2020-06-03T09:54:13-05:00 2019-12-31 541896113 ROBINSON FARMER COX ASSOCIATES 401 SOUTHLAKE BLVD RICHMOND VA 23236 990 2019-01-01 541083954 PENINSULA INSTITUTE FOR COMMUNITY HEALTH PENI 7573808709 1033 28TH STREET 2ND FLOOR NEWPORT NEWS VA 23607 ANGELA FUTRELL CEO 7573808709 2020-04-10 AARON B HAWKINS P01458736 8043784200 2020-06-03 50.77.77.25 2020-06-03 09:54:13 CD P 9ABF4A4CD9073D44961EDDFBB9D4FC555C086CE7 9ABF4A4CD9073D44961EDDFBB9D4FC555C086CE7 2019 2021-01-29 14:40:06Z SOUTHEASTERN VIRGINIA HEALTH SYSTEM ANGELA FUTRELL 1033 28TH STREET 2ND FLOOR NEWPORT NEWS VA 23607 16103630 false X WWW.PICH.ORG X 1978 VA PROVIDE HIGH QUALITY, COMPREHENSIVE, PRIMARY HEALTH CARE SERVICES TO VIRGINIA RESIDENTS LIVING IN HAMPTON ROADS REGARDLESS OF THEIR ABILITY TO PAY. 13 13 221 0 9415186 9359597 5199449 6045988 4353 54656 29646 14618988 15489887 0 0 9293419 9020700 0 0 4800536 5833806 14093955 14854506 525033 635381 11056552 11195112 1863525 1297191 9193027 9897921 PROVIDING MEDICAL AND DENTAL CARE TO INDIGENT PATIENTS. false false 10255225 6045988 MEDICAL CARE: PRIMARY MEDICAL CARE, DENTAL SERVICES AND MENTAL HEALTH SERVICES FOR THE MEDICALLY UNDERSERVED AREAS OF NEWPORT NEWS, HAMPTON, SUFFOLK, VIRGINIA BEACH, CHESPEAKE, MATHEWS COUNTY, AND FRANKLIN, VIRGINIA. 1120572 CASE MANAGEMENT: ASSISTANCE FOR PATIENTS MANAGING AND COORDINATING CARE FOR COMPLEX AND/OR CHRONIC CONDITIONS. 236352 OTHER PATIENT SERVICES: ENABLING SERVICES TO INCLUDE OUTREACH, PATIENT EDUCATION AND PHARMACY ASSISTANCE FOR MEDICALLY UNDERSERVED POPULATIONS SERVED BY THE HEALTH CENTER. 11612149 true true false false false false false false false false true false false false false false false false false false false false false false false false false false false true false false false false false true false false false false false false false false false false false true 32 0 false 221 true false false false false false false false false X 13 13 false false false false false false false true true false true true true true true true true true true true false X X ANGELA FUTRELL 7573808709 1033 28TH STREET 2ND FLOOR NEWPORT NEWS VA 23607 X ANGELA FUTRELL CEO 40.00 X 276791 0 9155 DAVID LORENZO PHYSICIAN 40.00 X 198684 0 7800 VALDA BRANCH COO 40.00 X 185870 0 7032 CONCEPCION ASPILI PHYSICIAN 40.00 X 177593 0 7000 PAULINE REED CMO 40.00 X 174912 0 7000 ANDREI SAN-MARINA PHYSICIAN 40.00 X 173699 0 7000 SUFIA B SHAHID PHYSICIAN 40.00 X 164717 0 6454 NONA HILTON CFO 40.00 X 157670 0 6324 ROBERT AYERS DIRECTOR 2.00 X 0 0 0 TIFFANY BROWN-WILKINS SECRETARY 2.00 X X 0 0 0 M DENISE COUNCE TREASURER 2.00 X X 0 0 0 WANDA ALLEN ESQ CHAIR 6.00 X X 0 0 0 BARRETT FRANKLIN DIRECTOR 2.00 X 0 0 0 KATHERINE GRANT-DAVIS DIRECTOR 2.00 X 0 0 0 RUTH HOLMES DIRECTOR 2.00 X 0 0 0 ARAVIA JOHNSON DIRECTOR 2.00 X 0 0 0 ASA JENRETTE JR DIRECTOR 2.00 X 0 0 0 ROZ MERDITAJ DIRECTOR 2.00 X 0 0 0 DOROTHY MURRAY DIRECTOR 2.00 X 0 0 0 STYLIE WILLIAMS PARLIAMENTAR 2.00 X X 0 0 0 SHIRLEY WILLS VICE CHAIR 2.00 X X 0 0 0 1509936 57765 8 false true false STAFFCARE INC 5001 STATESMAN DR