CENTRAL VIRGINIA HEALTH SERVICES INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CENTRAL VIRGINIA HEALTH SERVICES INC (EIN 54-0887287)
Tax period
2021-04-01 to 2022-03-31
Filed
2023-02-13
IRS object ID
202340449349301114
Schema version
2021v4.0
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)
Return2023-02-13T10:26:54-05:00ReturnTs
Tax Period End2022-03-31TaxPeriodEndDt

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 Line110 HEDGEROW DRAddressLine1Txt
CitySTAUNTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24401ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540887287EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL VIRGINIA HEALTH SERVICESBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone4345813271PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 220AddressLine1Txt
CityNEW CANTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23123ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLES W ALLBAUGHPersonNm
Person TitleCFOPersonTitleTxt
Phone4345813271PhoneNum
Signature2023-02-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHARLESPersonFirstNm
Person LastALLBAUGHPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES W KELLYPreparerPersonNm
PTINP01486083PTIN
Phone5402487300PhoneNum
Preparation2023-02-13PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-03-07 01:45:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHARLES W ALLBAUGHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line125892 JAMES MADISON HWYAddressLine1Txt
CityNEW CANTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23123ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$67,111,160GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CVHSINC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionCENTRAL VIRGINIA HEALTH SERVICES IS COMMITTED TO PROVIDING SAFE, ACCESSIBLE, AFFORDABLE, COMPREHENSIVE, HIGH QUALITY AND CULTURALLY SENSITIVE HEALTH AND DENTAL SERVICES TO THE PEOPLE IT SERVES. ANYONE CAN RECEIVE HEALTH CARE SERVICES, INSURED OR UNINSURED. LOW INCOME PATIENTS MAY BE ELIGIBLE FOR A DISCOUNT BASED ON THEIR INCOME AND FAMILY SIZE.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee569TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$15,499,754PYContributionsGrantsAmt
CY Contributions Grants$19,442,465CYContributionsGrantsAmt
PY Program Service Revenue$37,404,603PYProgramServiceRevenueAmt
CY Program Service Revenue$46,912,679CYProgramServiceRevenueAmt
PY Investment Income$2,717,922PYInvestmentIncomeAmt
CY Investment Income$756,016CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$55,622,279PYTotalRevenueAmt
CY Total Revenue$67,111,160CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$33,056,308PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$36,730,908CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$95,088CYTotalFundraisingExpenseAmt
PY Other Expenses$13,139,340PYOtherExpensesAmt
CY Other Expenses$14,400,111CYOtherExpensesAmt
PY Total Expenses$46,195,648PYTotalExpensesAmt
CY Total Expenses$51,131,019CYTotalExpensesAmt
PY Revenues Less Expenses$9,426,631PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,980,141CYRevenuesLessExpensesAmt
Total Assets BOY$57,140,833TotalAssetsBOYAmt
Total Assets EOY$73,302,827TotalAssetsEOYAmt
Total Liabilities BOY$9,505,164TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,325,529TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$47,635,669NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$61,977,298NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCENTRAL VIRGINIA HEALTH SERVICES, INC. (ORGANIZATION) IS A NON-PROFIT HEALTH CARE ORGANIZATION WITH LOCATIONS IN BOWLING GREEN, CHARLES CITY, NEW CANTON, CHARLOTTE COURT HOUSE, FARMVILLE, ALBERTA, PETERSBURG, AYLETT, HOPEWELL, MONTROSS, CHARLOTTESVILLE AND FREDERICKSBURG VIRGINIA. THE ORGANIZATION PROVIDES COMPREHENSIVE HEALTH AND MEDICAL CARE SERVICES ON AN OUT-PATIENT BASIS TO THE RESIDENTS OF THE COUNTIES OF FLUVANNA, CHARLES CITY, BUCKINGHAM, CUMBERLAND, CHARLOTTE, BRUNSWICK, ALBEMARLE, PRINCE EDWARD, KING WILLIAM, KIND AND QUEEN, CAROLINE, LOUISA, WESTMORELAND, PRINCE GEORGE, RICHMOND, CITY OF PETERSBURG, CITY OF HOPEWELL, CITY OF FREDERICKSBURG, CITY OF CHARLOTTESVILLE AND OTHER SURROUNDING COUNTIES. THE CENTER SERVES APPROXIMATELY 40,000 PATIENTS ANNUALLY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$41,806,523ExpenseAmt
