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WILLAMSBURG AREA MEDICAL ASSISTANCE CORPORATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
WILLAMSBURG AREA MEDICAL ASSISTANCE CORPORATION (EIN 54-1663905)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-03-28
IRS object ID
202230879349300353
Schema version
2020v4.2
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)
Return2022-03-28T08:04:29-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN540504608PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BROWN EDWARDS & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1701 TOWN CENTER DRIVEAddressLine1Txt
CityNEWPORT NEWSCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN541663905EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WMBG AREA MEDICAL ASSISTANCE CORPBusinessNameLine1Txt
Business Name Line2DBA OLDE TOWNE MEDICAL AND DENTAL CENTERBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlWILLBusinessNameControlTxt
Phone7572593252PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15249 OLDE TOWNE ROADAddressLine1Txt
CityWILLIAMSBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23188ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAARON THOMPSONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7572593252PhoneNum
Signature2022-03-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstAARONPersonFirstNm
Person LastTHOMPSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLESLIE F ROBERTSPreparerPersonNm
PTINP00040492PTIN
Phone7578731033PhoneNum
Preparation2022-03-16PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAARON THOMPSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15249 OLDE TOWNE ROADAddressLine1Txt
CityWILLIAMSBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23188ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,103,103GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.OLDETOWNEMEDICALCENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionOLDE 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.ActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent24VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers24TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,087,841PYContributionsGrantsAmt
CY Contributions Grants$2,239,041CYContributionsGrantsAmt
PY Program Service Revenue$500,035PYProgramServiceRevenueAmt
CY Program Service Revenue$458,978CYProgramServiceRevenueAmt
PY Investment Income$227,260PYInvestmentIncomeAmt
CY Investment Income$401,991CYInvestmentIncomeAmt
PY Other Revenue-$3,183PYOtherRevenueAmt
CY Other Revenue-$5,700CYOtherRevenueAmt
PY Total Revenue$2,811,953PYTotalRevenueAmt
CY Total Revenue$3,094,310CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,995,294PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,040,057CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$160,157CYTotalFundraisingExpenseAmt
PY Other Expenses$514,895PYOtherExpensesAmt
CY Other Expenses$553,076CYOtherExpensesAmt
PY Total Expenses$2,510,189PYTotalExpensesAmt
CY Total Expenses$2,593,133CYTotalExpensesAmt
PY Revenues Less Expenses$301,764PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$501,177CYRevenuesLessExpensesAmt
Total Assets BOY$5,446,804TotalAssetsBOYAmt
Total Assets EOY$6,847,397TotalAssetsEOYAmt
Total Liabilities BOY$441,118TotalLiabilitiesBOYAmt
Total Liabilities EOY$515,743TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,005,686NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,331,654NetAssetsOrFundBalancesEOYAmt
MissionOLDE TOWNE MEDICAL AND DENTAL CENTER'S MISSION IS TO ENSURE ACCESS TO QUALITY HEALTH AND WELLNESS CARE TO THE RESIDENTS AND WORKFORCE OF THE GREATER WILLIAMSBURG COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,162,218ExpenseAmt
Revenue$455,885RevenueAmt
DescOLDE 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.Desc
Total Program Service Expenses$2,162,218TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members24GoverningBodyVotingMembersCnt
