EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED (EIN 51-0196935)
Tax period
2024-06-01 to 2025-05-31
Filed
2025-09-29
IRS object ID
202502729349301110
Schema version
2024v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-09-29T11:12:06-04:00ReturnTs
Tax Period End2025-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN541896113PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ROBINSON FARMER COX ASSOCIATESBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1530 WESTFIELD RDAddressLine1Txt
CityCHARLOTTESVILLECityNm
State AbbreviationVAStateAbbreviationCd
ZIP229011726ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN510196935EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EASTERN SHORE RURAL HEALTHBusinessNameLine1Txt
Business Name Line2SYSTEM INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlEASTBusinessNameControlTxt
Phone7574140400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line120280 MARKET STREETAddressLine1Txt
CityONANCOCKCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23417ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEANNETTE EDWARDSPersonNm
Person TitleCHIEF EXECUTIVE OFF.PersonTitleTxt
Phone7574140400PhoneNum
Signature2025-09-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL E LUPTONPreparerPersonNm
PTINP02141280PTIN
Phone4349738314PhoneNum
Preparation2025-09-29PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEANNETTE EDWARDSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line120280 MARKET STREETAddressLine1Txt
CityONANCOCKCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23417ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$45,845,487GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ESRH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionOPERATION OF FEDERALLY SUPPORTED COMMUNITY HEALTH CENTERS.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee441TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$11,572,426PYContributionsGrantsAmt
CY Contributions Grants$6,366,317CYContributionsGrantsAmt
PY Program Service Revenue$36,788,268PYProgramServiceRevenueAmt
CY Program Service Revenue$37,902,240CYProgramServiceRevenueAmt
PY Investment Income$1,445,729PYInvestmentIncomeAmt
CY Investment Income$1,488,027CYInvestmentIncomeAmt
PY Other Revenue$94,997PYOtherRevenueAmt
CY Other Revenue$88,903CYOtherRevenueAmt
PY Total Revenue$49,901,420PYTotalRevenueAmt
CY Total Revenue$45,845,487CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$26,640,464PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$28,302,415CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$622,229CYTotalFundraisingExpenseAmt
PY Other Expenses$16,701,566PYOtherExpensesAmt
CY Other Expenses$17,048,360CYOtherExpensesAmt
PY Total Expenses$43,342,030PYTotalExpensesAmt
CY Total Expenses$45,350,775CYTotalExpensesAmt
PY Revenues Less Expenses$6,559,390PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$494,712CYRevenuesLessExpensesAmt
Total Assets BOY$63,317,200TotalAssetsBOYAmt
Total Assets EOY$64,631,499TotalAssetsEOYAmt
Total Liabilities BOY$7,208,776TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,028,363TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$56,108,424NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$56,603,136NetAssetsOrFundBalancesEOYAmt
MissionOPERATION OF FEDERALLY SUPPORTED COMMUNITY HEALTH CENTERS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$39,068,822ExpenseAmt
Revenue$37,902,240RevenueAmt
DescORGANIZATION OPERATES 11 FEDERALLY SUPPORTED CENTERS PROVIDING MEDICAL, DENTAL AND BEHAVORIAL HEALTH CARE TO THE APPROXIMATELY 45,000 RESIDENTS OF TWO OF VIRGINIA'S MOST ECONOMICALLY DISADVANTAGED COUNTIES ON THE EASTERN SHORE OF VIRGINIA.Desc
Total Program Service Expenses$39,068,822TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document41IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee441EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJEANNETTE EDWARDSPersonNm
Phone7574140400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line120280 MARKET STREETAddressLine1Txt
CityONANCOCKCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23417ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
LISA CUBA
PRESIDENT2.00Yes (X)$0$0$0
ANDY COBB
VICE PRESIDE2.00Yes (X)$0$0$0
CHAD SAUNDERS
TREASURER2.00Yes (X)$0$0$0
LESLIE WEST
SECRETARY2.00Yes (X)$0$0$0
BETTY BIBBINS
IMM. PAST PR2.00Yes (X)$0$0$0
EDDIE LAWRENCE
BOARD MEMBER2.00Yes (X)$0$0$0
JAY DAVENPORT
BOARD MEMBER2.00Yes (X)$0$0$0
LUTHER BYRD
BOARD MEMBER2.00Yes (X)$0$0$0
DORIS EBONY BROWN
BOARD MEMBER2.00Yes (X)$0$0$0
MICHAEL IMPERIAL
BOARD MEMBER2.00Yes (X)$0$0$0
ART FOURNIER
BOARD MEMBER2.00Yes (X)$0$0$0
JOHN SPARKMAN
BOARD MEMBER2.00Yes (X)$0$0$0
CONSTANCE JOHNSON
BOARD MEMBER2.00Yes (X)$0$0$0
MARISA SANCHEZ
BOARD MEMBER2.00Yes (X)$0$0$0
KRISTINE MARCY
BOARD MEMBER2.00Yes (X)$0$0$0
KANDICE BRUNO
CHIEF FINANC40.00$213,476$0$0Yes (X)
SCOTT WOLPIN
CHIEF DENTAL40.00$290,603$0$0Yes (X)
JEANNETTE EDWARDS
CHIEF EXECUT40.00$288,450$0$0Yes (X)
KIMBERLY SAVAGE
CHIEF COMPLI40.00$154,155$0$0Yes (X)
JENNIFER TYLER
CHIEF OPS &40.00$172,780$0$0Yes (X)
JOAN LINGEN
CHIEF MEDICA40.00$309,654$0$0Yes (X)
JESSICA BONNIWELL
CHIEF QUALIT40.00$123,405$0$0Yes (X)
CHRIS DEITCH
DIR. OF PHAR40.00$157,668$0$0Yes (X)
