EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED (EIN 51-0196935)
Tax period: 2018-06-01 to 2019-05-31
Filed: 2019-09-26
IRS object ID: 201932699349300038
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-09-26T13:03:39-05:00	ReturnTs
Tax Period End	2019-05-31	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	2018-06-01	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	2019-09-24	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	2019-09-24	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	2019-09-26	IPDt
IP Tm	13:03:39	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	2018	TaxYr
Build TS	2019-02-21 02:37:17Z	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	$28,007,257	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	310	TotalEmployeeCnt
Total Volunteers	25	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$6,267,704	PYContributionsGrantsAmt
CY Contributions Grants	$5,785,029	CYContributionsGrantsAmt
PY Program Service Revenue	$18,338,823	PYProgramServiceRevenueAmt
CY Program Service Revenue	$22,148,350	CYProgramServiceRevenueAmt
PY Investment Income	$16,470	PYInvestmentIncomeAmt
CY Investment Income	$11,420	CYInvestmentIncomeAmt
PY Other Revenue	$28,727	PYOtherRevenueAmt
CY Other Revenue	$27,281	CYOtherRevenueAmt
PY Total Revenue	$24,651,724	PYTotalRevenueAmt
CY Total Revenue	$27,972,080	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$15,281,276	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$16,473,116	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$455,342	CYTotalFundraisingExpenseAmt
PY Other Expenses	$5,578,391	PYOtherExpensesAmt
CY Other Expenses	$6,784,095	CYOtherExpensesAmt
PY Total Expenses	$20,859,667	PYTotalExpensesAmt
CY Total Expenses	$23,257,211	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,792,057	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,714,869	CYRevenuesLessExpensesAmt
Total Assets BOY	$26,476,983	TotalAssetsBOYAmt
Total Assets EOY	$31,893,116	TotalAssetsEOYAmt
Total Liabilities BOY	$3,633,886	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,335,150	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$22,843,097	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$27,557,966	NetAssetsOrFundBalancesEOYAmt
Mission	OPERATION OF FEDERALLY SUPPORTED COMMUNITY HEALTH CENTERS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$20,233,994	ExpenseAmt
Revenue	$22,148,350	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	$20,233,994	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	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	28	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	310	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 (30 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
BETTY BIBBINS
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
DENISE BLAND
PRESIDENT	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
JEFF HOLLAND
VICE PRESIDE	2.00	Yes (X)	$0	$0	$0
ALICE JONES
SECRETARY	2.00	Yes (X)	$0	$0	$0
GARNETT KELLAM
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
BOB KERNS
TREASURER	2.00	Yes (X)	$0	$0	$0
SHEILA KERPELMAN
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
TOM PACE
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
SCOTT WOLPIN
CHIEF DENTAL	40.00		$211,383	$0	$0	Yes (X)
THOMAS HOLLANDSWORTH
CHIEF MEDICA	40.00		$209,731	$0	$0	Yes (X)
NANCY STERN
CHIEF EXECUT	40.00		$194,219	$0	$0	Yes (X)
KANDICE BRUNO
CHIEF FINANC	40.00		$138,824	$0	$0	Yes (X)
ANNE CRABBE
CHIEF OPERAT	40.00		$109,060	$0	$0	Yes (X)
JEANNETTE EDWARDS
CHIEF HR OFF	40.00		$107,001	$0	$0	Yes (X)
KIMBERLY SAVAGE
CHIEF COMPLI	40.00		$100,274	$0	$0	Yes (X)
MIKE ZODUN
CHIEF INFORM	40.00		$93,463	$0	$0	Yes (X)
JENNIFER TYLER
CHIEF CLIN I	40.00		$77,603	$0	$0	Yes (X)
SANDRA HEARN
CHIEF NURSIN	40.00		$69,012	$0	$0	Yes (X)
JEANNE ROLL
DOCTOR			$207,991	$0	$0		Yes (X)
DAVID HOSHINO
DOCTOR			$205,683	$0	$0		Yes (X)
JOAN LINGEN
DOCTOR			$176,238	$0	$0		Yes (X)
DAVID RIOPEL
DOCTOR			$175,070	$0	$0		Yes (X)
ALBERT HALLS
DOCTOR			$173,590	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,249,142	TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K	26	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Government Grants	$5,145,371	GovernmentGrantsAmt
All Other Contributions	$639,658	AllOtherContributionsAmt
Noncash Contributions	$25,451	NoncashContributionsAmt
Total Contributions	$5,785,029	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE	$15,760,223	$15,760,223
340B	$6,269,127	$6,269,127
MEANINGFUL USE	$119,000	$119,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$22,148,350	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$44,997	TotalRevenueColumnAmt
Exclusion	$44,997	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$5,520	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$5,520	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,520	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,520	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,600	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$35,177	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$33,577	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$33,577	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$33,577	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER REVENUE	Desc
Total Revenue Column	$21,761	TotalRevenueColumnAmt
Related Or Exempt Func Income	$21,761	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$21,761	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,972,080	TotalRevenueColumnAmt
Related Or Exempt Func Income	$22,142,054	RelatedOrExemptFuncIncomeAmt
Exclusion	$44,997	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,666,494	TotalAmt
Program Services	$661,570	ProgramServicesAmt
Management And General	$673,070	ManagementAndGeneralAmt
Fundraising	$331,854	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$12,183,885	TotalAmt
Program Services	$11,247,152	ProgramServicesAmt
Management And General	$919,464	ManagementAndGeneralAmt
Fundraising	$17,269	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$355,478	TotalAmt
Program Services	$328,956	ProgramServicesAmt
Management And General	$25,631	ManagementAndGeneralAmt
Fundraising	$891	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,370,397	TotalAmt
Program Services	$1,268,155	ProgramServicesAmt
Management And General	$98,808	ManagementAndGeneralAmt
Fundraising	$3,434	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$896,862	TotalAmt
Program Services	$829,949	ProgramServicesAmt
Management And General	$64,665	ManagementAndGeneralAmt
Fundraising	$2,248	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$33,711	TotalAmt
Management And General	$33,711	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$22,500	TotalAmt
Management And General	$22,500	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$353,819	TotalAmt
Program Services	$308,624	ProgramServicesAmt
Fundraising	$45,195	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$165,415	TotalAmt
Management And General	$165,415	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$687,351	TotalAmt
Program Services	$453,503	ProgramServicesAmt
Management And General	$195,533	ManagementAndGeneralAmt
Fundraising	$38,315	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$54,835	TotalAmt
Program Services	$52,917	ProgramServicesAmt
Management And General	$1,758	ManagementAndGeneralAmt
Fundraising	$160	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$160,174	TotalAmt
Management And General	$153,247	ManagementAndGeneralAmt
Fundraising	$6,927	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$95,741	TotalAmt
Program Services	$95,391	ProgramServicesAmt
Management And General	$350	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$551,563	TotalAmt
Program Services	$497,388	ProgramServicesAmt
Management And General	$49,660	ManagementAndGeneralAmt
Fundraising	$4,515	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$68,913	TotalAmt
Management And General	$68,913	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PHARMACY PROGRAMS	$2,361,432	$2,361,432
MEDICAL SUPPLIES	$1,625,356	$1,625,356
TELEPHONE & UTILITIES	$291,577	$249,048	$38,985	$3,544
REPAIRS & MAINTENANCE	$235,539	$223,655	$10,894	$990

