HARRISONBURG COMMUNITY HEALTH CENTER INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
HARRISONBURG COMMUNITY HEALTH CENTER INC (EIN 02-0813294)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201803189349307675
Schema version
2017v2.3
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)
Return2018-11-14T14:39:40-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEVIN HUMPHRIESPreparerPersonNm
PTINP00168667PTIN
Phone5404345975PhoneNum
Preparation2018-11-13PreparationDt
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)
IP2018-11-13IPDt
IP Tm17:21:39IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD8B9995612B280885DF0D32E008A3C4BA15E1527AtSubmissionCreationDeviceId
At Submission Filing Device Id656C73839E73416BBCBACA95B2285EE2481AD084AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$7,790,868GrossReceiptsAmt
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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee115TotalEmployeeCnt
Total Volunteers2TotalVolunteersCnt
Total Gross UBI-$11,787TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$4,569NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,822,225PYContributionsGrantsAmt
CY Contributions Grants$2,381,220CYContributionsGrantsAmt
PY Program Service Revenue$2,842,945PYProgramServiceRevenueAmt
CY Program Service Revenue$5,357,620CYProgramServiceRevenueAmt
PY Investment Income-$7,601PYInvestmentIncomeAmt
CY Investment Income$308CYInvestmentIncomeAmt
PY Other Revenue-$32,537PYOtherRevenueAmt
CY Other Revenue-$11,787CYOtherRevenueAmt
PY Total Revenue$4,625,032PYTotalRevenueAmt
CY Total Revenue$7,727,361CYTotalRevenueAmt
PY Grants And Similar Paid$248,916PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$214,989CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,262,632PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,031,928CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$795CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,895CYTotalFundraisingExpenseAmt
PY Other Expenses$1,361,487PYOtherExpensesAmt
CY Other Expenses$1,814,902CYOtherExpensesAmt
PY Total Expenses$4,873,035PYTotalExpensesAmt
CY Total Expenses$7,062,614CYTotalExpensesAmt
PY Revenues Less Expenses-$248,003PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$664,747CYRevenuesLessExpensesAmt
Total Assets BOY$5,094,547TotalAssetsBOYAmt
Total Assets EOY$5,685,700TotalAssetsEOYAmt
Total Liabilities BOY$1,715,756TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,642,162TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,378,791NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,043,538NetAssetsOrFundBalancesEOYAmt
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$4,475,335ExpenseAmt
Grant$0GrantAmt
Revenue$4,689,027RevenueAmt
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$870,550ExpenseAmt
Grant$0GrantAmt
Revenue$668,593RevenueAmt
DescPROVIDED ACCESSIBLE AND AFFORABLE DENTAL SERVICES IN HARRISONBURG, VIRGINIA, AND THE SURROUNDING AREA.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$271,526ExpenseAmt
Grant$214,989GrantAmt
Revenue$0RevenueAmt
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$5,617,411TotalProgramServiceExpensesAmt
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 OrganizationsYes (1)GrantsToOrganizationsInd
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 Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee115EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 (20 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
DAVID COCKLEY PHD
MEMBER1.00Yes (X)$0$0$0
JOHN TAYLOR
TREASURER2.00Yes (X)Yes (X)$0$0$0
JANE HUBBELL
MEMBER1.00Yes (X)$0$0$0
ERIKA METZLER-SAWIN
SECRETARY2.00Yes (X)Yes (X)$0$0$0
REGINA SCHWEITZER
VICE CHAIR2.00Yes (X)Yes (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
ELIZABETH MOSELEY
CHIEF FINANCIAL OFFICER40.00Yes (X)$84,083$0$10,780
LISA BRICKER
CHIEF EXECUTIVE OFFICER40.00Yes (X)$132,738$0$8,002
CORINNE REPLOGLE MD
MEDICAL PROVIDER40.00$153,259$0$12,241Yes (X)
KUNJAN SHAKYA MD
MEDICAL PROVIDER40.00$181,522$0$7,696Yes (X)
STEPHANIE CORN MD
MEDICAL PROVIDER40.00$176,276$0$15,163Yes (X)
JON SHNEIDMAN
DENTAL PROVIDER40.00$124,141$0$859Yes (X)
JEROME HOTCHKISS MD
MEDICAL PROVIDER40.00$179,332$0$16,994Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,031,351TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$71,735TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$1,997,289GovernmentGrantsAmt
All Other Contributions$383,931AllOtherContributionsAmt
Total Contributions$2,381,220TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAL/DENTAL SERVICE622110$4,698,008$4,698,008
PHARMACEUTICAL SALES446110$651,848$651,848
OTHER INCOME999999$7,764$7,764
FieldValueIRS element (for citing)
Total Program Service Revenue$5,357,620TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$308TotalRevenueColumnAmt
Exclusion$308ExclusionAmt

