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Nonprofiteer
← SISKIYOU COMMUNITY HEALTH CENTER INC

Form 990 for tax year 2022

Filed by SISKIYOU COMMUNITY HEALTH CENTER INC.

Totals

Total revenue
$30,559,034
Total expenses
$27,687,329
Contributions and grants received
$7,945,241
Grants paid
$83,460
Program service revenue
$17,702,748
Investment income
$8,447
Other revenue
$4,902,598
Total assets, end of year
$35,105,296
Total liabilities, end of year
$13,911,647
Net assets or fund balances, end of year
$21,193,649
Program services expenses (Part IX)
$20,465,838
Management and general expenses
$7,221,491
Fundraising expenses
$0
Program service expenses (Part III)
$20,465,838

Program services were 73.9% 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.

  • 1c · Fundraising events

    $30,438

  • 1e · Government grants (contributions)

    $7,109,397

  • 1f · All other contributions, gifts and grants

    $805,406

  • 2a · Program service revenue: NET PATIENT SERVICES

    total $16,734,176 · related or exempt $16,734,176

  • 2b · Program service revenue: MEDICAL INCENTIVE REVENUE

    total $968,572 · related or exempt $968,572

  • 3 · Investment income

    total $32,609 · excluded $32,609

  • 6a · Gross rents

    real property $7,738

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $7,738

  • 6d · Net rental income or loss

    total $7,738 · excluded $7,738

  • 7b · Less cost or other basis and sales expenses

    other assets $24,162

  • 7c · Gain or loss

    other assets -$24,162

  • 7d · Net gain or loss

    total -$24,162 · excluded -$24,162

  • 8a · Fundraising events: gross income

    $15,117

  • 8a · Fundraising events: contributions included on line 1c

    $30,438

  • 8b · Fundraising events: direct expenses

    $23,591

  • 8c · Net income from fundraising events

    total -$8,474 · excluded -$8,474

  • 10a · Gross sales of inventory

    $6,313,687

  • 10b · Cost of goods sold

    $1,435,314

  • 10c · Net income from sales of inventory

    total $4,878,373 · related or exempt $4,878,373

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $24,961 · excluded $24,961

  • 11e · Other revenue, total

    $24,961

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $83,460 · program services $83,460

  • 5 · Compensation of officers, directors and key employees

    total $1,847,380 · program services $518,883 · management and general $1,328,497

  • 7 · Other salaries and wages

    total $14,256,038 · program services $11,900,147 · management and general $2,355,891

  • 8 · Pension plan contributions

    total $419,371 · program services $325,114 · management and general $94,257

  • 9 · Other employee benefits

    total $2,295,523 · program services $1,802,350 · management and general $493,173

  • 10 · Payroll taxes

    total $1,212,511 · program services $898,587 · management and general $313,924

  • 11b · Fees: legal

    total $5,907 · management and general $5,907

  • 11c · Fees: accounting

    total $51,912 · management and general $51,912

  • 11g · Fees: other

    total $1,453,807 · program services $1,143,398 · management and general $310,409

  • 12 · Advertising and promotion

    total $304,609 · program services $47,770 · management and general $256,839

  • 13 · Office expenses

    total $142,173 · program services $138,265 · management and general $3,908

  • 16 · Occupancy

    total $986,606 · program services $878,044 · management and general $108,562

  • 17 · Travel

    total $258,240 · program services $146,119 · management and general $112,121

  • 20 · Interest

    total $364,079 · program services $359,514 · management and general $4,565

  • 22 · Depreciation, depletion and amortization

    total $1,320,258 · program services $430,800 · management and general $889,458

  • 23 · Insurance

    total $110,286 · program services $39,852 · management and general $70,434

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $851,406 · program services $788,552 · management and general $62,854

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $837,692 · program services $361,014 · management and general $476,678