JODY OSBON
CHIEF INFORM40.00$192,352$0$0Yes (X)
THOMAS HOLLANDSWORTH
DOCTOR40.00$288,193$0$0Yes (X)
DAVID HOSHINO
DOCTOR40.00$275,077$0$0Yes (X)
JEANNE ROLL
DOCTOR40.00$280,196$0$0Yes (X)
ALBERT HALLS
DOCTOR40.00$236,846$0$0Yes (X)
MARGARET STILES
DOCTOR40.00$195,163$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,178,018TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K49IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$5,657,343GovernmentGrantsAmt
All Other Contributions$708,974AllOtherContributionsAmt
Total Contributions$6,366,317TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE$22,656,163$22,656,163
LOCAL PHARMACY REVENUE$9,386,531$9,386,531
340B$5,859,546$5,859,546
FieldValueIRS element (for citing)
Total Program Service Revenue$37,902,240TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,488,027TotalRevenueColumnAmt
Exclusion$1,488,027ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$700RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$700RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$700TotalRevenueColumnAmt
Related Or Exempt Func Income$700RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Total Revenue Column$88,203TotalRevenueColumnAmt
Related Or Exempt Func Income$88,203RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$88,203OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,845,487TotalRevenueColumnAmt
Related Or Exempt Func Income$37,991,143RelatedOrExemptFuncIncomeAmt
Exclusion$1,488,027ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,902,543TotalAmt
Program Services$899,880ProgramServicesAmt
Management And General$646,762ManagementAndGeneralAmt
Fundraising$355,901FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$20,935,743TotalAmt
Program Services$18,869,285ProgramServicesAmt
Management And General$1,954,156ManagementAndGeneralAmt
Fundraising$112,302FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$568,519TotalAmt
Program Services$490,668ProgramServicesAmt
Management And General$68,756ManagementAndGeneralAmt
Fundraising$9,095FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,262,248TotalAmt
Program Services$2,815,524ProgramServicesAmt
Management And General$394,533ManagementAndGeneralAmt
Fundraising$52,191FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,633,362TotalAmt
Program Services$1,409,693ProgramServicesAmt
Management And General$197,538ManagementAndGeneralAmt
Fundraising$26,131FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$153,535TotalAmt
Management And General$153,535ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$67,759TotalAmt
Management And General$67,759ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,167,828TotalAmt
Program Services$1,167,828ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$386,320TotalAmt
Management And General$386,320ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,717,241TotalAmt
Program Services$641,754ProgramServicesAmt
Management And General$1,042,585ManagementAndGeneralAmt
Fundraising$32,902FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$172,674TotalAmt
Program Services$170,482ProgramServicesAmt
Management And General$2,035ManagementAndGeneralAmt
Fundraising$157FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$174,162TotalAmt
Management And General$166,727ManagementAndGeneralAmt
Fundraising$7,435FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$133,193TotalAmt
Program Services$130,316ProgramServicesAmt
Management And General$2,877ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,192,200TotalAmt
Program Services$1,055,496ProgramServicesAmt
Management And General$126,939ManagementAndGeneralAmt
Fundraising$9,765FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$182,149TotalAmt
Management And General$182,149ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PHARMACY PROGRAMS$8,245,319$8,245,319
MEDICAL SUPPLIES$2,320,310$2,320,310
TELEPHONE & UTILITIES$585,741$397,125$175,143$13,473
REPAIRS & MAINTENANCE$478,590$438,309$37,404$2,877

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$71,339TotalAmt
Program Services$16,833ProgramServicesAmt
Management And General$54,506ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$45,350,775TotalAmt
Program Services$39,068,822ProgramServicesAmt
Management And General$5,659,724ManagementAndGeneralAmt
Fundraising$622,229FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,668,000BOYAmt
EOY$8,249,241EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$26,245,176BOYAmt
EOY$25,383,452EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,926,105BOYAmt
EOY$6,805,779EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$378,408BOYAmt
EOY$128,877EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$32,384,198LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,085,018LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$22,660,175BOYAmt
EOY$22,299,180EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$900,000BOYAmt
EOY$800,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$539,336BOYAmt
EOY$964,970EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$63,317,200BOYAmt
EOY$64,631,499EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,385,837BOYAmt
EOY$3,421,925EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$4,649,950BOYAmt
