Skip to content
Nonprofiteer
← SUMMIT COMMUNITY CARE CLINIC INC

Form 990 for tax year 2023

Filed by SUMMIT COMMUNITY CARE CLINIC INC.

Totals

Total revenue
$18,091,469
Total expenses
$17,445,700
Contributions and grants received
$8,069,051
Grants paid
$2,749,000
Program services expenses (Part IX)
$13,844,536
Management and general expenses
$3,213,140
Fundraising expenses
$388,024
Program service expenses (Part III)
$13,844,536

Program services were 79.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DANA COTTRELL

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1.5
  • DEBBIE WELLE-POWELL

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1.5
  • JIM BECKMANN

    TREASURER

    Total calculated
    $0
    Hours/week
    1.5
  • JOSH COGDILL

    SECRETARY

    Total calculated
    $0
    Hours/week
    1.5
  • DR DAVID BIGGS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1.5
  • WILSON BLAKE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1.5
  • ISMAEL CALLE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1.5
  • GASTON FEUEREISEN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1.5
  • MEG MASTEN

    BOARD MEMBER (THRU 10/23)

    Total calculated
    $0
    Hours/week
    1.5
  • BRADEN MCMILLAN

    BOARD MEMBER (THRU 7/23)

    Total calculated
    $0
    Hours/week
    1.5
  • DAVID NICOLI ESQ

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1.5
  • RICK O'BRIEN MD

    BOARD MEMBER (THRU 10/23)

    Total calculated
    $0
    Hours/week
    1.5
  • DON PARSONS MD

    BOARD MEMBER (THRU 8/23)

    Total calculated
    $0
    Hours/week
    1.5
  • TONY PESTELLO

    BOARD MEMBER (THRU 10/23)

    Total calculated
    $0
    Hours/week
    1.5
  • JASMIN PIMENTEL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1.5
  • DUSTIN STOKES

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1.5
  • NORM STOLLER DMD

    BOARD MEMBER (THRU 7/23)

    Total calculated
    $0
    Hours/week
    1.5
  • AMY WINELAND

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1.5
  • NIC ZADOR

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1.5
  • ELEANOR BRUIN CHIEF

    BEHAVIORAL HLTH OFF. (THRU 9/23)

    Total calculated
    $39,754
    From this org
    $34,055
    From related orgs
    $0
    Other
    $5,699
    Hours/week
    34
  • KATHLEEN COWIE

    CHIEF MEDICAL OFFICER

    Total calculated
    $219,619
    From this org
    $203,433
    From related orgs
    $0
    Other
    $16,186
    Hours/week
    30

    Schedule J breakdown matched by us

    Base
    $203,433
    Bonus
    $0
    Other
    $0
    Deferred
    $8,786
    Nontaxable benefits
    $7,400
    Filer's total
    $219,619
  • SUSAN ROBERTSON

    CHIEF STRATEGY OFFICER

    Total calculated
    $164,522
    From this org
    $156,052
    From related orgs
    $0
    Other
    $8,470
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $156,052
    Bonus
    $0
    Other
    $0
    Deferred
    $6,623
    Nontaxable benefits
    $1,847
    Filer's total
    $164,522
  • ERIN MAJOR

    CHIEF DENTAL OFFICER

    Total calculated
    $135,064
    From this org
    $107,675
    From related orgs
    $0
    Other
    $27,389
    Hours/week
    35
  • DANIEL BECKER

    CEO (AS OF 11/23)

    Total calculated
    $100,429
    From this org
    $96,652
    From related orgs
    $0
    Other
    $3,777
    Hours/week
    40
  • HELEN ROYAL

    CEO (THRU 3/23)

    Total calculated
    $64,345
    From this org
    $58,713
    From related orgs
    $0
    Other
    $5,632
    Hours/week
    35
  • MISTY SHELL

    COO

    Total calculated
    $14,444
    From this org
    $14,114
    From related orgs
    $0
    Other
    $330
    Hours/week
    35
  • CASSANDRA ANTON CHIEF

    QUALITY & RISK OFF. (THRU 7/23)

    Total calculated
    $35,103
    From this org
    $32,765
    From related orgs
    $0
    Other
    $2,338
    Hours/week
    35
  • JOANNA KOPYTEK

    DENTIST

    Total calculated
    $208,671
    From this org
    $178,831
    From related orgs
    $0
    Other
    $29,840
    Hours/week
    33

    Schedule J breakdown matched by us

    Base
    $178,831
    Bonus
    $0
    Other
    $0
    Deferred
    $7,564
    Nontaxable benefits
    $22,276
    Filer's total
    $208,671
  • CHARLES LACKEY

    PHYSICIAN

    Total calculated
    $156,557
    From this org
    $154,411
    From related orgs
    $0
    Other
    $2,146
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $154,411
    Bonus
    $0
    Other
    $0
    Deferred
    $1,463
    Nontaxable benefits
    $683
    Filer's total
    $156,557
  • JOSHUA RUSK

    PHYSICIAN

    Total calculated
    $170,209
    From this org
    $151,579
    From related orgs
    $0
    Other
    $18,630
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $151,579
    Bonus
    $0
    Other
    $0
    Deferred
    $7,071
    Nontaxable benefits
    $11,559
    Filer's total
    $170,209
  • MEGAN JACKSON

    DENTAL HYGIENE DIRECTOR

    Total calculated
    $127,877
    From this org
    $117,110
    From related orgs
    $0
    Other
    $10,767
    Hours/week
    40
  • LACIE OVERMAN

    DENTAL HYGIENIST

    Total calculated
    $123,635
    From this org
    $111,398
    From related orgs
    $0
    Other
    $12,237
    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 — 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 · Form 990 of other organizations
  • 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 4A
HELEN ROYAL RECEIVED A SEVERANCE PAYMENT OF $13,462. THIS AMOUNT WAS INCLUDED IN W-2 WAGES.

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
2023
Filed
30 September 2024
IRS schema version
2023v5.1
Source object
202422749349301532

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.