Civic Intelligence

Tri County Health System Inc

990 • Fiscal year 2014 • EIN 58-1324402

Apr 01, 2013 to Mar 31, 2014 • Filed on Feb 13, 2015

Organization Profile

View Organization Page

PO Box 312Warrenton, GA 30828

(706) 465-3253

Siviq Scores

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

Liabilities / Assets

90th percentile

0.96x

Higher debt load relative to assets than 90% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Liabilities / Revenue

77th percentile

0.53x

Higher debt load relative to revenue than 77% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Net Margin

68th percentile

11%

Higher net margin than 68% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Top Officer Pay

85th percentile

$154,039

Higher top officer pay than 85% of similar nonprofits.

Top officer pay equals 7.1% of source-year revenue.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Asset Growth

66th percentile

7.8%

Faster asset growth than 66% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Revenue Growth

46th percentile

2.2%

Faster revenue growth than 46% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Balance Sheet
Liabilities / Assets90th percentile

Assets

Up

$1,196,007

Up $86,034 (+7.8%) from 2013

Net Assets

Up

$45,753

Up $310,157 (+117%) from 2013

Liabilities

Down

$1,150,254

Down $224,123 (-16%) from 2013

Revenue And Expenses
Liabilities / Revenue77th percentileNet Margin68th percentile

Revenue

$2,180,310

No earlier filing loaded for comparison.

Expenses

Down

$1,950,508

Down $317,962 (-14%) from 2013

Net Income

$229,802

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth66th percentile

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

$2.0M$1.5M$1.0M$500K$0-$500KAssets 2011: $1,576,722Liabilities 2011: $1,426,210Net Assets 2011: $150,5122011Assets 2012: $1,577,734Liabilities 2012: $1,509,906Net Assets 2012: $67,8282012Assets 2013: $1,109,973Liabilities 2013: $1,374,377Net Assets 2013: -$264,4042013Assets 2014: $1,196,007Liabilities 2014: $1,150,254Net Assets 2014: $45,7532014Assets 2015: $1,150,285Liabilities 2015: $944,865Net Assets 2015: $205,4202015Assets 2016: $1,085,165Liabilities 2016: $701,522Net Assets 2016: $383,6432016Assets 2017: $969,167Liabilities 2017: $585,730Net Assets 2017: $383,4372017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2014

Assets$1,196,007
Liabilities$1,150,254
Net Assets$45,753
Open 2014 Filing

Operations Trend

Revenue Growth46th percentile

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

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2011: $2,210,206Expenses 2011: $2,636,799Net Income 2011: -$426,5932011Revenue 2012: $2,446,035Expenses 2012: $2,528,719Net Income 2012: -$82,6842012Expenses 2013: $2,268,4702013Revenue 2014: $2,180,310Expenses 2014: $1,950,508Net Income 2014: $229,8022014Revenue 2015: $1,102,240Expenses 2015: $1,023,589Net Income 2015: $78,6512015Revenue 2016: $69,963Expenses 2016: $59,544Net Income 2016: $10,4192016Revenue 2017: $65,325Expenses 2017: $53,064Net Income 2017: $12,2612017Revenue 2018: $38,200Expenses 2018: $48,673Net Income 2018: -$10,4732018

Highlighted filing

2014

Revenue$2,180,310
Expenses$1,950,508
Net Income$229,802
Open 2014 Filing
Jump To
Filing Snapshot
Filing Period
Apr 1, 2013 to Mar 31, 2014
Signed
Feb 13, 2015
Return Version
2013v4.0
Gross Receipts
$2,180,310
Mission and Program Overview

Mission

Federally funded medical clinic phs sec 330 program serving patients in a four county aera in east central georgia

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$977,996$1,031,815▲ $53,819
Loans From Officers Directors$135,000--
Accounts Receivable$97,782$100,817▲ $3,035
Cash and Non-Interest-Bearing Accounts$7,628$36,808▲ $29,180
Total Assets$1,109,973$1,196,007▲ $86,034
Other Assets Total$26,567$26,567→ $0
Liabilities
Accounts Payable and Accrued Expenses$639,385$579,957▼ $59,428
Mortgage Notes Payable Secured by Investment Property$433,759$404,064▼ $29,695
Other Liabilities$166,233$166,233→ $0
Total Liabilities$1,374,377$1,150,254▼ $224,123
Net Assets / Fund Balance
Unrestricted Net Assets$-264,404$45,753▲ $310,157
Total Net Assets Fund Balance$-264,404$45,753▲ $310,157
Total Liabilities and Net Assets / Fund Balance$1,109,973$1,196,007▲ $86,034