DescPROVIDE OUT-PATIENT HEALTH AND DENTAL CARE TO RESIDENTS OF FLUVANNA, CHARLES CITY, BUCKINGHAM, CUMBERLAND, CHARLOTTE, BRUNSWICK, ALBEMARLE, PRINCE EDWARD, KING WILLIAM, KING AND QUEEN, CAROLINE, LOUISA, WESTMORELAND, PRINCE GEORGE AND RICHMOND COUNTIES AND THE CITIES OF PETERSBURG, HOPEWELL, CHARLOTTESVILLE AND FREDERICKSBURG.Desc
Total Program Service Expenses$41,806,523TotalProgramServiceExpensesAmt
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 LiabilitiesfalseReportOtherLiabilitiesInd
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 Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee569EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHARLES W ALLBAUGHPersonNm
Phone4345813271PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line125892 JAMES MADISON HWYAddressLine1Txt
CityNEW CANTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23123ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
RANDALL BASHORE
MEDICAL DIRE40.00Yes (X)$479,147$0$34,599
BRIAN BLACKWELL
PHYSICIAN40.00$344,460$0$30,967Yes (X)
CHARLES W ALLBAUGH
CFO40.00$319,930$0$41,450Yes (X)
PAULA TOMKO
CEO40.00$302,193$0$18,323Yes (X)
DAVID M CAMPANELLI
PHYSICIAN40.00$263,547$0$43,746Yes (X)
SAM BATEMAN
BOARD SECRET1.00$0$0$0Yes (X)Yes (X)
NINEL ESPINOSA FOSS
DIRECTOR1.00$0$0$0Yes (X)
ARACELY HARRIS
DIRECTOR1.00$0$0$0Yes (X)
DEBRA S JONES
DIRECTOR1.00$0$0$0Yes (X)
GRANVILLE E FISHER JR
DIRECTOR1.00$0$0$0Yes (X)
STEVEN MANSTER
DIRECTOR1.00$0$0$0Yes (X)
PEGGY SCOTT
DIRECTOR1.00$0$0$0Yes (X)
FRANKIE SHERIDAN
PRESIDENT1.00$0$0$0Yes (X)Yes (X)
ROBERT SMITH
TREASURER1.00$0$0$0Yes (X)Yes (X)
BYRON ADKINS SR
VICE PRESIDE1.00$0$0$0Yes (X)Yes (X)
JEARLINE A TAYLOR
DIRECTOR1.00$0$0$0Yes (X)
TAMICA WILLIAMS
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,709,277TotalReportableCompFromOrgAmt
Total Other Compensation$169,085TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$18,219,675GovernmentGrantsAmt
All Other Contributions$1,222,790AllOtherContributionsAmt
Total Contributions$19,442,465TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET MEDICAL/DENTAL CHARGES$45,530,140$45,530,140
OTHER REVENUE$1,382,539$1,382,539
FieldValueIRS element (for citing)
Total Program Service Revenue$46,912,679TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$756,016TotalRevenueColumnAmt
Exclusion$756,016ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$67,111,160TotalRevenueColumnAmt
Related Or Exempt Func Income$46,912,679RelatedOrExemptFuncIncomeAmt
Exclusion$756,016ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,195,642TotalAmt
Program Services$308,248ProgramServicesAmt
Management And General$855,343ManagementAndGeneralAmt
Fundraising$32,051FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$26,843,811TotalAmt
Program Services$24,563,563ProgramServicesAmt
Management And General$2,230,699ManagementAndGeneralAmt
Fundraising$49,549FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$910,755TotalAmt
Program Services$675,207ProgramServicesAmt
Management And General$231,644ManagementAndGeneralAmt
Fundraising$3,904FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,861,271TotalAmt
Program Services$5,093,138ProgramServicesAmt
Management And General$768,133ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,919,429TotalAmt
Program Services$1,714,998ProgramServicesAmt
Management And General$198,667ManagementAndGeneralAmt
Fundraising$5,764FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,921,445TotalAmt
Program Services$1,543,334ProgramServicesAmt
Management And General$378,111ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,019,075TotalAmt
Program Services$591,373ProgramServicesAmt
Management And General$425,004ManagementAndGeneralAmt
Fundraising$2,698FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,066,920TotalAmt
Management And General$1,066,920ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$43,979TotalAmt
Program Services$26,159ProgramServicesAmt
Management And General$17,661ManagementAndGeneralAmt
Fundraising$159FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$204,346TotalAmt
Program Services$70,742ProgramServicesAmt
Management And General$133,041ManagementAndGeneralAmt
Fundraising$563FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$548,735TotalAmt
Program Services$244,633ProgramServicesAmt
Management And General$304,102ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$186,843TotalAmt
Management And General$186,843ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$6,736,452$6,418,523$317,929
DUES AND SUBSCRIPTIONS$1,942,632$240,732$1,701,500$400
REPAIRS AND MAINTENANCE$651,611$276,612$374,999
TAXES AND LICENSES$78,073$39,261$38,812

