Civic Intelligence

Tri County Health System Inc

990 • Fiscal year 2016 • EIN 58-1324402

Apr 01, 2015 to Mar 31, 2016 • Filed on Feb 15, 2017

Organization Profile

View Organization Page

1008 Atlanta HighwayWarrenton, GA 30828

(706) 465-3253

Siviq Scores

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

Liabilities / Assets

84th percentile

0.65x

Higher debt load relative to assets than 84% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

97th percentile

10.03x

Higher debt load relative to revenue than 97% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

75th percentile

15%

Higher net margin than 75% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

35th percentile

$0

Higher top officer pay than 35% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Asset Growth

20th percentile

-5.7%

Faster asset growth than 20% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

1st percentile

-94%

Faster revenue growth than 1% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets84th percentile

Assets

Down

$1,085,165

Down $65,120 (-5.7%) from 2015

Net Assets

Up

$383,643

Up $178,223 (+87%) from 2015

Liabilities

Down

$701,522

Down $243,343 (-26%) from 2015

Revenue And Expenses
Liabilities / Revenue97th percentileNet Margin75th percentile

Revenue

Down

$69,963

Down $1,032,277 (-94%) from 2015

Expenses

Down

$59,544

Down $964,045 (-94%) from 2015

Net Income

Down

$10,419

Down $68,232 (-87%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth20th 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

2016

Assets$1,085,165
Liabilities$701,522
Net Assets$383,643
Open 2016 Filing

Operations Trend

Revenue Growth1st 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

2016

Revenue$69,963
Expenses$59,544
Net Income$10,419
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Apr 1, 2015 to Mar 31, 2016
Signed
Feb 15, 2017
Return Version
2015v3.0
Gross Receipts
$69,963
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$936,488$949,288▲ $12,800
Accounts Receivable$91,504$90,070▼ $1,434
Cash and Non-Interest-Bearing Accounts$95,726$45,807▼ $49,919
Total Assets$1,150,285$1,085,165▼ $65,120
Other Assets Total$26,567--
Liabilities
Mortgage Notes Payable Secured by Investment Property$640,630$613,135▼ $27,495
Accounts Payable and Accrued Expenses$304,235$88,387▼ $215,848
Total Liabilities$944,865$701,522▼ $243,343
Net Assets / Fund Balance
Unrestricted Net Assets$205,420$383,643▲ $178,223
Total Net Assets Fund Balance$205,420$383,643▲ $178,223
Total Liabilities and Net Assets / Fund Balance$1,150,285$1,085,165▼ $65,120

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$129,204$28,315$12,800
Buildings$1,613,396$32,462-
Other Land Buildings$-1,715,140$1,715,140-
Land$17,500--
Equipment$904,328$34,550-
Compensation and Service Providers
Top Officer Pay35th percentile

Board Members and Trustees

NameTitle
Robert MooreChairman
Dorothy KendricksBoard Member
Gaylane BowmanBoard Member
Glee SmithBoard Member
Gloria SimmonsBoard Member
Helen ShurleyBoard Member
Kelly WallerBoard Member
Mary ChalkerBoard Member
Sisti HudsonBoard Member
Tommy WolfeBoard Member
Faheem NusratMedical Director
Calvin JonesSecretary Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$4,876
Investment Income
$49
Other Revenue
$65,038
Change in Net Assets
$10,419
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$59,544
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Interest-$35,113-$35,113
All Other Expenses-$16,245-$16,245
Fees for Services Other-$7,113-$7,113
Other Expenses-$275-$275
Insurance-$-2,393-$-2,393
Total Functional Expenses$0$59,544$0$59,544
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
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

Filer Name
Tri-county Health System Inc
EIN
58-1324402
Address
1008 ATLANTA HIGHWAY, WARRENTON, GA 30828

Signing Officer

Name
Jill Sorrells
Title
CFO
Phone
7064653253
Signed
2017-02-15
Discuss with paid preparer
No

Organization Details

Formed
1978
Legal Domicile
Ga
Voting Board Members
11
Independent Board Members
11
Employees
0

