Civic Intelligence

Tri-County Community Health Council Inc

EIN 58-1319204 • 501(c)3 • Four Oaks, NC

Profile

Provider of comprehensive, compassionate, high quality primary medical, dental, pharmacy and behavioral health services in southeastern north carolina.

PO Box 340Four Oaks, NC 27524

www.commwellhealth.org

Siviq Scores

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

Liabilities / Assets

51st percentile

0.23x

Higher debt load relative to assets than 51% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Liabilities / Revenue

50th percentile

0.27x

Higher debt load relative to revenue than 50% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Net Margin

66th percentile

12%

Higher net margin than 66% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Top Officer Pay

81st percentile

$471,783

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 1.4% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Asset Growth

66th percentile

9.8%

Faster asset growth than 66% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Revenue Growth

40th percentile

4.0%

Faster revenue growth than 40% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Assets

Up

$40,165,121

Up $10,671,236 (+36%) from 2023

Liabilities

Up

$9,085,581

Up $3,187,144 (+54%) from 2023

Net Assets

Up

$31,079,540

Up $7,484,092 (+32%) from 2023

Revenue

Up

$33,420,467

Up $5,916,299 (+22%) from 2023

Expenses

Up

$29,560,402

Up $2,377,622 (+8.7%) from 2023

Net Income

Up

$3,860,065

Up $3,538,677 (+1101%) from 2023

Trend Graphs

Balance Sheet Trend

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

$60M$40M$20M$0Assets 2011: $9,120,003Liabilities 2011: $5,896,805Net Assets 2011: $3,223,1982011Assets 2012: $9,792,732Liabilities 2012: $4,901,878Net Assets 2012: $4,890,8542012Assets 2013: $10,554,531Liabilities 2013: $5,121,954Net Assets 2013: $5,432,5772013Assets 2014: $11,992,922Liabilities 2014: $4,679,379Net Assets 2014: $7,313,5432014Assets 2015: $11,486,794Liabilities 2015: $4,984,311Net Assets 2015: $6,502,4832015Assets 2016: $11,730,369Liabilities 2016: $3,367,365Net Assets 2016: $8,363,0042016Assets 2017: $13,213,880Liabilities 2017: $3,419,336Net Assets 2017: $9,794,5442017Assets 2018: $13,460,724Liabilities 2018: $2,124,142Net Assets 2018: $11,336,5822018Assets 2019: $15,478,846Liabilities 2019: $2,892,960Net Assets 2019: $12,585,8862019Assets 2020: $18,384,380Liabilities 2020: $4,412,124Net Assets 2020: $13,972,2562020Assets 2021: $25,430,911Liabilities 2021: $4,531,179Net Assets 2021: $20,899,7322021Assets 2022: $27,703,568Liabilities 2022: $4,429,508Net Assets 2022: $23,274,0602022Assets 2023: $29,493,885Liabilities 2023: $5,898,437Net Assets 2023: $23,595,4482023Assets 2025: $40,165,121Liabilities 2025: $9,085,581Net Assets 2025: $31,079,5402025

Highlighted filing

2025

Assets$40,165,121
Liabilities$9,085,581
Net Assets$31,079,540

Operations Trend

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

$40M$30M$20M$10M$0-$10MRevenue 2011: $14,273,426Expenses 2011: $13,016,857Net Income 2011: $1,256,5692011Expenses 2012: $15,375,1742012Expenses 2013: $18,018,9662013Revenue 2014: $19,173,001Expenses 2014: $17,292,035Net Income 2014: $1,880,9662014Revenue 2015: $18,950,934Expenses 2015: $19,761,994Net Income 2015: -$811,0602015Revenue 2016: $22,495,677Expenses 2016: $20,635,156Net Income 2016: $1,860,5212016Revenue 2017: $24,229,058Expenses 2017: $22,797,518Net Income 2017: $1,431,5402017Revenue 2018: $26,435,231Expenses 2018: $24,893,193Net Income 2018: $1,542,0382018Revenue 2019: $27,151,638Expenses 2019: $25,902,334Net Income 2019: $1,249,3042019Revenue 2020: $27,790,180Expenses 2020: $26,403,810Net Income 2020: $1,386,3702020Revenue 2021: $30,977,995Expenses 2021: $24,050,519Net Income 2021: $6,927,4762021Revenue 2022: $27,323,166Expenses 2022: $24,948,838Net Income 2022: $2,374,3282022Revenue 2023: $27,504,168Expenses 2023: $27,182,780Net Income 2023: $321,3882023Revenue 2025: $33,420,467Expenses 2025: $29,560,402Net Income 2025: $3,860,0652025

