EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED (EIN 51-0196935)
Tax period: 2019-06-01 to 2020-05-31
Filed: 2020-10-02
IRS object ID: 202022769349301127
Schema version: 2019v5.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-10-02T14:09:45-05:00	ReturnTs
Tax Period End	2020-05-31	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	2019-06-01	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	NANCY STERN	PersonNm
Person Title	CHIEF EXECUTIVE OFF.	PersonTitleTxt
Phone	7574140400	PhoneNum
Signature	2020-08-21	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID E FOLEY	PreparerPersonNm
PTIN	P01457488	PTIN
Phone	4349738314	PhoneNum
Preparation	2020-10-02	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	50.77.77.25	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-10-02	IPDt
IP Tm	14:09:45	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	9ABF4A4CD9073D44961EDDFBB9D4FC555C086CE7	AtSubmissionCreationDeviceId
At Submission Filing Device Id	9ABF4A4CD9073D44961EDDFBB9D4FC555C086CE7	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	NANCY STERN	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	$28,403,856	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	343	TotalEmployeeCnt
Total Volunteers	25	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$5,785,029	PYContributionsGrantsAmt
CY Contributions Grants	$7,067,545	CYContributionsGrantsAmt
PY Program Service Revenue	$22,148,350	PYProgramServiceRevenueAmt
CY Program Service Revenue	$21,248,530	CYProgramServiceRevenueAmt
PY Investment Income	$11,420	PYInvestmentIncomeAmt
CY Investment Income	$62,818	CYInvestmentIncomeAmt
PY Other Revenue	$27,281	PYOtherRevenueAmt
CY Other Revenue	$24,963	CYOtherRevenueAmt
PY Total Revenue	$27,972,080	PYTotalRevenueAmt
CY Total Revenue	$28,403,856	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$16,473,116	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$18,185,284	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$493,032	CYTotalFundraisingExpenseAmt
PY Other Expenses	$6,784,095	PYOtherExpensesAmt
CY Other Expenses	$6,660,274	CYOtherExpensesAmt
PY Total Expenses	$23,257,211	PYTotalExpensesAmt
CY Total Expenses	$24,845,558	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,714,869	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,558,298	CYRevenuesLessExpensesAmt
Total Assets BOY	$31,893,116	TotalAssetsBOYAmt
Total Assets EOY	$38,919,662	TotalAssetsEOYAmt
Total Liabilities BOY	$4,335,150	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$7,803,398	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$27,557,966	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$31,116,264	NetAssetsOrFundBalancesEOYAmt
Mission	OPERATION OF FEDERALLY SUPPORTED COMMUNITY HEALTH CENTERS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$21,629,270	ExpenseAmt
Revenue	$21,248,530	RevenueAmt
Desc	ORGANIZATION OPERATES FIVE FEDERALLY SUPPORTED COMMUNITY HEALTH CENTERS ON THE EASTERN SHORE OF VIRGINIA. THE SERVICE IS PROVIDED TO APPROXIMATELY 45,000 RESIDENTS IN TWO OF VIRGINIA'S MOST ECONOMICALLY DISADVANTAGED COUNTIES.	Desc
Total Program Service Expenses	$21,629,270	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	false	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	27	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	343	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	NANCY STERN	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 (29 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
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		$204,837	$0	$0	Yes (X)
KANDICE BRUNO
CHIEF FINANC	40.00		$153,939	$0	$0	Yes (X)
ANNE CRABBE
CHIEF OPERAT	40.00		$114,604	$0	$0	Yes (X)
SCOTT WOLPIN
CHIEF DENTAL	40.00		$220,100	$0	$0	Yes (X)
THOMAS HOLLANDSWORTH
CHIEF MEDICA	40.00		$222,093	$0	$0	Yes (X)
JEANNETTE EDWARDS
CHIEF HR OFF	40.00		$113,736	$0	$0	Yes (X)
KIMBERLY SAVAGE
CHIEF COMPLI	40.00		$105,092	$0	$0	Yes (X)
MIKE ZODUN
CHIEF INFORM	40.00		$98,440	$0	$0	Yes (X)
JENNIFER TYLER
CHIEF CLIN I	40.00		$85,514	$0	$0	Yes (X)
SANDRA HEARN
CHIEF NURSIN	40.00		$97,663	$0	$0	Yes (X)
DAVID HOSHINO
DOCTOR			$211,848	$0	$0		Yes (X)
JEANNE ROLL
DOCTOR			$208,930	$0	$0		Yes (X)
JOAN LINGEN
DOCTOR			$189,819	$0	$0		Yes (X)
DAVID RIOPEL
DOCTOR			$183,215	$0	$0		Yes (X)
ALBERT HALLS
DOCTOR			$179,785	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,389,615	TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K	28	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Government Grants	$6,699,674	GovernmentGrantsAmt
All Other Contributions	$367,871	AllOtherContributionsAmt
Noncash Contributions	$15,225	NoncashContributionsAmt
Total Contributions	$7,067,545	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE	$15,171,646	$15,171,646
340B	$6,000,384	$6,000,384
MEANINGFUL USE	$76,500	$76,500

