EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED (EIN 51-0196935)
Tax period
2023-06-01 to 2024-05-31
Filed
2024-09-30
IRS object ID
202442749349301304
Schema version
2023v5.0
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)
Return2024-09-30T13:51:43-04:00ReturnTs
Tax Period End2024-05-31TaxPeriodEndDt

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 Begin2023-06-01TaxPeriodBeginDt

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
Signature2024-09-19SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL E LUPTONPreparerPersonNm
PTINP02141280PTIN
Phone4349738314PhoneNum
Preparation2024-09-30PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

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$49,901,420GrossReceiptsAmt
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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee435TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$9,275,392PYContributionsGrantsAmt
CY Contributions Grants$11,572,426CYContributionsGrantsAmt
PY Program Service Revenue$29,305,001PYProgramServiceRevenueAmt
CY Program Service Revenue$36,788,268CYProgramServiceRevenueAmt
PY Investment Income$616,992PYInvestmentIncomeAmt
CY Investment Income$1,445,729CYInvestmentIncomeAmt
PY Other Revenue$56,768PYOtherRevenueAmt
CY Other Revenue$94,997CYOtherRevenueAmt
PY Total Revenue$39,254,153PYTotalRevenueAmt
CY Total Revenue$49,901,420CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$23,778,653PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$26,640,464CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$611,808CYTotalFundraisingExpenseAmt
PY Other Expenses$12,282,913PYOtherExpensesAmt
CY Other Expenses$16,701,566CYOtherExpensesAmt
PY Total Expenses$36,061,566PYTotalExpensesAmt
CY Total Expenses$43,342,030CYTotalExpensesAmt
PY Revenues Less Expenses$3,192,587PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,559,390CYRevenuesLessExpensesAmt
Total Assets BOY$55,188,808TotalAssetsBOYAmt
Total Assets EOY$63,317,200TotalAssetsEOYAmt
Total Liabilities BOY$5,639,774TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,208,776TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$49,549,034NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$56,108,424NetAssetsOrFundBalancesEOYAmt
MissionOPERATION OF FEDERALLY SUPPORTED COMMUNITY HEALTH CENTERS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$37,345,060ExpenseAmt
Revenue$36,788,268RevenueAmt
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$37,345,060TotalProgramServiceExpensesAmt
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 ContriYes (true)DeductibleNonCashContriInd
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 Document45IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee435EmployeeCnt
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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
BETTY BIBBINS
PRESIDENT2.00Yes (X)$0$0$0
LISA CUBA
VICE PRESIDE2.00Yes (X)$0$0$0
CHAD SAUNDERS
TREASURER2.00Yes (X)$0$0$0
ALICE JONES
SECRETARY2.00Yes (X)$0$0$0
JAY DAVENPORT
BOARD MEMBER2.00Yes (X)$0$0$0
LUTHER BYRD
BOARD MEMBER2.00Yes (X)$0$0$0
ANDY COBB
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
LESLIE WEST
BOARD MEMBER2.00Yes (X)$0$0$0
CONSTANCE JOHNSON
BOARD MEMBER2.00Yes (X)$0$0$0
MATTHEW CLAY
CHIEF EXECUT40.00$30,270$0$0Yes (X)
KANDICE BRUNO
CHIEF FINANC40.00$202,899$0$0Yes (X)
TRACY TURMAN
CHIEF OPERAT40.00$123,814$0$0Yes (X)
SCOTT WOLPIN
CHIEF DENTAL40.00$278,826$0$0Yes (X)
JEANNETTE EDWARDS
CHIEF EXECUT40.00$277,217$0$0Yes (X)
KIMBERLY SAVAGE
CHIEF COMPLI40.00$139,408$0$0Yes (X)
JENNIFER TYLER
CHIEF OPS &40.00$144,189$0$0Yes (X)
JOAN LINGEN
CHIEF MEDICA40.00$291,294$0$0Yes (X)
JESSICA BONNIWELL
CHIEF QUALIT40.00$116,680$0$0Yes (X)
JESSE WINGATE
DIR. OF BEHA40.00$69,671$0$0Yes (X)
JODY OSBON
CHIEF INFORM40.00$181,739$0$0Yes (X)
THOMAS HOLLANDSWORTH
DOCTOR40.00$281,408$0$0Yes (X)
DAVID HOSHINO
DOCTOR40.00$262,352$0$0Yes (X)
JEANNE ROLL
DOCTOR40.00$262,228$0$0Yes (X)
ALBERT HALLS
DOCTOR40.00$225,337$0$0Yes (X)
IAN GILES
DOCTOR40.00$214,625$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,101,957TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K50IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$6,244,987GovernmentGrantsAmt
All Other Contributions$5,327,439AllOtherContributionsAmt
Noncash Contributions$25,507NoncashContributionsAmt
Total Contributions$11,572,426TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE$24,344,487$24,344,487
340B$8,324,862$8,324,862
LOCAL PHARMACY REVENUE$4,118,919$4,118,919
FieldValueIRS element (for citing)
Total Program Service Revenue$36,788,268TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,445,729TotalRevenueColumnAmt
Exclusion$1,445,729ExclusionAmt

