WILLAMSBURG AREA MEDICAL ASSISTANCE CORPORATION: Form 990, tax year 2022
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- Organization
- WILLAMSBURG AREA MEDICAL ASSISTANCE CORPORATION (EIN 54-1663905)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-13
- IRS object ID
- 202431349349305058
- Schema version
- 2022v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-13T12:26:48-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 882730877 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERRY BEKAERT ADVISORY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 SOUTH 10TH ST STE 900 | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541663905 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WMBG AREA MEDICAL ASSISTANCE CORP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WILL | BusinessNameControlTxt |
| Phone | 7572593258 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5249 OLDE TOWNE ROAD | AddressLine1Txt |
| City | WILLIAMSBURG | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23188 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AARON L THOMPSON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7572593258 | PhoneNum |
| Signature | 2024-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | AARON | PersonFirstNm |
| Person Last | THOMPSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY DOSIK | PreparerPersonNm |
| PTIN | P00890743 | PTIN |
| Phone | 8046735700 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OLDE TOWNE MEDICAL AND DENTAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | AARON THOMPSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5249 OLDE TOWNE ROAD | AddressLine1Txt |
| City | WILLIAMSBURG | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23188 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,153,266 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://WWW.OTMDC.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | TO ENSURE ACCESS TO QUALITY HEALTH AND WELLNESS CARE TO THE RESIDENTS AND WORKFORCE OF THE GREATER WILLIAMSBURG COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 44 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,087,404 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,609,782 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $687,435 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,016,780 | CYProgramServiceRevenueAmt |
| PY Investment Income | $558,441 | PYInvestmentIncomeAmt |
| CY Investment Income | $435,255 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$18,118 | PYOtherRevenueAmt |
| CY Other Revenue | -$2,718 | CYOtherRevenueAmt |
| PY Total Revenue | $3,315,162 | PYTotalRevenueAmt |
| CY Total Revenue | $3,059,099 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,315,542 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,404,535 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $140,266 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $532,681 | PYOtherExpensesAmt |
| CY Other Expenses | $618,738 | CYOtherExpensesAmt |
| PY Total Expenses | $2,848,223 | PYTotalExpensesAmt |
| CY Total Expenses | $3,023,273 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $466,939 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $35,826 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,784,159 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,033,959 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $121,891 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $240,870 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,662,268 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,793,089 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OLDE TOWNE MEDICAL AND DENTAL CENTER'S MISSION IS TO ENSURE ACCESS TO QUALITY HEALTH AND WELLNESS CARE TO THE RESIDENTS AND WORKFORCE OF THE GREATER WILLIAMSBURG COMMUNITY. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,529,613 | ExpenseAmt |
| Revenue | $1,016,780 | RevenueAmt |
| Desc | OLDE TOWNE PROVIDES PRIMARY MEDICAL AND DENTAL CARE TO UNINSURED AND UNDERINSURED ADULTS AND CHILDREN AND HAS DONE SO SINCE 1994. IN ADDITION, PRENATAL CARE IS AVAILABLE FOR PREGNANT WOMEN, AND WE ALSO PROVIDE NEWBORN CARE FOR INFANTS. WE OFFER SPECIALTY CARE, IN PEDIATRICS, GYNECOLOGY, PSYCHIATRY, ORTHOPEDICS, PULMONOLOGY, CARDIOLOGY, NEPHROLOGY, DERMATOLOGY, AND HIV/AIDS MANAGEMENT. OUR GOAL IS TO PROVIDE HIGH QUALITY, CULTURALLY SENSITIVE COST-EFFECTIVE CARE IN A WELCOMING ENVIRONMENT, WHICH IS EASILY ACCESSIBLE TO THE UNDERSERVED MEMBERS OF OUR COMMUNITY. WE HAVE OVER 15,000 PATIENT VISITS ANNUALLY AND HAVE EXPANDED OUR FACILITY TO OFFER MORE SERVICES TO OUR PATIENTS. INTEGRATED CARE GRANT FROM SENTARA CARES TO PROVIDE BEHAVIORAL HEALTH CARE TO THE PATIENTS THAT ARE SERVED IN THE GREATER WILLIAMSBURG COMMUNITY. | Desc |
| Total Program Service Expenses | $2,529,613 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 44 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNTY OF JAMES CITY VIRGINIA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7572536630 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101-F MOUNTS BAY ROAD | AddressLine1Txt |
