CENTRALIZED CREDENTIALS: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CENTRALIZED CREDENTIALS (EIN 54-2004980)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-05-07
IRS object ID
202041289349301244
Schema version
2019v5.1
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

FieldValueIRS element (for citing)
Return2020-05-07T15:58:07-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN540565834PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MITCHELL WIGGINS & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11802 BAYBERRY COURT SUITE 300AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23226ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN542004980EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRALIZED CREDENTIALS VERIFICATIONBusinessNameLine1Txt
Business Name Line2SERVICE INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone8046436631PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12821 EMERYWOOD PARKWAY SUITE 200AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23294ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES G BECKNERPersonNm
Person TitleEX. DIR.-RAM, CCVS, AN, SC & RAM TRPersonTitleTxt
Phone8046228145PhoneNum
Signature2020-04-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMELISSA A SIKESPreparerPersonNm
PTINP01261580PTIN
Phone8042826000PhoneNum
Preparation2020-04-29PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.206.132.198IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-04-29IPDt
IP Tm11:52:12IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA88B22803478EE4EC30FE7686C08AF34DFC50F81AtSubmissionCreationDeviceId
At Submission Filing Device IdA689E81929C75CED57914D3F5E31A5D69B64D5AEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES G BECKNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12821 EMERYWOOD PARKWAY SUITE 200AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23294ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$940,073GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.CCVSINC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTO PROVIDE CENTRALIZED CREDENTIALINGActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee13TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$901,755PYProgramServiceRevenueAmt
CY Program Service Revenue$930,289CYProgramServiceRevenueAmt
PY Investment Income$8,889PYInvestmentIncomeAmt
CY Investment Income$9,784CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$910,644PYTotalRevenueAmt
CY Total Revenue$940,073CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$462,174PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$480,270CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$365,131PYOtherExpensesAmt
CY Other Expenses$384,939CYOtherExpensesAmt
PY Total Expenses$827,305PYTotalExpensesAmt
CY Total Expenses$865,209CYTotalExpensesAmt
PY Revenues Less Expenses$83,339PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$74,864CYRevenuesLessExpensesAmt
Total Assets BOY$1,106,399TotalAssetsBOYAmt
Total Assets EOY$1,202,077TotalAssetsEOYAmt
Total Liabilities BOY$248,525TotalLiabilitiesBOYAmt
Total Liabilities EOY$217,083TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$857,874NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$984,994NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE CREDENTIALING SOLUTIONS FOR HOSPITALS, MANAGED CARE ORGANIZATIONS, AND AMBULATORY CARE CLINICS BY OFFERING HIGH QUALITY, TIMELY, AND COST EFFECTIVE SERVICES THAT CAN BE TAILORED TO MEET THE SPECIFIC NEEDS AND REQUIREMENTS OF OUR CLIENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTO PROVIDE CENTRALIZED CREDENTIALING PRIMARILY TO STATEWIDE ORGANIZATIONSDesc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee13EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8046436631PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12821 EMERYWOOD PARKWAY SUITE 200AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23294ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
ERIC FREEMAN MD
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
LUCIEN ROBERTS
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
THOMAS L MOFFATT MD
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
GEORGE GREENFIELD PA
IMMEDIATE PAST PRESIDENT1.00Yes (X)Yes (X)$0$0$0
LISA ACQUAYE
DIRECTOR1.00Yes (X)$0$0$0
SUSAN BALDWIN
DIRECTOR1.00Yes (X)$0$0$0
CASSANDRA LEWIS
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL LUNDBERG
DIRECTOR1.00Yes (X)$0$0$0
CHRIS ORDONIA
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL PERINI MD
DIRECTOR1.00Yes (X)$0$0$0
E WINSTON TRICE MD
DIRECTOR1.00Yes (X)$0$0$0
TRENT WALTER
DIRECTOR1.00Yes (X)$0$0$0
JOHNNY CL WONG MD
DIRECTOR1.00Yes (X)$0$0$0
TIFFANY LONG
DIRECTOR1.00Yes (X)$0$0$0
JAMES G BECKNER
EX. DIR.-RAM, CCVS, AN, SC7.00Yes (X)$0$160,738$18,66033.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$160,738TotReportableCompRltdOrgAmt
Total Other Compensation$18,660TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CREDENTIALING SERVICES561499$928,449$928,449
BACKGROUND CHECKS561499$1,840$1,840
FieldValueIRS element (for citing)
Total Program Service Revenue$930,289TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,784TotalRevenueColumnAmt
Exclusion$9,784ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$940,073TotalRevenueColumnAmt
Related Or Exempt Func Income$930,289RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$9,784ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$377,271TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,795TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$64,263TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$31,941TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,760TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,050TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,372TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,486TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,657TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$46,055TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,558TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$55,517TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$224TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,979TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,402TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,010TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
RAM PERSONNEL SUPPORT R$103,500
VERIFICATION FEES$72,558
RAM SPONSORSHIP$20,000
NCQA FEE$17,566

