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.