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$76,169	TotalAmt
Program Services	$30,898	ProgramServicesAmt
Management And General	$45,271	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,257,211	TotalAmt
Program Services	$20,233,994	ProgramServicesAmt
Management And General	$2,567,875	ManagementAndGeneralAmt
Fundraising	$455,342	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,825,516	BOYAmt
EOY	$12,598,472	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$526,047	BOYAmt
EOY	$501,818	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,816,175	BOYAmt
EOY	$2,916,711	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,357	BOYAmt
EOY	$10,660	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$21,221,683	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,362,228	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$13,293,888	BOYAmt
EOY	$15,859,455	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	$26,476,983	BOYAmt
EOY	$31,893,116	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,383,007	BOYAmt
EOY	$2,039,448	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$2,250,454	BOYAmt
EOY	$2,208,514	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$425	BOYAmt
EOY	$87,188	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,633,886	BOYAmt
EOY	$4,335,150	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,880,218	BOYAmt
EOY	$26,815,164	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$962,879	BOYAmt
EOY	$742,802	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$22,843,097	BOYAmt
EOY	$27,557,966	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$26,476,983	BOYAmt
EOY	$31,893,116	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$4,714,869	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	$4,402,967	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,019,639	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,812,005	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,267,704	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,785,029	CurrentTaxYearAmt
Total	$27,287,344	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$14,200,132	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$16,011,768	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$17,112,136	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18,367,550	CurrentTaxYearMinus1YearAmt
Current Tax Year	$22,175,631	CurrentTaxYearAmt
Total	$87,867,217	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$18,603,099	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$21,031,407	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$22,924,141	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$24,635,254	CurrentTaxYearMinus1YearAmt
Current Tax Year	$27,960,660	CurrentTaxYearAmt
Total	$115,154,561	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$115,154,561	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,034	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,904	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14,168	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$24,046	CurrentTaxYearMinus1YearAmt
Current Tax Year	$44,997	CurrentTaxYearAmt
Total	$95,149	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,034	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,904	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14,168	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$24,046	CurrentTaxYearMinus1YearAmt
Current Tax Year	$44,997	CurrentTaxYearAmt
Total	$95,149	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,715	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$19,983	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$21,199	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$24,047	CurrentTaxYearMinus1YearAmt
Current Tax Year	$21,761	CurrentTaxYearAmt
Total	$92,705	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$18,613,848	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$21,058,294	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$22,959,508	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$24,683,347	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28,027,418	CurrentTaxYearAmt
Total	$115,342,415	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99840	PublicSupportCY509Pct
Public Support PY509	0.99870	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 92,705	ExplanationTxt

Schedule B IRS990ScheduleB

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	$14,390,791	OtherCostOrOtherBasisAmt
Depreciation	$4,309,915	DepreciationAmt
Book Value	$10,080,876	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,904,326	OtherCostOrOtherBasisAmt
Depreciation	$1,052,313	DepreciationAmt
Book Value	$852,013	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,925,400	OtherCostOrOtherBasisAmt
Book Value	$3,925,400	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$15,859,455	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	OTHER LIABILITIES	Desc
Amt	$87,188	Amt

Field	Value	IRS element (for citing)
Total Liability	$87,188	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$27,972,080	TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal	$27,972,080	RevenueSubtotalAmt
Total Revenue Per Form990	$27,972,080	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$23,257,211	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$23,257,211	ExpensesSubtotalAmt
Total Expenses Per Form990	$23,257,211	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 (8 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
SCOTT WOLPIN
CHIEF DENTAL OFFICER	$211,383	$211,383
THOMAS HOLLANDSWORTH
CHIEF MEDICAL OFF.	$209,731	$209,731
NANCY STERN
CHIEF EXECUTIVE OFF.	$194,219	$194,219
JEANNE ROLL
DOCTOR	$207,991	$207,991
DAVID HOSHINO
DOCTOR	$205,683	$205,683
JOAN LINGEN
DOCTOR	$176,238	$176,238
DAVID RIOPEL
DOCTOR	$175,070	$175,070
ALBERT HALLS
DOCTOR	$173,590	$173,590

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$25,451	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

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.