| City | WILLIAMSBURG | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23185 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| CHRISTOPHER JAMES | |||||||
| CHAIR | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BECCA BRUHL | |||||||
| VICE CHAIR | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BEN PUCKETT | |||||||
| CHAIR - FINANCE | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| FRANK SISTO | |||||||
| CHAIR - C & D | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHRISTINE PAYNE | |||||||
| CHAIR - G & N | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JONATHAN WEISS | |||||||
| CHAIR - P & P | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHERYL FIELDS | |||||||
| MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| DR RANA GRAHAM - MONTAQUE | |||||||
| MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| RICK JACKSON | |||||||
| MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| SCOTT HERR | |||||||
| MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| MELISSA TUCKER | |||||||
| MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| DR HENRY RANGER | |||||||
| MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| AMANDA ULISHNEY | |||||||
| MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| ADRIA VANHOOZIER | |||||||
| MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| RUTH LARSON | |||||||
| MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| CHERYL HOLLAND | |||||||
| MEMBER | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| WENDY EVANS | |||||||
| MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| CALEB ROGERS | |||||||
| MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| BRIAN FULLER | |||||||
| MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| WALTER ZAREMBA | |||||||
| MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| AARON THOMPSON | |||||||
| EXECUTIVE DIRECTOR/CEO | 40.00 | Yes (X) | $0 | $131,970 | $34,888 | ||
| LORENZO MODESTE DDS | |||||||
| DENTAL DIRECTOR | 40.00 | $0 | $213,030 | $45,075 | Yes (X) | ||
| STACEY RICHMAN CFNP RN | |||||||
| NURSE | 40.00 | $0 | $103,576 | $31,488 | Yes (X) | ||
| KENDRA ROBINSON CFNP RN | |||||||
| CLINIC DIRECTOR | 40.00 | $0 | $115,496 | $17,257 | Yes (X) | ||
| JAMARA CHRISTIAN CFNP RN | |||||||
| NURSE | 40.00 | $0 | $104,900 | $24,262 | Yes (X) | ||
| SYDNEY GREENBERG CFNP RN | |||||||
| NURSE | 40.00 | $0 | $100,516 | $23,538 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $769,488 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $176,508 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $74,123 | FundraisingAmt |
| Government Grants | $663,798 | GovernmentGrantsAmt |
| All Other Contributions | $871,861 | AllOtherContributionsAmt |
| Total Contributions | $1,609,782 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID/MEDICARE | 621300 | $709,000 | $709,000 |
| PATIENT BILLING | 621300 | $184,139 | $184,139 |
| COMMERCIAL INSURANCE | 621300 | $113,791 | $113,791 |
| SCREENING & EXAMS | 621300 | $7,191 | $7,191 |
| CAPITATION PAYMENTS | 621300 | $2,659 | $2,659 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,016,780 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $126,208 | TotalRevenueColumnAmt |
| Exclusion | $126,208 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $400,000 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $90,953 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $309,047 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $309,047 | TotalRevenueColumnAmt |
| Exclusion | $309,047 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $74,123 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $3,214 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,214 | TotalRevenueColumnAmt |
| Exclusion | -$3,214 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $496 | TotalRevenueColumnAmt |
| Exclusion | $496 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $496 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,059,099 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,016,780 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $432,537 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,858 | TotalAmt |
| Program Services | $152,622 | ProgramServicesAmt |
| Management And General | $7,298 | ManagementAndGeneralAmt |
| Fundraising | $6,938 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,489,506 | TotalAmt |
| Program Services | $1,370,304 | ProgramServicesAmt |
| Management And General | $63,054 | ManagementAndGeneralAmt |
| Fundraising | $56,148 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $613,853 | TotalAmt |
| Program Services | $549,193 | ProgramServicesAmt |
| Management And General | $30,120 | ManagementAndGeneralAmt |
| Fundraising | $34,540 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,318 | TotalAmt |
| Program Services | $123,569 | ProgramServicesAmt |
