CONNECTVIRGINIA HIE INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- CONNECTVIRGINIA HIE INC (EIN 46-4611149)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-10-11
- IRS object ID
- 201842849349301239
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-10-11T12:44:07-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 208426521 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIMBLE | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6806 PARAGON PLACE SUITE 250 | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23230 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 464611149 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONNECTVIRGINIA HIE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CONN | BusinessNameControlTxt |
| Phone | 8049551790 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 102 N 5TH STREET | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23219 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM HAZEL JR MD | PersonNm |
| Person Title | CHAIRMAN | PersonTitleTxt |
| Phone | 8049551790 | PhoneNum |
| Signature | 2018-07-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | FABIOLA SANTANA | PreparerPersonNm |
| PTIN | P00238084 | PTIN |
| Phone | 8046124380 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WILLIAM HAZEL JR MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 102 N 5TH STREET | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,091,851 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CONNECTVIRGINIA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2014 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | FOSTER AND SUSTAIN TRUST, COLLABORATION AND INFORMATION SHARING AMONG CONSUMERS, PROVIDERS, AND PURCHASERS OF HEALTHCARE SERVICES IN THE COMMONWEALTH OF VIRGINIA, LEADING TO MEASURABLE IMPROVEMENT IN OUTCOMES AND COST-EFFECTIVE DELIVERY OF SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $183,267 | PYContributionsGrantsAmt |
| CY Contributions Grants | $269,886 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $982,067 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $741,618 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,672 | PYOtherRevenueAmt |
| CY Other Revenue | $80,347 | CYOtherRevenueAmt |
| PY Total Revenue | $1,171,006 | PYTotalRevenueAmt |
| CY Total Revenue | $1,091,851 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $998,777 | PYOtherExpensesAmt |
| CY Other Expenses | $927,941 | CYOtherExpensesAmt |
| PY Total Expenses | $998,777 | PYTotalExpensesAmt |
| CY Total Expenses | $927,941 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $172,229 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $163,910 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $689,042 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,708,166 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $614,173 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $689,042 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,093,993 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FOSTER AND SUSTAIN TRUST, COLLABORATION AND INFORMATION SHARING AMONG CONSUMERS, PROVIDERS, AND PURCHASERS OF HEALTHCARE SERVICES IN THE COMMONWEALTH OF VIRGINIA, LEADING TO MEASURABLE IMPROVEMENT IN OUTCOMES AND COST-EFFECTIVE DELIVERY OF SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $875,476 | ExpenseAmt |
| Revenue | $821,965 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES GOVERNANCE AND THE LEGAL FRAMEWORK FOR SECURE DATA SHARING THROUGHOUT VIRGINIA AND PROVIDES A PUBLIC HEALTH REPORTING PATHWAY FOR PATIENT RELATED DATA. CONTRACTUAL SUPPORT IS PROVIDED FOR PARTICIPATION IN EHEALTH EXCHANGE AS THE MECHANISM FOR QUERY AND RETRIEVAL OF PATIENT SUMMARY CARE DOCUMENTS FROM THE NATIONAL HEALTH INFORMATION EXCHANGE. FEES FOR THESE SERVICES ARE SET AT $59 PER STAFFED BED PER YEAR FOR 2016 - 2018.THE ORGANIZATION RECEIVES FUNDING FROM VDH TO SUPPORT THE DEVELOPMENT OF THE ORGANIZATION'S STATEWIDE HEALTH INFORMATION EXCHANGE. THE EXCHANGE PROVIDES A SINGLE, STATEWIDE TECHNOLOGY SOLUTION THAT CONNECTS ALL HOSPITAL EMERGENCY DEPARTMENTS TO FACILITATE REAL-TIME COMMUNICATION.THE ORGANIZATION PROVIDES ANNUAL SUPPORT AND MAINTENANCE FOR ALL HOSPITALS THAT REGISTER FOR THE CORE SERVICES. REVENUE FROM ENCOUNTER ALERT SERVICES WAS $93,344 IN 2017.THE ORGANIZATION BEGAN COLLECTING NEWBORN SCREENING DATA DURING 2017. THE ORGANIZATION AND THE DEPARTMENT OF GENERAL SERVICES, DIVISION OF CONSOLIDATED LABORATORY SERVICES (DCLS) ARE WORKING TO EXPAND THEIR CAPABILITIES TO INCLUDE THE SECURE EXCHANGE OF NEWBORN SCREENING DATA. THESE NEW CAPABILITIES SUPPORT THE ELECTRONIC, SECURE AND STANDARDS BASED EXCHANGE OF NBS LAB ORDERS AND RESULTS USING NATIONALLY ADOPTED HEALTH VOCABULARIES. REVENUE FROM NEWBORN SCREENING WAS $30,250 IN 2017 WHICH INCLUDES $24,000 FOR IMPLEMENTATION OF THE REQUIRED PLATFORM AND $1,250 PER MONTH OF RECURRING FEES BEGINNING AUGUST 2017. | Desc |
| Total Program Service Expenses | $875,476 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEBORAH WAITE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8046435573 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 102 NORTH 5TH STREET | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| WILLIAM HAZEL JR MD | ||||||
| CHAIRMAN OF THE BOARD | 1.30 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHRISTOPHER BAILEY | ||||||
| VICE CHAIRMAN OF THE BOARD | 1.30 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DEBBIE CONDREY | ||||||
| SECRETARY | 1.30 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| TERRI RIPLEY | ||||||
| TREASURER | 1.30 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SANDY CHUNG MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MELINA DAVIS-MARTIN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| R NEAL GRAHAM | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MELINDA HANCOCK | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KATE NEUHAUSEN MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CYNTHIA ROMERO MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARIANN YEAGER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL REAGIN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDFX | |||||
| 150 LAVAN STREET | WARWICK | RI | 02888 | TECHNOLOGY DEVELOPMENT | $259,500 |
| VIRGINIA HEALTH INFORMATION | |||||
| 102 N 5TH STREET | RICHMOND | VA | 23219 | ADMINISTRATION, ACCOUNTING, HUMAN RESOUR | $210,827 |