Highlighted filing

2025

Revenue$33,420,467
Expenses$29,560,402
Net Income$3,860,065

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$40.2$9.09$31.1$33.4$29.6$3.86
2023Summary only. Only limited summary data is available for this year.$29.5$5.90$23.6$27.5$27.2$0.32
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$27.7$4.43$23.3$27.3$24.9$2.37
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$25.4$4.53$20.9$31.0$24.1$6.93
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.4$4.41$14.0$27.8$26.4$1.39
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.5$2.89$12.6$27.2$25.9$1.25
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.5$2.12$11.3$26.4$24.9$1.54
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.2$3.42$9.79$24.2$22.8$1.43
2016Detailed filing. Detailed filing data is available for this year.$11.7$3.37$8.36$22.5$20.6$1.86
2015Detailed filing. Detailed filing data is available for this year.$11.5$4.98$6.50$19.0$19.8$0.81
2014Detailed filing. Detailed filing data is available for this year.$12.0$4.68$7.31$19.2$17.3$1.88
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.6$5.12$5.43$18.0
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.79$4.90$4.89$15.4
2011Summary only. Only limited summary data is available for this year.$9.12$5.90$3.22$14.3$13.0$1.26
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Apr 1, 2024 to Mar 31, 2025
Signed
Jan 25, 2026
Return Version
2024v5.5
Gross Receipts
$33,526,443
Mission and Program Overview

Mission

Provider of comprehensive, compassionate, high quality primary medical, dental, pharmacy and behavioral health services in southeastern north carolina.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$18,046,605$17,212,785▼ $833,820
Savings and Temporary Cash Investments$9,777,037$11,047,350▲ $1,270,313
Cash and Non-Interest-Bearing Accounts$3,336,155$6,401,776▲ $3,065,621
Pledges and Grants Receivable$1,466,389$2,494,492▲ $1,028,103
Accounts Receivable$2,974,376$1,963,791▼ $1,010,585
Intangible Assets$677,753$652,876▼ $24,877
Inventories for Sale or Use$249,581$265,883▲ $16,302
Prepaid Expenses and Deferred Charges$52,189$126,168▲ $73,979
Total Assets$36,580,085$40,165,121▲ $3,585,036
Liabilities
Mortgage Notes Payable Secured by Investment Property$4,791,907$5,282,449▲ $490,542
Accounts Payable and Accrued Expenses$3,941,016$3,188,946▼ $752,070
Other Liabilities$558,324$536,551▼ $21,773
Deferred Revenue$69,363$77,635▲ $8,272
Total Liabilities$9,360,610$9,085,581▼ $275,029
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$26,840,093$31,079,540▲ $4,239,447
Net Assets With Donor Restrictions$379,382$0▼ $379,382
Total Net Assets Fund Balance$27,219,475$31,079,540▲ $3,860,065
Total Liabilities and Net Assets / Fund Balance$36,580,085$40,165,121▲ $3,585,036

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$13,780,496$4,718,222$18,498,718
Equipment$1,426,723$4,593,640$6,020,363
Land$1,445,668-$1,445,668
Leasehold Improvements$302,334$294,388$596,722
Other Land Buildings$257,564-$257,564
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Pamela TrippCEOFT$404,393$67,390$471,783
April BurksFamily PhysicianFT$201,549$43,518$245,067
Stefani ConnelFamily PhysicianFT$193,560$38,178$231,738
Shraddha SharmaFamily PhysicianFT$188,043$30,739$218,782
Beverly YearwoodPediatricianFT$188,965$25,853$214,818
Naureen RidgeDentistFT$145,678$47,112$192,790
Cheryl StanleyCFOFT$129,472$36,185$165,657

Board Members and Trustees

NameTitle
Johnson TilghmanChairman
Spencer McalpineVice Chair
Gary Mac HerringBoard Member
Isabell ElliottBoard Member
Jessica HerringBoard Member
Leticia SolarBoard Member
Mary CrumplerBoard Member
Nancy BlackmanBoard Member
Raymond LindseyBoard Member
Vanessa BurgessBoard Member
William Taylor JrBoard Member
Silvia CendejasAsst. Secretary
Mary BlaizesSecretary
Phil MillsTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Calvin Davenport INCConstruction/renovation3540 HUNTER HILL ROAD, Rocky Mount, NC 27804$1,730,274
Tinkbird HealthcareContractual Providers3417 BELLEVUE ROAD, Raleigh, NC 27609$139,654
Oakley Collier ArchitectsConstruction/renovation775 S KERR AVENUE, Wilmington, NC 28403$133,204
Unc PhysiciansContractual ProvidersPO BOX 63387, Charlotte, NC 28263$121,833
Reggie Reliable Cleaning LLCCleaning2102 KNOOCE STREET, Goldsboro, NC 27530$101,618
Revenue and Support

Revenue Composition

Contributions and Grants
$17,580,222
Program Service Revenue
$15,285,306
Investment Income
$431,702
Other Revenue
$123,237
All Other Contributions
$1,056,953
Change in Net Assets
$3,860,065

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies1$28,564Fair Market Value (FMV)
Total Noncash Contributions1$28,564-