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,645,858--
Other Land Buildings$-1,715,140$1,715,140-
Land$17,500--
Equipment$938,878--
Leasehold Improvements$144,719--
Other Assets Org$26,567--
Compensation and Service Providers
Top Officer Pay85th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Faheem NusratMedical DirectorFT$154,039$154,039

Board Members and Trustees

NameTitle
Robert MooreChairman
Bobbi Taylor MooreBoard Member
Debra JordanBoard Member
Dorothy JonesBoard Member
Dorothy KendricksBoard Member
Gaylane BowmanBoard Member
Glee SmithBoard Member
Gloria SimmonsBoard Member
Helen ShurleyBoard Member
Mary ChalkerBoard Member
Mattie HarrisBoard Member
Sisti HudsonBoard Member
Tommy WolfeBoard Member
Calvin JonesSecretary Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$1,261,650
Program Service Revenue
$918,660
Investment Income
$0
Other Revenue
$0
All Other Contributions
$98
Change in Net Assets
$229,802
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,369,981
Other Expenses$580,527
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$942,535$163,058-$1,105,593
Occupancy$145,285--$145,285
Other Employee Benefits$103,274$28,916-$132,190
Fees for Services Other$64,937$19,403-$84,340
Payroll Taxes$63,839$17,637-$81,476
Other Expenses$50,431$10,155-$60,586
Fees for Services Accounting-$52,961-$52,961
Pension Plan Contributions$44,496$6,226-$50,722
Interest$29,604--$29,604
Travel$8,454$15,493-$23,947
Insurance$263$12,991-$13,254
All Other Expenses$4,321$2,554-$6,875
Advertising$4,650$1,915-$6,565
Office Expenses$3,436$2,050-$5,486
Conferences and Meetings-$3,373-$3,373
Total Functional Expenses$1,538,849$411,659$0$1,950,508
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$135,000--
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Compensated Absences$166,233
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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 governing body review Part VI line 11

“The form 990 is emailed to board members for them to review prior to its filing. The review period is at least 24 hours”

Conflict of interest policy compliance Part VI line 12C

“The policy states that each employee and director compete a survey of conflicts of interest annually and must reort a conflict as it arises”

CEO executive director top management comp Part VI line 15A

“Determined by board of directors”

Other officer or key employee compensation Part VI line 15B

“The boeard of directors reviews executive salaries annually and reviews two salary survey of peer organizations before approving salaries for management”

Governing documents etc available to public Part VI line 19

“The organization makes certain deocuments available for public inspection upon request, the requester has to explain the purpose of the inspection and the approval has to be reviewed by corporate counsel”

Filing and Contact Details

Filer

EIN
58-1324402

Signing Officer

Name
Jill Sorrels
Title
CFO
Phone
7064653253
Signed
2015-02-13
Discuss with paid preparer
No

Organization Details

Formed
1978
Legal Domicile
Ga
Voting Board Members
13
Independent Board Members
13
Employees
29
Volunteers
16

