Nonprofit · EIN 58-1403699
COMMUNITY CARE CENTER FOR FORSYTH COUNTY
Tax-exempt · WINSTON SALEM, NC 27101
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2025 | 990 | $7,518,668 | $7,605,820 | -$87,152 | $2,137,330 | $72,862 | $2,064,468 |
| December 31, 2024 | 990 | $8,445,064 | $8,574,407 | -$129,343 | $2,133,564 | $88,231 | $2,045,333 |
| December 31, 2023 | 990 | $9,281,562 | $9,200,029 | $81,533 | $2,200,406 | $99,058 | $2,101,348 |
| December 31, 2022 | 990 (amended) | $9,035,117 | $9,072,727 | -$37,610 | $2,032,297 | $45,394 | $1,986,903 |
Financial details: 990 for the year ended December 31, 2025
Revenue
- Contributions, gifts and grants
- $7,497,586
- of which government grants
- $413,281
- Program service revenue
- $0
- Investment income
- $32,878
- Net gain from sales of assets
- $8,583
- Net income from fundraising events
- -$13,402
- Other revenue
- -$11,796
Expenses
- Grants and similar amounts paid
- $0
- Compensation of officers, directors and key employees
- $227,113
- Other salaries and wages
- $869,679
- Salaries, compensation and benefits (total)
- $1,285,741
- Professional fundraising fees
- $0
- Accounting fees
- $24,563
- Travel
- $1,427
- Depreciation
- $15,849
- Program services (functional)
- $7,132,135
- Management and general (functional)
- $468,216
- Fundraising (functional)
- $5,469
Balance sheet and other
- Total assets, start of year
- $2,133,564
- Total assets, end of year
- $2,137,330
- Total liabilities, end of year
- $72,862
- Net assets, end of year
- $2,064,468
- Land, buildings and equipment
- $167,784
- Publicly traded securities
- $1,203,794
- Net assets without donor restrictions
- $1,902,624
- Net assets with donor restrictions
- $161,844
- Gross receipts
- $7,655,681
- Employees
- 31
- Volunteers
- 20
- Year formed
- 1980
- State of legal domicile
- NC
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended December 31, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| PAUL JEFFREY | EXECUTIVE DIRECTOR Officer | 40 | $92,723 | $18,110 |
| ROBERT DIBELLA | BOARD CHAIR Trustee or director, Officer | 2 | $0 | $0 |
| KATIE ALEXANDER | SECRETARY Trustee or director, Officer | 2 | $0 | $0 |
| SARAH BUCHANAN | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| ANTHONY BRETT | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| ROBERT COIL | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| LORRAINE FRANK-LIGHTFOOT | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| KIMBERLY GREGG | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| JOHN CARD | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| BEN HOUGH | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| ALEX MARTIN | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| LUCINDA JONES | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| VIVIAN CHANDLER | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| NANCY SMITH | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| J BALDWIN SMITH | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
6 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| ALEX TURNER | TREASURER Trustee or director, Officer | 2 | $0 |
| CARL WESCOTT | BOARD MEMBER Trustee or director | 1 | $0 |
| VERONICA WILTSHIRE | BOARD MEMBER Trustee or director | 1 | $0 |
| WILLIAM PITTMAN III | BOARD MEMBER Trustee or director | 1 | $0 |
| KRISTINE SIMS | BOARD MEMBER Trustee or director | 1 | $0 |
| MEREDITH WELCH | BOARD MEMBER Trustee or director | 1 | $0 |
990 for the year ended December 31, 2024: 21 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| JOHN ST ANGELO | MEDICAL DIRECTOR Key employee | 40 | $155,556 | $0 |
| PAUL JEFFREY | EXECUTIVE DIRECTOR Officer | 40 | $135,308 | $6,773 |
| TIMOTHY CLONTZ | (FORMER) EXECUTIVE DIRECTOR Officer | 40 | $11,167 | $0 |
| ROBERT DIBELLA | BOARD CHAIR Trustee or director, Officer | 2 | $0 | $0 |
| KATIE ALEXANDER | SECRETARY Trustee or director, Officer | 2 | $0 | $0 |
