Civic Intelligence

Clinical Services Inc.

990 • Fiscal year 2017 • EIN 57-1157115

Jul 01, 2016 to Jun 30, 2017 • Filed on May 01, 2018

1005 Boulder DriveGray, GA 31032

(478) 621-2100

Siviq Scores

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

Liabilities / Assets

79th percentile

0.63x

Higher debt load relative to assets than 79% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Liabilities / Revenue

27th percentile

0.12x

Higher debt load relative to revenue than 27% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Net Margin

30th percentile

-0.7%

Higher net margin than 30% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Top Officer Pay

61st percentile

$288,922

Higher top officer pay than 61% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Asset Growth

99th percentile

216%

Faster asset growth than 99% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Revenue Growth

93rd percentile

93%

Faster revenue growth than 93% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Assets

Up

$5,793,179

Up $3,961,160 (+216%) from 2016

Net Assets

Up

$2,121,151

Up $1,980,747 (+1411%) from 2016

Liabilities

Up

$3,672,028

Up $1,980,413 (+117%) from 2016

Revenue

Up

$29,803,014

Up $14,336,471 (+93%) from 2016

Expenses

Up

$30,013,374

Up $14,738,568 (+96%) from 2016

Net Income

Down

-$210,360

Down $402,097 (-210%) from 2016

Historical Trend

Balance Sheet Trend

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

$10M$5.0M$0-$5.0MAssets 2011: $836,262Liabilities 2011: $934,467Net Assets 2011: -$98,2052011Assets 2012: $1,321,168Liabilities 2012: $1,358,124Net Assets 2012: -$36,9562012Assets 2013: $1,245,149Liabilities 2013: $987,193Net Assets 2013: $257,9562013Assets 2014: $1,851,184Liabilities 2014: $959,301Net Assets 2014: $891,8832014Assets 2015: $1,430,533Liabilities 2015: $1,694,658Net Assets 2015: -$264,1252015Assets 2016: $1,832,019Liabilities 2016: $1,691,615Net Assets 2016: $140,4042016Assets 2017: $5,793,179Liabilities 2017: $3,672,028Net Assets 2017: $2,121,1512017Assets 2018: $2,966,892Liabilities 2018: $4,237,123Net Assets 2018: -$1,270,2312018Assets 2019: $2,262,792Liabilities 2019: $5,296,446Net Assets 2019: -$3,033,6542019Assets 2020: $5,740,194Liabilities 2020: $6,415,219Net Assets 2020: -$675,0252020Assets 2021: $807,303Liabilities 2021: $2,349,998Net Assets 2021: -$1,542,6952021Assets 2022: $846,652Liabilities 2022: $1,647,885Net Assets 2022: -$801,2332022Assets 2023: $2,754,278Liabilities 2023: $3,707,694Net Assets 2023: -$953,4162023Assets 2024: $4,170,467Liabilities 2024: $2,596,098Net Assets 2024: $1,574,3692024

Highlighted filing

2017

Assets$5,793,179
Liabilities$3,672,028
Net Assets$2,121,151

Operations Trend

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

$60M$40M$20M$0-$20MRevenue 2011: $10,946,983Expenses 2011: $11,308,382Net Income 2011: -$361,3992011Revenue 2012: $11,855,721Expenses 2012: $15,051,369Net Income 2012: -$3,195,6482012Revenue 2013: $13,007,469Expenses 2013: $12,499,454Net Income 2013: $508,0152013Revenue 2014: $13,441,775Expenses 2014: $12,802,036Net Income 2014: $639,7392014Revenue 2015: $14,163,911Expenses 2015: $14,750,811Net Income 2015: -$586,9002015Revenue 2016: $15,466,543Expenses 2016: $15,274,806Net Income 2016: $191,7372016Revenue 2017: $29,803,014Expenses 2017: $30,013,374Net Income 2017: -$210,3602017Revenue 2018: $35,280,831Expenses 2018: $36,259,436Net Income 2018: -$978,6052018Revenue 2019: $38,359,808Expenses 2019: $40,724,692Net Income 2019: -$2,364,8842019Revenue 2020: $39,342,282Expenses 2020: $38,502,150Net Income 2020: $840,1322020Revenue 2021: $38,178,962Expenses 2021: $37,449,441Net Income 2021: $729,5212021Revenue 2022: $38,279,467Expenses 2022: $36,805,785Net Income 2022: $1,473,6822022Revenue 2023: $27,787,421Expenses 2023: $34,941,616Net Income 2023: -$7,154,1952023Revenue 2024: $38,671,228Expenses 2024: $36,123,607Net Income 2024: $2,547,6212024