Independent Voting Member24IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF JAMES CITY VIRGINIABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7572536630PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101-F MOUNTS BAY ROADAddressLine1Txt
CityWILLIAMSBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23185ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHRISTOPHER JAMES
CHAIR1.00Yes (X)Yes (X)$0$0$0
BENJAMIN PUCKETT
TREASURER1.00Yes (X)Yes (X)$0$0$0
JANICE FOWLER
MEMBER1.00Yes (X)$0$0$0
CHERYL FIELDS CPA
MEMBER1.00Yes (X)$0$0$0
RASHID JONES
MEMBER1.00Yes (X)$0$0$0
BRIAN FULLER
MEMBER1.00Yes (X)$0$0$0
CHRISTINE PAYNE
MEMBER1.00Yes (X)$0$0$0
HENRY RANGER
MEMBER1.00Yes (X)$0$0$0
STACY KERN-SCHEERER
MEMBER1.00Yes (X)$0$0$0
SHARON MARCHELYA
MEMBER1.00Yes (X)$0$0$0
DAVID MASTERSON
MEMBER1.00Yes (X)$0$0$0
RANA GRAHAM-MONTAQUE DDS
MEMBER1.00Yes (X)$0$0$0
RAMON RODRIGUEZ III MD
MEMBER1.00Yes (X)$0$0$0
SHANNON WOLOSZYNOWSKI
MEMBER1.00Yes (X)$0$0$0
RUTH LARSON
MEMBER1.00Yes (X)$0$0$0
CALEB ROGERS
MEMBER1.00Yes (X)$0$0$0
CAMILLA BUCHANAN MD MPH
MEMBER1.00Yes (X)$0$0$0
AMANDA ULISHNEY
MEMBER1.00Yes (X)$0$0$0
ADRIA VANHOOZIER
MEMBER1.00Yes (X)$0$0$0
FRANK SISTO
MEMBER1.00Yes (X)$0$0$0
JONATHAN WEISS
MEMBER1.00Yes (X)$0$0$0
WALTER ZAREMBA
MEMBER1.00Yes (X)$0$0$0
WENDY EVANS
MEMBER1.00Yes (X)$0$0$0
CHERYL COCHET
MEMBER1.00Yes (X)$0$0$0
AARON THOMPSON
EXECUTIVE MEDICAL DIRECTOR (EFF. 07/21)40.00Yes (X)$0$53,469$12,132
KENDRA ROBINSON
CLINIC DIRECTOR40.00$0$102,940$34,061Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$156,409TotReportableCompRltdOrgAmt
Total Other Compensation$46,193TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$78FederatedCampaignsAmt
Fundraising$94,502FundraisingAmt
Government Grants$952,182GovernmentGrantsAmt
All Other Contributions$1,192,279AllOtherContributionsAmt
Total Contributions$2,239,041TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT BILLING621300$238,341$238,341
MEDICAID - BILLINGS621300$99,395$99,395
MEDICARE - BILLINGS621300$47,708$47,708
MEDICAID DENTAL - BILL621300$42,936$42,936
COMMERCIAL INSURANCE621300$25,051$25,051

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,547TotalRevenueColumnAmt
Related Or Exempt Func Income$5,547RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$458,978TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$405,084TotalRevenueColumnAmt
Exclusion$405,084ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,093SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$3,093SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,093TotalRevenueColumnAmt
Related Or Exempt Func Income-$3,093RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$94,502ContriRptFundraisingEventAmt
Fundraising Direct Expenses$5,700FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,700TotalRevenueColumnAmt
Exclusion-$5,700ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,094,310TotalRevenueColumnAmt
Related Or Exempt Func Income$455,885RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$399,384ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$289,861TotalAmt
Program Services$217,396ProgramServicesAmt
Management And General$72,465ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,261,262TotalAmt
Program Services$1,151,489ProgramServicesAmt
Management And General$34,059ManagementAndGeneralAmt
Fundraising$75,714FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$131,478TotalAmt
Program Services$122,275ProgramServicesAmt
Management And General$9,203ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$248,252TotalAmt
Program Services$211,568ProgramServicesAmt
Management And General$8,388ManagementAndGeneralAmt
Fundraising$28,296FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$109,204TotalAmt
Program Services$96,996ProgramServicesAmt
Management And General$6,649ManagementAndGeneralAmt
Fundraising$5,559FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$29,215TotalAmt
Management And General$29,215ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$180,723TotalAmt
Program Services$129,992ProgramServicesAmt
Management And General$30,495ManagementAndGeneralAmt
