Form 990 for tax year 2022
Filed by CLAIBORNE COUNTY FAMILY HEALTH CENTER.
Totals
- Total revenue
- $4,128,514
- Total expenses
- $3,864,253
- Contributions and grants received
- $2,849,291
- Grants paid
- $0
- Program service revenue
- $1,196,320
- Investment income
- $53,591
- Other revenue
- $29,312
- Total assets, end of year
- $1,257,950
- Total liabilities, end of year
- $360,393
- Net assets or fund balances, end of year
- $897,557
- Program services expenses (Part IX)
- $2,250,100
- Management and general expenses
- $1,614,153
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $2,250,100
Program services were 58.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$2,849,291
-
2a · Program service revenue: Fees from Patients
total $1,196,320 · unrelated business $0 · excluded $0
-
3 · Investment income
total $53,591 · unrelated business $0 · excluded $0
-
11a · Other revenue: Other Income
total $29,312 · related or exempt $29,312 · unrelated business $0 · excluded $0
-
11e · Other revenue, total
$29,312
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $501,989 · program services $0 · management and general $501,989 · fundraising $0
-
7 · Other salaries and wages
total $1,651,686 · program services $1,295,118 · management and general $356,568 · fundraising $0
-
8 · Pension plan contributions
total $144,341 · program services $88,973 · management and general $55,368 · fundraising $0
-
9 · Other employee benefits
total $298,480 · program services $148,858 · management and general $149,622 · fundraising $0
-
10 · Payroll taxes
total $163,960 · program services $95,608 · management and general $68,352 · fundraising $0
-
11c · Fees: accounting
total $39,450 · program services $0 · management and general $39,450 · fundraising $0
-
11g · Fees: other
total $383,861 · program services $92,866 · management and general $290,995 · fundraising $0
-
12 · Advertising and promotion
total $7,689 · program services $6,525 · management and general $1,164 · fundraising $0
-
13 · Office expenses
total $275,754 · program services $222,557 · management and general $53,197 · fundraising $0
-
16 · Occupancy
total $188,164 · program services $188,164 · management and general $0 · fundraising $0
-
17 · Travel
total $86,562 · program services $19,140 · management and general $67,422 · fundraising $0
-
19 · Conferences, conventions and meetings
total $2,242 · program services $2,242 · management and general $0 · fundraising $0
-
22 · Depreciation, depletion and amortization
total $46,318 · program services $46,318 · management and general $0 · fundraising $0
-
23 · Insurance
total $30,902 · program services $15,858 · management and general $15,044 · fundraising $0
-
24a · Other expenses: Miscellanous
total $42,855 · program services $27,873 · management and general $14,982 · fundraising $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $310,047 · end of year $20,309
-
3 · Pledges and grants receivable
beginning of year $34,220 · end of year $380,062
-
4 · Accounts receivable
beginning of year $162,525 · end of year $117,418
-
10a · Land, buildings and equipment: cost or other basis
$1,985,896
-
10b · Land, buildings and equipment: accumulated depreciation
$1,369,248
-
10c · Land, buildings and equipment, net
beginning of year $382,547 · end of year $616,648
-
13 · Investments: program-related
end of year $123,113
-
15 · Other assets
beginning of year $400 · end of year $400
-
17 · Accounts payable and accrued expenses
beginning of year $326,686 · end of year $317,641
-
19 · Deferred revenue
end of year $29,401
-
25 · Other liabilities
beginning of year $0 · end of year $13,351
-
27 · Net assets without donor restrictions
beginning of year $563,053 · end of year $897,557
Mission and programs · 2022
Mission
The mission of CCFHC is to provide quality, accessible, available, affordable, managed primary and preventive health care services.
-
Provide medical and dental health care services to mostly low-income residents in the area.
Expenses $2,250,100 · Revenue $1,196,320
As filed on the 2022 return.