Audited Revenue Reconciliation

Revenue per Audited Statements
$33,420,467
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$118,422
Total Revenue per Audited Statements
$33,538,889
Total Revenue per Form 990
$33,420,467
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$19,703,543
Other Expenses$9,856,859
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$13,035,283$3,301,706-$16,336,989
Fees for Services Other$1,316,319$952,419-$2,268,738
Information Technology$820,698$593,813-$1,414,511
Payroll Taxes$1,026,072$259,894-$1,285,966
Depreciation Depletion$911,670$126,915-$1,038,585
Other Employee Benefits$789,463$199,963-$989,426
Current Officers, Directors, Trustees, and Key Employees$505,281$127,982-$633,263
Office Expenses$415,098$105,141-$520,239
Occupancy$399,688$72,127-$471,815
Pension Plan Contributions$365,358$92,541-$457,899
Fees for Services Legal-$387,282-$387,282
Fees for Services Accounting-$341,793-$341,793
All Other Expenses$195,756$121,408-$317,164
Insurance$174,245$24,257-$198,502
Travel$146,117$37,010-$183,127
Interest$153,374$21,351-$174,725
Other Expenses$152,661$21,252-$173,913
Advertising$97,007--$97,007
Conferences and Meetings$22,229$5,630-$27,859
Total Functional Expenses$22,584,301$6,976,101$0$29,560,402

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$29,678,824
Expenses per Audited Statements$29,560,402
Total Expenses per Form 990$29,560,402
Expenses Not Reported on Form 990$118,422
Expenses Not Reported on Financial Statements$0
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
Operating Lease Liability$536,551
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, Part VI, Section B, Line 11B

The 990 is reviewed by the ceo and then presented to the financial oversight committee for review and approval. It is then presented to the board members for final review and approval prior to filing.

Form 990, Part VI, Section B, Line 12C

Annually each board member are required to sign conflict of interest disclosure. The organization regularly and consistently monitors conflicts of interest policy at each board meeting.

Form 990, Part VI, Section B, Line 15

Compensation surveys by north carolina association of comunity health center and other similar organizations is used.

Form 990, Part VI, Section C, Line 19

Governing documents, conflict of interest policy and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
Tri-county Community Health Council Inc
EIN
58-1319204
Phone
9105677008
Address
PO BOX 340, FOUR OAKS, NC 27524
Doing Business As
Commwell Health

Signing Officer

Name
Cheryl Stanley
Title
CFO
Phone
9105677008
Signed
2026-01-25
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Johnson Tilghman
Formed
1977
Legal Domicile
Nc
Voting Board Members
14
Independent Board Members
14
Employees
341
Volunteers
14

Preparer

Firm
Cohnreznick Advisory LLC
Address
14 SYLVAN WAY, PARSIPPANY, NJ 07054-3801
Preparer
Lori Rothe Yokobosky
Phone
9732283500
Supplemental Narrative

Additional Explanations

FORM 990, PART IV, QUESTION 20A:

The organization is licensed as a federally qualified health center, and therefore does not meet the definition of a general hospital. As a result, the organization is not including schedule h in the current year form 990.

Financial Statement Notes

PART X, LINE 2:

Management has analyzed the tax positions taken by the center and has concluded that, as of march 31, 2025, there are no uncertain tax positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The center's federal and state income tax returns prior to fiscal year 2022 are closed and management continually evaluates expiring statutes of limitations, audits, proposed settlements, changes in tax law and new authoritative rulings.

Raw XML AppendixShowing 400 of 736 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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IRS990/AccountsReceivableGrp/EOYAmt01963791
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0PROVIDER OF COMPREHENSIVE, COMPASSIONATE, HIGH QUALITY PRIMARY MEDICAL, DENTAL, PHARMACY AND BEHAVIORAL HEALTH SERVICES IN SOUTHEASTERN NORTH CAROLINA.
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IRS990/Desc0MEDICAL: AS A FEDERALLY QUALIFIED HEALTH CENTER, COMMWELL HEALTH PROVIDES COMPREHENSIVE PRIMARY MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE TO THE COMMUNITIES IT SERVES, WITH SPECIAL EMPHASIS ON VULNERABLE POPULATIONS AND AGRICULTURAL WORKERS. COMMWELL HEALTH SERVED 25,944 PATIENTS, REPRESENTING 79,101 VISITS DURING CY 2024(SOURCE: UDS). THE ORGANIZATION OPERATES 16 FIXED PERFORMANCE SITE LOCATIONS IN SIX COUNTIES. OF THE PATIENTS SERVED, 36 PERCENT OF PATIENTS HAD INCOMES OF LESS THAN 100 PERCENT OF THE FEDERAL POVERTY LEVEL. 12 PERCENT OF PATIENTS HAD INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL. 37 PERCENT - OF COMMWELL HEALTH PATIENTS WERE UNINSURED. OTHER ON-SITE COMMWELL HEALTH SERVICES INCLUDE CARE COORDINATION, PEDIATRICS, PHARMACY AND MAIL-ORDER PHARMACY, WIC/NUTRITION; HIV, OB/GYN, LABORATORY AND X-RAY, CASE MANAGEMENT, SUBSTANCE ABUSE INTENSIVE OUTPATIENT AND OUTPATIENT SERVICES, PSYCHIATRIC CARE, AND CHRONIC DISEASE MANAGEMENT (HIV, DIABETES). COMMWELL HEALTH PROVIDES MEDICAL SERVICES TO 16,846 PATIENTS REPRESENTING 42,176 ENCOUNTERS.
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