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$94,297TotalRevenueColumnAmt
Related Or Exempt Func Income$94,297RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$94,297OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,901,420TotalRevenueColumnAmt
Related Or Exempt Func Income$36,883,265RelatedOrExemptFuncIncomeAmt
Exclusion$1,445,729ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,856,003TotalAmt
Program Services$748,646ProgramServicesAmt
Management And General$854,301ManagementAndGeneralAmt
Fundraising$253,056FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$20,240,984TotalAmt
Program Services$18,381,611ProgramServicesAmt
Management And General$1,664,669ManagementAndGeneralAmt
Fundraising$194,704FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$523,099TotalAmt
Program Services$447,680ProgramServicesAmt
Management And General$66,640ManagementAndGeneralAmt
Fundraising$8,779FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,444,805TotalAmt
Program Services$2,092,319ProgramServicesAmt
Management And General$311,455ManagementAndGeneralAmt
Fundraising$41,031FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,575,573TotalAmt
Program Services$1,348,411ProgramServicesAmt
Management And General$200,720ManagementAndGeneralAmt
Fundraising$26,442FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$60,283TotalAmt
Management And General$60,283ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,946TotalAmt
Management And General$37,946ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$849,989TotalAmt
Program Services$849,989ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$336,927TotalAmt
Management And General$336,927ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,812,780TotalAmt
Program Services$580,346ProgramServicesAmt
Management And General$1,175,304ManagementAndGeneralAmt
Fundraising$57,130FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$162,745TotalAmt
Program Services$160,360ProgramServicesAmt
Management And General$2,217ManagementAndGeneralAmt
Fundraising$168FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$199,683TotalAmt
Management And General$189,657ManagementAndGeneralAmt
Fundraising$10,026FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$125,183TotalAmt
Program Services$121,364ProgramServicesAmt
Management And General$3,819ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,159,584TotalAmt
Program Services$1,016,630ProgramServicesAmt
Management And General$132,863ManagementAndGeneralAmt
Fundraising$10,091FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$157,245TotalAmt
Management And General$157,245ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PHARMACY PROGRAMS$7,945,248$7,945,248
MEDICAL SUPPLIES$2,779,849$2,779,849
TELEPHONE & UTILITIES$508,659$407,148$94,346$7,165
REPAIRS & MAINTENANCE$481,920$436,361$42,343$3,216

