636
IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt04981
IRS990/FeesForServicesLegalGrp/TotalAmt04981
IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt0115292
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt01497334
IRS990/FeesForServicesOtherGrp/TotalAmt01612626
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1540.00
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IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd0X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd1X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd2X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd3X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
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IRS990/Form990PartVIISectionAGrp/OfficerInd0X
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
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IRS990/Form990PartVIISectionAGrp/PersonNm0TRACY SALVAGNO
IRS990/Form990PartVIISectionAGrp/PersonNm1ELEN OTT
IRS990/Form990PartVIISectionAGrp/PersonNm2RICHARD STRAIT
IRS990/Form990PartVIISectionAGrp/PersonNm3CORDELIA CARSON
IRS990/Form990PartVIISectionAGrp/PersonNm4CAROLYN CLINGERMAN
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