CENTRALIZED CREDENTIALS: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CENTRALIZED CREDENTIALS (EIN 54-2004980)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201833179349304113
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)
Return2018-11-13T12:43:57-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN540565834PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11802 BAYBERRY COURT SUITE 300AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23226ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN542004980EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES G BECKNERPersonNm
Person TitleEX. DIR.-RAM, CCVS, AN, SC & RAM TRPersonTitleTxt
Phone8046228145PhoneNum
Signature2018-10-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMELISSA A SIKESPreparerPersonNm
PTINP01261580PTIN
Phone8042826000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address96.89.27.153IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-10-05IPDt
IP Tm10:47:20IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDE832A973B27230D30FC59DD4F1CD46098D51502AtSubmissionCreationDeviceId
At Submission Filing Device Id10B233F59CB0255923D19C8F56FF5C2E3562F730AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES G BECKNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12821 EMERYWOOD PARKWAY SUITE 200AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23294ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$937,466GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.CCVSINC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTO PROVIDE CENTRALIZED CREDENTIALINGActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee11TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$867,400PYProgramServiceRevenueAmt
CY Program Service Revenue$856,415CYProgramServiceRevenueAmt
PY Investment Income-$5,015PYInvestmentIncomeAmt
CY Investment Income$12,927CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$862,385PYTotalRevenueAmt
CY Total Revenue$869,342CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$459,801PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$447,255CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$332,202PYOtherExpensesAmt
CY Other Expenses$360,987CYOtherExpensesAmt
PY Total Expenses$792,003PYTotalExpensesAmt
CY Total Expenses$808,242CYTotalExpensesAmt
PY Revenues Less Expenses$70,382PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$61,100CYRevenuesLessExpensesAmt
Total Assets BOY$981,298TotalAssetsBOYAmt
Total Assets EOY$1,002,753TotalAssetsEOYAmt
Total Liabilities BOY$261,841TotalLiabilitiesBOYAmt
Total Liabilities EOY$203,300TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$719,457NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$799,453NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE CREDENTIALING SOLUTIONS FOR HOSPITALS, MANAGED CARE ORGANIZATIONS, AND AMBULATORY CARE CLINICS BY OFFERING HIGH QUALITY, TIMELY, AND COST EFFECTIVE SERVICES THAT CAN BE TAILORED TO MEET THE SPECIFIC NEEDS AND REQUIREMENTS OF OUR CLIENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTO PROVIDE CENTRALIZED CREDENTIALING PRIMARILY TO STATEWIDE ORGANIZATIONSDesc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
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 Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee11EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
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 EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
ERIC FREEMAN MD
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
LUCIEN ROBERTS
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
THOMAS L MOFFATT MD
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
GEORGE GREENFIELD PA
IMMEDIATE PAST PRESIDENT1.00Yes (X)Yes (X)$0$0$0
LISA ACQUAYE
DIRECTOR1.00Yes (X)$0$0$0
SUSAN BALDWIN
DIRECTOR1.00Yes (X)$0$0$0
CASSANDRA LEWIS
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL LUNDBERG
DIRECTOR1.00Yes (X)$0$0$0
CHRIS ORDONIA
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL PERINI MD
DIRECTOR1.00Yes (X)$0$0$0
E WINSTON TRICE MD
DIRECTOR1.00Yes (X)$0$0$0
TRENT WALTER
DIRECTOR1.00Yes (X)$0$0$0
JOHNNY CL WONG MD
DIRECTOR1.00Yes (X)$0$0$0
JAMES G BECKNER
EX. DIR.-RAM, CCVS, AN, SC & RAM TR3.00Yes (X)$0$150,108$15,57937.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$150,108TotReportableCompRltdOrgAmt
Total Other Compensation$15,579TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CREDENTIALING SERVICES561499$852,495$852,495
BACKGROUND CHECKS561499$3,920$3,920
FieldValueIRS element (for citing)
Total Program Service Revenue$856,415TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,282TotalRevenueColumnAmt
Exclusion$5,282ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$75,769SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$68,124SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$7,645SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,645TotalRevenueColumnAmt
Exclusion$7,645ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$869,342TotalRevenueColumnAmt
Related Or Exempt Func Income$856,415RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$12,927ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$351,305TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,480TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$60,919TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$26,551TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,685TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,300TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,074TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,981TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,544TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$37,942TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,906TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$54,454TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$252TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,229TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,453TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,561TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
RAM PERSONNEL SUPPORT R$97,000
VERIFICATION FEES$61,943
RAM SPONSORSHIP$20,000
NCQA FEE$17,500

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$25,163TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$808,242TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17BOYAmt
EOY$19EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$627,301BOYAmt
EOY$455,875EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$195,049BOYAmt
EOY$171,686EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$33,161BOYAmt
EOY$54,419EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$202,237LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$177,708LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,768BOYAmt
EOY$24,529EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$118,002BOYAmt
EOY$296,225EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$981,298BOYAmt
EOY$1,002,753EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$92,631BOYAmt
EOY$23,435EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$169,210BOYAmt
EOY$179,865EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$261,841BOYAmt
EOY$203,300EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$719,457BOYAmt
EOY$799,453EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$719,457BOYAmt
EOY$799,453EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$981,298BOYAmt
EOY$1,002,753EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$61,100ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$18,896NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

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

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,496OtherCostOrOtherBasisAmt
Depreciation$2,998DepreciationAmt
Book Value$1,498BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,627OtherCostOrOtherBasisAmt
Depreciation$86,724DepreciationAmt
Book Value$21,903BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$89,114OtherCostOrOtherBasisAmt
Depreciation$87,986DepreciationAmt
Book Value$1,128BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$24,529TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJAMES G BECKNERPersonNm
TitleEX. DIR.-RAM, CCVS, AN, SC & RAM TRTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$140,608CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$9,500BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$4,519DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$11,060NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$165,687TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

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

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

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

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