HARRISONBURG COMMUNITY HEALTH CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
HARRISONBURG COMMUNITY HEALTH CENTER INC (EIN 02-0813294)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-01
IRS object ID
201933059349300608
Schema version
2018v3.1
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)
Return2019-11-01T07:32:01-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN540737372PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PBMARES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1558 SOUTH MAIN STREETAddressLine1Txt
CityHARRISONBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020813294EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HARRISONBURG COMMUNITY HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHARRBusinessNameControlTxt
Phone5404334913PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 308AddressLine1Txt
CityHARRISONBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22803ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBETH MOSELEYPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone5404334913PhoneNum
Signature2019-10-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEDWARD T YODERPreparerPersonNm
PTINP00239134PTIN
Phone5404345975PhoneNum
Preparation2019-10-29PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.10.80.132IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-10-29IPDt
IP Tm15:38:54IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2FCD8E10CD88535A8F9F46B3659E26A42A06351BAtSubmissionCreationDeviceId
At Submission Filing Device Id21868D59D436FDDBEEFA93A6B6F6C050C073B945AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBETH MOSELEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11380 LITTLE SORRELL DRIVE SUITE 100AddressLine1Txt
CityHARRISONBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,720,648GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HBURGCHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTO 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.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee128TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI-$15,059TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$6,442NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,381,220PYContributionsGrantsAmt
CY Contributions Grants$2,578,098CYContributionsGrantsAmt
PY Program Service Revenue$5,357,620PYProgramServiceRevenueAmt
CY Program Service Revenue$6,072,181CYProgramServiceRevenueAmt
PY Investment Income$308PYInvestmentIncomeAmt
CY Investment Income$1,599CYInvestmentIncomeAmt
PY Other Revenue-$11,787PYOtherRevenueAmt
CY Other Revenue-$15,059CYOtherRevenueAmt
PY Total Revenue$7,727,361PYTotalRevenueAmt
CY Total Revenue$8,636,819CYTotalRevenueAmt
PY Grants And Similar Paid$214,989PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,031,928PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,005,504CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$795PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$53CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$19,637CYTotalFundraisingExpenseAmt
PY Other Expenses$1,814,902PYOtherExpensesAmt
CY Other Expenses$2,592,874CYOtherExpensesAmt
PY Total Expenses$7,062,614PYTotalExpensesAmt
CY Total Expenses$8,598,431CYTotalExpensesAmt
PY Revenues Less Expenses$664,747PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$38,388CYRevenuesLessExpensesAmt
Total Assets BOY$5,685,700TotalAssetsBOYAmt
Total Assets EOY$6,127,750TotalAssetsEOYAmt
Total Liabilities BOY$1,642,162TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,045,824TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,043,538NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,081,926NetAssetsOrFundBalancesEOYAmt
MissionTO 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,709,147ExpenseAmt
Revenue$5,324,280RevenueAmt
DescPROVIDED ACCESSIBLE AND AFFORDABLE PRIMARY HEALTH CARE SERVICES IN HARRISONBURG, VIRGINIA, AND THE SURROUNDING AREA. THE ORGANIZATION PROVIDES CULTURALLY SENSITIVE HEALTHCARE INCLUDING LANGUAGE TRANSLATION AS NEEDED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,185,956ExpenseAmt
Revenue$747,901RevenueAmt
DescPROVIDED ACCESSIBLE AND AFFORABLE DENTAL SERVICES IN HARRISONBURG, VIRGINIA, AND THE SURROUNDING AREA.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$452,830ExpenseAmt
Grant$353,179GrantAmt
DescGRANTS 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.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$7,347,933TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 StmtYes (1)IndependentAuditFinclStmtInd
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
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document50IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee128EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
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 Enfrc0RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BETH MOSELEYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5404334913PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11380 LITTLE SORRELL DRIVE SUITE 100AddressLine1Txt
CityHARRISONBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22801ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WAYNE WOODSON
BOARD CHAIR2.00Yes (X)Yes (X)$0$0$0
REGINA SCHWEITZER
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
JOHN TAYLOR
TREASURER2.00Yes (X)Yes (X)$0$0$0