Preparer

Preparer
Randy L Skinner
Phone
8642239691
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IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt02050
IRS990/OfficeExpensesGrp/ProgramServicesAmt03436
IRS990/OfficeExpensesGrp/TotalAmt05486
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt026567
IRS990/OtherAssetsTotalGrp/EOYAmt026567
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt028916
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0103274
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0132190
IRS990/OtherExpensesGrp/Desc0TELEPHONE
IRS990/OtherExpensesGrp/Desc1REPAIDRS AND MAINTENANCE
IRS990/OtherExpensesGrp/Desc2DUES AND BOOKS
IRS990/OtherExpensesGrp/Desc3SUPPLIES
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt017005
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt136200
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt221722
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt310155
IRS990/OtherExpensesGrp/ProgramServicesAmt047431
IRS990/OtherExpensesGrp/ProgramServicesAmt116769
IRS990/OtherExpensesGrp/ProgramServicesAmt29124
IRS990/OtherExpensesGrp/ProgramServicesAmt350431
IRS990/OtherExpensesGrp/TotalAmt064436
IRS990/OtherExpensesGrp/TotalAmt152969
IRS990/OtherExpensesGrp/TotalAmt230846
IRS990/OtherExpensesGrp/TotalAmt360586
IRS990/OtherLiabilitiesGrp/BOYAmt0166233
IRS990/OtherLiabilitiesGrp/EOYAmt0166233
IRS990/OtherRevenueMiscGrp/BusinessCd0624100
IRS990/OtherRevenueMiscGrp/Desc0NON OPERTATING INCOME
IRS990/PartialLiquidationInd0false
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt017637
IRS990/PayrollTaxesGrp/ProgramServicesAmt063839
IRS990/PayrollTaxesGrp/TotalAmt081476
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt06226
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt044496
IRS990/PensionPlanContributionsGrp/TotalAmt050722
IRS990/PoliticalCampaignActyInd0false
IRS990/PriorPeriodAdjustmentsAmt080355
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0624100
IRS990/ProgramServiceRevenueGrp/Desc0PATIENT SERVICES
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0918660
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0918660
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt02133814
IRS990/PYExcessBenefitTransInd0false
IRS990/PYOtherExpensesAmt0723297
IRS990/PYRevenuesLessExpensesAmt0-134656
IRS990/PYSalariesCompEmpBnftPaidAmt01545173
IRS990/PYTotalExpensesAmt02268470
IRS990/PYTotalRevenueAmt02133814
IRS990/QuidProQuoContributionsInd0false
IRS990/ReconcilationRevenueExpnssAmt0229802
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt0918660
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt02180212
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt02133814
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt01400867
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt01218221
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt01258580
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt08191694
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt098
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt0307
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt080
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt063
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt01112
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt01660
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.99980
IRS990ScheduleA/PublicSupportPY170Pct00.99980
IRS990ScheduleA/PublicSupportTotal170Amt08191694
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt02180212
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt02133814
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt01400867
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt01218221
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt01258580
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt08191694
IRS990ScheduleA/TotalSupportAmt08193354
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/BuildingsGrp/BookValueAmt01645858
IRS990ScheduleD/BuildingsGrp/InvestmentCostOrOtherBasisAmt01645858
IRS990ScheduleD/EquipmentGrp/BookValueAmt0938878
IRS990ScheduleD/EquipmentGrp/InvestmentCostOrOtherBasisAmt0938878
IRS990ScheduleD/LandGrp/BookValueAmt017500
IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt017500
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt0144719
IRS990ScheduleD/LeaseholdImprovementsGrp/InvestmentCostOrOtherBasisAmt0144719
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt026567
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0OTHER ASSESTS
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt0-1715140
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt01715140
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0166233
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0ACCRUED COMPENSATED ABSENCES
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01031815
IRS990ScheduleD/TotalBookValueOtherAssetsAmt026567
IRS990ScheduleD/TotalLiabilityAmt0166233
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IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0154039
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0FAHEEM NUSRAT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0MEDICAL DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0154039
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 IS EMAILED TO BOARD MEMBERS FOR THEM TO REVIEW PRIOR TO ITS FILING. THE REVIEW PERIOD IS AT LEAST 24 HOURS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE POLICY STATES THAT EACH EMPLOYEE AND DIRECTOR COMPETE A SURVEY OF CONFLICTS OF INTEREST ANNUALLY AND MUST REORT A CONFLICT AS IT ARISES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DETERMINED BY BOARD OF DIRECTORS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE BOEARD OF DIRECTORS REVIEWS EXECUTIVE SALARIES ANNUALLY AND REVIEWS TWO SALARY SURVEY OF PEER ORGANIZATIONS BEFORE APPROVING SALARIES FOR MANAGEMENT
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION MAKES CERTAIN DEOCUMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST, THE REQUESTER HAS TO EXPLAIN THE PURPOSE OF THE INSPECTION AND THE APPROVAL HAS TO BE REVIEWED BY CORPORATE COUNSEL
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Conflict of interest policy compliance Part VI line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2CEO executive director top management comp Part VI line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Other officer or key employee compensation Part VI line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Governing documents etc available to public Part VI line 19
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0GA
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt01109973
IRS990/TotalAssetsEOYAmt01196007
IRS990/TotalAssetsGrp/BOYAmt01109973
IRS990/TotalAssetsGrp/EOYAmt01196007

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2014 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,196,007
Liabilities
$1,150,254
Net assets
$45,753
Revenue
$2,180,310
Expenses
$1,950,508
Net income
$229,802
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.04$0.05$0.01
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.97$0.59$0.38$0.07$0.05$0.01
2016Detailed filing. Detailed filing data is available for this year.$1.09$0.70$0.38$0.07$0.06$0.01
2015Summary only. Only limited summary data is available for this year.$1.15$0.94$0.21$1.10$1.02$0.08
2014Detailed filing. Detailed filing data is available for this year.$1.20$1.15$0.05$2.18$1.95$0.23
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.11$1.37$0.26$2.27
2012Summary only. Only limited summary data is available for this year.$1.58$1.51$0.07$2.45$2.53$0.08
2011Summary only. Only limited summary data is available for this year.$1.58$1.43$0.15$2.21$2.64$0.43
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2014 filings • 501(c)3 • $1M-$5M nonprofits