EOY$4,370,702EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$172,989BOYAmt
EOY$235,736EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,208,776BOYAmt
EOY$8,028,363EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$56,108,424BOYAmt
EOY$56,414,738EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$188,398EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$56,108,424BOYAmt
EOY$56,603,136EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$63,317,200BOYAmt
EOY$64,631,499EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$494,712ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,892,660CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,102,459CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,275,392CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,572,426CurrentTaxYearMinus1YearAmt
Current Tax Year$6,366,317CurrentTaxYearAmt
Total$44,209,254TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,231,194CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,828,846CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,361,769CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,883,265CurrentTaxYearMinus1YearAmt
Current Tax Year$37,991,143CurrentTaxYearAmt
Total$153,296,217TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,123,854CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$34,931,305CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,637,161CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,455,691CurrentTaxYearMinus1YearAmt
Current Tax Year$44,357,460CurrentTaxYearAmt
Total$197,505,471TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$197,505,471PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,782CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,297CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$616,992CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,445,729CurrentTaxYearMinus1YearAmt
Current Tax Year$1,488,027CurrentTaxYearAmt
Total$3,591,827TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,782CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,297CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$616,992CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,445,729CurrentTaxYearMinus1YearAmt
Current Tax Year$1,488,027CurrentTaxYearAmt
Total$3,591,827TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$56,721CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$166,483CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,068CurrentTaxYearMinus2YearsAmt
Total$279,272TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,202,357CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,117,085CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,310,221CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,901,420CurrentTaxYearMinus1YearAmt
Current Tax Year$45,845,487CurrentTaxYearAmt
Total$201,376,570TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98080PublicSupportCY509Pct
Public Support PY5090.98660PublicSupportPY509Pct
Investment Income CY0.02000InvestmentIncomeCYPct
Investment Income PY0.01000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 12FormAndLineReferenceDesc
ExplanationOTHER INCOME 279,272ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$989,166OtherCostOrOtherBasisAmt
Book Value$989,166BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,472,393OtherCostOrOtherBasisAmt
Depreciation$7,683,431DepreciationAmt
Book Value$19,788,962BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,922,639OtherCostOrOtherBasisAmt
Depreciation$2,401,587DepreciationAmt
Book Value$1,521,052BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$22,299,180TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHER LIABILITIESDesc
Amt$235,736Amt
FieldValueIRS element (for citing)
Total Liability$235,736TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$45,845,487TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$45,845,487RevenueSubtotalAmt
Total Revenue Per Form990$45,845,487TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$45,350,775TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$45,350,775ExpensesSubtotalAmt
Total Expenses Per Form990$45,350,775TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
KANDICE BRUNO
CHIEF FINANCIAL OFF.$213,476$213,476
SCOTT WOLPIN
CHIEF DENTAL OFFICER$290,603$290,603
JEANNETTE EDWARDS
CHIEF EXECUTIVE OFF.$288,450$288,450
KIMBERLY SAVAGE
CHIEF COMPLIANCE OFF$154,155$154,155
JENNIFER TYLER
CHIEF OPS & CLIN OFF$172,780$172,780
JOAN LINGEN
CHIEF MEDICAL OFF.$309,654$309,654
CHRIS DEITCH
DIR. OF PHARMACY$157,668$157,668
JODY OSBON
CHIEF INFORMATION OF$192,352$192,352
THOMAS HOLLANDSWORTH
DOCTOR$288,193$288,193
DAVID HOSHINO
DOCTOR$275,077$275,077
JEANNE ROLL
DOCTOR$280,196$280,196
ALBERT HALLS
DOCTOR$236,846$236,846
MARGARET STILES
DOCTOR$195,163$195,163

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS REVIEWED BY THE CEO, CFO, AND THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12CINITIALLY, BOARD MEMBERS SIGN THE CONFLICT OF INTEREST POLICY AS PART OF ORIENTATION. THE CONFLICT OF INTEREST ATTESTATION FORM IS DISTRIBUTED TO ALL BOARD MEMBERS ANNUALLY FOR AN UPDATED SIGNATURE. THE FORMS ARE TRACKED BY THE EXECUTIVE ASSISTANT TO ENSURE 100% OF THE SIGNATURES ARE COLLECTED.