| Management And General | $5,686 | ManagementAndGeneralAmt |
| Fundraising | $5,063 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,952 | TotalAmt |
| Management And General | $30,952 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,961 | TotalAmt |
| Program Services | $102,917 | ProgramServicesAmt |
| Management And General | $104,832 | ManagementAndGeneralAmt |
| Fundraising | $5,212 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,179 | TotalAmt |
| Program Services | $103,768 | ProgramServicesAmt |
| Management And General | $38,979 | ManagementAndGeneralAmt |
| Fundraising | $8,432 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $791 | TotalAmt |
| Program Services | $528 | ProgramServicesAmt |
| Management And General | $72 | ManagementAndGeneralAmt |
| Fundraising | $191 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,033 | TotalAmt |
| Management And General | $49,033 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,677 | TotalAmt |
| Program Services | $14,218 | ProgramServicesAmt |
| Management And General | $3,729 | ManagementAndGeneralAmt |
| Fundraising | $3,730 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $123,897 | $102,137 | $11,771 | $9,989 |
| TRAINING AND MEMBERSHIP | $21,009 | $10,357 | $7,868 | $2,784 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,239 | TotalAmt |
| Fundraising | $7,239 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,023,273 | TotalAmt |
| Program Services | $2,529,613 | ProgramServicesAmt |
| Management And General | $353,394 | ManagementAndGeneralAmt |
| Fundraising | $140,266 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,179 | BOYAmt |
| EOY | $38,202 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,436,219 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,324 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $225,289 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $195,829 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $137,303 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,437 | BOYAmt |
| EOY | $58,526 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $5,566,905 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $145,037 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,784,159 | BOYAmt |
| EOY | $6,033,959 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,908 | BOYAmt |
| EOY | $81,589 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,983 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $159,281 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,891 | BOYAmt |
| EOY | $240,870 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,412,268 | BOYAmt |
| EOY | $3,543,089 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,250,000 | BOYAmt |
| EOY | $2,250,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,662,268 | BOYAmt |
| EOY | $5,793,089 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,784,159 | BOYAmt |
| EOY | $6,033,959 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $35,826 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $95,430 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$435 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,436,219 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $530,686 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $400,000 | OtherExpendituresAmt |
| End Year Balance | $5,566,905 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,014,103 | BeginningYearBalanceAmt |
| Contributions | $500,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$577,884 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $500,000 | OtherExpendituresAmt |
| End Year Balance | $5,436,219 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,642,405 | BeginningYearBalanceAmt |
| Contributions | $141,823 | ContributionsAmt |
| Investment Earnings Or Losses | $1,229,875 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,014,103 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,695,253 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $201,120 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $253,968 | OtherExpendituresAmt |
| End Year Balance | $4,642,405 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,400,307 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $445,019 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $150,073 | OtherExpendituresAmt |
| End Year Balance | $4,695,253 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.59580 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.40420 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $195,829 | OtherCostOrOtherBasisAmt |
| Depreciation | $137,303 | DepreciationAmt |
| Book Value | $58,526 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $58,526 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE LIABILITIES | $145,415 |