Gross Rents GrossRentsGrp

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

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$63,507RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$11,787RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$11,787TotalRevenueColumnAmt
Unrelated Business Revenue-$11,787UnrelatedBusinessRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,727,361TotalRevenueColumnAmt
Related Or Exempt Func Income$5,357,620RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$11,787UnrelatedBusinessRevenueAmt
Exclusion$308ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$214,989TotalAmt
Program Services$214,989ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$235,603TotalAmt
Management And General$235,603ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,128,343TotalAmt
Program Services$3,511,510ProgramServicesAmt
Management And General$616,833ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$337,442TotalAmt
Program Services$155,994ProgramServicesAmt
Management And General$181,448ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$330,540TotalAmt
Program Services$156,502ProgramServicesAmt
Management And General$174,038ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$795TotalAmt
Fundraising$795FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$666,256TotalAmt
Program Services$560,434ProgramServicesAmt
Management And General$105,822ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,040TotalAmt
Program Services$10,940ProgramServicesAmt
Fundraising$1,100FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$132,600TotalAmt
Program Services$84,538ProgramServicesAmt
Management And General$48,062ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$142,846TotalAmt
Program Services$130,620ProgramServicesAmt
Management And General$12,226ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$17,901TotalAmt
Program Services$14,515ProgramServicesAmt
Management And General$3,386ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$43,942TotalAmt
Program Services$30,094ProgramServicesAmt
Management And General$13,848ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$125,420TotalAmt
Program Services$121,016ProgramServicesAmt
Management And General$4,404ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$24,180TotalAmt
Program Services$18,309ProgramServicesAmt
Management And General$5,871ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PATIENT CARE COSTS$504,348$503,859$489
STAFF DEVELOPMENT$92,901$90,332$2,569
DUES, FEES, AND LICENSE$30,668$13,120$17,548
BANK SERVICE CHARGES$16,531$170$16,361

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,269TotalAmt
Program Services$469ProgramServicesAmt
Management And General$4,800ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,062,614TotalAmt
Program Services$5,617,411ProgramServicesAmt
Management And General$1,443,308ManagementAndGeneralAmt
Fundraising$1,895FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$94,138BOYAmt
EOY$167,034EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$330BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$71,897BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$761,379BOYAmt
EOY$1,426,839EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$50,116BOYAmt
EOY$12,979EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,952,965LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$874,117LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,116,687BOYAmt
EOY$4,078,848EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,094,547BOYAmt
EOY$5,685,700EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$367,573BOYAmt
EOY$466,347EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,248,183BOYAmt
EOY$1,175,815EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$100,000BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,715,756BOYAmt
EOY$1,642,162EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,378,791BOYAmt
EOY$4,043,538EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,378,791BOYAmt
EOY$4,043,538EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,094,547BOYAmt
EOY$5,685,700EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$664,747ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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 Committee0AuditCommitteeInd
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$1,386,744CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$978,305CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,540,021CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,822,225CurrentTaxYearMinus1YearAmt
Current Tax Year$2,381,220CurrentTaxYearAmt
Total$8,108,515TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,861,433CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,190,130CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,716,858CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,837,036CurrentTaxYearMinus1YearAmt
Current Tax Year$5,357,620CurrentTaxYearAmt
Total$16,963,077TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,248,177CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,168,435CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,256,879CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,659,261CurrentTaxYearMinus1YearAmt
Current Tax Year$7,738,840CurrentTaxYearAmt
Total$25,071,592TotalAmt

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$25,071,592PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$56,755CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$55,850CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$54,294CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$51,091CurrentTaxYearMinus1YearAmt
Current Tax Year$52,028CurrentTaxYearAmt
Total$270,018TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$56,755CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$55,850CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$54,294CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$51,091CurrentTaxYearMinus1YearAmt
Current Tax Year$52,028CurrentTaxYearAmt
Total$270,018TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,304,932CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,224,285CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,311,173CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,710,352CurrentTaxYearMinus1YearAmt
Current Tax Year$7,790,868CurrentTaxYearAmt
Total$25,341,610TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98930PublicSupportCY509Pct
Public Support PY5090.99410PublicSupportPY509Pct
Investment Income CY0.01070InvestmentIncomeCYPct
Investment Income PY0.00590InvestmentIncomePYPct
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$492,013DepreciationAmt
Book Value$3,126,980BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,820OtherCostOrOtherBasisAmt
Depreciation$152DepreciationAmt
Book Value$1,668BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$533,416OtherCostOrOtherBasisAmt
Depreciation$361,831DepreciationAmt
Book Value$171,585BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,332OtherCostOrOtherBasisAmt
Depreciation$20,121DepreciationAmt
Book Value$9,211BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,078,848TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,790,868TotalRevEtcAuditedFinclStmtAmt
Other Revenue$63,507OtherRevenueAmt
Revenue Not Reported$63,507RevenueNotReportedAmt
Revenue Subtotal$7,727,361RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,727,361TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,126,121TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$63,507OtherExpensesIncludedAmt
Expenses Not Reported$63,507ExpensesNotReportedAmt
Expenses Subtotal$7,062,614ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,062,614TotalExpensesPerForm990Amt

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 63,507.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 63,507.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1VALLEY AIDS NETWORKBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MSC 9018 BLUE RIDGE HALLAddressLine1Txt
CityHARRISONBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22807ZIPCd
FieldValueIRS element (for citing)
Recipient EIN621471623RecipientEIN
Cash Grant$182,282CashGrantAmt
Purpose Of GrantMEDICAL, DENTALPurposeOfGrantTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (5 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
CORINNE REPLOGLE MD
MEDICAL PROVIDER$153,259$0$0$0$0$0$3,141$0$9,100$0$165,500$0$0$0
KUNJAN SHAKYA MD
MEDICAL PROVIDER$181,522$0$0$0$0$0$1,153$0$6,543$0$189,218$0$0$0
STEPHANIE CORN MD
MEDICAL PROVIDER$176,276$0$0$0$0$0$4,043$0$11,120$0$191,439$0$0$0
JON SHNEIDMAN
DENTAL PROVIDER$124,141$0$0$0$0$0$0$0$859$0$125,000$0$0$0
JEROME HOTCHKISS MD
MEDICAL PROVIDER$179,332$0$0$0$0$0$7,420$0$9,574$0$196,326$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 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 DETERMINES THE SALARY OF THE CHIEF EXECUTIVE OFFICER BASED ON PERFORMANCE, TENURE AND DATA FOR COMPARABLE POSITIONS.
FORM 990, PART VI, SECTION C, LINE 19INFORMATION IS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE CORPORATE OFFICE.

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