2025-11-11T10:26:12+00:00 2024-12-31 440160260 Forvis Mazars LLP 312 Walnut Street Suite 3000 Cincinnati OH 45202 990 2024-01-01 341753919 Third Street Community Clinic THIR 4195226191 1404 Park Ave West Suite 2 Mansfield OH 44906 Peggy Anderson CHIEF EXECUTIVE OFFICER 4195226191 2025-11-11 true Aaron Hershberger P00961884 5136218300 2025-10-31 2024 2025-03-06 01:10:19Z X Third Street Family Health Services PEGGY ANDERSON 1404 Park Ave West Suite 2 Mansfield OH 44906 34153307 false X WWW.THIRDSTREETFAMILY.ORG X 1993 OH THIRD STREET COMMUNITY CLINIC (DBA THIRD STREET FAMILY HEALTH SERVICES) IS A COMMUNITY HEALTH CENTER WITH A MISSION TO DELIVER COMPREHENSIVE HEALTH AND WELLNESS CARE, ACCESSIBLE TO ALL IN THE COMMUNITIES WE SERVE IN ASHLAND, CRAWFORD, MARION, AND RICHLAND COUNTIES. 16 16 388 16 0 7334079 9493465 15326819 23864486 -257608 53249 34826 87731 22438116 33498931 0 0 0 0 17601381 19797248 0 0 0 7364651 13149342 24966032 32946590 -2527916 552341 18374674 21590724 6531413 9114687 11843261 12476037 THIRD STREET COMMUNITY CLINIC (DBA THIRD STREET FAMILY HEALTH SERVICES) IS A COMMUNITY HEALTH CENTER WITH A MISSION TO DELIVER COMPREHENSIVE HEALTH AND WELLNESS CARE, ACCESSIBLE TO ALL IN THE COMMUNITIES WE SERVE IN ASHLAND, CRAWFORD, MARION, AND RICHLAND COUNTIES. false false 25864813 0 23864486 THIRD STREET FAMILY HEALTH SERVICES PROVIDED MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES TO A TOTAL OF 24,731 PATIENTS DURING ITS FISCAL YEAR ENDED DECEMBER 31, 2024. THESE PATIENTS MADE A TOTAL OF 16,202 VISITS TO THE CLINIC'S DENTAL FACILITY DURING 2024; 93,182 VISITS TO THE CLINIC'S MEDICAL FACILITIES DURING 2024 FOR MEDICAL, BEHAVIORAL HEALTH SERVICES, OBGYN SERVICES. THIS INCLUDES VIRTUAL VISITS. THE ORGANIZATION HAS 11 SITES. 25864813 true true false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false false true true true true false false true 41 0 true 388 true false false false false false false false false false false false false X 16 16 false false false false false false false true true false false false true true true true true true true true false false X Peggy Anderson 4195226191 1404 Park Ave West Suite 2 MANSFIELD OH 44906 ALLEN HOCKER VICE CHAIR 1.0 0.0 X X 0 0 0 AMBER WERTMAN PRESIDENT / CHAIR 1.0 0.0 X X 0 0 0 BARRETT THOMAS TREASURER 1.0 0.0 X X 0 0 0 DOROTHY STRATTON Chair of Quality 1.0 0.0 X X 0 0 0 DOUGLAS NEWSOME SECRETARY 1.0 0.0 X X 0 0 0 BRIGITTE COLES BOARD MEMBER 1.0 0.0 X 0 0 0 CINDY WETTERAU BOARD MEMBER - TERM ENDED 1.0 0.0 X 0 0 0 CJ MILLER BOARD MEMBER 1.0 0.0 X 0 0 0 CODY ALBERT BOARD MEMBER - TERM ENDED 1.0 0.0 X 0 0 0 DR JULIE CHAYA BOARD MEMBER 1.0 0.0 X 0 0 0 DR KHUSHWANT PITTENGER BOARD MEMBER 1.0 0.0 X 0 0 0 ELI BUSH BOARD MEMBER 1.0 0.0 X 0 0 0 JALEN REESE BOARD MEMBER 1.0 0.0 X 0 0 0 JAMES DOLAN BOARD MEMBER 1.0 0.0 X 0 0 0 JOE STAFFORD BOARD MEMBER - TERM ENDED 1.0 0.0 X 0 0 0 KATHY WELLS BOARD MEMBER 1.0 0.0 X 0 0 0 MATT DAHM BOARD MEMBER 1.0 0.0 X 0 0 0 SALLY J GESOURAS BOARD MEMBER 1.0 0.0 X 0 0 0 TOM WALKER BOARD MEMBER - TERM ENDED 1.0 0.0 X 0 0 0 WALT BONHAM BOARD MEMBER 1.0 0.0 X 0 0 0 Joe Devany Board Member 1.0 0.0 