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$23,245TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$865,209TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21BOYAmt
EOY$12EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$531,176BOYAmt
EOY$617,190EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$226,553BOYAmt
EOY$214,225EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$52,228BOYAmt
EOY$19,060EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$125,937LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$102,919LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$22,034BOYAmt
EOY$23,018EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$274,387BOYAmt
EOY$328,572EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,106,399BOYAmt
EOY$1,202,077EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$61,215BOYAmt
EOY$17,663EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$187,310BOYAmt
EOY$199,420EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$248,525BOYAmt
EOY$217,083EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$857,874BOYAmt
EOY$984,994EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$857,874BOYAmt
EOY$984,994EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,106,399BOYAmt
EOY$1,202,077EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$74,864ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$52,256NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,496OtherCostOrOtherBasisAmt
Depreciation$4,496DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$119,914OtherCostOrOtherBasisAmt
Depreciation$96,896DepreciationAmt
Book Value$23,018BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,527OtherCostOrOtherBasisAmt
Depreciation$1,527DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$23,018TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FINANCIAL ACCOUNTING STANDARDS BOARD ISSUED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJAMES G BECKNERPersonNm
TitleEX. DIR.-RAM, CCVS, AN, SCTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$149,738CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$11,000BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$4,492DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$14,168NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$179,398TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FINANCE COMMITTEE OF CCVS RECEIVES THE DRAFT FILING IN SUFFICIENT TIME TO REVIEW AND MAKE ANY CHANGES BEFORE THE ACTUAL FILING IS DONE. THE FULL BOARD OF CCVS RECEIVES AN APPROVED COPY OF THE 990 BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS MUST COMPLY WITH THE CONFLICT OF INTEREST POLICY ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF THE EXECUTIVE DIRECTOR OF RAM, CCVS, ACCESS NOW, RAM SERVICES CORPORATION, AND RAM TRUST IS BASED UPON AN OUTSIDE CONSULTANT'S INDEPENDENT ANALYSIS OF COMPARABLE POSITIONS IN THE MARKETPLACE. THE SALARY RANGE WAS IDENTIFIED AND APPROVED BY THE RAM COMPENSATION COMMITTEE AND THE RAM BOARD OF TRUSTEES. THE EXECUTIVE DIRECTOR'S COMPENSATION REFLECTS OVERSIGHT OVER FIVE ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
RICHMOND ACADEMY OF MEDICINE INC
2821 EMERYWOOD PARKWAY SUITE 200RICHMONDVA23294540356395PROMOTE SCIENCE & PRACTICE OF MEDICINEVA501(C)(6)N/A0
ACCESS NOW INC
2821 EMERYWOOD PARKWAY SUITE 200RICHMONDVA23294261695468IMPROVE ACCESS TO HEALTH CARE FOR LOW INCOME, UNINSUREDVA501(C)(3)0LINE 10RICHMOND ACADEMY OF MEDICINE INC
RICHMOND ACADEMY OF MEDICINE TRUST
2821 EMERYWOOD PARKWAY SUITE 200RICHMONDVA23294510160045RECEIVING AND ACCEPTING PROPERTY AND UNCONDITIONAL GIFTS AND GRANTSVA501(C)(3)0LINE 8RICHMOND ACADEMY OF MEDICINE INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1RICHMOND ACADEMY OF MEDICINE SERVICES CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12821 EMERYWOOD PARKWAY SUITE 200AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23294ZIPCd
FieldValueIRS element (for citing)
EIN541401064EIN
Primary ActivitiesMEDICAL MANAGEMENT SERVICESPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1RICHMOND ACADEMY OF MEDICINE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
RICHMOND ACADEMY OF MEDICINE INC
K$70,517ACTUAL AMOUNT RECEIVED
RICHMOND ACADEMY OF MEDICINE INC
O$103,500ACTUAL AMOUNT RECEIVED

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