EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED (EIN 51-0196935)
Tax period: 2022-06-01 to 2023-05-31
Filed: 2023-10-06
IRS object ID: 202312799349300336
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-10-06T14:09:26-04:00	ReturnTs
Tax Period End	2023-05-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	541896113	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ROBINSON FARMER COX ASSOCIATES	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	530 WESTFIELD RD	AddressLine1Txt
City	CHARLOTTESVILLE	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	229011726	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-06-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	510196935	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EASTERN SHORE RURAL HEALTH	BusinessNameLine1Txt
Business Name Line2	SYSTEM INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	EAST	BusinessNameControlTxt
Phone	7574140400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20280 MARKET STREET	AddressLine1Txt
City	ONANCOCK	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23417	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEANNETTE EDWARDS	PersonNm
Person Title	CHIEF EXECUTIVE OFF.	PersonTitleTxt
Phone	7574140400	PhoneNum
Signature	2023-09-19	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JEANETTE	PersonFirstNm
Person Last	EDWARDS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	false	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL E LUPTON	PreparerPersonNm
PTIN	P02141280	PTIN
Phone	4349738314	PhoneNum
Preparation	2023-10-06	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JEANNETTE EDWARDS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20280 MARKET STREET	AddressLine1Txt
City	ONANCOCK	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23417	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$39,254,153	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ESRH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1976	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	OPERATION OF FEDERALLY SUPPORTED COMMUNITY HEALTH CENTERS.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	392	TotalEmployeeCnt
Total Volunteers	15	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$12,436,857	PYContributionsGrantsAmt
CY Contributions Grants	$9,275,392	CYContributionsGrantsAmt
PY Program Service Revenue	$25,661,663	PYProgramServiceRevenueAmt
CY Program Service Revenue	$29,305,001	CYProgramServiceRevenueAmt
PY Investment Income	$19,297	PYInvestmentIncomeAmt
CY Investment Income	$616,992	CYInvestmentIncomeAmt
PY Other Revenue	$167,183	PYOtherRevenueAmt
CY Other Revenue	$56,768	CYOtherRevenueAmt
PY Total Revenue	$38,285,000	PYTotalRevenueAmt
CY Total Revenue	$39,254,153	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$20,438,353	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$23,778,653	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$651,504	CYTotalFundraisingExpenseAmt
PY Other Expenses	$7,531,235	PYOtherExpensesAmt
CY Other Expenses	$12,282,913	CYOtherExpensesAmt
PY Total Expenses	$27,969,588	PYTotalExpensesAmt
CY Total Expenses	$36,061,566	CYTotalExpensesAmt
PY Revenues Less Expenses	$10,315,412	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,192,587	CYRevenuesLessExpensesAmt
Total Assets BOY	$50,328,522	TotalAssetsBOYAmt
Total Assets EOY	$55,188,808	TotalAssetsEOYAmt
Total Liabilities BOY	$3,972,075	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,639,774	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$46,356,447	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$49,549,034	NetAssetsOrFundBalancesEOYAmt
Mission	OPERATION OF FEDERALLY SUPPORTED COMMUNITY HEALTH CENTERS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$30,354,792	ExpenseAmt
Revenue	$29,305,001	RevenueAmt
Desc	ORGANIZATION OPERATES TEN 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	$30,354,792	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	45	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	392	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MATTHEW CLAY	PersonNm
Phone	7574140400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20280 MARKET STREET	AddressLine1Txt
City	ONANCOCK	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23417	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JEFF HOLLAND
TREASURER	2.00	Yes (X)	$0	$0	$0
BETTY BIBBINS
PRESIDENT	2.00	Yes (X)	$0	$0	$0
ALICE JONES
SECRETARY	2.00	Yes (X)	$0	$0	$0
BOB KERNS
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
LUTHER BYRD
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
LISA CUBA
VICE PRESIDE	2.00	Yes (X)	$0	$0	$0
KEITH COLONNA
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
GARNETT KELLAM
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
SHEILA KERPELMAN
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
JOHN SPARKMAN
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
ANDY COBB
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
DORIS EBONY BROWN
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
WALDO CHARLES
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
CHAD SAUNDERS
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
CONSTANCE JOHNSON
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
MATTHEW CLAY
CHIEF EXECUT	40.00		$241,228	$0	$0	Yes (X)
KANDICE BRUNO
CHIEF FINANC	40.00		$187,346	$0	$0	Yes (X)
TRACY TURMAN
CHIEF OPERAT	40.00		$147,419	$0	$0	Yes (X)
SCOTT WOLPIN
CHIEF DENTAL	40.00		$260,285	$0	$0	Yes (X)
JEANNETTE EDWARDS
CHIEF EXECUT	40.00		$138,989	$0	$0	Yes (X)
KIMBERLY SAVAGE
CHIEF COMPLI	40.00		$125,234	$0	$0	Yes (X)
MICHAEL ZODUN
CHIEF INFORM	40.00		$57,707	$0	$0	Yes (X)
JENNIFER TYLER
CHIEF NURSIN	40.00		$119,606	$0	$0	Yes (X)
JOAN LINGEN
CHIEF MEDICA	40.00		$264,136	$0	$0	Yes (X)
JESSICA BONNIWELL
CHIEF QUALIT	40.00		$108,440	$0	$0	Yes (X)
JESSE WINGATE
DIR. OF BEHA	40.00		$143,962	$0	$0	Yes (X)
JODY OSBON
CHIEF INFORM	40.00		$78,109	$0	$0	Yes (X)
THOMAS HOLLANDSWORTH
DOCTOR	40.00		$260,736	$0	$0		Yes (X)
DAVID HOSHINO
DOCTOR	40.00		$241,977	$0	$0		Yes (X)
JEANNE ROLL
DOCTOR	40.00		$245,895	$0	$0		Yes (X)
ALBERT HALLS
DOCTOR	40.00		$209,983	$0	$0		Yes (X)
IAN GILES
DOCTOR	40.00		$207,435	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,038,487	TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K	39	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Government Grants	$7,970,342	GovernmentGrantsAmt
All Other Contributions	$1,305,050	AllOtherContributionsAmt
Noncash Contributions	$16,091	NoncashContributionsAmt
Total Contributions	$9,275,392	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE	$20,353,296	$20,353,296
340B	$8,951,705	$8,951,705

