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Nonprofiteer
← COMMUNITY CLINICAL SERVICES INC

Form 990 for tax year 2022

Filed by COMMUNITY CLINICAL SERVICES INC.

Totals

Total revenue
$15,586,725
Total expenses
$15,063,937
Contributions and grants received
$2,742,160
Grants paid
$0
Program service revenue
$12,841,516
Investment income
$3,049
Other revenue
$0
Total assets, end of year
$3,831,038
Total liabilities, end of year
$1,410,436
Net assets or fund balances, end of year
$2,420,602
Program services expenses (Part IX)
$14,166,788
Management and general expenses
$897,149
Fundraising expenses
$0
Program service expenses (Part III)
$14,166,788

Program services were 94.0% 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)

    $2,237,987

  • 1f · All other contributions, gifts and grants

    $504,173

  • 2a · Program service revenue: Patient services

    total $12,841,516 · related or exempt $12,841,516

  • 3 · Investment income

    total $825 · excluded $825

  • 7a · Gross sales of assets other than inventory

    securities $2,224

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

    securities $0

  • 7c · Gain or loss

    securities $2,224

  • 7d · Net gain or loss

    total $2,224 · excluded $2,224

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $459,748 · program services $448,407 · management and general $11,341

  • 7 · Other salaries and wages

    total $6,997,716 · program services $6,827,672 · management and general $170,044

  • 8 · Pension plan contributions

    total $119,541 · program services $115,988 · management and general $3,553

  • 9 · Other employee benefits

    total $996,732 · program services $967,109 · management and general $29,623

  • 10 · Payroll taxes

    total $522,921 · program services $507,380 · management and general $15,541

  • 11b · Fees: legal

    total $4,537 · management and general $4,537

  • 11c · Fees: accounting

    total $64,603 · management and general $64,603

  • 11g · Fees: other

    total $4,145,230 · program services $3,689,255 · management and general $455,975

  • 13 · Office expenses

    total $207,504 · program services $198,125 · management and general $9,379

  • 14 · Information technology

    total $29,975 · program services $28,620 · management and general $1,355

  • 16 · Occupancy

    total $290,449 · program services $277,321 · management and general $13,128

  • 17 · Travel

    total $30,114 · program services $28,753 · management and general $1,361

  • 19 · Conferences, conventions and meetings

    total $3,689 · program services $3,522 · management and general $167

  • 22 · Depreciation, depletion and amortization

    total $14,166 · management and general $14,166

  • 23 · Insurance

    total $182,451 · program services $82,103 · management and general $100,348

  • 24a · Other expenses: Provision for bad debts

    total $694,784 · program services $694,784

  • 24b · Other expenses: Drugs/medical supplies

    total $254,475 · program services $254,475

  • 24c · Other expenses: Minor equipment/repairs

    total $44,872 · program services $42,844 · management and general $2,028

  • 24d · Other expenses: Food and dining

    total $430 · program services $430

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,945,894 · end of year $1,496,306

  • 2 · Savings and temporary cash investments

    beginning of year $43,130 · end of year $545,431

  • 4 · Accounts receivable

    beginning of year $735,707 · end of year $807,734

  • 8 · Inventories for sale or use

    beginning of year $18,508 · end of year $18,508

  • 9 · Prepaid expenses and deferred charges

    beginning of year $10,163 · end of year $7,945

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

    $225,603

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

    $166,296

  • 10c · Land, buildings and equipment, net

    beginning of year $72,899 · end of year $59,307

  • 12 · Investments: other securities

    beginning of year $44,272 · end of year $41,539

  • 15 · Other assets

    beginning of year $54,440 · end of year $854,268

  • 17 · Accounts payable and accrued expenses

    beginning of year $739,744 · end of year $748,275

  • 19 · Deferred revenue

    beginning of year $129,185 · end of year $5,027

  • 25 · Other liabilities

    beginning of year $133,797 · end of year $657,134

  • 27 · Net assets without donor restrictions

    beginning of year $1,877,614 · end of year $1,875,171

  • 28 · Net assets with donor restrictions

    beginning of year $44,673 · end of year $545,431

Mission and programs · 2022

Mission

Community Clinical Services is committed to improve the health and well-being of our community through patient-centered care, advocacy, and community engagement.

Activities or mission (Part I)

Federally qualified health center providing quality primary and specialty care.

  • Family Practice: Medical care for infants, children, and adults. The Organization received 17,760 medical visits in 2022 for family practices.

    Expenses $6,207,331 · Revenue $3,723,235

  • Behavioral Medicine: Psychiatric care for children and adults. The Organization received 13,773 pyschiatry visits in 2022 for behavioral medicine.

    Expenses $4,218,233 · Revenue $3,544,480

  • Outpatient Counseling: Counseling services for children and adults. The Organization received 29,523 visits in 2022 for outpatient counseling.

    Expenses $1,797,072 · Revenue $2,485,348

  • Other program services offered by Community Clinical Services Inc. include dental care and dental services (of which there were 4,309 visits in 2022), care management, 340B pharmacy programs, and electronic handbook and meaningful-use incentive programs.

