EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED (EIN 51-0196935)
- Tax period
- 2020-06-01 to 2021-05-31
- Filed
- 2021-09-30
- IRS object ID
- 202102739349300410
- Schema version
- 2020v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-09-30T08:35:51-05:00 | ReturnTs |
| Tax Period End | 2021-05-31 | 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 | 2020-06-01 | 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 | MATTHEW CLAY | PersonNm |
| Person Title | CHIEF EXECUTIVE OFF. | PersonTitleTxt |
| Phone | 7574140400 | PhoneNum |
| Signature | 2021-09-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MATTHEW | PersonFirstNm |
| Person Last | CLAY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID E FOLEY | PreparerPersonNm |
| PTIN | P01457488 | PTIN |
| Phone | 4349738314 | PhoneNum |
| Preparation | 2021-09-22 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MATTHEW CLAY | 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 | $31,374,836 | 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 | 358 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $7,067,545 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,892,660 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $21,248,530 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,173,872 | CYProgramServiceRevenueAmt |
| PY Investment Income | $62,818 | PYInvestmentIncomeAmt |
| CY Investment Income | $139,147 | CYInvestmentIncomeAmt |
| PY Other Revenue | $24,963 | PYOtherRevenueAmt |
| CY Other Revenue | $57,322 | CYOtherRevenueAmt |
| PY Total Revenue | $28,403,856 | PYTotalRevenueAmt |
| CY Total Revenue | $31,263,001 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,185,284 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,265,550 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $588,267 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,660,274 | PYOtherExpensesAmt |
| CY Other Expenses | $7,072,680 | CYOtherExpensesAmt |
| PY Total Expenses | $24,845,558 | PYTotalExpensesAmt |
| CY Total Expenses | $26,338,230 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,558,298 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,924,771 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $38,919,662 | TotalAssetsBOYAmt |
| Total Assets EOY | $43,291,038 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,803,398 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,250,003 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,116,264 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $36,041,035 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OPERATION OF FEDERALLY SUPPORTED COMMUNITY HEALTH CENTERS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $22,588,514 | ExpenseAmt |
| Revenue | $23,173,872 | RevenueAmt |
| Desc | ORGANIZATION OPERATES SEVEN 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 | $22,588,514 | 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 | Yes (true) | 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 | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 358 | 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 (31 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 | |||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BETTY BIBBINS | |||||||
| VICE PRESIDE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ALICE JONES | |||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BOB KERNS | |||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DENISE BLAND | |||||||
| PAST PRESIDE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LUTHER BYRD | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LISA CUBA | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KEITH COLONNA | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ARTHUR FOURNIER | |||||||
| 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 | ||
| MARISA SANCHEZ | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN SCHULZ | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN SPARKMAN | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM STURGIS | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| NANCY STERN | |||||||
| CHIEF EXECUT | 40.00 | $206,689 | $0 | $0 | Yes (X) | ||
| MATTHEW CLAY | |||||||
| CHIEF EXECUT | 40.00 | $29,766 | $0 | $0 | Yes (X) | ||
| KANDICE BRUNO | |||||||
| CHIEF FINANC | 40.00 | $166,347 | $0 | $0 | Yes (X) | ||
| ANNE CRABBE | |||||||
| CHIEF OPERAT | 40.00 | $123,557 | $0 | $0 | Yes (X) | ||
| SCOTT WOLPIN | |||||||
| CHIEF DENTAL | 40.00 | $236,851 | $0 | $0 | Yes (X) | ||
| THOMAS HOLLANDSWORTH | |||||||
| CHIEF MEDICA | 40.00 | $252,570 | $0 | $0 | Yes (X) | ||
| JEANNETTE EDWARDS | |||||||
| CHIEF HR OFF | 40.00 | $125,335 | $0 | $0 | Yes (X) | ||
| KIMBERLY SAVAGE | |||||||
| CHIEF COMPLI | 40.00 | $113,800 | $0 | $0 | Yes (X) | ||
| MIKE ZODUN | |||||||
| CHIEF INFORM | 40.00 | $108,361 | $0 | $0 | Yes (X) | ||
| JENNIFER TYLER | |||||||
| CHIEF CLIN I | 40.00 | $95,264 | $0 | $0 | Yes (X) | ||
| SANDRA HEARN | |||||||
| CHIEF NURSIN | 40.00 | $107,861 | $0 | $0 | Yes (X) | ||
| DAVID HOSHINO | |||||||
| DOCTOR | 40.00 | $229,328 | $0 | $0 | Yes (X) | ||
| JEANNE ROLL | |||||||
| DOCTOR | 40.00 | $219,498 | $0 | $0 | Yes (X) | ||
| JOAN LINGEN | |||||||
| DOCTOR | 40.00 | $204,319 | $0 | $0 | Yes (X) | ||
| THOMAS MURRAY | |||||||
| DOCTOR | 40.00 | $194,033 | $0 | $0 | Yes (X) | ||
| ALBERT HALLS | |||||||
