2024-05-13T12:26:48-05:00 2023-06-30 882730877 CHERRY BEKAERT ADVISORY LLC 200 SOUTH 10TH ST STE 900 RICHMOND VA 23219 990 2022-07-01 541663905 WMBG AREA MEDICAL ASSISTANCE CORP WILL 7572593258 5249 OLDE TOWNE ROAD WILLIAMSBURG VA 23188 AARON L THOMPSON EXECUTIVE DIRECTOR 7572593258 2024-05-13 1 AARON THOMPSON 999009999 1 AMY DOSIK P00890743 8046735700 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z OLDE TOWNE MEDICAL AND DENTAL CENTER AARON THOMPSON 5249 OLDE TOWNE ROAD WILLIAMSBURG VA 23188 3153266 0 X HTTPS://WWW.OTMDC.ORG/ X 1993 VA TO ENSURE ACCESS TO QUALITY HEALTH AND WELLNESS CARE TO THE RESIDENTS AND WORKFORCE OF THE GREATER WILLIAMSBURG COMMUNITY. 20 20 44 20 0 0 2087404 1609782 687435 1016780 558441 435255 -18118 -2718 3315162 3059099 0 0 0 0 2315542 2404535 0 0 140266 532681 618738 2848223 3023273 466939 35826 5784159 6033959 121891 240870 5662268 5793089 X 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. 1 0 2529613 1016780 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. 2529613 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 9 0 1 44 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X COUNTY OF JAMES CITY VIRGINIA 7572536630 101-F MOUNTS BAY ROAD WILLIAMSBURG VA 23185 CHRISTOPHER JAMES CHAIR 5.00 X X 0 0 0 BECCA BRUHL VICE CHAIR 3.00 X X 0 0 0 BEN PUCKETT CHAIR - FINANCE 4.00 X X 0 0 0 FRANK SISTO CHAIR - C & D 4.00 X X 0 0 0 CHRISTINE PAYNE CHAIR - G & N 3.00 X X 0 0 0 JONATHAN WEISS CHAIR - P & P 4.00 X X 0 0 0 CHERYL FIELDS MEMBER 3.00 X 0 0 0 DR RANA GRAHAM - MONTAQUE MEMBER 3.00 X 0 0 0 RICK JACKSON MEMBER 3.00 X 0 0 0 SCOTT HERR MEMBER 3.00 X 0 0 0 MELISSA TUCKER MEMBER 3.00 X 0 0 0 DR HENRY RANGER MEMBER 3.00 X 0 0 0 AMANDA ULISHNEY MEMBER 3.00 X 0 0 0 ADRIA VANHOOZIER MEMBER 3.00 X 0 0 0 RUTH LARSON MEMBER 3.00 X 0 0 0 CHERYL HOLLAND MEMBER 4.00 X 0 0 0 WENDY EVANS MEMBER 3.00 X 0 0 0 CALEB ROGERS MEMBER 3.00 X 0 0 0 BRIAN FULLER MEMBER 3.00 X 0 0 0 WALTER ZAREMBA MEMBER 3.00 X 0 0 0 AARON THOMPSON EXECUTIVE DIRECTOR/CEO 40.00 X 0 131970 34888 LORENZO MODESTE DDS DENTAL DIRECTOR 40.00 X 0 213030 45075 STACEY RICHMAN CFNP RN NURSE 40.00 X 0 103576 31488 KENDRA ROBINSON CFNP RN CLINIC DIRECTOR 40.00 X 0 115496 17257 JAMARA CHRISTIAN CFNP RN NURSE 40.00 X 0 104900 24262 SYDNEY GREENBERG CFNP RN NURSE 40.00 X 0 100516 23538 0 769488 176508 7 0 1 0 0 74123 663798 871861 1609782 MEDICAID/MEDICARE 621300 709000 709000 PATIENT BILLING 621300 184139 184139 COMMERCIAL INSURANCE 621300 113791 113791 SCREENING & EXAMS 621300 7191 7191 CAPITATION PAYMENTS 621300 2659 2659 1016780 126208 126208 400000 90953 309047 309047 309047 0 74123 3214 -3214 -3214 MISCELLANEOUS REVENUE 900099 496 496 496 3059099 1016780 0 432537 166858 152622 7298 6938 1489506 1370304 63054 56148 613853 549193 30120 34540 134318 123569 5686 5063 30952 30952 212961 102917 104832 5212 151179 103768 38979 8432 791 528 72 191 49033 49033 21677 14218 3729 3730 SUPPLIES 123897 102137 11771 9989 TRAINING AND MEMBERSHIP 21009 10357 7868 2784 7239 7239 3023273 2529613 353394 140266 34179 38202 5436219 0 230324 0 225289 195829 137303 83437 58526 0 5566905 0 145037 5784159 6033959 59908 81589 61983 0 0 159281 121891 240870 X 3412268 3543089 2250000 2250000 5662268 5793089 5784159 6033959 35826 95430 -435 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5436219 530686 400000 5566905 6014103 500000 -577884 500000 5436219 4642405 141823 1229875 6014103 4695253 201120 253968 4642405 4400307 445019 150073 4695253 0.59580 0.40420 1 0 195829 137303 58526 58526 LEASE LIABILITIES 145415 DUE TO JCC 13866 159281 3226822 95430 69079 164509 3062313 -3214 -3214 3059099 3095566 69079 3214 72293 3023273 0 3023273 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. GOLF EVENT 74123 74123 3214 74123 74123 3214 3214 -3214 X X X X 0 0 0 0 0 0 0 0 0 LORENZO MODESTE DDS DENTAL DIRECTOR 0 212030 0 1000 0 0 0 30665 0 14410 0 258105 0 0 AARON THOMPSON EXECUTIVE DIRECTOR/CEO 0 130970 0 1000 0 0 0 19374 0 15514 0 166858 0 0 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. JAMES CITY COUNTY VIRGINIA 101-F MOUNTS BAY ROAD WILLIAMSBURG VA 23185 546001365 LOCAL GOVERNMENT VA 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 JAMES CITY COUNTY VIRGINIA C 372260 CASH BASIS JAMES CITY COUNTY VIRGINIA O 2404535 CASH BASIS JAMES CITY COUNTY VIRGINIA K 132000 CASH BASIS