| SARAH BUCHANAN | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| ANTHONY BRETT | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| ROBERT COIL | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| LORRAINE FRANK LIGHTFOOT | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| KIMBERLY GREGG | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| JOHN CARD | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| BEN HOUGH | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| MARLON HUNTER | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| LUNCINDA JONES | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| VIVIAN CHANDLER | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| NANCY SMITH | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| J BALDWIN SMITH | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| ALEX TURNER | TREASURER Trustee or director, Officer | 2 | $0 | $0 |
| CARL WESCOTT | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| VERONICA WILTSHIRE | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| WILLIAM PITTMAN | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
990 for the year ended December 31, 2023: 21 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| TIMOTHY CLONTZ | EXECUTIVE DIRECTOR Officer | 40 | $126,592 | $9,157 |
| ROBERT DIBELLA | BOARD CHAIR Trustee or director, Officer | 2 | $0 | $0 |
| KATIE ALEXANDER | SECRETARY Trustee or director, Officer | 2 | $0 | $0 |
| RUDY ALLEN | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| ANTHONY BRETT | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| ROBERT COIL | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| LORRAINE FRANK LIGHTFOOT | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| KIMBERLY GREGG | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| GREGORY HOLTHUSEN | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| BEN HOUGH | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| MARLON HUNTER | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| LUNCINDA JONES | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| GILMOUR LAKE | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| NANCY SMITH | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| J BALDWIN SMITH | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| ALEX TURNER | TREASURER Trustee or director, Officer | 2 | $0 | $0 |
| CARL WESCOTT | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| ROBERT FORD | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| YEN NGUYEN | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| DEBBIE MARSHALL | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
| WILLIAM PITTMAN | BOARD MEMBER Trustee or director | 1 | $0 | $0 |
990 for the year ended December 31, 2022: 23 people
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| TIMOTHY CLONTZ | EXECUTIVE DI Trustee or director | 40 | $133,600 |
| RUDY ALLEN | DIRECTOR Trustee or director | – | $0 |
| ANTHONY H BRETT | DIRECTOR Trustee or director | – | $0 |
| ROBERT F COIL | DIRECTOR Trustee or director | – | $0 |
| YEN NGUYEN DDS | DIRECTOR Trustee or director | – | $0 |
| ROBERT P DIBELLA | BOARD CHAIR Trustee or director, Officer | – | $0 |
| DR ROBERT V FORD | DIRECTOR Trustee or director | – | $0 |
| KIMBERLY W GREGG | DIRECTOR Trustee or director | – | $0 |
| BEN HOUGH | DIRECTOR Trustee or director | – | $0 |
| MARLON HUNTER | DIRECTOR Trustee or director | – | $0 |
| LUCINDA JONES | IMMEDIATE PA Trustee or director, Officer | – | $0 |
| DR WILLIAM M SATTERWHITE JR | EMERITUS Trustee or director | – | $0 |
| GILMOUR LAKE | DIRECTOR Trustee or director | – | $0 |
| LORAINE FRANK LIGHTFOOT | DIRECTOR Trustee or director | – | $0 |
| GREGORY G HOLTHUSEN MD | DIRECTOR Trustee or director | – | $0 |
| J BALDWIN SMITH MD | DIRECTOR Trustee or director | – | $0 |
| JAMES T ROBINSON | DIRECTOR Trustee or director | – | $0 |
| SARAH SABISTON | SECRETARY Trustee or director, Officer | – | $0 |
| MILLIE SCHULTZ | DIRECTOR Trustee or director | – | $0 |
| DR NANCY SMITH | DIRECTOR Trustee or director | – | $0 |
| SHARON STORM | DIRECTOR Trustee or director | – | $0 |
| ALEX TURNER | TREASURER Trustee or director | – | $0 |
| CARL WESTSCOTT | DIRECTOR Trustee or director | – | $0 |
Address and contacts
- Address (IRS master file)
- 2135 NEW WALKERTOWN RD, WINSTON SALEM, NC 27101-3420
- Principal officer (990 for 2025)
- ROBERT DIBELLA, 2135 NEW WALKERTOWN ROAD, WINSTONSALEM, NC 27101
- Signed the 990
- ROBERT DIBELLA, BOARD CHAIR
- Phone
- (336) 723-7904
- Website
- WWW.CCCFORSYTH.ORG
- Return prepared by
- TURLINGTON AND COMPANY LLP
Mission
TO PROVIDE FREE ON-SITE MEDICAL AND DENTAL CARE TO LOW INCOME FAMILIES.