Fundraising$20,236FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$43,429TotalAmt
Program Services$14,868ProgramServicesAmt
Management And General$9,383ManagementAndGeneralAmt
Fundraising$19,178FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$113,940TotalAmt
Program Services$85,465ProgramServicesAmt
Management And General$22,778ManagementAndGeneralAmt
Fundraising$5,697FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,953TotalAmt
Program Services$850ProgramServicesAmt
Management And General$1,105ManagementAndGeneralAmt
Fundraising-$2FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$25,759TotalAmt
Management And General$25,759ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,768TotalAmt
Program Services$17,118ProgramServicesAmt
Management And General$1,650ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$82,191$72,605$5,502$4,084
FURNITURE AND EQUIPMENT$22,917$15,732$6,473$712
COVID 19 PANDEMIC COSTS$17,242$17,153$30$59
DUES AND SUBSCRIPTIONS$11,907$5,526$5,757$624

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,032TotalAmt
Program Services$3,185ProgramServicesAmt
Management And General$1,847ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,593,133TotalAmt
Program Services$2,162,218ProgramServicesAmt
Management And General$270,758ManagementAndGeneralAmt
Fundraising$160,157FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$466,296BOYAmt
EOY$501,946EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,642,405BOYAmt
EOY$6,014,103EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$190,836BOYAmt
EOY$221,729EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$195,829LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$87,227LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$130,668BOYAmt
EOY$108,602EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$16,599BOYAmt
EOY$1,017EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,446,804BOYAmt
EOY$6,847,397EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$40,348BOYAmt
EOY$47,558EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$400,770BOYAmt
EOY$468,185EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$441,118BOYAmt
EOY$515,743EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,755,686BOYAmt
EOY$4,081,654EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,250,000BOYAmt
EOY$2,250,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,005,686BOYAmt
EOY$6,331,654EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,446,804BOYAmt
EOY$6,847,397EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$501,177ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$824,791NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,642,405BeginningYearBalanceAmt
Contributions$141,823ContributionsAmt
Investment Earnings Or Losses$1,229,875InvestmentEarningsOrLossesAmt
End Year Balance$6,014,103EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,695,253BeginningYearBalanceAmt
Investment Earnings Or Losses$201,120InvestmentEarningsOrLossesAmt
Other Expenditures$253,968OtherExpendituresAmt
End Year Balance$4,642,405EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,400,307BeginningYearBalanceAmt
Investment Earnings Or Losses$445,019InvestmentEarningsOrLossesAmt
Other Expenditures$150,073OtherExpendituresAmt
End Year Balance$4,695,253EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,287,137BeginningYearBalanceAmt
Investment Earnings Or Losses$245,861InvestmentEarningsOrLossesAmt
Other Expenditures$132,691OtherExpendituresAmt
End Year Balance$4,400,307EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,278,476BeginningYearBalanceAmt
Investment Earnings Or Losses$391,164InvestmentEarningsOrLossesAmt
Other Expenditures$236,589OtherExpendituresAmt
End Year Balance$4,287,137EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.62588BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.37412PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$195,829OtherCostOrOtherBasisAmt
Depreciation$87,227DepreciationAmt