| DOCTOR | 40.00 | $193,052 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,606,631 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 33 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $7,627,417 | GovernmentGrantsAmt |
| All Other Contributions | $265,243 | AllOtherContributionsAmt |
| Noncash Contributions | $26,866 | NoncashContributionsAmt |
| Total Contributions | $7,892,660 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PATIENT SERVICE | $17,788,227 | $17,788,227 |
| 340B | $5,385,645 | $5,385,645 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,173,872 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,782 | TotalRevenueColumnAmt |
| Exclusion | $21,782 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $600 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $600 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $600 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $600 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $229,200 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $111,835 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $117,365 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $117,365 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $117,365 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Total Revenue Column | $56,722 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,722 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $56,722 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,263,001 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,348,559 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $21,782 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,873,916 | TotalAmt |
| Program Services | $733,551 | ProgramServicesAmt |
| Management And General | $746,725 | ManagementAndGeneralAmt |
| Fundraising | $393,640 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,304,120 | TotalAmt |
| Program Services | $13,261,051 | ProgramServicesAmt |
| Management And General | $996,802 | ManagementAndGeneralAmt |
| Fundraising | $46,267 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $450,355 | TotalAmt |
| Program Services | $390,383 | ProgramServicesAmt |
| Management And General | $49,784 | ManagementAndGeneralAmt |
| Fundraising | $10,188 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,673,442 | TotalAmt |
| Program Services | $1,450,599 | ProgramServicesAmt |
| Management And General | $184,987 | ManagementAndGeneralAmt |
| Fundraising | $37,856 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $963,717 | TotalAmt |
| Program Services | $835,384 | ProgramServicesAmt |
| Management And General | $106,532 | ManagementAndGeneralAmt |
| Fundraising | $21,801 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,266 | TotalAmt |
| Management And General | $18,266 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,400 | TotalAmt |
| Management And General | $41,400 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,156 | TotalAmt |
| Program Services | $327,347 | ProgramServicesAmt |
| Fundraising | $30,809 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,933 | TotalAmt |
| Management And General | $181,933 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $866,401 | TotalAmt |
| Program Services | $435,801 | ProgramServicesAmt |
| Management And General | $407,750 | ManagementAndGeneralAmt |
| Fundraising | $22,850 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,180 | TotalAmt |
| Program Services | $65,059 | ProgramServicesAmt |
| Management And General | $3,690 | ManagementAndGeneralAmt |
| Fundraising | $431 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,178 | TotalAmt |
| Management And General | $61,660 | ManagementAndGeneralAmt |
| Fundraising | $2,518 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,667 | TotalAmt |
| Program Services | $68,973 | ProgramServicesAmt |
| Management And General | $39,694 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $870,481 | TotalAmt |
| Program Services | $786,302 | ProgramServicesAmt |
| Management And General | $75,370 | ManagementAndGeneralAmt |
| Fundraising | $8,809 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,287 | TotalAmt |
| Management And General | $87,287 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PHARMACY PROGRAMS | $2,045,597 | $2,045,597 | ||
| MEDICAL SUPPLIES | $1,699,817 | $1,699,817 | ||
| TELEPHONE & UTILITIES | $344,793 | $239,325 | $94,431 | $11,037 |
| REPAIRS & MAINTENANCE | $256,221 | $236,524 | $17,636 | $2,061 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,303 | TotalAmt |
| Program Services | $12,801 | ProgramServicesAmt |
| Management And General | $47,502 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,338,230 | TotalAmt |
| Program Services | $22,588,514 | ProgramServicesAmt |
| Management And General | $3,161,449 | ManagementAndGeneralAmt |
| Fundraising | $588,267 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,062,770 | BOYAmt |
| EOY | $17,262,238 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,500 | BOYAmt |
| EOY | $36,250 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,215,157 | BOYAmt |
| EOY | $3,892,122 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,482 | BOYAmt |
| EOY | $13,446 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,337,177 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,256,195 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,489,753 | BOYAmt |