| DUE TO JCC | $13,866 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $159,281 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $3,226,822 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $95,430 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $69,079 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $164,509 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,062,313 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$3,214 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$3,214 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,059,099 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,095,566 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $69,079 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $3,214 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $72,293 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,023,273 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,023,273 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ENDOWMENT WAS ESTABLISHED TO SUPPORT THE CENTER'S MISSION AND TO CREATE A PERMANENT FUND TO PROVIDE A STEADY SOURCE OF INCOME TO PARTIALLY DEFRAY THE OPERATIONAL EXPENSES OF THE CENTER. THE REQUIREMENT IS TO KEEP THE ORIGINAL CORPUS INTACT, BUT EARNINGS ON THESE FUNDS MAY BE USED BY AUTHORITY AND APPROVAL OF THE BOARD OF DIRECTORS. THE ORIGINAL CORPUS CONSISTS OF THE $2,250,000 PROVIDED BY SENTARA AND THE WHF AND IS CLASSIFIED AS NET ASSETS WITH DONOR RESTRICTIONS IN PERPETUITY. THE ENDOWMENT CONSISTS OF DONOR-RESTRICTED FUNDS, INCLUDING: (A) THE ORIGINAL VALUE OF GIFTS DONATED TO THE ENDOWMENT, AND (B) THE ORIGINAL VALUE OF SUBSEQUENT GIFTS TO THE ENDOWMENT. THE ENDOWMENT FURTHER CONSISTS OF UNRESTRICTED FUNDS, INCLUDING ACCUMULATIONS TO THE ENDOWMENT IN WHICH THE EARNINGS ARE CONSIDERED TO HAVE NO RESTRICTIONS, IN ACCORDANCE WITH THE DONOR'S GIFT INSTRUMENT, THAT FUNDS ACCUMULATED CAN BE USED FOR THE PURPOSE OF THE ORGANIZATION AND IMMEDIATELY AT THE DISCRETION OF THE BOARD OF DIRECTORS OF THE ORGANIZATION. AS OF JUNE 30, 2023 AND 2022, THESE DONOR-RESTRICTED ENDOWMENT FUNDS TOTAL $2,250,000 AND ARE REQUIRED TO BE MAINTAINED IN PERPETUITY. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EXPENSES -3,214. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EXPENSES 3,214. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF EVENT | Event1Nm |
| Gross Receipts Event1 | $74,123 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $74,123 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $3,214 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $74,123 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $74,123 | CharitableContributionsTotAmt |
| Oth Direct Expnss Total Events | $3,214 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $3,214 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$3,214 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LORENZO MODESTE DDS | ||||||||||||||
| DENTAL DIRECTOR | $0 | $212,030 | $0 | $1,000 | $0 | $0 | $0 | $30,665 | $0 | $14,410 | $0 | $258,105 | $0 | $0 |
| AARON THOMPSON | ||||||||||||||
| EXECUTIVE DIRECTOR/CEO | $0 | $130,970 | $0 | $1,000 | $0 | $0 | $0 | $19,374 | $0 | $15,514 | $0 | $166,858 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | INTEGRATED CARE GRANT FROM SENTARA CARES TO PROVIDE BEHAVIORAL HEALTH CARE TO THE PATIENTS THAT ARE SERVED IN THE GREATER WILLIAMSBURG COMMUNITY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE TAX RETURN IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND PRESENTED TO AND REVIEWED WITH THE EXECUTIVE DIRECTOR, BUSINESS MANAGER, AND FINANCE COMMITTEE. ANY REVISIONS TO THE FORM 990 WILL BE GIVEN TO THE ACCOUNTANT FOR CHANGES AND THEN RETURNED TO THE FINANCE COMMITTEE FOR FINAL APPROVAL. THE ENTIRE BOARD REVIEWS THE DOCUMENT, THEREAFTER. |
| FORM 990, PART VI, SECTION B, LINE 12C | NEW BOARD MEMBERS OF THE ORGANIZATION SIGN A CONFLICT OF INTEREST STATEMENT BEFORE BEING APPOINTED TO THE BOARD. THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED ANNUALLY BY THE GOVERNANCE AND NOMINATING COMMITTEE ALONG WITH THE CHAIR OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15A | THERE IS AN ANNUAL REVIEW OF THE EXECUTIVE DIRECTOR BY THE CHAIR, EXECUTIVE COMMITTEE, AND THEN THE BOARD AS A WHOLE. IT IS CONDUCTED IN CLOSED SESSION, WITHOUT THE EXECUTIVE DIRECTOR PRESENT. AFTERWARD, THERE IS A MEETING TO REVIEW THE FEEDBACK PROVIDED FOR THE EXECUTIVE DIRECTOR'S BENEFIT. THERE ARE ALSO DISCUSSIONS AND ANALYSIS BY THE ENIRE BOARD REGARDING ANY MERIT AND OR PRODUCTION INCREASES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON THEIR WEBSITE AT WWW.OLDETOWNEMEDICALCENTER.ORG. THE MINUTES AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAMES CITY COUNTY VIRGINIA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101-F MOUNTS BAY ROAD | AddressLine1Txt |
| City | WILLIAMSBURG | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23185 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 546001365 | EIN |
| Primary Activities | LOCAL GOVERNMENT | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| JAMES CITY COUNTY VIRGINIA | ||
| C | $372,260 | CASH BASIS |
| JAMES CITY COUNTY VIRGINIA | ||
| O | $2,404,535 | CASH BASIS |
| JAMES CITY COUNTY VIRGINIA | ||
| K | $132,000 | CASH BASIS |