Civic Intelligence

Tri State Community Health Center Inc.

990 • Fiscal year 2016 • EIN 52-1516829

Dec 01, 2015 to Nov 30, 2016 • Filed on Oct 10, 2017

Organization ProfileWWW.TSCHC.ORG

View Organization Page

109 Rayloc DriveHancock, MD 21750

(301) 678-5187

Siviq Scores

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

Liabilities / Assets

28th percentile

0.06x

Higher debt load relative to assets than 28% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Liabilities / Revenue

20th percentile

0.07x

Higher debt load relative to revenue than 20% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Net Margin

73rd percentile

11%

Higher net margin than 73% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Top Officer Pay

86th percentile

$382,397

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 3.0% of source-year revenue.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Asset Growth

62nd percentile

4.8%

Faster asset growth than 62% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Revenue Growth

75th percentile

15%

Faster revenue growth than 75% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets28th percentile

Assets

Up

$13,620,881

Up $626,561 (+4.8%) from 2015

Net Assets

Up

$12,751,584

Up $1,444,210 (+13%) from 2015

Liabilities

Down

$869,297

Down $817,649 (-48%) from 2015

Revenue And Expenses
Liabilities / Revenue20th percentileNet Margin73rd percentile

Revenue

Up

$12,819,332

Up $1,637,934 (+15%) from 2015

Expenses

Up

$11,358,594

Up $1,284,940 (+13%) from 2015

Net Income

Up

$1,460,738

Up $352,994 (+32%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth62nd percentile

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

$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

2016

Assets$13,620,881
Liabilities$869,297
Net Assets$12,751,584
Open 2016 Filing

Operations Trend

Revenue Growth75th percentile

Revenue, expenses, and net income across loaded years, with this 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

2016

Revenue$12,819,332
Expenses$11,358,594
Net Income$1,460,738
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Dec 1, 2015 to Nov 30, 2016
Signed
Oct 10, 2017
Return Version
2015v3.0
Gross Receipts
$12,819,332
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$7,151,550$7,706,890▲ $555,340
Land, Buildings, and Equipment, Net$3,509,281$3,358,927▼ $150,354
Investments Other Securities$832,952$845,291▲ $12,339
Investments in Publicly Traded Securities$740,363$751,205▲ $10,842
Accounts Receivable$651,025$684,256▲ $33,231
Prepaid Expenses and Deferred Charges$101,174$165,539▲ $64,365
Pledges and Grants Receivable$4,616$108,063▲ $103,447
Cash and Non-Interest-Bearing Accounts$910$710▼ $200
Total Assets$12,994,320$13,620,881▲ $626,561
Other Assets Total$2,449--
Liabilities
Accounts Payable and Accrued Expenses$824,929$869,297▲ $44,368
Mortgage Notes Payable Secured by Investment Property$862,017--
Total Liabilities$1,686,946$869,297▼ $817,649
Net Assets / Fund Balance
Unrestricted Net Assets$11,291,185$12,737,415▲ $1,446,230
Temporarily Rstr Net Assets$16,189$14,169▼ $2,020
Total Net Assets Fund Balance$11,307,374$12,751,584▲ $1,444,210
Total Liabilities and Net Assets / Fund Balance$12,994,320$13,620,881▲ $626,561

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,759,189$2,211,382$4,970,571
Other Land Buildings$460,854$1,044,039$1,504,893
Land$138,884-$138,884
Equipment-$20,358$20,358
Other Securities$845,291--
Compensation and Service Providers
Top Officer Pay86th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Surendranath P EkanayakePhysicianFT$350,347$32,050$382,397
Ethel M HooperPhysicianFT$205,555$18,301$223,856
Michele KennedyPhysicianFT$163,348$15,446$178,794
Travis SchildtPhysicianFT$160,403$15,126$175,529
Stephen a HoffmanPhysicianFT$156,481$8,809$165,290
Susan WalterChief ExecutFT$144,512$12,616$157,128
Susan WalterChief Executive Offi-$144,512$12,616$157,128
Sheila DeshongChief OperatFT$135,507$13,519$149,026
James HelsleyMedical DirePT$98,727$14,973$113,700

Board Members and Trustees

NameTitle
Tracy SalvagnoPresident
Audrey MorrisBoard Member
Cordelia CarsonBoard Member
Kristina JamesBoard Member
Nancy ForliferBoard Member
Ramani PillaiBoard Member
Susan StewartBoard Member
Patricia CarbaughSecretary
Richard StraitTreasurer
William RocksVice Preside

Highest Paid Contractors

ContractorServicesLocationCompensation
Cleaning SpacesCleaning58 GEORGE LANE, Berkeley Springs, WV 25411$111,562
Latasha A RabsattObstetrician2401 W BELVEDERE AVE, Baltimore, MD 21215$102,510
Revenue and Support

Revenue Composition

Contributions and Grants
$3,696,694
Program Service Revenue
$9,075,883
Investment Income
$45,406
Other Revenue
$1,349
Change in Net Assets
$1,460,738

Audited Revenue Reconciliation

Revenue per Audited Statements
$12,819,332
Total Revenue per Audited Statements
$12,819,332
Total Revenue per Form 990
$12,819,332
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$7,916,945
Other Expenses$3,441,649
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,361,736$1,660,105-$6,021,841
Fees for Services Other$1,132,021$166,683-$1,298,704
Other Employee Benefits$459,691$320,895-$780,586
Current Officers, Directors, Trustees, and Key Employees-$489,306-$489,306
Payroll Taxes$304,943$117,088-$422,031
Depreciation Depletion$203,759$100,263-$304,022
All Other Expenses$113,875$166,102-$279,977
Pension Plan Contributions$148,671$54,510-$203,181
Occupancy$105,851--$105,851
Other Expenses$18,068$44,380-$62,448
Insurance-$30,152-$30,152
Advertising-$21,056-$21,056
Interest$16,973--$16,973
Travel$4,711$10,416-$15,127
Total Functional Expenses$7,938,753$3,419,841$0$11,358,594

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$11,358,594
Total Expenses per Audited Statements$11,358,594
Total Expenses per Form 990$11,358,594
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
Backup withholding compliance
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, 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
Chief Executive Offi
Phone
3016787256
Signed
2017-10-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Susan Walter
Formed
1987
Legal Domicile
Md
Voting Board Members
10
Independent Board Members
10
Employees
165

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 1,132,021 166,683 0”

Financial Statement Notes

Schedule D, Page 3, Part X

“The center is a notforprofit corporation organized under the provisions of the nonprofit laws of the commonwealth of pennsylvania and the state o 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.”

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IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD MEMBER
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IRS990/Form990PartVIISectionAGrp/TitleTxt12MEDICAL DIRE
IRS990/Form990PartVIISectionAGrp/TitleTxt13PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt14PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt15PHYSICIAN
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IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt01660105
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IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
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IRS990/PayrollTaxesGrp/TotalAmt0422031
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IRS990/PrincipalOfficerNm0SUSAN WALTER
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Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$13,620,881
Liabilities
$869,297
Net assets
$12,751,584
Revenue
$12,819,332
Expenses
$11,358,594
Net income
$1,460,738
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
2016Detailed filing. Detailed filing data is available for this year.$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
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2016 filings • 501(c)3 • $10M-$25M nonprofits