FORM 990, PAGE 6, PART VI, LINE 15ATHE ORGANIZATION INCLUDES AN AVERAGE SALARY INCREASE FOR ALL STAFF IN THE BUDGET SUBMITTED TO THE BOARD OF DIRECTORS FOR APPROVAL ON AN ANNUAL BASIS. THIS BUDGET IS PART OF THE 330 GRANT APPLICATION SUBMITTED TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR GRANT FUNDING THAT REPRESENTS 30% OF THE TOTAL BUDGET. GENERALLY, THE GRANT APPLICATION IS SUBMITTED TO THE BOARD AT A SPECIAL CALLED MEETING PRIOR TO THE GRANT DUE DATE AND IS VOTED ON FOR APPROVAL OR AMENDMENTS A WEEK LATER AT THE REGULARLY SCHEDULED MONTHLY BOARD MEETING. THE BUDGET CONTAINS AN AVERAGE INCREASE THAT WILL BE AVAILABLE FOR ALL STAFF, CONTRACTUAL EMPLOYEES, OFFICERS, AND THE CEO. NEXT, IN JUNE OF EACH YEAR, ALL EMPLOYEES, INCLUDING THE CEO, ARE EVALUATED THROUGH A WRITTEN APPRAISAL PROCESS. THE CEO IS EVALUATED BY THE BOARD CHAIR. ALL VALUATIONS REQUIRE A MINIMUM OF TWO INDEPENDENT EVALUATIONS IN ADDITION TO THE SUPERVISOR AND EACH EMPLOYEE SUBMITS A WRITTEN SELF-APPRAISAL. THE EVALUATIONS ARE WRITTEN AND BASED ON THE ESSENTIAL JOB FUNCTIONS. PERFORMANCE OF EACH FUNCTION IS ASSIGNED A NUMERICAL VALUE. THE EVALUATIONS ALSO SET GOALS FOR THE UPCOMING YEAR AND EVALUATE THE LEVEL OF ACHIEVEMENT OF GOALS ESTABLISHED DURING THE PRIOR EVALUATION PERIOD. UPON COMPLETION OF ALL EVALUATIONS, THE BOARD DETERMINES THE PERCENTAGE INCREASE FOR THE CEO BASED ON THE NUMERIC SCORE ACHIEVED, THE ACCOMPLISHMENT OF GOALS ESTABLISHED IN THE PRIOR YEAR, THE FINANCIAL POSITION OF THE ORGANIZATION, THE RANGE APPROVED IN THE BUDGET CYCLE, AND COMPENSATION OF CEOS FROM THE COMMUNITY HEALTH CENTERS LOCATED IN VIRGINIA. THIS INFORMATION IS GATHERED FROM AN ANNUAL COMPENSATION SURVEY GATHERED FROM ALL COMMUNITY HEALTH CENTERS IN THE STATE AND CONDUCTED BY THE VIRGINIA COMMUNITY HEALTHCARE ASSOCIATION.
FORM 990, PAGE 6, PART VI, LINE 15BFOLLOWING THE BUDGET AND EVALUATION PROCESS (DESCRIBED FOR CEO), THE CEO DETERMINES THE PERCENT INCREASES FOR THE OTHER OFFICERS BASED ON THE NUMERIC SCORES OF EVALUATIONS, THE RANGE SET BY THE BOARD DURING THE BUDGET CYCLE, FINANCIAL POSITION OF THE ORGANIZATION, AND PREVAILING COMPENSATION FROM THE SALARY SURVEY. THE CHIEF HUMAN RESOURCE OFFICER AND THE CFO USE THE NUMERIC VALUE OF EACH EMPLOYEE'S EVALUATION TO DETERMINE THE PERCENT INCREASE FROM THE POOL APPROVED BY THE BOARD IN THE BUDGET. THESE PROPOSED RAISES ARE THEN SUBMITTED TO THE CEO FOR FINAL APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, POLICIES, AND TAX RETURNS TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE ON THE ORGANIZATION'S WEBSITE.

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