Civic Intelligence

Clinical Services Inc.

990 • Fiscal year 2019 • EIN 57-1157115

Jul 01, 2018 to Jun 30, 2019 • Filed on May 08, 2020

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

99th percentile

2.34x

Higher debt load relative to assets than 99% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Liabilities / Revenue

31st percentile

0.14x

Higher debt load relative to revenue than 31% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Net Margin

20th percentile

-6.2%

Higher net margin than 20% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Top Officer Pay

60th percentile

$289,131

Higher top officer pay than 60% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Asset Growth

2nd percentile

-24%

Faster asset growth than 2% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2018 to 2019

Revenue Growth

64th percentile

8.7%

Faster revenue growth than 64% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2018 to 2019

Assets

Down

$2,262,792

Down $704,100 (-24%) from 2018

Net Assets

Down

-$3,033,654

Down $1,763,423 (-139%) from 2018

Liabilities

Up

$5,296,446

Up $1,059,323 (+25%) from 2018

Revenue

Up

$38,359,808

Up $3,078,977 (+8.7%) from 2018

Expenses

Up

$40,724,692

Up $4,465,256 (+12%) from 2018

Net Income

Down

-$2,364,884

Down $1,386,279 (-142%) from 2018

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

2019

Assets$2,262,792
Liabilities$5,296,446
Net Assets-$3,033,654

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

2019

Revenue$38,359,808
Expenses$40,724,692
Net Income-$2,364,884
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
May 8, 2020
Return Version
2018v3.2
Gross Receipts
$38,359,808
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$1,213,766$1,188,158▼ $25,608
Cash and Non-Interest-Bearing Accounts$1,013,518$532,183▼ $481,335
Land, Buildings, and Equipment, Net$721,476$458,666▼ $262,810
Prepaid Expenses and Deferred Charges$18,132$83,785▲ $65,653
Total Assets$2,966,892$2,262,792▼ $704,100
Liabilities
Accounts Payable and Accrued Expenses$4,237,123$5,296,446▲ $1,059,323
Total Liabilities$4,237,123$5,296,446▲ $1,059,323
Net Assets / Fund Balance
Unrestricted Net Assets$-1,270,231$-3,033,654▼ $1,763,423
Total Net Assets Fund Balance$-1,270,231$-3,033,654▼ $1,763,423
Total Liabilities and Net Assets / Fund Balance$2,966,892$2,262,792▼ $704,100

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$346,017$1,165,178$1,511,195
Other Land Buildings$45,576$1,115,777$1,161,353
Leasehold Improvements$67,073$103,503$170,576
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jillene SnowVice PresidePT-$287,344$287,344
Ralph WarnockVice PresideFT$248,439$14,868$263,307
Diana WilksSenior VPPT$231,610$31,697$263,307
Teresa MoodyPresident-$231,087$24,302$255,389
Gregory DavisRegional VPFT$218,594$23,494$242,088
Ken McdonaldVice Preside--$234,165$234,165
Kimberly HodgesRegional VPFT$208,918$23,536$232,454
Denise CrawleyAttending PhFT$211,525$15,564$227,089
Roxanne GallowayVice President-$203,147$23,942$227,089
Jillene SnowVice President-$198,947$26,693$225,640
Frank PowellPhysicianFT$199,216$25,772$224,988
Angela HammackCorporate Se--$222,577$222,577
Ralph WarnockVice President-$185,859$27,540$213,399
James GilliamRegional VPFT$187,023$24,750$211,773
April KenerlyVice Preside--$207,737$207,737
Kim SheffieldVice Preside--$195,612$195,612
Roxanne GallowayVice PresideFT$174,217$14,479$188,696
Angela HammackCorporate Secretary-$163,464$25,232$188,696
Debra MimsRegional VPFT$138,536$11,092$149,628
Katie CarrVice PresideFT$135,315$8,734$144,049
Jeffrey GinnVice PresideFT$125,570$11,299$136,869
Jennifer BrockVice PresideFT$117,552$8,031$125,583
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
April KenerlyVice President
Ken McdonaldVice President
Kim SheffieldVice President
Denise CrawleyAttending Physician
Melissa PrimrosePhysician
Robert CampbellPhysician
Wyatt BlakePhysician

