2020-02-12T18:33:09-06:00 2019-06-30 540504608 BROWN EDWARDS & COMPANY LLP 701 TOWN CENTER DRIVE NEWPORT NEWS VA 23606 990 2018-07-01 541663905 WMBG AREA MEDICAL ASSISTANCE CORP DBA OLDE TOWNE MEDICAL AND DENTAL CENTER WILL 7572593252 5249 OLDE TOWNE ROAD WILLIAMSBURG VA 23188 WILLIAM J MANN JR MD EXECUTIVE / MEDICAL DIRECTOR 7572593252 2020-01-16 1 LESLIE ROBERTS P00040492 7578731033 2020-01-16 206.248.228.130 2020-01-16 23:02:31 ES P D2AAF2CD548628E9B061370D83896158B605C5C0 1626BA036CF3DDA5592C13B1B33E888B46C24478 2018 2020-09-23 17:36:50Z WILLIAM J MANN JR MD 5249 OLDE TOWNE ROAD WILLIAMSBURG VA 23188 2815971 0 X WWW.OLDETOWNEMEDICALCENTER.ORG X 1993 VA OLDE 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. 26 26 0 59 0 0 1919411 1938462 439566 499875 281532 377634 -2566 -22303 2637943 2793668 0 0 0 0 1949919 2005924 0 0 93500 546107 580793 2496026 2586717 141917 206951 4706422 5071361 250697 341299 4455725 4730062 OLDE 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. 0 0 2191819 499875 OLDE 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. 2191819 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 8 0 1 0 0 0 0 0 0 0 0 0 0 0 X 26 26 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X COUNTY OF JAMES CITY VIRGINIA 7572536630 101-F MOUNTS BAY ROAD WILLIAMSBURG VA 23185 THOMAS BROWNLIE CHAIR 1.00 X X 0 0 0 ANNE BRADSTREET SMITH VICE CHAIR 1.00 X X 0 0 0 BENJAMIN PUCKETT TREASURER 1.00 X X 0 0 0 WILLIAM BENNETT DDS MEMBER 1.00 X 0 0 0 CHERYL FIELDS MEMBER 1.00 X 0 0 0 D SCOTT FOSTER JR MEMBER 1.00 X 0 0 0 BRIAN FULLER MEMBER 1.00 X 0 0 0 CHRISTOPHER JAMES MEMBER 1.00 X 0 0 0 JUDITH KNUDSON MEMBER 1.00 X 0 0 0 SHARON MARCHELYA MEMBER 1.00 X 0 0 0 DAVID MASTERSON MEMBER 1.00 X 0 0 0 JOHN MCGLENNON MEMBER 1.00 X 0 0 0 RAMON RODRIQUEZ III MD MEMBER 1.00 X 0 0 0 JANNA ROCHE MEMBER 1.00 X 0 0 0 BRIAN SMALLS MEMBER 1.00 X 0 0 0 JOHN ANDERSON MD MEMBER 1.00 X 0 0 0 CAMILLA BUCHANAN MD MPH MEMBER 1.00 X 0 0 0 AMANDA ULISHNEY MEMBER 1.00 X 0 0 0 ADRIA VANHOOZIER MEMBER 1.00 X 0 0 0 STEVE VIGNOLO MEMBER 1.00 X 0 0 0 JAMES WHITE MEMBER 1.00 X 0 0 0 WALTER ZAREMBA MEMBER 1.00 X 0 0 0 BENMING ZHANG MEMBER 1.00 X 0 0 0 CHRISTINE PAYNE MEMBER 1.00 X 0 0 0 FRANK SISTO MEMBER 1.00 X 0 0 0 JOHNATHAN WEISS MEMBER 1.00 X 0 0 0 WILLIAM J MANN JR MD EXECUTIVE / MEDICAL DIRECT 40.00 X 0 131058 27251 0 131058 27251 0 0 1 0 ALLSCRIPTS 8529 SIX FORKS RD RALEIGH NC 27615 IT SUPPORT SERVICES 101783 1 695 133914 560383 1243470 1938462 PATIENT BILLING 621300 276404 276404 MEDICAID - BILLINGS 621300 77311 77311 COMMERCIAL INSURANCE 621300 66810 66810 MEDICARE - BILLINGS 621300 57425 57425 MISCELLANEOUS REVENUE 621300 14134 14134 7791 7791 499875 377634 377634 0 133914 22303 -22303 -22303 2793668 499875 0 355331 366964 212470 154494 1231317 1182647 1313 47357 104079 89508 11449 3122 190487 182711 7776 113077 100356 9202 3519 28030 28030 172475 149445 11657 11373 40574 7746 20842 11986 105344 79452 21069 4823 7227 3771 3156 300 13189 13189 21374 21374 SUPPLIES 127342 116125 9026 2191 FURNITURE AND EQUIPMENT 53320 43169 9414 737 DUES AND SUBSCRIPTIONS 8679 2395 6134 150 PROFESSIONAL DEVELOPMEN 2464 116 2348 775 534 75 166 2586717 2191819 301398 93500 27662 75684 4400306 4695253 198347 211026 3350 0 132886 43488 76757 89398 4706422 5071361 25697 116299 225000 225000 250697 341299 X 2190575 2480062 15150 0 2250000 2250000 4455725 4730062 4706422 5071361 206951 67386 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4400307 445019 150073 4695253 4287137 245861 132691 4400307 4278476 391164 236589 4287137 4207422 143268 72214 4278476 4106651 100771 4207422 0.52080 0.47920 1 0 132886 43488 89398 89398 X 3238071 67386 92197 284820 444403 2793668 0 2793668 2963734 92197 284820 377017 2586717 0 2586717 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 X, LINE 2: THE CENTER IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES AS A NONPROFIT UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE AND THE TAX STATUTES OF THE COMMONWEALTH OF VIRGINIA. ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL OR STATE INCOME TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST REVENUE BAD DEBT EXPENSES NETTED AGAINST REVENUE PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST REVENUE BAD DEBT EXPENSES NETTED AGAINST REVENUE GOLF EVENT 63719 63719 771 25TH GALA AND OTHER 65930 65930 3526 8668 1850 3323 129649 129649 3526 8668 1850 4094 18138 -18138 0 0 0 0 0 0 0 0 0 WILLIAM J MANN JR MD EXECUTIVE / MEDICAL DIRECT 0 131058 0 0 0 0 0 13715 0 13536 0 158309 0 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBER WILLIAM BENNETT IS PART OWNER OF BFH SUPPLIES, WHICH SELLS DENTAL SUPPLIES TO THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C NEW 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 15 THE 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 ORGRANIZATION'S BUDGET. IF FUNDS ARE AVAILABLE, EMPLOYEES TYPICALLY GET THE SAME ANNUAL INCREASE PERCENT AS COUNTY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE 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. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE CURRENT TAX YEAR. JAMES CITY COUNTY VIRGINIA 101-F MOUNTS BAY ROAD WILLIAMSBURG VA 23185 546001365 LOCAL GOVERNMENT VA 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 JAMES CITY COUNTY VIRGINIA C 350893 CASH BASIS JAMES CITY COUNTY VIRGINIA K 105344 CASH BASIS JAMES CITY COUNTY VIRGINIA O 2005924 CASH BASIS JAMES CITY COUNTY VIRGINIA P 21374 CASH BASIS