  • 24c · Other expenses: RECRUITMENT & PROVIDER

    total $419,182 · program services $359,076 · management and general $60,106

  • 24d · Other expenses: MISCELLANEOUS

    total $241,068 · program services $85,004 · management and general $156,064

  • 24e · All other expenses

    total $225,821 · program services $159,889 · management and general $65,932

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,803,814 · end of year $5,535,188

  • 2 · Savings and temporary cash investments

    beginning of year $2,643,614 · end of year $1,095,399

  • 3 · Pledges and grants receivable

    beginning of year $335,996 · end of year $161,233

  • 4 · Accounts receivable

    beginning of year $3,416,007 · end of year $5,333,269

  • 8 · Inventories for sale or use

    beginning of year $361,287 · end of year $329,380

  • 9 · Prepaid expenses and deferred charges

    beginning of year $264,269 · end of year $415,935

  • 10a · Land, buildings and equipment: cost or other basis

    $30,615,785

  • 10b · Land, buildings and equipment: accumulated depreciation

    $9,205,318

  • 10c · Land, buildings and equipment, net

    beginning of year $21,621,812 · end of year $21,410,467

  • 15 · Other assets

    beginning of year $315,220 · end of year $824,425

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,797,600 · end of year $2,353,970

  • 19 · Deferred revenue

    beginning of year $150,000 · end of year $49,960

  • 23 · Secured mortgages and notes payable

    beginning of year $11,172,657 · end of year $10,609,354

  • 25 · Other liabilities

    beginning of year $319,818 · end of year $898,363

  • 27 · Net assets without donor restrictions

    beginning of year $18,321,944 · end of year $21,193,649

Mission and programs · 2022

Mission

TO IDENTIFY AND PROVIDE CARE FOR PRIMARY HEALTH NEEDS OF OUR COMMUNITY IN A PROFESSIONAL AND COMPASSIONATE MANNER.

  • HEALTHCARE: OUTPATIENT MEDICAL, DENTAL, MENTAL HEALTH, 340B PHARMACY, AND CASE MANAGEMENT SERVICES PROVIDED TO INDIVIDUAL PATIENTS.

    Expenses $19,020,593 · Grants $83,460 · Revenue $22,581,121

  • OUTREACH: OUTREACH, EDUCATION, AND HOME VISITS TO AT-RISK CHILDREN AND THEIR FAMILIES. THIS INCLUDES PARENTING EDUCATION AND HEALTHY START SERVICES TO THESE FAMILIES. OUTPATIENT MEDICAL CARE AND HEALTH EDUCATION AND PROMOTION TO STUDENTS AT THE SCHOOL-BASED CARE CENTER AT THE SCHOOLS IN THE COMMUNITY IT SERVES.

    Expenses $1,445,245

As filed on the 2022 return.

Listed in Part VII

  • Kristin Miller

    CHIEF MEDICAL DIRECTOR

    Total calculated
    $553,575
    From this org
    $435,253
    From related orgs
    $0
    Other
    $118,322
    Hours/week
    47

    Schedule J breakdown matched by us

    Base
    $322,181
    Bonus
    $6,039
    Other
    $107,033
    Deferred
    $12,200
    Nontaxable benefits
    $106,122
    Filer's total
    $553,575

  • Joe Dunn Chief

    ADMINISTRATIVE & DENTAL OFFICER

    Total calculated
    $493,946
    From this org
    $396,166
    From related orgs
    $0
    Other
    $97,780
    Hours/week
    47

    Schedule J breakdown matched by us

    Base
    $359,596
    Bonus
    $10,243
    Other
    $26,327
    Deferred
    $12,200
    Nontaxable benefits
    $85,580
    Filer's total
    $493,946

  • Dustin Durham

    PHYSICIAN

    Total calculated
    $491,375
    From this org
    $400,224
    From related orgs
    $0
    Other
    $91,151
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $274,430
    Bonus
    $400
    Other
    $125,394
    Deferred
    $12,200
    Nontaxable benefits
    $78,951
    Filer's total
    $491,375