ERIKA METZLER-SAWIN
SECRETARY2.00Yes (X)Yes (X)$0$0$0
DAVID COCKLEY PHD
MEMBER1.00Yes (X)$0$0$0
JOHN WEIR MD
MEMBER1.00Yes (X)$0$0$0
LIZ WALKER
MEMBER1.00Yes (X)$0$0$0
SAM NICKELS
MEMBER1.00Yes (X)$0$0$0
SHERRY MONGOLD
MEMBER1.00Yes (X)$0$0$0
HEIDI HOOVER
MEMBER1.00Yes (X)$0$0$0
RICK HAUSHALTER
MEMBER1.00Yes (X)$0$0$0
OZLEM ERSIN
MEMBER1.00Yes (X)$0$0$0
JANE HUBBELL
MEMBER1.00Yes (X)$0$0$0
EVELIN GONZALEZ
MEMBER1.00Yes (X)$0$0$0
RACHAEL HARNISH
MEMBER1.00Yes (X)$0$0$0
LISA BRICKER
EXECUTIVE DIRECTOR35.00Yes (X)$131,621$0$8,633
ELIZABETH MOSELEY
CHIEF FINANCIAL OFFICER35.00Yes (X)$84,987$0$9,426
KUNJAN SHAKYA MD
MEDICAL PROVIDER35.00$155,692$0$13,735Yes (X)
STEPHANIE CORN MD
MEDICAL PROVIDER35.00$184,850$0$18,414Yes (X)
JEFF DOMINGUS MD
MEDICAL PROVIDER35.00$183,559$0$17,030Yes (X)
JEROME HOTCHKISS MD
MEDICAL PROVIDER35.00$189,902$0$18,959Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$930,611TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$86,197TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$2,300,515GovernmentGrantsAmt
All Other Contributions$277,583AllOtherContributionsAmt
Total Contributions$2,578,098TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAL/DENTAL SERVICE622110$5,048,200$5,048,200
PHARMACEUTICAL SALES446110$1,012,046$1,012,046
OTHER INCOME999999$11,935$11,935
FieldValueIRS element (for citing)
Total Program Service Revenue$6,072,181TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$660TotalRevenueColumnAmt
Exclusion$660ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$51,720RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$66,779RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$15,059RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$15,059TotalRevenueColumnAmt
Unrelated Business Revenue-$15,059UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$17,989OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$17,050OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$939OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$939TotalRevenueColumnAmt
Exclusion$939ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,636,819TotalRevenueColumnAmt
Related Or Exempt Func Income$6,072,181RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$15,059UnrelatedBusinessRevenueAmt
Exclusion$1,599ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$234,668TotalAmt
Management And General$234,668ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,943,072TotalAmt
Program Services$4,315,986ProgramServicesAmt
Management And General$610,110ManagementAndGeneralAmt
Fundraising$16,976FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$452,219TotalAmt
Program Services$405,239ProgramServicesAmt
Management And General$46,980ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$375,545TotalAmt
Program Services$315,629ProgramServicesAmt
Management And General$58,603ManagementAndGeneralAmt
Fundraising$1,313FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$53TotalAmt
Fundraising$53FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$960,783TotalAmt
Program Services$799,176ProgramServicesAmt
Management And General$161,607ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,326TotalAmt
Program Services$3,015ProgramServicesAmt
Fundraising$311FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$148,649TotalAmt
Program Services$101,390ProgramServicesAmt
Management And General$46,701ManagementAndGeneralAmt
Fundraising$558FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$227,776TotalAmt
Program Services$209,146ProgramServicesAmt
Management And General$18,630ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$27,784TotalAmt
Program Services$18,890ProgramServicesAmt
Management And General$8,528ManagementAndGeneralAmt
Fundraising$366FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$47,131TotalAmt
Program Services$35,348ProgramServicesAmt
Management And General$11,783ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$138,501TotalAmt
Program Services$133,965ProgramServicesAmt
Management And General$4,536ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$20,164TotalAmt
Program Services$13,329ProgramServicesAmt
Management And General$6,835ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PATIENT CARE COSTS$838,066$838,066
STAFF DEVELOPMENT$118,308$112,276$5,972$60
DUES, FEES, AND LICENSE$43,389$42,161$1,228
BANK SERVICE CHARGES$14,959$447$14,512

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,038TotalAmt
Program Services$3,870ProgramServicesAmt
Management And General$168ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,598,431TotalAmt
Program Services$7,347,933ProgramServicesAmt
Management And General$1,230,861ManagementAndGeneralAmt
Fundraising$19,637FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$167,034BOYAmt
EOY$291,462EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,426,839BOYAmt
EOY$1,827,544EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,979BOYAmt
EOY$18,071EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,016,652LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,025,979LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,078,848BOYAmt
EOY$3,990,673EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,685,700BOYAmt
EOY$6,127,750EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$466,347BOYAmt
EOY$475,787EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,175,815BOYAmt