IRVING TX 75063 STAFFING 850050 INTEGRITY HEALTHCARE CORPORATION 243 MCLAWS CIRCLE SUITE 101 WILLIAMSBURG VA 23185 BEHAVIOR HEALTH 272635 PENINSULA CLEANING SERVICE 12610 PATRICK HENRY DR SUITE A NEWPORT NEWS VA 23602 JANITORIAL 262831 LABCORP PO BOX 2250 BURLINGTON NC 272162240 LAB WORK 171332 MEDICAL TEMPORARIES 840 FIRST COLONIAL ROAD SUITE 102A VIRGINIA BEACH VA 23451 STAFFING 152032 5 8421709 937888 9359597 NET PATIENT SERVICE REVENUE 5658486 5658486 RX STRATEGIES 306150 306150 OTHER INCOME 81352 81352 6045988 40508 40508 627891 613743 14148 14148 14148 GAIN ON SALE OF ASSETS 29646 29646 29646 15489887 6060136 70154 X 806740 120847 685893 6662682 5923435 739247 950087 643325 306762 601191 449911 151280 21812 21812 44858 44858 2207073 2160056 47017 1355481 1004413 351068 116534 13984 102550 1396056 1155050 241006 6351 508 5843 18485 2789 15696 303463 53427 250036 74319 74319 DUES & PUB - MGMT & GEN 106025 106025 RECRUITING 56142 26387 29755 MARKETING 53767 1828 51939 TAXES AND LICENSES 39559 23933 15626 33881 32256 1625 14854506 11612149 3242357 0 4507260 2882956 1648255 829951 964240 1455699 124054 98899 9308473 4784365 3026005 4524108 786738 1403499 11056552 11195112 1253537 906507 609988 390684 1863525 1297191 X 9193027 9897921 9193027 9897921 11056552 11195112 635381 69513 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 217200 217200 7253294 3239626 4013668 1837979 1544739 293240 4524108 15755593 69513 196193 265706 15489887 15489887 15050699 196193 196193 14854506 14854506 X X false false false false false false false false false ANGELA FUTRELL CEO 276791 9155 23197 285946 DAVID LORENZO PHYSICIAN 198684 7800 23032 206484 VALDA BRANCH COO 185870 7032 17375 192902 CONCEPCION ASPILI PHYSICIAN 177593 7000 31968 184593 PAULINE REED CMO 174912 7000 11847 181912 ANDREI SAN-MARINA PHYSICIAN 173699 7000 2585 180699 SUFIA B SHAHID PHYSICIAN 164717 6454 19327 171171 NONA HILTON CFO 157670 6324 11668 163994 COMMUNITY HEALTHCARE ASSOCIATES PRINCIPAL OWNER 13380 GRANT WRITING false SCHEDULE L, PART V (A) NAME OF PERSON: COMMUNITY HEALTHCARE ASSOCIATES, INC. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: PRINCIPAL OWNER IS FORMER CEO OF THE NONPROFIT. (C) AMOUNT OF TRANSACTION: 13,380 (D) DESCRIPTION OF TRANSACTION: COMPENSATION FOR GRANT WRITING. (E) SHARING OF ORGANIZATION REVENUES?: NO FORM 990, PAGE 6, PART VI, LINE 11B THE CFO AND CEO REVIEW THE FORM 990 BEFORE FILING. FORM 990, PAGE 6, PART VI, LINE 12C THE BOARD IS CHARGED WITH REVIEWING THE POLICIES ANNUALLY OR AS APPROPRIATE. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION NEGOTIATIONS ARE BASED UPON EXPERIENCE AND SKILL SET IN KEEPING WITH FAIR MARKET VALUE AND FORMAL PAY SCALE. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION NEGOTIATIONS ARE BASED UPON EXPERIENCE AND SKILL SET IN KEEPING WITH FAIR MARKET VALUE AND FORMAL PAY SCALE. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PROF. FEES - MEDICAL CARE 2,069,106 0 0 PROF. FEES - CASE MGMT 90,950 0 0 PROF. FEES - MGMT & GENERAL 0 47,017 0 TOTAL 2,160,056 47,017 0