Book Value$108,602BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$108,602TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$3,988,055TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$824,791NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$63,255DonatedServicesAndUseFcltsAmt
Other Revenue$5,699OtherRevenueAmt
Revenue Not Reported$893,745RevenueNotReportedAmt
Revenue Subtotal$3,094,310RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,094,310TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,662,087TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$63,255DonatedServicesUseFcltsAmt
Other Expenses Included$5,699OtherExpensesIncludedAmt
Expenses Not Reported$68,954ExpensesNotReportedAmt
Expenses Subtotal$2,593,133ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,593,133TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:WILLIAMSBURG AREA MEDICAL ASSISTANCE CORP INTENDS TO ONLY USE FUNDS FROM THE ENDOWMENT FUND AS NEEDED TO SUPPORT THE CENTER'S MISSION AND TO PROVIDE A STEADY SOURCE OF INCOME TO PARTIALLY DEFRAY OPERATIONAL EXPENSES OF THE CENTER. THE INTENT IS TO KEEP THE ORIGINAL CORPUS INTACT, BUT THE PRINCIPAL MAY BE INVADED BY AUTHORITY OF THE BOARD OF DIRECTORS UNDER CERTAIN CIRCUMSTANCES, SUCH AS AN EXTRAORDINARY NATURAL CALAMITY. TO DATE NO PORTION OF THE CORPUS HAS BEEN USED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES NETTED AGAINST REVENUE
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES NETTED AGAINST REVENUE

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF EVENTEvent1Nm
Gross Receipts Event1$86,676GrossReceiptsEvent1Amt
Charitable Contri Event1$86,676CharitableContriEvent1Amt
Other Direct Expenses Event1$1,000OtherDirectExpensesEvent1Amt
Event2OTHEREvent2Nm
Gross Receipts Event2$7,826GrossReceiptsEvent2Amt
Charitable Contri Event2$7,826CharitableContriEvent2Amt
Other Direct Expenses Event2$4,700OtherDirectExpensesEvent2Amt
Gross Receipts Total$94,502GrossReceiptsTotalAmt
Charitable Contributions Tot$94,502CharitableContributionsTotAmt
Oth Direct Expnss Total Events$5,700OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$5,700DirectExpenseSummaryEventsAmt
Net Income Summary-$5,700NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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.
FORM 990, PART VI, SECTION B, LINE 12CNEW BOARD MEMBERS OF THE ORGANIZATION SIGN A CONFLICT OF INTEREST STATEMENT BEFORE BEING APPOINTED TO THE BOARD. THE CONFLICT OF INTEREST STATEMENT IS REVIEWED ANNUALLY AT THE MAY BOARD MEETING TO REMIND BOARD MEMBERS OF THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE DIRECTOR'S SALARY AND ANNUAL ADJUSTMENT ARE DETERMINED BY THE BOARD OF DIRECTORS. OTHER KEY EMPLOYEE POSITION SALARIES ARE DETERMINED BY THE ORGANIZATION'S SALARY RANGE SHEET WHICH SHOWS THE MINIMUM, AVERAGE, AND MAXIMUM ANNUAL SALARIES AND HOURLY WAGE BY POSITION. ALL OTHER EMPLOYEES' ANNUAL INCREASES ARE DETERMINED BY THE EXECUTIVE DIRECTOR BASED ON WILLIAMSBURG AREA MEDICAL ASSISTANCE CORP'S BUDGET. JAMES CITY COUNTY VA CONTROLS ALL HIRING PRACTICES, PROCESSING OF PAYROLL, AND PAYROLL TAX REPORTING. JAMES CITY COUNTY IS A MAJOR CONTRIBUTOR TO THE ORGANIZATION'S BUDGET. IF FUNDS ARE AVAILABLE, EMPLOYEES TYPICALLY GET THE SAME ANNUAL INCREASE PERCENT AS COUNTY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19THE 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.
PART XII, LINE 2C EXPLANATIONTHE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE CURRENT TAX YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1JAMES CITY COUNTY VIRGINIABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101-F MOUNTS BAY ROADAddressLine1Txt
CityWILLIAMSBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23185ZIPCd
FieldValueIRS element (for citing)
EIN546001365EIN
Primary ActivitiesLOCAL GOVERNMENTPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
JAMES CITY COUNTY VIRGINIA
C$350,893CASH BASIS
JAMES CITY COUNTY VIRGINIA
K$113,940CASH BASIS
JAMES CITY COUNTY VIRGINIA
O$2,040,057CASH BASIS
JAMES CITY COUNTY VIRGINIA
P$18,768CASH BASIS

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