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Nonprofiteer
← THIRD STREET COMMUNITY CLINIC INC

Form 990 for tax year 2024

Filed by THIRD STREET COMMUNITY CLINIC INC.

Totals

Total revenue
$33,498,931
Total expenses
$32,946,590
Contributions and grants received
$9,493,465
Grants paid
$0
Program services expenses (Part IX)
$25,864,813
Management and general expenses
$7,081,777
Fundraising expenses
$0
Program service expenses (Part III)
$25,864,813

Program services were 78.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ALLEN HOCKER

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • AMBER WERTMAN

    PRESIDENT / CHAIR

    Total calculated
    $0
    Hours/week
    1

  • BARRETT THOMAS

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • DOROTHY STRATTON

    Chair of Quality

    Total calculated
    $0
    Hours/week
    1

  • DOUGLAS NEWSOME

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • BRIGITTE COLES

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CINDY WETTERAU

    BOARD MEMBER - TERM ENDED

    Total calculated
    $0
    Hours/week
    1

  • CJ MILLER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CODY ALBERT

    BOARD MEMBER - TERM ENDED

    Total calculated
    $0
    Hours/week
    1

  • DR JULIE CHAYA

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • DR KHUSHWANT PITTENGER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • ELI BUSH

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JALEN REESE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JAMES DOLAN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JOE STAFFORD

    BOARD MEMBER - TERM ENDED

    Total calculated
    $0
    Hours/week
    1

  • KATHY WELLS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MATT DAHM

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SALLY J GESOURAS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • TOM WALKER

    BOARD MEMBER - TERM ENDED

    Total calculated
    $0
    Hours/week
    1

  • WALT BONHAM

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Joe Devany

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • BARBARA SULLINGER

    CHIEF FINANCIAL OFFICER

    Total calculated
    $150,457
    From this org
    $137,948
    From related orgs
    $0
    Other
    $12,509
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $137,948
    Bonus
    $0
    Other
    $0
    Deferred
    $4,355
    Nontaxable benefits
    $8,154
    Filer's total
    $150,457

  • DR DAVID HOAG

    CHIEF DENTAL OFFICER

    Total calculated
    $241,625
    From this org
    $209,247
    From related orgs
    $0
    Other
    $32,378
    Hours/week
    39

    Schedule J breakdown matched by us

    Base
    $180,782
    Bonus
    $500
    Other
    $27,965
    Deferred
    $23,000
    Nontaxable benefits
    $9,378
    Filer's total
    $241,625

  • DR SHENG LIU

    Collaborating Physician

    Total calculated
    $330,317
    From this org
    $303,032
    From related orgs
    $0
    Other
    $27,285
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $292,127
    Bonus
    $500
    Other
    $10,405
    Deferred
    $23,000
    Nontaxable benefits
    $4,285
    Filer's total
    $330,317

  • JAVAR JACKSON

    CHIEF OPERATING OFFICER

    Total calculated
    $185,902
    From this org
    $168,544
    From related orgs
    $0
    Other
    $17,358
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $140,030
    Bonus
    $500
    Other
    $28,014
    Deferred
    $10,503
    Nontaxable benefits
    $6,855
    Filer's total
    $185,902

  • PEGGY ANDERSON

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $266,199
    From this org
    $229,739
    From related orgs
    $0
    Other
    $36,460
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $212,204
    Bonus
    $500
    Other
    $17,035
    Deferred
    $36,460
    Nontaxable benefits
    $0
    Filer's total
    $266,199

  • CARLOS MOLINA ARRIOLA

    Medical Director - Psych

    Total calculated
    $423,537
    From this org
    $389,188
    From related orgs
    $0
    Other
    $34,349
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $360,623
    Bonus
    $500
    Other
    $28,065
    Deferred
    $22,980
    Nontaxable benefits
    $11,369
    Filer's total
    $423,537

  • ABHINAV BHATNAGAR

    DENTIST

    Total calculated
    $180,966
    From this org
    $172,349
    From related orgs
    $0
    Other
    $8,617
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $161,348
    Bonus
    $500
    Other
    $10,501
    Deferred
    $5,063
    Nontaxable benefits
    $3,554
    Filer's total
    $180,966

  • CAROLYN CHAMBERS

    PHYSICAN

    Total calculated
    $253,530
    From this org
    $233,663
    From related orgs
    $0
    Other
    $19,867
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $210,867
    Bonus
    $9,000
    Other
    $13,796
    Deferred
    $12,960
    Nontaxable benefits
    $6,907
    Filer's total
    $253,530

  • CHEL LEES

    PHYSICIAN / MAT DIRECTOR

    Total calculated
    $219,948
    From this org
    $198,857
    From related orgs
    $0
    Other
    $21,091
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $187,835
    Bonus
    $500
    Other
    $10,522
    Deferred
    $15,600
    Nontaxable benefits
    $5,491
    Filer's total
    $219,948

  • CHRIS YOHN

    Physican

    Total calculated
    $218,165
    From this org
    $207,271
    From related orgs
    $0
    Other
    $10,894
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $188,456
    Bonus
    $500
    Other
    $18,315
    Deferred
    $8,180
    Nontaxable benefits
    $2,714
    Filer's total
    $218,165

  • RYAN HIGGINS

    DENTIST

    Total calculated
    $213,824
    From this org
    $179,544
    From related orgs
    $0
    Other
    $34,280
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,979
    Bonus
    $500
    Other
    $28,065
    Deferred
    $22,896
    Nontaxable benefits
    $11,384
    Filer's total
    $213,824

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 · Written employment contract
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 5a · Pay contingent on this organization's revenues
  • 6a · Pay contingent on this organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5b · Pay contingent on a related organization's revenues
  • 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)

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
THE FOLLOWING EMPLOYEES PARTICIPATED IN A 457F NONQUALIFIED EXECUTIVE DEFERRED COMPENSATION PLAN DURING 2024 AND ARE INCLUDED ON FORM 990, PART VII: PEGGY ANDERSON, CAROLYN CHAMBERS, DAVID HOAG, AND BARBARA SULLINGER. NO CONTRIBUTIONS WERE MADE TO THE PLAN BY THE ORGANIZATION FOR ANY INDIVIDUALS DURING 2024. PARTICIPANT ELIGIBILITY IS DETERMINED BY THE ORGANIZATION.
Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization
WHILE CERTAIN BONUSES ARE NOT TIED TO REVENUE GENERATION OF THE ORGANIZATION AND ARE DESIGNED TO RECOGNIZE SUCCESS OR HARDSHIP OF THE ORGANIZATION, PROJECT, INDIVIDUAL, OR DEPARTMENT, THERE ARE BONUSES THAT ARE DETERMINED IN WHOLE OR IN PART BY THE REVENUES OF SPECIFIC ACTIVITIES. THESE BONUSES AND THE BONUSES REFERENCED IN LINE 5 ARE ADMINISTRED AT THE DISCRETION OF THE ORGANIZATION AND ARE NOT REQUIRED PURSUANT TO CONTRACTS IN-PLACE.
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization
IN ADDITION TO THE BONUSES REFERENCED ON LINE 5, THERE ARE BONUSES THAT ARE CONTINGENT ON THE NET EARNINGS OF AN ACTIVITY. THESE BONUSES ARE CALCULATED AS A PERCENTAGE OF ANY REVENUES IN EXCESS OF COSTS INCURRED.

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.

Provenance

Return type
form_990
Tax year
2024
Filed
11 November 2025
IRS schema version
2024v5.1
Source object
202533159349301933

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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