Civic Intelligence

Community Health Service Agency Inc

EIN 75-1528614 • 501(c)3 • Greenville, TX

View Organization Page

Profile

To provide community oriented primary health care, including, medical & dental care, education, and social services to the residents of Hunt, Fannin, Kaufman, Delta, and Collin counties, with a particular emphasis on those individuals and families that have difficulty accessing health care services because of financial, language, and/or cultural barriers.

P O Box 1908Greenville, TX 75403

www.completemedicalhome.org

Siviq Scores

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

Liabilities / Assets

64th percentile

0.32x

Higher debt load relative to assets than 64% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Liabilities / Revenue

57th percentile

0.29x

Higher debt load relative to revenue than 57% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Net Margin

27th percentile

-3.5%

Higher net margin than 27% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Top Officer Pay

76th percentile

$294,428

Higher top officer pay than 76% of similar nonprofits.

Top officer pay equals 1.5% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Asset Growth

42nd percentile

2.1%

Faster asset growth than 42% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Revenue Growth

34th percentile

0.2%

Faster revenue growth than 34% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets64th percentile

Assets

Up

$17,643,699

Up $362,553 (+2.1%) from 2024

Liabilities

Up

$5,575,460

Up $1,028,343 (+23%) from 2024

Net Assets

Down

$12,068,239

Down $665,790 (-5.2%) from 2024

Operations
Liabilities / Revenue57th percentileNet Margin27th percentile

Revenue

Up

$19,024,253

Up $37,919 (+0.2%) from 2024

Expenses

Up

$19,690,043

Up $363,403 (+1.9%) from 2024

Net Income

Down

-$665,790

Down $325,484 (-96%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth42nd percentile

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

$20M$15M$10M$5.0M$0Assets 2010: $5,556,198Liabilities 2010: $1,798,100Net Assets 2010: $3,758,0982010Assets 2011: $6,125,361Liabilities 2011: $2,724,503Net Assets 2011: $3,400,8582011Assets 2012: $6,051,588Liabilities 2012: $2,344,558Net Assets 2012: $3,707,0302012Assets 2013: $6,001,969Liabilities 2013: $2,402,398Net Assets 2013: $3,599,5712013Assets 2014: $5,777,504Liabilities 2014: $2,166,352Net Assets 2014: $3,611,1522014Assets 2015: $5,627,508Liabilities 2015: $1,909,201Net Assets 2015: $3,718,3072015Assets 2016: $6,664,367Liabilities 2016: $2,920,088Net Assets 2016: $3,744,2792016Assets 2017: $6,966,109Liabilities 2017: $2,849,923Net Assets 2017: $4,116,1862017Assets 2018: $8,067,753Liabilities 2018: $2,719,875Net Assets 2018: $5,347,8782018Assets 2019: $8,321,317Liabilities 2019: $3,060,195Net Assets 2019: $5,261,1222019Assets 2020: $7,781,055Liabilities 2020: $3,471,001Net Assets 2020: $4,310,0542020Assets 2021: $10,574,119Liabilities 2021: $3,485,199Net Assets 2021: $7,088,9202021Assets 2022: $13,191,840Liabilities 2022: $3,205,965Net Assets 2022: $9,985,8752022Assets 2023: $17,683,016Liabilities 2023: $4,608,681Net Assets 2023: $13,074,3352023Assets 2024: $17,281,146Liabilities 2024: $4,547,117Net Assets 2024: $12,734,0292024Assets 2025: $17,643,699Liabilities 2025: $5,575,460Net Assets 2025: $12,068,2392025

