2021-10-28T11:40:56-05:00 2020-12-31 540737372 PBMARES LLP 558 SOUTH MAIN STREET HARRISONBURG VA 22801 990 2020-01-01 020813294 HARRISONBURG COMMUNITY HEALTH CENTER HARR 5404334913 P O BOX 308 HARRISONBURG VA 22803 BETH MOSELEY CHIEF FINANCIAL OFFICER 5404334913 2021-10-26 1 BETH MOSELEY XXX-XX-XXXX EDWARD T YODER CPA P00239134 5404345975 2021-10-26 X 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BETH MOSELEY 1380 LITTLE SORRELL DRIVE SUITE 100 HARRISONBURG VA 22801 10560834 0 X WWW.HBURGCHC.ORG X 2007 VA TO BE A LEADING PROVIDER OF QUALITY HEALTHCARE IN THE DIVERSE COMMUNITY OF HARRISONBURG AND ROCKINGHAM COUNTY, VIRGINIA. THE ORGANIZATION PROVIDES DISCOUNTED MEDICAL AND DENTAL SERVICES BASED ON INCOME ELIGIBILITY. 12 12 158 12 -19536 0 2737422 3766756 6996172 6756617 507 868 -17229 -9450 9716872 10514791 0 0 0 0 6670783 7048353 1282 0 39997 2874115 3214183 9546180 10262536 170692 252255 6206790 7996634 1954172 3491760 4252618 4504874 TO BE A LEADING PROVIDER OF QUALITY HEALTHCARE IN THE DIVERSE COMMUNITY OF HARRISONBURG AND ROCKINGHAM COUNTY, VIRGINIA. THE ORGANIZATION PROVIDES DISCOUNTED MEDICAL AND DENTAL SERVICES BASED ON INCOME ELIGIBILITY. 0 0 6553492 6359376 PROVIDED ACCESSIBLE AND AFFORDABLE PRIMARY HEALTH CARE SERVICES IN HARRISONBURG, VIRGINIA, AND THE SURROUNDING AREA. THERE WERE 42,184 PATIENT VISITS IN 2020. IN 2020, 9,961 UNINSURED VISITS WERE PROVIDED WITH HEALTHCARE INCLUDING DISCOUNTS UNDER A SLIDING FEE SCALE FOR LOW INCOME ELIGIBLE PERSONS. THE ORGANIZATION PROVIDES CULTURALLY SENSITIVE HEALTHCARE INCLUDING LANGUAGE TRANSLATION AS NEEDED. 1148701 407327 PROVIDED ACCESSIBLE AND AFFORABLE DENTAL SERVICES IN HARRISONBURG, VIRGINIA, AND THE SURROUNDING AREA. 742694 GRANTS TO VALLEY AIDS NETWORK FUNDED BY THE FEDERAL RYAN WHITE PROGRAM TO PROVIDE RAPID HIV TESTING SERVICES, COMPREHESIVE HEALTH EDUCATION, AND HOLISTIC SUPPORT TO INDIVIDUALS AFFECTED BY HIV/AIDS IN THE CENTRAL SHENANDOAH VALLEY. 8444887 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 40 0 1 158 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 1 0 0 X BETH MOSELEY 5404334913 1380 LITTLE SORRELL DRIVE SUITE 100 HARRISONBURG VA 22801 REGINA SCHWEITZER BOARD CHAIR 2.00 X X 0 0 0 JOHN WEIR MD VICE CHAIR 2.00 X X 0 0 0 SHERRY MONGOLD TREASURER 2.00 X X 0 0 0 ERIKA METZLER-SAWIN SECRETARY 2.00 X X 0 0 0 DAVID COCKLEY PHD MEMBER 1.00 X 0 0 0 LISA BURKHOLDER MEMBER 1.00 X 0 0 0 RICK HAUSHALTER MEMBER 1.00 X 0 0 0 SILVIA GARCIA ROMERO MEMBER 1.00 X 0 0 0 SCOTT RICHARDSON MEMBER 1.00 X 0 0 0 JOHN TAYLOR MEMBER 1.00 X 0 0 0 WAYNE WOODSON MEMBER 1.00 X 0 0 0 JESS HOSTETLER MEMBER 1.00 X 0 0 0 LISA BRICKER EXECUTIVE DIRECTOR 35.00 X 151171 0 10375 ELIZABETH MOSELEY CHIEF FINANCIAL OFFICER 35.00 X 93868 0 9595 JEROME HOTCHKISS MD MEDICAL PROVIDER 35.00 X 188434 0 21317 JEFF DOMINGUS MD MEDICAL PROVIDER 35.00 X 197912 0 17849 MEGAN WILLIAMS MD MEDICAL PROVIDER 35.00 X 179944 0 9515 THERESA HAMEL MD MEDICAL PROVIDER 35.00 X 159765 0 14979 MITZY GOLDEN DENTAL PROVIDER 35.00 X 129968 0 9281 1101062 0 92911 6 0 1 0 0 3299613 467143 3766756 MEDICAL/DENTAL SERVICES 622110 5223126 5223126 