Highlighted filing

2017

Revenue$29,803,014
Expenses$30,013,374
Net Income-$210,360
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 1, 2018
Return Version
2016v3.1
Gross Receipts
$29,803,014
Mission and Program Overview

Mission

To provide clinical services, mobile imaging and diagnostics, related health care services, various consulting services, and physicians' care to fellow members of an integrated health care delivery system.

To provide clinical services, related health care services and various consulting services to fellow members of an integrated health care delivery system.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$745,897$3,331,628▲ $2,585,731
Cash and Non-Interest-Bearing Accounts$759,643$1,446,565▲ $686,922
Land, Buildings, and Equipment, Net$188,630$944,805▲ $756,175
Prepaid Expenses and Deferred Charges$106,156$38,488▼ $67,668
Inventories for Sale or Use$31,693$31,693→ $0
Total Assets$1,832,019$5,793,179▲ $3,961,160
Liabilities
Accounts Payable and Accrued Expenses$1,691,615$3,672,028▲ $1,980,413
Total Liabilities$1,691,615$3,672,028▲ $1,980,413
Net Assets / Fund Balance
Unrestricted Net Assets$140,404$2,121,151▲ $1,980,747
Total Net Assets Fund Balance$140,404$2,121,151▲ $1,980,747
Total Liabilities and Net Assets / Fund Balance$1,832,019$5,793,179▲ $3,961,160

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$753,383$830,361$1,583,744
Other Land Buildings$104,050$1,045,878$1,149,928
Leasehold Improvements$87,372$73,705$161,077
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Diana WilksSenior VPFT$267,027$21,895$288,922
Ralph WarnockVice Preside-$102,296$151,204$253,500
Jillene SnowVice PresideFT$225,001$19,772$244,773
Jillene SnowVice President-$225,001$19,772$244,773
Scott L EdensRegional VPFT$190,147$17,863$208,010
James GilliamRegional VPFT$186,022$17,683$203,705
April G KenerlyVice PresideFT$89,957$109,130$199,087
PAMELA O'ROURKEVice PresideFT$176,887$17,166$194,053
PAMELA O'ROURKEVice President-$176,887$17,166$194,053
Gary TrullingerRegional VPFT$168,077$16,297$184,374
Keith WilsonVice PresideFT$160,514$22,437$182,951
Keith WilsonVice President-$160,514$22,437$182,951
Roxanne GallowayVice PresideFT$158,578$16,226$174,804
Teresa MoodyPresident-$158,578$16,226$174,804
Angela HammackCorporate Se--$168,803$168,803
Kimberly HodgesVice PresideFT$153,911$12,859$166,770
Roxanne GallowayVice President-$153,911$12,859$166,770
Kimberly F SheffieldVice PresideFT$73,182$78,227$151,409
Mark PavlovichDirector AnalyticFT$129,026$14,786$143,812
Dennis StoutAdministratoFT$128,739$14,421$143,160
Kietta EvansVice PresideFT$119,999$14,257$134,256
Nancy PearsonAdministratoFT$118,825$14,083$132,908
Cori ReeseSr. Oper. SuFT$117,069$13,969$131,038
Stefan FrommArea Oper DiFT$111,444$13,672$125,116
Ralph WarnockVice President-$102,296$17,897$120,193
Debra MimsRegional VP-$12,497$103,306$115,803
Perry KempVice Preside-$20,093$91,629$111,722
April G KenerlyVice President-$89,957$10,591$100,548
Kenny McdonaldSenior VPFT$86,129$10,298$96,427
Gregory DavisRegional VPFT$78,292$6,062$84,354
Kimberly HodgesVice President-$73,182$7,259$80,441
Buddy PonderDirector--$24,000$24,000
James B PattonDirector--$24,000$24,000
Joseph a WallChairman--$24,000$24,000
Kathryn DennisDirector--$24,000$24,000
Paul a CableDirector--$24,000$24,000