| ENVERA HEALTH | |||||
| 4900 COX RD SUITE 200 | GLEN ALLEN | VA | 23060 | ADMINISTRATION, ACCOUNTING, HUMAN RESOUR | $201,580 |
| TROUTMAN SANDERS LLP | |||||
| PO BOX 933652 | ATLANTA | GA | 31193 | LEGAL ASSISTANCE | $120,984 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $269,886 | GovernmentGrantsAmt |
| Total Contributions | $269,886 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOSPITAL FEES | 900099 | $618,024 | $618,024 |
| OTHER PROGRAM REVENUE | 900099 | $123,594 | $123,594 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $741,618 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SEC 481(A) ADJUSTMENT | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $80,347 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $80,347 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $80,347 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,091,851 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $821,965 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,451 | TotalAmt |
| Program Services | $247,451 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,984 | TotalAmt |
| Program Services | $120,984 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,500 | TotalAmt |
| Management And General | $5,500 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,058 | TotalAmt |
| Management And General | $2,058 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $507,041 | TotalAmt |
| Program Services | $507,041 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,396 | TotalAmt |
| Management And General | $1,396 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,366 | TotalAmt |
| Management And General | $12,366 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BUSINESS DEVELOPMENT | Desc |
| Total | $31,145 | TotalAmt |
| Management And General | $31,145 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $927,941 | TotalAmt |
| Program Services | $875,476 | ProgramServicesAmt |
| Management And General | $52,465 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $689,042 | BOYAmt |
| EOY | $1,042,385 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $665,781 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $689,042 | BOYAmt |
| EOY | $1,708,166 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $164,999 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $449,174 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $614,173 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $689,042 | BOYAmt |
| EOY | $1,093,993 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $689,042 | BOYAmt |
| EOY | $1,093,993 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $689,042 | BOYAmt |
| EOY | $1,708,166 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $163,910 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $241,041 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAuditedInd |
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 Minus3 Years | $212,500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $175,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $243,267 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $269,886 | CurrentTaxYearAmt |
| Total | $900,653 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1,062,450 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,108,275 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,137,322 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $871,595 | CurrentTaxYearAmt |
| Total | $4,179,642 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1,274,950 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,283,275 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,380,589 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,141,481 | CurrentTaxYearAmt |
| Total | $5,080,295 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $821,783 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $817,080 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $810,700 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $598,453 | CurrentTaxYearAmt |
| Total | $3,048,016 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $821,783 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $817,080 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $810,700 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $598,453 | CurrentTaxYearAmt |
| Total | $3,048,016 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $2,032,279 | PublicSupportTotal509Amt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $7,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,016 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,672 | CurrentTaxYearMinus1YearAmt |
| Total | $45,688 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1,281,950 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,316,291 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,386,261 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,141,481 | CurrentTaxYearAmt |
| Total | $5,125,983 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION WAS FORMED AS A NON-STOCK CORPORATION UNDER THE PROVISIONS OF CHAPTER 10 OF TITLE 13 OF THE CODE OF VIRGINIA AND IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, AS SUCH HAS NO OBLIGATIONS RELATING TO FEDERAL OR STATE INCOME TAXES. THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS AND DETERMINED THAT ITS POSITONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED ON EXAMINATION. ALL YEARS SINCE INCEPTION ON 2014 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION HAS A MANAGEMENT SERVICES AGREEMENT WITH VIRGINIA HEALTH INFORMATION (VHI) . VHI PROVIDED ADMINISTRATION, ACCOUNTING, PUBLIC RELATIONS, COMMUNICATIONS, AND COMPLIANCE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PRESENTED TO THE BOARD AND REVIEWED BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL DISCLOSURES ARE MADE TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION ALLOWS ANYONE TO VIEW ALL THE FINANCIAL STATEMENTS, FORM 990S, AND OTHER ORGANIZATIONAL DOCUMENTS AT THE MAIN OFFICE. DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | SEC. 481(A) ADJUSTMENT TO BE TAKEN RATABLY OVER THE NEXT THREE YEARS 241,041. THE ORGANIZATION CHANGED IT'S ACCOUNTING METHOD FROM CASH BASIS ACCOUNTING TO ACCRUAL BASIS ACCOUNTING. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZTION HAS NOT CHANGED ITS OVERSIGHT PROCESS DURING THE TAX YEAR. |