Field	Value	IRS element (for citing)
Total Program Service Revenue	$21,248,530	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$62,818	TotalRevenueColumnAmt
Exclusion	$62,818	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

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER REVENUE	Desc
Total Revenue Column	$24,363	TotalRevenueColumnAmt
Related Or Exempt Func Income	$24,363	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$24,363	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,403,856	TotalRevenueColumnAmt
Related Or Exempt Func Income	$21,273,493	RelatedOrExemptFuncIncomeAmt
Exclusion	$62,818	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,763,791	TotalAmt
Program Services	$701,782	ProgramServicesAmt
Management And General	$710,115	ManagementAndGeneralAmt
Fundraising	$351,894	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$13,708,496	TotalAmt
Program Services	$12,601,240	ProgramServicesAmt
Management And General	$1,056,959	ManagementAndGeneralAmt
Fundraising	$50,297	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$385,195	TotalAmt
Program Services	$355,490	ProgramServicesAmt
Management And General	$28,196	ManagementAndGeneralAmt
Fundraising	$1,509	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,419,803	TotalAmt
Program Services	$1,310,313	ProgramServicesAmt
Management And General	$103,930	ManagementAndGeneralAmt
Fundraising	$5,560	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$907,999	TotalAmt
Program Services	$837,977	ProgramServicesAmt
Management And General	$66,466	ManagementAndGeneralAmt
Fundraising	$3,556	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$9,150	TotalAmt
Management And General	$9,150	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$24,898	TotalAmt
Management And General	$24,898	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$333,635	TotalAmt
Program Services	$287,907	ProgramServicesAmt
Fundraising	$45,728	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$160,808	TotalAmt
Management And General	$160,808	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$712,314	TotalAmt
Program Services	$450,558	ProgramServicesAmt
Management And General	$238,786	ManagementAndGeneralAmt
Fundraising	$22,970	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$53,532	TotalAmt
Program Services	$51,614	ProgramServicesAmt
Management And General	$1,758	ManagementAndGeneralAmt
Fundraising	$160	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$153,717	TotalAmt
Management And General	$147,389	ManagementAndGeneralAmt
Fundraising	$6,328	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$93,373	TotalAmt
Program Services	$88,523	ProgramServicesAmt
Management And General	$4,850	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$579,907	TotalAmt
Program Services	$524,777	ProgramServicesAmt
Management And General	$50,536	ManagementAndGeneralAmt
Fundraising	$4,594	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$69,347	TotalAmt
Management And General	$69,347	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PHARMACY PROGRAMS	$2,263,274	$2,263,274
MEDICAL SUPPLIES	$1,650,517	$1,650,517
REPAIRS & MAINTENANCE	$272,386	$260,626	$10,780	$980
TELEPHONE & UTILITIES	$218,478	$225,005	-$5,983	-$544