Board Members and Trustees

NameTitle
Kimberly F SheffieldVice President
Angela HammackCorporate Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Stone Brooke Offices LLCLeasePO BOX 697, Gray, GA 31032$3,008,910
Mark HuntConsulting827 VIRGIL STREET, Atlanta, GA 30307$281,046
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$29,803,014
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-210,360

Audited Revenue Reconciliation

Revenue per Audited Statements
$29,803,014
Total Revenue per Audited Statements
$29,803,014
Total Revenue per Form 990
$29,803,014
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$16,243,457
Salaries, Compensation, and Employee Benefits$13,769,917
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$9,374,874--$9,374,874
Current Officers, Directors, Trustees, and Key Employees$2,507,993--$2,507,993
Payroll Taxes$821,149--$821,149
Other Employee Benefits$704,825--$704,825
Other Expenses$393,931--$393,931
Pension Plan Contributions$361,076--$361,076
All Other Expenses$300,028--$300,028
Occupancy$240,102--$240,102
Insurance$127,950--$127,950
Fees for Services Legal$78,961--$78,961
Total Functional Expenses$30,013,374$0$0$30,013,374

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$30,013,374
Total Expenses per Audited Statements$30,013,374
Total Expenses per Form 990$30,013,374
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 6

The organization has a sole member, community health systems, inc., a nonprofit georgia corporation.

Form 990, Page 6, Part VI, Line 7A

Under the organization's bylaws, while it is the sole member of the organization, community health systems, inc., as a type i section 509(a)(3) and section 501(c)(3) supporting organization, has the sole right to elect,replace and to remove the members of the organization's board of directors and shall ensure that at all times, a majority of the members of the organization's board of directors shall be composed of persons who are concurrently serving as members of the board of directors of community health systems, inc.

Form 990, Page 6, Part VI, Line 11B

This process involves the electronic posting of the draft form 990 with all its schedules for the organization's board of directors to review followed, after a sufficient review period, by a meeting of the board at which board members will have the opportunity to ask questions of management and the outside tax advisors involved in the preparation of the form 990.

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

The organization regularly and consistently monitors and enforces compliance with its conflicts of interest policy. Such compliance is effectuated through the organization's board of directors' review of annual conflict disclosure statements from the directors as well as receipt and review of conflict disclosure statements with respect to certain proposed transactions or arrangements the organization is considering prior to any board action with respect to such matters. The conflicts policy outlines the specific procedure to be followed to determine whether interested persons have actual conflicts of interest. If it is determined that a board member has an actual conflict of interest, then such board member is not allowed to participate in the board deliberations on the specific matter and is excused from, and is not allowed to participate in any board vote on the matter.

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

The organization complies with the compensation approval process which is part of its conflict of interest policy. Every two to three years, on average, the organization participates in a comprehensive process conducted on its behalf by the compensation committee of the board of directors of community health systems, inc., its sole member and parent of the integrated health care delivery system in which the organization is a member. This process involves review of the comparability data compiled by an independent third-party compensation conslutant. Comparability data is gathered for the organization's senior management, and on occasion, key or highly compensated employees, and, based on the same, the consultant issues a written report reflecting the consultant's opinion concerning whether the proposed compensation arrangements constitute resonable compensation under section 4958 of the code. This process is conducted by the compensation committee, which then makes recommendations to the board of directors. The board of directors is also provided with materials regarding the compensation review, including copies of the consultant's report. The board then votes as to the reasonableness of each of the individual compensation arrangements (if any disqualified or otherwise conflicted individuals are present at the meeting, they do not participate in the deliberations and are excused from the room during the vote). The process is designed and carried out by the board of directors in a manner designed to satisfy all three of hte requirements necessary to establish the rebuttable presumption of reasonableness with respect to compensation arrangements for disqualified persons under section 53.4958-6 of the regulations. As part of this process, outside counsel is retained to further advise the board on the rebuttable presumption process and to provide the board with a legal opinion regarding the same. As a final step, each part of the process required to establish the rebuttable presumption is documented using the rebuttable presumption checklist released by the irs.