Field	Value	IRS element (for citing)
Total Program Service Revenue	$29,305,001	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$616,992	TotalRevenueColumnAmt
Exclusion	$616,992	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$700	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$700	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER REVENUE	Desc
Total Revenue Column	$56,068	TotalRevenueColumnAmt
Related Or Exempt Func Income	$56,068	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$56,068	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$39,254,153	TotalRevenueColumnAmt
Related Or Exempt Func Income	$29,361,769	RelatedOrExemptFuncIncomeAmt
Exclusion	$616,992	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,872,461	TotalAmt
Program Services	$793,293	ProgramServicesAmt
Management And General	$721,889	ManagementAndGeneralAmt
Fundraising	$357,279	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$17,554,360	TotalAmt
Program Services	$15,953,387	ProgramServicesAmt
Management And General	$1,485,147	ManagementAndGeneralAmt
Fundraising	$115,826	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$521,039	TotalAmt
Program Services	$444,315	ProgramServicesAmt
Management And General	$65,277	ManagementAndGeneralAmt
Fundraising	$11,447	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,456,400	TotalAmt
Program Services	$2,094,694	ProgramServicesAmt
Management And General	$307,743	ManagementAndGeneralAmt
Fundraising	$53,963	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,374,393	TotalAmt
Program Services	$1,172,013	ProgramServicesAmt
Management And General	$172,187	ManagementAndGeneralAmt
Fundraising	$30,193	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$370,683	TotalAmt
Management And General	$370,683	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$36,146	TotalAmt
Management And General	$36,146	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$706,852	TotalAmt
Program Services	$706,852	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$358,631	TotalAmt
Management And General	$358,631	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,568,620	TotalAmt
Program Services	$583,145	ProgramServicesAmt
Management And General	$936,456	ManagementAndGeneralAmt
Fundraising	$49,019	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$71,247	TotalAmt
Program Services	$68,553	ProgramServicesAmt
Management And General	$2,443	ManagementAndGeneralAmt
Fundraising	$251	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$183,906	TotalAmt
Management And General	$174,938	ManagementAndGeneralAmt
Fundraising	$8,968	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$48,435	TotalAmt
Program Services	$44,071	ProgramServicesAmt
Management And General	$4,364	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$969,866	TotalAmt
Program Services	$850,173	ProgramServicesAmt
Management And General	$108,559	ManagementAndGeneralAmt
Fundraising	$11,134	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$130,084	TotalAmt
Management And General	$130,084	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PHARMACY PROGRAMS	$4,504,882	$4,504,882
MEDICAL SUPPLIES	$2,405,486	$2,405,486
REPAIRS & MAINTENANCE	$431,115	$395,327	$32,459	$3,329
TELEPHONE & UTILITIES	$411,348	$302,830	$98,423	$10,095