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$83,525TotalAmt
Program Services$29,098ProgramServicesAmt
Management And General$54,427ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$43,342,030TotalAmt
Program Services$37,345,060ProgramServicesAmt
Management And General$5,385,162ManagementAndGeneralAmt
Fundraising$611,808FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,350,468BOYAmt
EOY$5,668,000EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,783,344BOYAmt
EOY$26,245,176EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,676,002BOYAmt
EOY$6,926,105EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$61,560BOYAmt
EOY$378,408EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$31,726,492LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,066,317LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$22,964,734BOYAmt
EOY$22,660,175EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$352,700BOYAmt
EOY$539,336EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$55,188,808BOYAmt
EOY$63,317,200EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,717,893BOYAmt
EOY$2,385,837EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$1,689,513BOYAmt
EOY$4,649,950EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$232,368BOYAmt
EOY$172,989EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,639,774BOYAmt
EOY$7,208,776EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$49,467,820BOYAmt
EOY$56,108,424EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$81,214BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$49,549,034BOYAmt
EOY$56,108,424EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$55,188,808BOYAmt
EOY$63,317,200EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$6,559,390ReconcilationRevenueExpnssAmt
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$7,067,545CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,892,660CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,102,459CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,275,392CurrentTaxYearMinus1YearAmt
Current Tax Year$11,572,426CurrentTaxYearAmt
Total$44,910,482TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,273,493CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,231,194CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,828,846CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,361,769CurrentTaxYearMinus1YearAmt
Current Tax Year$36,883,265CurrentTaxYearAmt
Total$136,578,567TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,341,038CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,123,854CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,931,305CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,637,161CurrentTaxYearMinus1YearAmt
Current Tax Year$48,455,691CurrentTaxYearAmt
Total$181,489,049TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$181,489,049PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,818CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,782CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,297CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$616,992CurrentTaxYearMinus1YearAmt
Current Tax Year$1,445,729CurrentTaxYearAmt
Total$2,166,618TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,818CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,782CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,297CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$616,992CurrentTaxYearMinus1YearAmt
Current Tax Year$1,445,729CurrentTaxYearAmt
Total$2,166,618TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,363CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$56,721CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$166,483CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$56,068CurrentTaxYearMinus1YearAmt
Total$303,635TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,428,219CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,202,357CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,117,085CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$39,310,221CurrentTaxYearMinus1YearAmt
Current Tax Year$49,901,420CurrentTaxYearAmt
Total$183,959,302TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98660PublicSupportCY509Pct
Public Support PY5090.99330PublicSupportPY509Pct
Investment Income CY0.01000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
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 303,635ExplanationTxt

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$27,053,087OtherCostOrOtherBasisAmt
Depreciation$6,860,143DepreciationAmt
Book Value$20,192,944BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,684,239OtherCostOrOtherBasisAmt
Depreciation$2,206,174DepreciationAmt
Book Value$1,478,065BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$22,660,175TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHER LIABILITIESDesc
Amt$172,989Amt
FieldValueIRS element (for citing)
Total Liability$172,989TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$49,901,420TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$49,901,420RevenueSubtotalAmt
Total Revenue Per Form990$49,901,420TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$43,342,030TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$43,342,030ExpensesSubtotalAmt
Total Expenses Per Form990$43,342,030TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
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 (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
KANDICE BRUNO
CHIEF FINANCIAL OFF.$202,899$202,899
SCOTT WOLPIN
CHIEF DENTAL OFFICER$278,826$278,826
JEANNETTE EDWARDS
CHIEF EXECUTIVE OFF.$277,217$277,217
JOAN LINGEN
CHIEF MEDICAL OFF.$291,294$291,294
JODY OSBON
CHIEF INFORMATION OF$181,739$181,739
THOMAS HOLLANDSWORTH
DOCTOR$281,408$281,408
DAVID HOSHINO
DOCTOR$262,352$262,352
JEANNE ROLL
DOCTOR$262,228$262,228
ALBERT HALLS
DOCTOR$225,337$225,337
IAN GILES
DOCTOR$214,625$214,625

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PAGE 1, PART I, LINE 4FormAndLineReferenceDesc
ExplanationTRACY TURMAN 24,710 0 0ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$25,507NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

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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