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

The organization regularly and consistently complies with the compensation approval process which is part of its conflicts of interest policy. Every two to three years, on average, the organization participates in a comprehensive process conducted on its behalf by the compensation committee of the board of directors of community health systems, inc., its sole member and parent of the integrated health care delivery system in which the organization is a member. This process involves review of comparability data compiled by an independent third-party compensation consultant. Comparability data is gathered for the organization's senior management, and on occasion, key or highly compensated employees, and, based on the same, the consultant issues a written report reflecting the consultant's opinion concerning whether the proposed compensation arrangements constitute reasonable compensation under section 4958 of the code. This process is conducted by the compensation committee, which then makes recommendations to the board of directors. The board of directors is also provided with materials regarding the compensation review, including copies of the consultant's report. The board then votes as to the reasonableness of each of the individual compensation arrangements (if any disqualified or otherwise conflicted individuals are present at the meeting, they do not participate in the deliberations and are excused from the room during the vote). The process is designed and carried out by the board of directors in a manner designed to satisfy all three of the requirements necessary to establish the rebuttable presumption of reasonableness with respect to compensation arrangements for disqualified persons under section 53.4958-6 of the regulations. As part of this process, outside counsel is retained to further advise the board on the rebuttable presumption process and to provide the board with legal opinion regarding the same. As a final step, each part of the process required to establish the rebuttable presumption is documented using the rebuttable presumption checklist released by the irs.

Form 990, Page 6, Part VI, Line 19

The organization's governing documents, conflict of interest policy and financial statements are available for public inspection upon request in accordance with the section 6104(d) disclosure requirements.

Filing and Contact Details

Filer

Filer Name
Clinical Services Inc
EIN
57-1157115
Phone
4786212100
Address
1005 BOULDER DRIVE, GRAY, GA 31032

Signing Officer

Name
Teresa Moody
Title
President
Phone
4786212100
Signed
2018-05-01
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Teresa Moody
Formed
2003
Legal Domicile
Ga
Voting Board Members
5
Independent Board Members
5
Employees
216

Preparer

Firm
Mcnair Mclemore Middlebrooks & Co LLC
Address
POST OFFICE BOX ONE, MACON, GA 31202-0001
Preparer
J Randolph Nichols
Phone
4787466277
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Contribution of net assets 2,191,107

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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.17$2.60$1.57$38.7$36.1$2.55
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.75$3.71$0.95$27.8$34.9$7.15
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.85$1.65$0.80$38.3$36.8$1.47
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.81$2.35$1.54$38.2$37.4$0.73
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.74$6.42$0.68$39.3$38.5$0.84
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.26$5.30$3.03$38.4$40.7$2.36
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.97$4.24$1.27$35.3$36.3$0.98
2017Detailed filing. Detailed filing data is available for this year.$5.79$3.67$2.12$29.8$30.0$0.21
2016Detailed filing. Detailed filing data is available for this year.$1.83$1.69$0.14$15.5$15.3$0.19
2015Summary only. Only limited summary data is available for this year.$1.43$1.69$0.26$14.2$14.8$0.59
2014Summary only. Only limited summary data is available for this year.$1.85$0.96$0.89$13.4$12.8$0.64
2013Summary only. Only limited summary data is available for this year.$1.25$0.99$0.26$13.0$12.5$0.51
2012Summary only. Only limited summary data is available for this year.$1.32$1.36$0.04$11.9$15.1$3.20
2011Summary only. Only limited summary data is available for this year.$0.84$0.93$0.10$10.9$11.3$0.36
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2017 filings • 501(c)3 • $25M-$50M nonprofits