Preparer

Firm
The Skinner Group
Address
105 VENTURE CT, GREENWOOD, SC 29646
Preparer
Randy L Skinner
Phone
8642239691
Supplemental Narrative

Additional Explanations

List of other fees for services expenses Part IX line 11G

“CONTRACT”

List of other expenses Part IX line 24E

“Utilities, frt & postage, pest control, training, over(short), printing, electronical claims processing, equipment lease, staff training, books & subcriptions, loan fees, penalty”

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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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IRS990ScheduleA/PublicSupportCY170Pct00.99990
IRS990ScheduleA/PublicSupportPY170Pct01.00000
IRS990ScheduleA/PublicSupportTotal170Amt06331663
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0616770
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt02180212
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt02133814
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt01400867
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt06331663
IRS990ScheduleA/TotalSupportAmt06332296
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/BuildingsGrp/BookValueAmt01613396
IRS990ScheduleD/BuildingsGrp/DepreciationAmt032462
IRS990ScheduleD/BuildingsGrp/InvestmentCostOrOtherBasisAmt01645858
IRS990ScheduleD/EquipmentGrp/BookValueAmt0904328
IRS990ScheduleD/EquipmentGrp/DepreciationAmt034550
IRS990ScheduleD/EquipmentGrp/InvestmentCostOrOtherBasisAmt0938878
IRS990ScheduleD/LandGrp/BookValueAmt017500
IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt017500
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt0129204
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt028315
IRS990ScheduleD/LeaseholdImprovementsGrp/InvestmentCostOrOtherBasisAmt0144719
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt012800
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0DEFFERED LOAN FEES
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt0-1715140
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt01715140
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0949288
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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/ExplanationTxt5CONTRACT
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6UTILITIES, FRT & POSTAGE, PEST CONTROL, TRAINING, OVER(SHORT), PRINTING, ELECTRONICAL CLAIMS PROCESSING, EQUIPMENT LEASE, STAFF TRAINING, BOOKS & SUBCRIPTIONS, LOAN FEES, PENALTY
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
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5List of other fees for services expenses Part IX line 11g
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6List of other expenses Part IX line 24e
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0GA
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt01150285
IRS990/TotalAssetsEOYAmt01085165
IRS990/TotalAssetsGrp/BOYAmt01150285
IRS990/TotalAssetsGrp/EOYAmt01085165
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt059544
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt059544
IRS990/TotalGrossUBIAmt069963
IRS990/TotalLiabilitiesBOYAmt0944865
IRS990/TotalLiabilitiesEOYAmt0701522
IRS990/TotalLiabilitiesGrp/BOYAmt0944865
IRS990/TotalLiabilitiesGrp/EOYAmt0701522
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0205420
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0383643
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceRevenueAmt04876
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt069963
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt069963
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01150285
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01085165
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd0false
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0205420
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0383643
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt011
IRS990/VotingMembersIndependentCnt011
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0false
ReturnHeader/BusinessOfficerGrp/PersonNm0JILL SORRELLS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CFO
ReturnHeader/BusinessOfficerGrp/PhoneNum07064653253
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-02-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0TRI-COUNTY HEALTH SYSTEM INC
ReturnHeader/Filer/BusinessNameControlTxt0TRI-
ReturnHeader/Filer/EIN0581324402
ReturnHeader/Filer/USAddress/AddressLine1Txt01008 ATLANTA HIGHWAY
ReturnHeader/Filer/USAddress/CityNm0WARRENTON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0GA
ReturnHeader/Filer/USAddress/ZIPCd030828
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0465107314
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0THE SKINNER GROUP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0105 VENTURE CT
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0GREENWOOD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0SC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd029646
ReturnHeader/PreparerPersonGrp/PhoneNum08642239691
ReturnHeader/PreparerPersonGrp/PreparationDt02017-02-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0RANDY L SKINNER
ReturnHeader/ReturnTs02017-02-15T14:48:58-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-04-01
ReturnHeader/TaxPeriodEndDt02016-03-31
ReturnHeader/TaxYr02015

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

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

Open filing
Assets
$1,085,165
Liabilities
$701,522
Net assets
$383,643
Revenue
$69,963
Expenses
$59,544
Net income
$10,419
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