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$64,938	TotalAmt
Program Services	$19,667	ProgramServicesAmt
Management And General	$45,271	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,845,558	TotalAmt
Program Services	$21,629,270	ProgramServicesAmt
Management And General	$2,723,256	ManagementAndGeneralAmt
Fundraising	$493,032	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,598,472	BOYAmt
EOY	$14,062,770	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$501,818	BOYAmt
EOY	$131,500	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,916,711	BOYAmt
EOY	$2,215,157	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,660	BOYAmt
EOY	$14,482	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$28,427,625	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,937,872	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$15,859,455	BOYAmt
EOY	$22,489,753	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	$31,893,116	BOYAmt
EOY	$38,919,662	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,039,448	BOYAmt
EOY	$2,354,040	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$2,208,514	BOYAmt
EOY	$5,350,883	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$87,188	BOYAmt
EOY	$98,475	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,335,150	BOYAmt
EOY	$7,803,398	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	$26,815,164	BOYAmt
EOY	$30,984,764	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$742,802	BOYAmt
EOY	$131,500	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$27,557,966	BOYAmt
EOY	$31,116,264	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$31,893,116	BOYAmt
EOY	$38,919,662	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$3,558,298	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	$5,019,639	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,812,005	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,267,704	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,785,029	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,067,545	CurrentTaxYearAmt
Total	$29,951,922	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$16,011,768	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,112,136	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$18,367,550	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$22,175,631	CurrentTaxYearMinus1YearAmt
Current Tax Year	$21,273,493	CurrentTaxYearAmt
Total	$94,940,578	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$21,031,407	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$22,924,141	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$24,635,254	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$27,960,660	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28,341,038	CurrentTaxYearAmt
Total	$124,892,500	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$124,892,500	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,904	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$14,168	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$24,046	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$44,997	CurrentTaxYearMinus1YearAmt
Current Tax Year	$62,818	CurrentTaxYearAmt
Total	$152,933	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,904	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$14,168	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$24,046	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$44,997	CurrentTaxYearMinus1YearAmt
Current Tax Year	$62,818	CurrentTaxYearAmt
Total	$152,933	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$19,983	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$21,199	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$24,047	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$21,761	CurrentTaxYearMinus1YearAmt
Total	$86,990	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$21,058,294	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$22,959,508	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$24,683,347	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$28,027,418	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28,403,856	CurrentTaxYearAmt
Total	$125,132,423	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99810	PublicSupportCY509Pct
Public Support PY509	0.99840	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 86,990	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	$1,001,166	OtherCostOrOtherBasisAmt
Book Value	$1,001,166	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,947,337	OtherCostOrOtherBasisAmt
Depreciation	$4,726,040	DepreciationAmt
Book Value	$20,221,297	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,479,122	OtherCostOrOtherBasisAmt
Depreciation	$1,211,832	DepreciationAmt
Book Value	$1,267,290	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$22,489,753	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	OTHER LIABILITIES	Desc
Amt	$98,475	Amt

Field	Value	IRS element (for citing)
Total Liability	$98,475	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$28,403,856	TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal	$28,403,856	RevenueSubtotalAmt
Total Revenue Per Form990	$28,403,856	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$24,845,558	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$24,845,558	ExpensesSubtotalAmt
Total Expenses Per Form990	$24,845,558	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.	$204,837	$204,837
KANDICE BRUNO
CHIEF FINANCIAL OFF.	$153,939	$153,939
SCOTT WOLPIN
CHIEF DENTAL OFFICER	$220,100	$220,100
THOMAS HOLLANDSWORTH
CHIEF MEDICAL OFF.	$222,093	$222,093
DAVID HOSHINO
DOCTOR	$211,848	$211,848
JEANNE ROLL
DOCTOR	$208,930	$208,930
JOAN LINGEN
DOCTOR	$189,819	$189,819
DAVID RIOPEL
DOCTOR	$183,215	$183,215
ALBERT HALLS
DOCTOR	$179,785	$179,785

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.