X 0 0 0 BARBARA SULLINGER CHIEF FINANCIAL OFFICER 40.0 0.0 X 137948 0 12509 DR DAVID HOAG CHIEF DENTAL OFFICER 39.0 0.0 X 209247 0 32378 DR SHENG LIU Collaborating Physician 32.0 0.0 X 303032 0 27285 JAVAR JACKSON CHIEF OPERATING OFFICER 40.0 0.0 X 168544 0 17358 PEGGY ANDERSON CHIEF EXECUTIVE OFFICER 40.0 0.0 X 229739 0 36460 CARLOS MOLINA ARRIOLA Medical Director - Psych 40.0 0.0 X 389188 0 34349 ABHINAV BHATNAGAR DENTIST 40.0 0.0 X 172349 0 8617 CAROLYN CHAMBERS PHYSICAN 40.0 0.0 X 233663 0 19867 CHEL LEES PHYSICIAN / MAT DIRECTOR 40.0 0.0 X 198857 0 21091 CHRIS YOHN Physican 40.0 0.0 X 207271 0 10894 RYAN HIGGINS DENTIST 40.0 0.0 X 179544 0 34280 2429382 0 255088 33 false true false HOLISTIC HEALTH CONSULTING LLC 176 PLEASANT ST OBERLIN OH 44074 CONTRACT PROVIDER 216721 ALUMNI ROOFING CO 2830 LEXINGTON AVE LEXINGTON OH 44904 ROOFING 114500 2 0 0 0 0 7681428 1812037 0 9493465 MEDICAID & MEDICARE REVENUE 621400 1802632 1802632 0 0 PATIENT SERVICES REVENUE 621400 10989837 10989837 0 0 PHARMACY REVENUE 456110 10583349 10583349 0 0 CPC INCOME 621400 10934 10934 0 0 INSURANCE INCENTIVE PAYMENTS 621400 418347 418347 0 0 59387 59387 0 0 23864486 61814 0 0 61814 0 0 0 0 0 0 0 0 58361 0 20235 0 38126 0 38126 0 0 38126 625576 0 634141 0 -8565 0 -8565 0 0 -8565 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 49605 0 0 49605 0 0 0 0 0 0 0 0 0 0 0 0 49605 33498931 23864486 0 140980 X 0 0 0 0 0 0 0 0 1682437 1236926 445511 0 0 0 0 0 14024033 10310454 3713579 0 287597 211441 76156 0 2660293 1955844 704449 0 1142888 840250 302638 0 0 0 0 0 8672 0 8672 0 116522 0 116522 0 0 0 0 0 0 0 775 0 775 0 3983820 3095575 888245 0 117321 91163 26158 0 1424184 1106643 317541 0 245329 190630 54699 0 0 0 0 0 1268499 985670 282829 0 126901 98607 28294 0 0 0 0 0 0 0 0 0 27902 0 27902 0 0 0 0 0 635463 610656 24807 0 88375 68671 19704 0 PHARMACY EXPENSE 4701512 4701512 0 0 DENTAL & MEDICAL EQUIP EXP 189834 147508 42326 0 BAD DEBT EXPENSE 209883 209883 0 0 PATIENT BILLING EXPENSE 4350 3380 970 0 0 0 0 0 32946590 25864813 7081777 0 1158751 1376083 147853 58211 2864470 2979945 2779943 3874102 0 0 0 0 0 0 184858 662594 103141 378666 16880509 7559775 8287042 9320734 701463 972555 0 0 0 0 2147153 1967834 18374674 21590724 3439627 5902401 0 0 0 0 0 0 0 0 0 0 911165 1041550 0 0 2180621 2170736 6531413 9114687 X 9188532 9996308 2654729 2479729 0 0 0 0 0 0 11843261 12476037 18374674 21590724 552341 80435 0 0 0 0 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 153680 153680 0 11316997 3987254 7329743 0 0 0 0 0 4079500 2763908 1315592 0 1330332 808613 521719 9320734 Right of Use Asset 1967834 1967834 Federal Income Taxes Lease Liability 2170736 2170736 33388943 80435 0 0 -210658 -130223 33519166 0 -20235 -20235 33498931 32756167 0 0 0 20235 20235 32735932 0 210658 210658 32946590 Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Bad Debt - -209883 Investment Management Fess - -775 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements RENTAL EXPENSES - -20235 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENTAL EXPENSES - 20235 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Bad Debt - 209883 