Highlighted filing

2025

Assets$17,643,699
Liabilities$5,575,460
Net Assets$12,068,239
Open 2025 Filing

Operations Trend

Revenue Growth34th percentile

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

$30M$20M$10M$0-$10MRevenue 2010: $9,297,908Expenses 2010: $8,583,462Net Income 2010: $714,4462010Revenue 2011: $9,914,959Expenses 2011: $10,272,199Net Income 2011: -$357,2402011Expenses 2012: $9,640,5182012Expenses 2013: $8,645,3722013Revenue 2014: $8,908,620Expenses 2014: $8,897,039Net Income 2014: $11,5812014Revenue 2015: $10,531,943Expenses 2015: $10,424,788Net Income 2015: $107,1552015Revenue 2016: $11,327,430Expenses 2016: $11,301,458Net Income 2016: $25,9722016Revenue 2017: $12,442,401Expenses 2017: $12,070,494Net Income 2017: $371,9072017Revenue 2018: $14,366,785Expenses 2018: $13,135,093Net Income 2018: $1,231,6922018Revenue 2019: $14,178,476Expenses 2019: $14,265,232Net Income 2019: -$86,7562019Revenue 2020: $13,977,490Expenses 2020: $14,943,767Net Income 2020: -$966,2772020Revenue 2021: $18,609,669Expenses 2021: $15,830,803Net Income 2021: $2,778,8662021Revenue 2022: $20,575,586Expenses 2022: $17,678,631Net Income 2022: $2,896,9552022Revenue 2023: $21,247,563Expenses 2023: $18,159,103Net Income 2023: $3,088,4602023Revenue 2024: $18,986,334Expenses 2024: $19,326,640Net Income 2024: -$340,3062024Revenue 2025: $19,024,253Expenses 2025: $19,690,043Net Income 2025: -$665,7902025

Highlighted filing

2025

Revenue$19,024,253
Expenses$19,690,043
Net Income-$665,790
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$17,643,699
Liabilities
$5,575,460
Net assets
$12,068,239
Revenue
$19,024,253
Expenses
$19,690,043
Net income
-$665,790
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.6$5.58$12.1$19.0$19.7$0.67
2024Summary only. Only limited summary data is available for this year.$17.3$4.55$12.7$19.0$19.3$0.34
2023Summary only. Only limited summary data is available for this year.$17.7$4.61$13.1$21.2$18.2$3.09
2022Summary only. Only limited summary data is available for this year.$13.2$3.21$9.99$20.6$17.7$2.90
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.6$3.49$7.09$18.6$15.8$2.78
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.78$3.47$4.31$14.0$14.9$0.97
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.32$3.06$5.26$14.2$14.3$0.09
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.07$2.72$5.35$14.4$13.1$1.23
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.97$2.85$4.12$12.4$12.1$0.37
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.66$2.92$3.74$11.3$11.3$0.03
2015Detailed filing. Detailed filing data is available for this year.$5.63$1.91$3.72$10.5$10.4$0.11
2014Detailed filing. Detailed filing data is available for this year.$5.78$2.17$3.61$8.91$8.90$0.01
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.00$2.40$3.60$8.65
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.05$2.34$3.71$9.64
2011Summary only. Only limited summary data is available for this year.$6.13$2.72$3.40$9.91$10.3$0.36
2010Summary only. Only limited summary data is available for this year.$5.56$1.80$3.76$9.30$8.58$0.71
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Feb 1, 2024 to Jan 31, 2025
Signed
Dec 15, 2025
Return Version
2024v5.2
Gross Receipts
$19,024,253
Mission and Program Overview

Mission

To provide community oriented primary health care, including, medical & dental care, education, and social services to the residents of Hunt, Fannin, Kaufman, Delta, and Collin counties, with a particular emphasis on those individuals and families that have difficulty accessing health care services because of financial, language, and/or cultural barriers.