Program accomplishments
- COMMUNITY CARE CENTER OF FORSYTH COUNTY, INC. IS A FREE MEDICAL CLINIC FOR FAMILIES WHO EARN LESS THAN 200% OF THE FEDERAL POVERTY LEVEL AND HAVE NO MEDICAL INSURANCE. THE CENTER PROVIDES FREE ON-SITE MEDICAL AND DENTAL CARE TO LOW-INCOME FAMILIES AS THE SOLE PROGRAM.Expenses $7,132,135 · revenue $1,606
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | 990 on file |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 58-1403699
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Publicly supported organization (170(b)(1)(A)(vi))
- Donations deductible (Pub 78)
- Public charity, 50% deduction limit
- Exempt since
- 1980
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E70)
- Assets (IRS master file)
- $2,137,330
- Income (IRS master file)
- $7,655,681
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2025 | $7,518,668 | $7,605,820 | $2,137,330 | XML |
| 990 | December 2024 | $8,445,064 | $8,574,407 | $2,133,564 | XML |
| 990 | December 2023 | $9,281,562 | $9,200,029 | $2,200,406 | XML |
| 990 | December 2022 | $9,035,117 | $9,072,727 | $2,032,297 | XML |
| 990 | December 2021 | – | – | – | IRS |
| 990 | December 2020 | – | – | – | IRS |
| 990 | December 2018 | – | – | – | IRS |
| 990 | December 2017 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 58-1403699).
Questions about COMMUNITY CARE CENTER FOR FORSYTH COUNTY
- What is the EIN of COMMUNITY CARE CENTER FOR FORSYTH COUNTY?
- The employer identification number (EIN) of COMMUNITY CARE CENTER FOR FORSYTH COUNTY is 58-1403699.
- Is COMMUNITY CARE CENTER FOR FORSYTH COUNTY tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1980.
- Are donations to COMMUNITY CARE CENTER FOR FORSYTH COUNTY tax-deductible?
- Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
- Which annual return does COMMUNITY CARE CENTER FOR FORSYTH COUNTY file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of COMMUNITY CARE CENTER FOR FORSYTH COUNTY due?
- The return for tax year 2026 (the year ending December 31, 2026) is due May 17, 2027. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did COMMUNITY CARE CENTER FOR FORSYTH COUNTY last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2025.
- Who is the principal officer of COMMUNITY CARE CENTER FOR FORSYTH COUNTY?
- The 990 for the year ended December 31, 2025 names ROBERT DIBELLA.
- Who are the officers and directors of COMMUNITY CARE CENTER FOR FORSYTH COUNTY?
- The 990 for the year ended December 31, 2025 lists 21 people; 1 received compensation from the organization, the highest $92,723 (PAUL JEFFREY, EXECUTIVE DIRECTOR).
- How much revenue does COMMUNITY CARE CENTER FOR FORSYTH COUNTY have?
- On its 990 for the year ended December 31, 2025 it reported revenue of $7,518,668, expenses of $7,605,820 and total assets of $2,137,330 at year end.
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