Investment Management Fees - 775 X X false true false true false true false false false DR SHENG LIU Collaborating Physician 292127 0 500 0 10405 0 23000 0 4285 0 330317 0 0 0 PEGGY ANDERSON CHIEF EXECUTIVE OFFICER 212204 0 500 0 17035 0 36460 0 0 0 266199 0 0 0 DR DAVID HOAG CHIEF DENTAL OFFICER 180782 0 500 0 27965 0 23000 0 9378 0 241625 0 0 0 JAVAR JACKSON CHIEF OPERATING OFFICER 140030 0 500 0 28014 0 10503 0 6855 0 185902 0 0 0 BARBARA SULLINGER CHIEF FINANCIAL OFFICER 137948 0 0 0 0 0 4355 0 8154 0 150457 0 0 0 CARLOS MOLINA ARRIOLA Medical Director - Psych 360623 0 500 0 28065 0 22980 0 11369 0 423537 0 0 0 CAROLYN CHAMBERS PHYSICAN 210867 0 9000 0 13796 0 12960 0 6907 0 253530 0 0 0 CHEL LEES PHYSICIAN / MAT DIRECTOR 187835 0 500 0 10522 0 15600 0 5491 0 219948 0 0 0 CHRIS YOHN Physican 188456 0 500 0 18315 0 8180 0 2714 0 218165 0 0 0 RYAN HIGGINS DENTIST 150979 0 500 0 28065 0 22896 0 11384 0 213824 0 0 0 ABHINAV BHATNAGAR DENTIST 161348 0 500 0 10501 0 5063 0 3554 0 180966 0 0 0 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. Form 990, Part VI, Line 11b Review of form 990 by governing body FEDERAL FORM 990 IS PREPARED BY THE CLINIC'S INDEPENDENT AUDITOR AND IS REVIEWED BY THE CLINIC'S CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER. AFTER THIS REVIEW, THE FEDERAL FORM 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO ITS BEING FILED. Form 990, Part VI, Line 12c Conflict of interest policy THE CLINIC PROVIDES ALL BOARD MEMBERS WITH A COPY OF ITS CONFLICT OF INTEREST POLICY ANNUALLY. BOARD MEMBERS ARE REQUIRED TO NOTIFY THE CLINIC OF ANY CONFLICTS THEY MAY HAVE. Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IS APPROVED BY THE BOARD OF DIRECTORS AND IS BASED ON WAGE COMPARABILITY DATA AND PERFORMANCE. THE MOST RECENT REVIEW WAS APPROVED BY THE BOARD ON 4/23/2024. Form 990, Part VI, Line 15b Process to establish compensation of other employees WAGE AND SALARY RANGES ARE BASED ON SKILLS, KNOWLEDGE, LEVEL OF RESPONSIBILITY, RANGE OF SERVICE AREA, EXPERIENCE REQUIRED TO PERFORM THE JOB, WAGES AND SALARIES FOR ANY POSITION AND ARE RECOMMENDED BY HUMAN RESOURCES AND APPROVED BY THE CHIEF EXECUTIVE OFFICER. WAGE AND SALARY RANGES SHALL TAKE INTO CONSIDERATION COMPARABLE COMPENSATION FOR SIMILAR POSITIONS IN THE MARKETPLACE. Form 990, Part VI, Line 19 Required documents available to the public THE CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VIII, Line 2f Other Program Service Revenue Other - Total Revenue: 59387, Related or Exempt Function Revenue: 59387, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part IX, Line 11g Other Fees Other Fees for Services - Total Expense: 3983820, Program Service Expense: 3095575, Management and General Expenses: 888245, Fundraising Expenses: 0; COMMUNITY COUNSELING SERVICES INC 2458 STETZER ROAD BUCYRUS OH 44820 341222071 HEALTHCARE SERVICES OH CCWC COMMUNITY COUNSELING AND WELNESS CENTERS INC 320 EXECUTIVE DRIVE Marion OH 43302 310937618 HEALTHCARE SERVICES OH 501(c)(3) 10 THIRD STREET true false false false false false false false false false false false false false false false false false false false