2019-05-02T14:27:26-05:00 2018-12-31 541896113 ROBINSON FARMER COX ASSOCIATES 401 SOUTHLAKE BLVD RICHMOND VA 23236 990 2018-01-01 541083954 PENINSULA INSTITUTE FOR COMMUNITY HEALTH PENI 7573808709 1033 28TH STREET 2ND FLOOR NEWPORT NEWS VA 23607 ANGELA FUTRELL CEO 7573808709 2019-04-15 AARON B HAWKINS P01458736 8043784200 2019-05-02 50.77.77.25 2019-05-02 14:27:26 CD P 9ABF4A4CD9073D44961EDDFBB9D4FC555C086CE7 9ABF4A4CD9073D44961EDDFBB9D4FC555C086CE7 2018 2019-02-21 02:37:17Z SOUTHEASTERN VIRGINIA HEALTH SYSTEM ANGELA FUTRELL 1033 28TH STREET 2ND FLOOR NEWPORT NEWS VA 23607 14618988 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. 12 12 209 0 8983567 9415186 7089356 5199449 13446 4353 0 16086369 14618988 0 0 9867160 9293419 0 0 3972644 4800536 13839804 14093955 2246565 525033 10787759 11056552 2074225 1863525 8713534 9193027 PROVIDING MEDICAL AND DENTAL CARE TO INDIGENT PATIENTS. false false 9455610 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. 1139379 CASE MANAGEMENT: ASSISTANCE FOR PATIENTS MANAGING AND COORDINATING CARE FOR COMPLEX AND/OR CHRONIC CONDITIONS. 235457 OTHER PATIENT SERVICES: ENABLING SERVICES TO INCLUDE OUTREACH, PATIENT EDUCATION AND PHARMACY ASSISTANCE FOR MEDICALLY UNDERSERVED POPULATIONS SERVED BY THE HEALTH CENTER. 10830446 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 39 0 false 209 true false false false false false false false false X 12 12 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 WANDA ALLEN ESQ CHAIR 6.00 X X 0 0 0 SHIRLEY WILLS VICE CHAIR 2.00 X X 0 0 0 M DENISE COUNCE TREASURER 2.00 X X 0 0 0 TIFFANY BROWN SECRETARY 2.00 X X 0 0 0 STYLIE WILLIAMS PARLIAMENTAR 2.00 X X 0 0 0 ROBERT AYERS 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 ASA JENRETTE JR DIRECTOR 2.00 X 0 0 0 ARAVIA JOHNSON DIRECTOR 2.00 X 0 0 0 CATHY WILLIAMS DIRECTOR 2.00 X 0 0 0 DOROTHY MURRAY DIRECTOR 2.00 X 0 0 0 ANGELA FUTRELL CEO 40.00 X 295591 0 26793 VALDA BRANCH COO 40.00 X 193775 0 22677 PAULINE REED CMO 40.00 X 180828 0 16793 NONA HILTON CFO 40.00 X 161255 0 15176 DAVID LORENZO PHYSICIAN 40.00 X 203438 0 27196 CONCEPCION ASPILI PHYSICIAN 40.00 X 181744 0 34404 ANDREI SAN-MARINA PHYSICIAN 40.00 X 179237 0 6373 AURORA S BADAVI PHYSICIAN 40.00 X 166811 0 16733 SUFIA B SHAHID PHYSICIAN 40.00 X 166152 0 23642 1728831 189787 9 false true false STAFFCARE INC 5001 STATESMAN DR IRVING TX 75063 STAFFING 350440 LABCORP PO BOX 2250 BURLINGTON NC 272162240 LAB WORK 304542 PENINSULA CLEANING SERVICE 12610 PATRICK HENRY DR SUITE A NEWPORT NEWS VA 23602 JANITORIAL 233689 INTEGRITY HEALTHCARE CORPORATION 243 MCLAWS CIRCLE SUITE 101 WILLIAMSBURG VA 23185 BEHAVIOR HEALTH 207821 ECLINICALWORKS LLC 2 TECHNOLOGY DRIVE WESTBROUGH MA 01581 SOFTWARE 116734 5 8373194 1041992 9415186 NET PATIENT SERVICE REVENUE 5199449 5199449 5199449 4353 4353 14618988 5203802 X 842284 156738 685546 6796468 6024566 771902 1042325 705781 336544 612342 458256 154086 22098 22098 52173 52173 1718595 1699637 18958 1105878 814120 291758 307573 36929 270644 1024177 828568 195609 11639 976 10663 23704 1311 22393 217243 38453 178790 56983 56983 DUES & PUB - MGMT & GEN 106081 106081 MARKETING 69641 2403 67238 DUES & PUB - MEDICAL CARE 35847 35847 TAXES AND LICENSES 23705 14342 9363 25199 12519 12680 14093955 10830446 3263509 0 4232495 4507260 2087361 1648255 2352719 964240 212906 124054 7596704 4570699 1070000 3026005 832278 786738 10787759 11056552 734679 1253537 1339546 609988 2074225 1863525 X 8713534 9193027 8713534 9193027 10787759 11056552 525033 -45540 X false true X true true true X 217200 217200 3541592 3005105 536487 1781599 1565594 216005 2056313 2056313 3026005 14763926 -45540 190478 144938 14618988 14618988 14284433 190478 190478 14093955 14093955 X X false false false false false false false false false ANGELA FUTRELL CEO 295591 6913 23024 322384 VALDA BRANCH COO 193775 5969 17260 216452 PAULINE REED CMO 180828 6731 13039 197621 NONA HILTON CFO 161255 5708 10020 176431 DAVID LORENZO PHYSICIAN 203438 7316 23024 230634 CONCEPCION ASPILI PHYSICIAN 181744 5814 31715 216148 ANDREI SAN-MARINA PHYSICIAN 179237 6373 3125 185610 AURORA S BADAVI PHYSICIAN 166811 6135 13708 183544 SUFIA B SHAHID PHYSICIAN 166152 7359 19419 189794 COMMUNITY HEALTHCARE ASSOCIATES PRINCIPAL OWNER 14640 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: 14,640 (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 1,631,652 0 0 PROF. FEES - CASE MGMT 67,985 0 0 PROF. FEES - MGMT & GENERAL 0 18,958 0 TOTAL 1,699,637 18,958 0