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$51,131,019TotalAmt
Program Services$41,806,523ProgramServicesAmt
Management And General$9,229,408ManagementAndGeneralAmt
Fundraising$95,088FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,786,778BOYAmt
EOY$7,784,554EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$18,622,777BOYAmt
EOY$19,856,285EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,135,350BOYAmt
EOY$8,218,431EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,706,748BOYAmt
EOY$5,218,600EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$268,233BOYAmt
EOY$272,182EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,018,870LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,306,002LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,656,840BOYAmt
EOY$11,712,868EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$16,892,736BOYAmt
EOY$17,714,324EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$71,371BOYAmt
EOY$2,525,583EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$57,140,833BOYAmt
EOY$73,302,827EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,505,164BOYAmt
EOY$11,325,529EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,505,164BOYAmt
EOY$11,325,529EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$47,635,669BOYAmt
EOY$61,977,298EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$47,635,669BOYAmt
EOY$61,977,298EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,140,833BOYAmt
EOY$73,302,827EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$15,980,141ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,035,723NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$397,211OtherChangesInNetAssetsAmt
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)
HospitalYes (X)HospitalInd

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)
Investment Cost Or Other Basis$512,313InvestmentCostOrOtherBasisAmt
Book Value$512,313BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$16,124,870InvestmentCostOrOtherBasisAmt
Depreciation$6,770,288DepreciationAmt
Book Value$9,354,582BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,381,687InvestmentCostOrOtherBasisAmt
Depreciation$3,535,714DepreciationAmt
Book Value$1,845,973BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,712,868TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$65,075,437TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$2,035,723NetUnrealizedGainsInvstAmt
Revenue Not Reported-$2,035,723RevenueNotReportedAmt
Revenue Subtotal$67,111,160RevenueSubtotalAmt
Total Revenue Per Form990$67,111,160TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$51,131,019TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$51,131,019ExpensesSubtotalAmt
Total Expenses Per Form990$51,131,019TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
RANDALL BASHORE
MEDICAL DIRECTOR$454,987$24,160$34,599$513,746
BRIAN BLACKWELL
PHYSICIAN$312,376$32,084$30,967$375,427
CHARLES W ALLBAUGH
CFO$295,770$24,160$41,450$361,380
PAULA TOMKO
CEO$278,033$24,160$18,323$320,516
DAVID M CAMPANELLI
PHYSICIAN$251,828$11,719$43,746$307,293

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONCENTRAL VIRGINIA HEALTH SERVICES, INC. (ORGANIZATION) IS A NON-PROFIT HEALTH CARE ORGANIZATION WITH LOCATIONS IN BOWLING GREEN, CHARLES CITY, NEW CANTON, CHARLOTTE COURT HOUSE, FARMVILLE, ALBERTA, PETERSBURG, AYLETT, HOPEWELL, MONTROSS, CHARLOTTESVILLE AND FREDERICKSBURG VIRGINIA. THE ORGANIZATION PROVIDES COMPREHENSIVE HEALTH AND MEDICAL CARE SERVICES ON AN OUT-PATIENT BASIS TO THE RESIDENTS OF THE COUNTIES OF FLUVANNA, CHARLES CITY, BUCKINGHAM, CUMBERLAND, CHARLOTTE, BRUNSWICK, ALBEMARLE, PRINCE EDWARD, KING WILLIAM, KIND AND QUEEN, CAROLINE, LOUISA, WESTMORELAND, PRINCE GEORGE, RICHMOND, CITY OF PETERSBURG, CITY OF HOPEWELL, CITY OF FREDERICKSBURG, CITY OF CHARLOTTESVILLE AND OTHER SURROUNDING COUNTIES. THE CENTER SERVES APPROXIMATELY 40,000 PATIENTS ANNUALLY.
FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE FORM 990 IS PROVIDED TO THE BOARD MEMBERS
FORM 990, PAGE 6, PART VI, LINE 12CCOPLIANCE IS ENFORCED AT VARYING LEVELS OF DISCIPLINARY ACTIONS FOR VIOLATIONS TO BE REPORTED PROMPTLY TO THE EXECUTIVE DIRECTOR OR TO THE PRESIDENT OF THE BOARD, IF THE EXECUTIVE DIRECTOR HAS VIOLATED THE POLICY.
FORM 990, PAGE 6, PART VI, LINE 15ATHE EXECUTIVE DIRECTOR IS HIRED AND EVAULATED ANNUALLY BY THE BOARD OF DIRECTORS. ALL OTHER EMPLOYEES ARE HIRED BY THE EXECUTIVE DIRECTOR WHO DETERMINES THEIR COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUESTS TO THE EXECUTIVE DIRECTOR.
FORM 990, PART XI, LINE 9ADJUSTMENT TO CORRECT THE BAL OF CASH/CASH EQUIV. 397,211

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