PHARMACEUTICAL SALES 446110 1533491 1533491 6756617 868 868 26507 46043 -19536 -19536 -19536 MISCELLANEOUS INCOME 900099 7233 7233 MEDICAL RECORDS INCOME 900099 2853 2853 10086 10514791 6766703 -19536 868 X 265009 265009 5808380 4856894 916094 35392 539651 455594 82497 1560 435313 348687 83846 2780 1305681 1044019 261662 718 322 396 321407 247318 73844 245 305941 292659 13282 7624 5720 1904 41420 31037 10383 157536 152809 4727 29634 21656 7978 PATIENT CARE COSTS 847638 847638 DUES, FEES, AND LICENSE 119841 95747 24094 STAFF DEVELOPMENT 42170 40225 1925 20 OTHER 22346 4031 18315 12227 531 11696 10262536 8444887 1777652 39997 477246 1405279 1678340 2512327 0 21523 30009 23234 5384914 1350643 4021195 4034271 6206790 7996634 587550 861349 1343224 2614162 23398 16249 1954172 3491760 X 4252618 4504874 4252618 4504874 6206790 7996634 252255 0 X X 0 1 X 1 0 X 1822225 2381220 2578098 2737422 3766756 13285721 2837036 5357620 6072179 6996172 6766703 28029710 4659261 7738840 8650277 9733594 10533459 41315431 0 0 0 41315431 51091 52028 52380 52443 27375 235317 51091 52028 52380 52443 27375 235317 4710352 7790868 8702657 9786037 10560834 41550748 0.99430 0.99260 0.00570 0.00740 X 769404 769404 3832187 781826 3050361 15373 975 14398 764150 567842 196308 3800 3800 4034271 X 10560834 46043 46043 10514791 0 10514791 10308579 46043 46043 10262536 0 10262536 PART X, LINE 2: THE ORGANIZATION ADOPTED THE PROVISIONS OF ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AS REQUIRED BY THE INCOME TAXES TOPIC OF THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC); HOWEVER, MANAGEMENT DOES NOT BELIEVE IT IS EXPOSED TO ANY SUCH POSITIONS AS THEY ARE DEFINED IN THIS GUIDANCE. THE ORGANIZATION FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, ANNUALLY WITH THE UNITED STATES DEPARTMENT OF THE TREASURY AND FORM 990T, EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN, WHEN REQUIRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 46,043. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 46,043. X 0 0 0 0 0 0 0 0 0 JEFF DOMINGUS MD MEDICAL PROVIDER 197912 0 0 0 0 0 8299 0 9550 0 215761 0 0 0 JEROME HOTCHKISS MD MEDICAL PROVIDER 188434 0 0 0 0 0 8067 0 13250 0 209751 0 0 0 MEGAN WILLIAMS MD MEDICAL PROVIDER 179944 0 0 0 0 0 6698 0 2817 0 189459 0 0 0 THERESA HAMEL MD MEDICAL PROVIDER 159765 0 0 0 0 0 6721 0 8258 0 174744 0 0 0 LISA BRICKER EXECUTIVE DIRECTOR 151171 0 0 0 0 0 1093 0 9282 0 161546 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWED AN ELECTRONIC COPY OF THE 990 PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS SETS AND REVIEWS COMPENSATION ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION IS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE CORPORATE OFFICE. FORM 990, PART IX, LINE 11G OTHER CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 1,044,019. MANAGEMENT AND GENERAL EXPENSES 261,662. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,305,681. FORM 990, PART XII, LINCE 2C: THERE WERE NO CHANGES TO THE PROCESS FROM LAST YEAR. THE FINANCE COMMITTEE OVERSEES THE AUDIT PROCESS, INCLUDING THE SELECTIONS OF THE INDEPENDENT AUDITOR.