Improving lives through service and compassion.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$9,001,767$8,592,716▼ $409,051
Land, Buildings, and Equipment, Net$3,907,096$4,438,164▲ $531,068
Accounts Receivable$871,632$1,157,662▲ $286,030
Savings and Temporary Cash Investments$693,736$718,147▲ $24,411
Prepaid Expenses and Deferred Charges$479,521$242,815▼ $236,706
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$17,281,146$17,643,699▲ $362,553
Other Assets Total$2,327,394$2,494,195▲ $166,801
Liabilities
Other Liabilities$2,114,688$2,305,157▲ $190,469
Accounts Payable and Accrued Expenses$1,072,331$1,788,028▲ $715,697
Mortgage Notes Payable Secured by Investment Property$1,360,098$1,360,098→ $0
Deferred Revenue-$122,177-
Total Liabilities$4,547,117$5,575,460▲ $1,028,343
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$12,725,169$12,059,379▼ $665,790
Net Assets With Donor Restrictions$8,860$8,860→ $0
Total Net Assets Fund Balance$12,734,029$12,068,239▼ $665,790
Total Liabilities and Net Assets / Fund Balance$17,281,146$17,643,699▲ $362,553

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,908,734$1,793,666$4,702,400
Other Land Buildings$904,483$828,669$1,733,152
Equipment$124,903$769,877$894,780
Leasehold Improvements$279,876$292,894$572,770
Land$220,168-$220,168
Other Assets Org$380,061--
Compensation and Service Providers
Top Officer Pay76th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Michelle CarterCEOFT$294,428$294,428
Kara CizdzielCMOFT$267,498$267,498
Michael GlasDeputy CEOFT$254,072$254,072
Kristi WhitentonPediatricianFT$230,835$230,835
Jennifer TorresPediatricianFT$213,555$213,555
Jeremy SimmonsCOOFT$28,404$28,404

Board Members and Trustees

NameTitle
Stan MckeeChair
Paul PainterVice-Chair
Alma PaulinDirector
Andrew BenchDirector
Brenda Sue CreggDirector
Keith WintersDirector
Nona JordanDirector
Thomas GossDirector
Amy WadeSecretary
Salvador UgaldeTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Verisma SystemsPhysician1010 7th St, Sulphur Springs, TX 75482$234,000
Team EnterprisePhysician53 N Davis St, Sulphur Springs, TX 75482$210,000
Dr Tod ConnerPaper Scanning Org.PO Box 201327, Dallas, TX 75320$193,483
-Physician1655 CR 4574, Sulphur Springs, TX 75482$156,500
-EnvinronmentalPO Box 177708, Irving, TX 75017$140,632
Revenue and Support

Revenue Composition

Contributions and Grants
$6,378,357
Program Service Revenue
$12,329,005
Investment Income
$242,011
Other Revenue
$74,880
All Other Contributions
$561,857
Change in Net Assets
$-665,790

Audited Revenue Reconciliation

Revenue per Audited Statements
$19,024,253
Total Revenue per Audited Statements
$19,024,253
Total Revenue per Form 990
$19,024,253
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$10,888,493
Other Expenses$8,801,550
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$6,117,802$2,448,130-$8,565,932
Fees for Services Other$1,532,831$531,302-$2,064,133
Occupancy$1,130,193$146,059-$1,276,252
Information Technology$817,985$227,989-$1,045,974
Current Officers, Directors, Trustees, and Key Employees$278,653$565,749-$844,402
Payroll Taxes$473,840$218,921-$692,761
Other Employee Benefits$481,529$205,899-$687,428
All Other Expenses$332,037$196,414-$528,451
Depreciation Depletion$413,123$74,950-$488,073
Office Expenses$265,858$77,457-$343,315
Insurance$156,519$42,256-$198,775
Other Expenses$113,975$39,894-$153,869
Travel$61,876$51,584-$113,460
Pension Plan Contributions$59,204$38,766-$97,970
Interest$59,105$657-$59,762
Total Functional Expenses$13,691,972$5,998,071$0$19,690,043

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$19,690,043
Total Expenses per Audited Statements$19,690,043
Total Expenses per Form 990$19,690,043
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
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease$1,810,337
Finance Lease$252,976
Current portion long-term obilgation$225,670
Finance lease obiligations$16,174
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
No
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 ceo and cfo of the agency will participate in completing the form 990 as well as reviewing the 990 before submission. The agency's cfo will review the form 990 with the board of directors before submission.”