| EOY | $22,080,982 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,000 | BOYAmt |
| EOY | $6,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,919,662 | BOYAmt |
| EOY | $43,291,038 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,354,040 | BOYAmt |
| EOY | $2,375,393 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,350,883 | BOYAmt |
| EOY | $4,699,777 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,475 | BOYAmt |
| EOY | $174,833 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,803,398 | BOYAmt |
| EOY | $7,250,003 | 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 | $30,984,764 | BOYAmt |
| EOY | $35,997,393 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,500 | BOYAmt |
| EOY | $43,642 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,116,264 | BOYAmt |
| EOY | $36,041,035 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,919,662 | BOYAmt |
| EOY | $43,291,038 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,924,771 | 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 | $5,812,005 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,267,704 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,785,029 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,067,545 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,892,660 | CurrentTaxYearAmt |
| Total | $32,824,943 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,112,136 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,367,550 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,175,631 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,273,493 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,231,194 | CurrentTaxYearAmt |
| Total | $102,160,004 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,924,141 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,635,254 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,960,660 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,341,038 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,123,854 | CurrentTaxYearAmt |
| Total | $134,984,947 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $134,984,947 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,168 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,046 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $44,997 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,818 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,782 | CurrentTaxYearAmt |
| Total | $167,811 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,168 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,046 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $44,997 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,818 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,782 | CurrentTaxYearAmt |
| Total | $167,811 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,199 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,047 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,761 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,363 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $56,721 | CurrentTaxYearAmt |
| Total | $148,091 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,959,508 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,683,347 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,027,418 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,428,219 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,202,357 | CurrentTaxYearAmt |
| Total | $135,300,849 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99770 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99810 | 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 148,091 | 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 | $24,630,999 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,851,803 | DepreciationAmt |
| Book Value | $19,779,196 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,717,012 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,404,392 | DepreciationAmt |
| Book Value | $1,312,620 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,080,982 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER LIABILITIES | Desc |
| Amt | $174,833 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $174,833 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $31,263,001 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $31,263,001 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $31,263,001 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $26,338,230 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $26,338,230 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $26,338,230 | 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 |
|---|---|---|
| NANCY STERN | ||
| CHIEF EXECUTIVE OFF. | $206,689 | $206,689 |
| KANDICE BRUNO | ||
| CHIEF FINANCIAL OFF. | $166,347 | $166,347 |
| SCOTT WOLPIN | ||
| CHIEF DENTAL OFFICER | $236,851 | $236,851 |
| THOMAS HOLLANDSWORTH | ||
| CHIEF MEDICAL OFF. | $252,570 | $252,570 |
| DAVID HOSHINO | ||
| DOCTOR | $229,328 | $229,328 |
| JEANNE ROLL | ||
| DOCTOR | $219,498 | $219,498 |
| JOAN LINGEN | ||
| DOCTOR | $204,319 | $204,319 |
| THOMAS MURRAY | ||
| DOCTOR | $194,033 | $194,033 |
| ALBERT HALLS | ||
| DOCTOR | $193,052 | $193,052 |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $26,866 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
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. |
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