  • Christian Holland

    PHYSICIAN

    Total calculated
    $394,260
    From this org
    $302,319
    From related orgs
    $0
    Other
    $91,941
    Hours/week
    41

    Schedule J breakdown matched by us

    Base
    $262,869
    Bonus
    $400
    Other
    $39,050
    Deferred
    $12,003
    Nontaxable benefits
    $79,938
    Filer's total
    $394,260

  • Richard Booth

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $340,621
    From this org
    $295,229
    From related orgs
    $0
    Other
    $45,392
    Hours/week
    48

    Schedule J breakdown matched by us

    Base
    $234,977
    Bonus
    $13,051
    Other
    $47,201
    Deferred
    $0
    Nontaxable benefits
    $45,392
    Filer's total
    $340,621

  • Linford Beachy

    PHYSICIAN

    Total calculated
    $319,274
    From this org
    $244,266
    From related orgs
    $0
    Other
    $75,008
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $243,257
    Bonus
    $500
    Other
    $509
    Deferred
    $9,946
    Nontaxable benefits
    $65,062
    Filer's total
    $319,274

  • Amy Wills

    TREATING PRACTITIONER

    Total calculated
    $290,924
    From this org
    $236,892
    From related orgs
    $0
    Other
    $54,032
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $178,869
    Bonus
    $400
    Other
    $57,623
    Deferred
    $9,574
    Nontaxable benefits
    $44,458
    Filer's total
    $290,924

  • Brian Laubscher

    CHIEF COMPLIANCE OFFICER

    Total calculated
    $287,720
    From this org
    $201,436
    From related orgs
    $0
    Other
    $86,284
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $198,375
    Bonus
    $2,900
    Other
    $161
    Deferred
    $8,198
    Nontaxable benefits
    $78,086
    Filer's total
    $287,720

  • Gregory Ball

    CHIEF FINANCIAL OFFICER

    Total calculated
    $274,535
    From this org
    $209,030
    From related orgs
    $0
    Other
    $65,505
    Hours/week
    42

    Schedule J breakdown matched by us

    Base
    $182,651
    Bonus
    $24,650
    Other
    $1,729
    Deferred
    $8,554
    Nontaxable benefits
    $56,951
    Filer's total
    $274,535

  • Daniel McDonnell

    BEHAVIORAL HEALTH DIRECTOR

    Total calculated
    $264,549
    From this org
    $196,772
    From related orgs
    $0
    Other
    $67,777
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $192,884
    Bonus
    $2,700
    Other
    $1,188
    Deferred
    $8,085
    Nontaxable benefits
    $59,692
    Filer's total
    $264,549

  • Warren Kendall MD

    CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Brad Lamont

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Gary Russ Dunham

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • Denise Terrell

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • Richard Cohen MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Robin Hausen

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Lyle Jackson MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Derrick Kleiner

    DIRECTOR (THROUGH MAY 2023)

    Total calculated
    $0
    Hours/week
    2

  • Monica McFadden JD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Jennifer Roberts PhD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • John Seidel Edm

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • William Ward

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

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

  • 3 · Compensation committee
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 5a · Pay contingent on this organization's revenues
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 5
THE ORGANIZATION'S MEDICAL PROVIDERS MAY RECEIVE INCENTIVE COMPENSATION BASED ON THE NUMBER OF PATIENTS SEEN IN A DAY, WHICH IS CLOSELY CONNECTED TO THE ORGANIZATION'S REVENUES.
PART I, LINE 7
IN 2022, ALL EMPLOYEES RECEIVED BONUSES. THE AMOUNTS WERE DETERMINED BY THE BOARD OF DIRECTORS AND CEO, BASED ON TYPE OF POSITION AND TENURE.

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

Provenance

Return type
form_990
Tax year
2022
Filed
2 May 2024
IRS schema version
2022v5.0
Source object
202441319349300419

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