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

“This policy is part of a code of conduct that all employees and the board of directors sign. It is also part of the bylaws of the agency and included in the board of directors orientation. This policy is reviewed at annual board trainings.”

Form 990, Part VI, Section B, Line 15A

“Compensation for key management, including the ceo and cfo, is compared to regional & state salary surveys based on budget, annual encounters, and years of service. This salary survey is specific to community health centers. Salary comparisons for key employees are also compared to local service area pay rates in order to remain competitive. The ceo's compensation package is determined, reviewed, and approved by the board of directors. All other key employees' compensation is determined by the ceo and reviewed with the board of directors.”

Form 990, Part VI, Section B, Line 15B

“Salary comparisons for key employees are compared to local service area pay rates in order to remain competitive. Key employees' compensation is determined by the ceo and reviewed with the board of directors.”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents, conflict of interest policy, and financial statements available to the general public upon request.”

Filing and Contact Details

Filer

Filer Name
Community Health Service Agency Inc
EIN
75-1528614
Phone
9034555986
Address
P O Box 1908, Greenville, TX 75403

Signing Officer

Name
Michelle Carter
Title
CEO
Signed
2025-12-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michelle Carter
Formed
1976
Legal Domicile
TX
Voting Board Members
10
Independent Board Members
10
Employees
250

Preparer

Firm
Jacobson Lawrence & Associates Pllc
Address
200 FIRST AVENUE W SUITE 302, SEATTLE, WA 98119
Preparer
Jung Park CPA
Phone
2067282727
Supplemental Narrative

Financial Statement Notes

Part X : FIN48 Footnote

“The agency adopted the provisions of fasb asc topic 740-10, income taxes (previously know as fasb interpretation no. 48, accounting for uncertainty in income taxes). Management believes it has no uncertain tax positions, and accordingly there is no liability recorded for unrecognized tax benefits at year-end.”

Raw XML AppendixShowing 400 of 623 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/EOYAmt01157662
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IRS990/ActivityOrMissionDesc0Improving lives through service and compassion.
IRS990/AdvertisingGrp/TotalAmt00
IRS990/AllOtherContributionsAmt0561857
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IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt04500 Wesley Street
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IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0TX
IRS990/BooksInCareOfDetail/USAddress/ZIPCd075401
IRS990/BusinessRlnWith35CtrlEntInd0false
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IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt09001767
IRS990/CashNonInterestBearingGrp/EOYAmt08592716
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CntrctRcvdGreaterThan100KCnt05
IRS990/CollectionsOfArtInd0false
IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt0565749
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IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt0844402
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IRS990/CompensationProcessCEOInd0true
IRS990/CompensationProcessOtherInd0true
IRS990/ConferencesMeetingsGrp/TotalAmt00
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IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/ContractorCompensationGrp/CompensationAmt0234000
IRS990/ContractorCompensationGrp/CompensationAmt1210000
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt4PO Box 177708
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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1Team Enterprise
IRS990/ContractorCompensationGrp/ContractorName/PersonNm0Dr Darryl Doughtie
IRS990/ContractorCompensationGrp/ContractorName/PersonNm1Dr Martin Fielder
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IRS990/ContractorCompensationGrp/ServicesDesc0Physician
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IRS990/ContractorCompensationGrp/ServicesDesc4Envinronmental
IRS990/CreditCounselingInd0false
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IRS990/Desc0The organization provided general health and family planning services to its service area. During the year the Agency provided approximately 80,000 patient encounters under the Section 330 grant, Medicaid and Medicare.
IRS990/DescribedInSection501c3Ind0true
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IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt0250
IRS990/EmploymentTaxReturnsFiledInd0true
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IRS990/FederalGrantAuditPerformedInd0true
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IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt00
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