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$85,612	TotalAmt
Program Services	$35,771	ProgramServicesAmt
Management And General	$49,841	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$36,061,566	TotalAmt
Program Services	$30,354,792	ProgramServicesAmt
Management And General	$5,055,270	ManagementAndGeneralAmt
Fundraising	$651,504	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$24,376,725	BOYAmt
EOY	$17,350,468	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
EOY	$9,783,344	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,250	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,113,071	BOYAmt
EOY	$4,676,002	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,398	BOYAmt
EOY	$61,560	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$30,918,375	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$7,953,641	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$21,815,078	BOYAmt
EOY	$22,964,734	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,000	BOYAmt
EOY	$352,700	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$50,328,522	BOYAmt
EOY	$55,188,808	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,524,545	BOYAmt
EOY	$3,717,893	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$1,300,593	BOYAmt
EOY	$1,689,513	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$146,937	BOYAmt
EOY	$232,368	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,972,075	BOYAmt
EOY	$5,639,774	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	$46,316,697	BOYAmt
EOY	$49,467,820	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$39,750	BOYAmt
EOY	$81,214	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$46,356,447	BOYAmt
EOY	$49,549,034	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$50,328,522	BOYAmt
EOY	$55,188,808	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$3,192,587	ReconcilationRevenueExpnssAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,785,029	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,067,545	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,892,660	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$9,102,459	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,275,392	CurrentTaxYearAmt
Total	$39,123,085	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$22,175,631	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$21,273,493	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$23,231,194	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$25,828,846	CurrentTaxYearMinus1YearAmt
Current Tax Year	$29,361,769	CurrentTaxYearAmt
Total	$121,870,933	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$27,960,660	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$28,341,038	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$31,123,854	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$34,931,305	CurrentTaxYearMinus1YearAmt
Current Tax Year	$38,637,161	CurrentTaxYearAmt
Total	$160,994,018	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$160,994,018	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$44,997	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$62,818	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$21,782	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$19,297	CurrentTaxYearMinus1YearAmt
Current Tax Year	$616,992	CurrentTaxYearAmt
Total	$765,886	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$44,997	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$62,818	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$21,782	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$19,297	CurrentTaxYearMinus1YearAmt
Current Tax Year	$616,992	CurrentTaxYearAmt
Total	$765,886	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$21,761	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$24,363	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$56,721	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$166,483	CurrentTaxYearMinus1YearAmt
Current Tax Year	$56,068	CurrentTaxYearAmt
Total	$325,396	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$28,027,418	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$28,428,219	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$31,202,357	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$35,117,085	CurrentTaxYearMinus1YearAmt
Current Tax Year	$39,310,221	CurrentTaxYearAmt
Total	$162,085,300	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99330	PublicSupportCY509Pct
Public Support PY509	0.99680	PublicSupportPY509Pct
Investment Income CY	0.00000	InvestmentIncomeCYPct
Investment Income PY	0.00000	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	PART III, LINE 12	FormAndLineReferenceDesc
Explanation	OTHER INCOME 325,396	ExplanationTxt

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

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,470,436	OtherCostOrOtherBasisAmt
Depreciation	$6,087,848	DepreciationAmt
Book Value	$20,382,588	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,458,773	OtherCostOrOtherBasisAmt
Depreciation	$1,865,793	DepreciationAmt
Book Value	$1,592,980	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$22,964,734	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	OTHER LIABILITIES	Desc
Amt	$232,368	Amt

Field	Value	IRS element (for citing)
Total Liability	$232,368	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$39,254,153	TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal	$39,254,153	RevenueSubtotalAmt
Total Revenue Per Form990	$39,254,153	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$36,061,566	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$36,061,566	ExpensesSubtotalAmt
Total Expenses Per Form990	$36,061,566	TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
MATTHEW CLAY
CHIEF EXECUTIVE OFF.	$241,228	$241,228
KANDICE BRUNO
CHIEF FINANCIAL OFF.	$187,346	$187,346
SCOTT WOLPIN
CHIEF DENTAL OFFICER	$260,285	$260,285
JOAN LINGEN
CHIEF MEDICAL OFF.	$264,136	$264,136
THOMAS HOLLANDSWORTH
DOCTOR	$260,736	$260,736
DAVID HOSHINO
DOCTOR	$241,977	$241,977
JEANNE ROLL
DOCTOR	$245,895	$245,895
ALBERT HALLS
DOCTOR	$209,983	$209,983
IAN GILES
DOCTOR	$207,435	$207,435

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11B	FORM 990 IS REVIEWED BY THE CEO, CFO, AND THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12C	INITIALLY, BOARD MEMBERS SIGN THE CONFLICT OF INTEREST POLICY AS PART OF ORIENTATION. THE CONFICT 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 15A	THE 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 15B	FOLLOWING 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 19	THE 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.