EOY$1,418,366EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$151,671EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,642,162BOYAmt
EOY$2,045,824EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,043,538BOYAmt
EOY$4,081,926EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,043,538BOYAmt
EOY$4,081,926EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,685,700BOYAmt
EOY$6,127,750EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$38,388ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$978,305CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,540,021CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,822,225CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,381,220CurrentTaxYearMinus1YearAmt
Current Tax Year$2,578,098CurrentTaxYearAmt
Total$9,299,869TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,190,130CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,716,858CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,837,036CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,357,620CurrentTaxYearMinus1YearAmt
Current Tax Year$6,072,179CurrentTaxYearAmt
Total$20,173,823TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,168,435CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,256,879CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,659,261CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,738,840CurrentTaxYearMinus1YearAmt
Current Tax Year$8,650,277CurrentTaxYearAmt
Total$29,473,692TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$29,473,692PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$55,850CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$54,294CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$51,091CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$52,028CurrentTaxYearMinus1YearAmt
Current Tax Year$52,380CurrentTaxYearAmt
Total$265,643TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$55,850CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$54,294CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$51,091CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$52,028CurrentTaxYearMinus1YearAmt
Current Tax Year$52,380CurrentTaxYearAmt
Total$265,643TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,224,285CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,311,173CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,710,352CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,790,868CurrentTaxYearMinus1YearAmt
Current Tax Year$8,702,657CurrentTaxYearAmt
Total$29,739,335TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99110PublicSupportCY509Pct
Public Support PY5090.98930PublicSupportPY509Pct
Investment Income CY0.00890InvestmentIncomeCYPct
Investment Income PY0.01070InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$769,404OtherCostOrOtherBasisAmt
Book Value$769,404BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,618,993OtherCostOrOtherBasisAmt
Depreciation$584,910DepreciationAmt
Book Value$3,034,083BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,820OtherCostOrOtherBasisAmt
Depreciation$335DepreciationAmt
Book Value$1,485BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$594,809OtherCostOrOtherBasisAmt
Depreciation$415,978DepreciationAmt
Book Value$178,831BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,626OtherCostOrOtherBasisAmt
Depreciation$24,756DepreciationAmt
Book Value$6,870BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,990,673TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$8,703,598TotalRevEtcAuditedFinclStmtAmt
Other Revenue$66,779OtherRevenueAmt
Revenue Not Reported$66,779RevenueNotReportedAmt
Revenue Subtotal$8,636,819RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,636,819TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,665,210TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$66,779OtherExpensesIncludedAmt
Expenses Not Reported$66,779ExpensesNotReportedAmt
Expenses Subtotal$8,598,431ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$8,598,431TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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; 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 66,779.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 66,779.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KUNJAN SHAKYA MD
MEDICAL PROVIDER$155,692$0$0$0$0$0$6,380$0$7,355$0$169,427$0$0$0
STEPHANIE CORN MD
MEDICAL PROVIDER$184,850$0$0$0$0$0$7,662$0$10,752$0$203,264$0$0$0
JEFF DOMINGUS MD
MEDICAL PROVIDER$183,559$0$0$0$0$0$7,387$0$9,643$0$200,589$0$0$0
JEROME HOTCHKISS MD
MEDICAL PROVIDER$189,902$0$0$0$0$0$7,900$0$11,059$0$208,861$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD OF DIRECTORS REVIEWED AN ELECTRONIC COPY OF THE 990 PRIOR TO FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS SETS AND REVIEWS COMPENSATION ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION C, LINE 19INFORMATION IS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE CORPORATE OFFICE.
FORM 990, PART IX, LINE 11GOTHER CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 799,176. MANAGEMENT AND GENERAL EXPENSES 161,607. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 960,783.
FORM 990, PART XII, LINE 2C:THE FINANCE COMMITTEE OVERSEES THE AUDIT PROCESS, INCLUDING THE SELECTION OF THE INDEPENDENT AUDITOR.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.