Listed in Part VII
-
Cinder Bailey
Board Member
- Total calculated
- $0
- Hours/week
- 4
-
Kenneth Davis
Board Member
- Total calculated
- $0
- Hours/week
- 4
-
Wanda Cruel
Board Member
- Total calculated
- $0
- Hours/week
- 4
-
Freddie Harris
Board Member
- Total calculated
- $0
- Hours/week
- 4
-
Rosevelt Harried
Board Member
- Total calculated
- $0
- Hours/week
- 4
-
Elonzo McClorine
Board Member
- Total calculated
- $0
- Hours/week
- 4
-
Fern Martin
Board Member
- Total calculated
- $0
- Hours/week
- 4
-
Marie Clark
Board Member
- Total calculated
- $0
- Hours/week
- 4
-
Patricia Harris
Board Member
- Total calculated
- $0
- Hours/week
- 4
-
Demetri Marshall
Board Member
- Total calculated
- $0
- Hours/week
- 4
-
Delores Barnes
Board Member
- Total calculated
- $0
- Hours/week
- 4
-
James Oliver
Chief Executive Officer
- Total calculated
- $135,586
- From this org
- $103,853
- From related orgs
- $0
- Other
- $31,733
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $103,853
- Bonus
- $0
- Other
- $0
- Deferred
- $8,308
- Nontaxable benefits
- $23,425
- Filer's total
- $135,586
-
Mjeha Williams
Medical Director
- Total calculated
- $220,186
- From this org
- $197,080
- From related orgs
- $0
- Other
- $23,106
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $197,080
- Bonus
- $0
- Other
- $0
- Deferred
- $15,766
- Nontaxable benefits
- $7,340
- Filer's total
- $220,186
-
Latoya Colenburg-Eikins
Dentist
- Total calculated
- $161,879
- From this org
- $141,007
- From related orgs
- $0
- Other
- $20,872
- Hours/week
- 32
Schedule J breakdown matched by us
- Base
- $141,007
- Bonus
- $0
- Other
- $0
- Deferred
- $11,281
- Nontaxable benefits
- $9,839
- Filer's total
- $162,127
-
LaDonna Davis
COO
- Total calculated
- $86,953
- From this org
- $69,580
- From related orgs
- $0
- Other
- $17,373
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $69,580
- Bonus
- $0
- Other
- $0
- Deferred
- $5,566
- Nontaxable benefits
- $11,807
- Filer's total
- $86,953
-
Adrick Hunter
CFO
- Total calculated
- $75,232
- From this org
- $65,436
- From related orgs
- $0
- Other
- $9,796
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $65,436
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $4,561
- Filer's total
- $69,997
-
Arlene Hunt
Provider
- Total calculated
- $130,649
- From this org
- $112,091
- From related orgs
- $0
- Other
- $18,558
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $112,091
- Bonus
- $0
- Other
- $0
- Deferred
- $8,967
- Nontaxable benefits
- $9,591
- Filer's total
- $130,649
-
Donnell Greene
CIO
- Total calculated
- $80,914
- From this org
- $66,040
- From related orgs
- $0
- Other
- $14,874
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $66,040
- Bonus
- $0
- Other
- $0
- Deferred
- $5,283
- Nontaxable benefits
- $9,591
- Filer's total
- $80,914
-
Marvel Spears
Provider
- Total calculated
- $168,578
- From this org
- $152,675
- From related orgs
- $0
- Other
- $15,903
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $152,675
- Bonus
- $0
- Other
- $0
- Deferred
- $12,214
- Nontaxable benefits
- $3,689
- Filer's total
- $168,578
-
Hazel Washington
Provider
- Total calculated
- $121,871
- From this org
- $102,086
- From related orgs
- $0
- Other
- $19,785
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $102,086
- Bonus
- $0
- Other
- $0
- Deferred
- $8,167
- Nontaxable benefits
- $11,618
- Filer's total
- $121,871
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202441369349315604
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.