Highest Paid Contractors

ContractorServicesLocationCompensation
Cantata Health LLCSoftwarePO BOX 841645, Dallas, TX 75284-1645$191,550
Geriatric Practice Management LLCSoftware16 BILTMORE AVE SUITE 300, Asheville, NC 28801-3617$190,550
Dr Swati GaurHealthcare3615 BLEAKLEY POINT, Gainesville, GA 30506$149,607
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$38,359,808
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-2,364,884

Audited Revenue Reconciliation

Revenue per Audited Statements
$38,359,808
Total Revenue per Audited Statements
$38,359,808
Total Revenue per Form 990
$38,359,808
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$26,374,241
Salaries, Compensation, and Employee Benefits$14,350,451
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,789,088--$10,789,088
Current Officers, Directors, Trustees, and Key Employees$1,658,944--$1,658,944
Payroll Taxes$882,021--$882,021
Other Employee Benefits$626,659--$626,659
All Other Expenses$476,979--$476,979
Other Expenses$405,291--$405,291
Pension Plan Contributions$393,739--$393,739
Occupancy$249,281--$249,281
Fees for Services Legal$174,077--$174,077
Insurance$42,878--$42,878
Interest$47--$47
Total Functional Expenses$40,724,692$0$0$40,724,692

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$40,724,692
Total Expenses per Audited Statements$40,724,692
Total Expenses per Form 990$40,724,692
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
2020-05-08
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
189

Preparer

Firm
Mcnair Mclemore Middlebrooks & Co LLC
Address
POST OFFICE BOX ONE, MACON, GA 31202-0001
Preparer
William R Rountree
Phone
4787466277
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Contribution of net assets 601,461

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

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IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5SENIOR VP
IRS990/Form990PartVIISectionAGrp/TitleTxt6VICE PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt7VICE PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt8REGIONAL VP
IRS990/Form990PartVIISectionAGrp/TitleTxt9CORPORATE SE
IRS990/Form990PartVIISectionAGrp/TitleTxt10PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt11REGIONAL VP
IRS990/Form990PartVIISectionAGrp/TitleTxt12REGIONAL VP
IRS990/Form990PartVIISectionAGrp/TitleTxt13VICE PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt14REGIONAL VP
IRS990/Form990PartVIISectionAGrp/TitleTxt15VICE PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt16VICE PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt17VICE PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt18PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt19PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt20PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt21ATTENDING PH
IRS990/Form990PartVIISectionAGrp/TitleTxt22PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt23VICE PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt24VICE PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt25VICE PRESIDE
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IRS990/FormationYr02003
IRS990/FormerOfcrEmployeesListedInd0true
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt05
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt038359808
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0true
IRS990/IndependentVotingMemberCnt05
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IRS990/InfoInScheduleOPartVIInd0X
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IRS990/MissionDesc0TO PROVIDE CLINICAL SERVICES, RELATED HEALTH CARE SERVICES AND VARIOUS CONSULTING SERVICES TO FELLOW MEMBERS OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM.
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IRS990/OtherExpensesGrp/Desc0SUPPORT SERVICE FEES
IRS990/OtherExpensesGrp/Desc1OTHER ADMINISTRATIVE
IRS990/OtherExpensesGrp/Desc2CONTRACTED SERVICES
IRS990/OtherExpensesGrp/Desc3LEASING & RENTS
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IRS990/ReportProgramRelatedInvstInd0false
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IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt038359808
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt035752647

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
2019Detailed filing. Detailed filing data is available for this year.$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
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$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