TRI-STATE COMMUNITY HEALTHCARE CEN… - Form 990 Financial Data

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2012

Legal Domicile

Principal Officer

ARAM MANOUKIAN

Phone

3239285086

Tax Period

2024-07-01 to 2025-06-30

TRI-STATE COMMUNITY HEALTHCARE CENTER, founded in 2012, is a mid-sized nonprofit in the Health Care sector that reported $31.2M in total revenue in fiscal year 2024. Revenue surged 21% from the prior year, signaling strong growth momentum.

Mission

TO HELP ASSURE THAT COMPREHENSIVE PRIMARY HEALTHCARE SERVICES WOULD BE AVAILABLE TO THE MOJAVE DESERT AREA UNDER-SERVED, WITH A HIGH CONCENTRATION OF LOW-INCOME RESIDENTS.

Program Service Accomplishments

Program 1

Expenses: $25,497,044

THE ORGANIZATION'S DUTY IS TO SERVE THE UNMET HEALTH CARE NEEDS OF LOW INCOME PERSONS AND THEIR FAMILIES IN THE MOJAVE DESERT TRI-STATE COMMUNITY. THE GOAL IS TO PROVIDE THE BEST CARE FOR THE...

THE ORGANIZATION'S DUTY IS TO SERVE THE UNMET HEALTH CARE NEEDS OF LOW INCOME PERSONS AND THEIR FAMILIES IN THE MOJAVE DESERT TRI-STATE COMMUNITY. THE GOAL IS TO PROVIDE THE BEST CARE FOR THE PATIENTS AND TO PROVIDE EFFECTIVE INTEGRATION OF QUALITY PATIENT CARE. THE OBJECTIVE OF THE ORGANIZATION IS TO DELIVERY QUALITY CARE TO THE MOST NUMBER OF PEOPLE IN AN ACCESSIBLE MANNER AT MINIMAL COST. THE ORGANIZATION PROVIDES COMPREHENSIVE SERVICES INCLUDING PRIMARY CARE, DENTAL AND BEHAVIORAL HEALTH, AS WELL AS LABORATORY AND 340B PHARMACY SERVICES. THEY OPERATE 9 MEDICAL CLINICS WITH LOCATIONS IN NEEDLES, ADELANTO, HEMET, POMONA, GLENDALE, LOS ANGELES, AND SAN FERNANDO IN CALIFORNIA, LAUGHLIN IN NEVADA, AND MOHAVE VALLEY IN ARIZONA. THE ORGANIZATION ALSO OPERATES TWO MOBILE AND FOUR DENTAL CLINICS IN THEIR EXISTING AREAS.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $1,972,301

Program Service Revenue $29,103,550

Investment Income $69,446

Other Revenue $10,000

TOTAL REVENUE $31,155,297

Expense Breakdown

Grants Paid $0

Salaries & Benefits $17,172,208

Fundraising Expenses $0

Program Expenses $25,497,044

Other Expenses $14,349,925

TOTAL EXPENSES $31,522,133

Year-over-Year Comparison

	2024	2023	Change
Revenue	$31,155,297	$25,671,261	+0.2%
Expenses	$31,522,133	$25,271,608	+0.2%
Net Income	$-366,836	$399,653	-1.9%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$677,613

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
JEFF WILLIAMS	CHAIRMAN	5.00	Officer Director	$0	$0	$0
BETTY STARR	SECRETARY	5.00	Officer Director	$0	$0	$0
PAMELA JEAN BLAKE	VICE CHAIR	5.00	Officer Director	$0	$0	$0
MARK HANNAWI	TREASURER	5.00	Officer Director	$0	$0	$0
GEORGE DELEON	BOARD MEMBER	5.00	Director	$0	$0	$0
ARMENAK TAKHMIZYAN	BOARD MEMBER	5.00	Director	$0	$0	$0
MARY STEIN	BOARD MEMBER	5.00	Director	$0	$0	$0
ARTAK PARONYAN	BOARD MEMBER	5.00	Director	$0	$0	$0
KELLIE MCKENZIE	BOARD MEMBER	5.00	Director	$0	$0	$0
ARAM MANOUKIAN	CHIEF EXECUTIVE OFFICER	40.00	Officer	$340,000	$0	$340,000
MARIA SOTNIKOVA	CHIEF OPERATIONS OFFICER	40.00	Officer	$149,628	$5,985	$155,613
JOHN PAZIRANDEH	CHIEF FINANCIAL OFFICER	20.00	Officer	$175,000	$7,000	$182,000
DR EDWARD PAGET	CMO	20.00	Officer	$0	$0	$0
DR JARNAIL S GUGGA	PROVIDER	40.00	Highest	$314,979	$12,599	$327,578
DR MARK FOLMSBEE	PROVIDER	40.00	Highest	$266,712	$16,600	$283,312
DR QIANNA LIU	PROVIDER	40.00	Highest	$293,992	$14,255	$308,247
DR SHAHRAM MIRHASHEMI	PROVIDER	40.00	Highest	$321,803	$12,872	$334,675
PARVIZ AKHAVAN	PROVIDER	40.00	Highest	$253,368	$16,067	$269,435

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$31,155,297	$31,522,133	$14,771,894	$-366,836
2024	$25,671,261	$25,271,608	$14,553,379	$399,653
2023	$18,823,791	$17,596,562	$12,983,892	$1,227,229
2022	$15,365,232	$13,487,978	$11,445,910	$1,877,254
2021	$11,800,595	$9,085,558	$7,515,057	$2,715,037
2020	$7,002,878	$5,848,958	$2,674,806	$1,153,920
2019	$4,549,875	$4,338,566	$1,148,512	$211,309

TRI-STATE COMMUNITY HEALTHCARE CENTER