    Expenses $1,944,152 · Revenue $3,088,453

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Paige Hagerstrom

    Director

    Total calculated
    $217,460
    From this org
    $0
    From related orgs
    $185,831
    Other
    $31,629
    Hours/week
    0.3 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $185,555 related
    Bonus
    $0
    Other
    $0 + $276 related
    Deferred
    $0 + $5,588 related
    Nontaxable benefits
    $0 + $26,041 related
    Filer's total
    $0 + $217,460 related

  • Elizabeth Keene

    Director

    Total calculated
    $171,501
    From this org
    $0
    From related orgs
    $142,330
    Other
    $29,171
    Hours/week
    0.3 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $141,475 related
    Bonus
    $0
    Other
    $0 + $855 related
    Deferred
    $0 + $4,122 related
    Nontaxable benefits
    $0 + $25,049 related
    Filer's total
    $0 + $171,501 related

  • Heather Skolfield

    Director (end 11/22)

    Total calculated
    $0
    Hours/week
    0.1 + 40.3 related

  • Abdi Abdalla

    Director

    Total calculated
    $0
    Hours/week
    0.3

  • Nathan Miller

    Director

    Total calculated
    $0
    Hours/week
    0.3

  • Abdulerim Said

    Director

    Total calculated
    $0
    Hours/week
    0.3

  • Lynn Ward

    Chair

    Total calculated
    $0
    Hours/week
    0.5

  • Hawo Abille

    Vice Chair

    Total calculated
    $0
    Hours/week
    0.3

  • Laura Gormley

    Treasurer

    Total calculated
    $0
    Hours/week
    0.5

  • Frances Rodgers

    Secretary

    Total calculated
    $0
    Hours/week
    0.3

  • Coleen Elias

    CEO

    Total calculated
    $139,220
    From this org
    $115,759
    From related orgs
    $0
    Other
    $23,461
    Hours/week
    40

  • John Melehov

    CFO

    Total calculated
    $71,473
    From this org
    $71,015
    From related orgs
    $0
    Other
    $458
    Hours/week
    40

  • Megan Brewer MD

    CMO

    Total calculated
    $249,055
    From this org
    $241,765
    From related orgs
    $0
    Other
    $7,290
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $241,497
    Bonus
    $0
    Other
    $268
    Deferred
    $4,834
    Nontaxable benefits
    $2,456
    Filer's total
    $249,055

  • Syed Fahd MD

    Physician

    Total calculated
    $315,723
    From this org
    $287,866
    From related orgs
    $0
    Other
    $27,857
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $287,476
    Bonus
    $0
    Other
    $390
    Deferred
    $4,108
    Nontaxable benefits
    $23,749
    Filer's total
    $315,723

  • Tyler Gagnon

    Physician

    Total calculated
    $153,682
    From this org
    $140,640
    From related orgs
    $0
    Other
    $13,042
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $124,269
    Bonus
    $0
    Other
    $16,371
    Deferred
    $3,476
    Nontaxable benefits
    $9,566
    Filer's total
    $153,682

  • Donna Martinez

    Senior Clinician

    Total calculated
    $152,000
    From this org
    $125,479
    From related orgs
    $0
    Other
    $26,521
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $125,146
    Bonus
    $0
    Other
    $333
    Deferred
    $3,976
    Nontaxable benefits
    $22,545
    Filer's total
    $152,000

  • Carolyn Mcnamara

    Family Nurse Practitioner

    Total calculated
    $150,364
    From this org
    $116,152
    From related orgs
    $0
    Other
    $34,212
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $116,022
    Bonus
    $0
    Other
    $130
    Deferred
    $0
    Nontaxable benefits
    $34,212
    Filer's total
    $150,364

  • Jonathan Libby

    Family Nurse Practitioner

    Total calculated
    $135,368
    From this org
    $120,908
    From related orgs
    $0
    Other
    $14,460
    Hours/week
    40

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 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment

Answered no

  • 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

The filer's explanations (Part III)

Part I, Line 3
Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. Every two-to-three years the Compensation Committee of the Covenant Health Board of Directors engages an external consultant to provide competitive market data from various survey sources, which is then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the total cash compensation levels of the senior leadership team, develop market based competitive salary ranges for all executive positions, and ensure that the annual incentive opportunities, if there are any, are competitive and reasonable.

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.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Campus Holding

    C · Holding company · ME

  • Covenant Health Insurance LTD

    C · Self-insurance company · CJ

  • GNM Corporation

    C · Real estate holding company · NH

  • SJ Physicians Services

    C · Physician practice · NH

  • St Joseph Corporate Services Inc

    C · Holding company · NH

  • Strauss Incorporated

    C · Repairs and transcriptions · ME

Provenance

Return type
form_990
Tax year
2022
Filed
31 October 2023
IRS schema version
2022v5.0
Source object
202303109349300810

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