EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED (EIN 51-0196935)
Tax period
2017-06-01 to 2018-05-31
Filed
2018-09-27
IRS object ID
201842709349300304
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)
Return2018-09-27T08:38:08-04:00ReturnTs
Tax Period End2018-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN541896113PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ROBINSON FARMER COX ASSOCIATESBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1530 WESTFIELD RDAddressLine1Txt
CityCHARLOTTESVILLECityNm
State AbbreviationVAStateAbbreviationCd
ZIP229011726ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN510196935EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EASTERN SHORE RURAL HEALTHBusinessNameLine1Txt
Business Name Line2SYSTEM INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlEASTBusinessNameControlTxt
Phone7574140400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line120280 MARKET STREETAddressLine1Txt
CityONANCOCKCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23417ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNANCY STERNPersonNm
Person TitleCHIEF EXECUTIVE OFF.PersonTitleTxt
Phone7574140400PhoneNum
Signature2018-09-21SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID E FOLEYPreparerPersonNm
PTINP01457488PTIN
Phone4349738314PhoneNum
Preparation2018-09-27PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.77.77.25IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-09-27IPDt
IP Tm07:38:08IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id5DE83D308AF21EAAC4F44A572013746C71D0E517AtSubmissionCreationDeviceId
At Submission Filing Device Id9ABF4A4CD9073D44961EDDFBB9D4FC555C086CE7AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNANCY STERNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line120280 MARKET STREETAddressLine1Txt
CityONANCOCKCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23417ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,665,300GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ESRH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionOPERATION OF FEDERALLY SUPPORTED COMMUNITY HEALTH CENTERS.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee287TotalEmployeeCnt
Total Volunteers37TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$5,812,005PYContributionsGrantsAmt
CY Contributions Grants$6,267,704CYContributionsGrantsAmt
PY Program Service Revenue$17,090,337PYProgramServiceRevenueAmt
CY Program Service Revenue$18,338,823CYProgramServiceRevenueAmt
PY Investment Income$14,168PYInvestmentIncomeAmt
CY Investment Income$16,470CYInvestmentIncomeAmt
PY Other Revenue$21,799PYOtherRevenueAmt
CY Other Revenue$28,727CYOtherRevenueAmt
PY Total Revenue$22,938,309PYTotalRevenueAmt
CY Total Revenue$24,651,724CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,176,877PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,281,276CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$403,661CYTotalFundraisingExpenseAmt
PY Other Expenses$5,268,381PYOtherExpensesAmt
CY Other Expenses$5,578,391CYOtherExpensesAmt
PY Total Expenses$20,445,258PYTotalExpensesAmt
CY Total Expenses$20,859,667CYTotalExpensesAmt
PY Revenues Less Expenses$2,493,051PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,792,057CYRevenuesLessExpensesAmt
Total Assets BOY$22,682,435TotalAssetsBOYAmt
Total Assets EOY$26,476,983TotalAssetsEOYAmt
Total Liabilities BOY$3,631,395TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,633,886TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,051,040NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,843,097NetAssetsOrFundBalancesEOYAmt
MissionOPERATION OF FEDERALLY SUPPORTED COMMUNITY HEALTH CENTERS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$18,015,992ExpenseAmt
Revenue$18,338,823RevenueAmt
DescORGANIZATION 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$18,015,992TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document26IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee287EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNANCY STERNPersonNm
Phone7574140400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line120280 MARKET STREETAddressLine1Txt
CityONANCOCKCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23417ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BETTY BIBBINS
BOARD MEMBER2.00Yes (X)$0$0$0
DENISE BLAND
PRESIDENT2.00Yes (X)$0$0$0
LUTHER BYRD
BOARD MEMBER2.00Yes (X)$0$0$0
ARTHUR FOURNIER
BOARD MEMBER2.00Yes (X)$0$0$0
JEFF HOLLAND
VICE PRESIDE2.00Yes (X)$0$0$0
ALICE JONES
SECRETARY2.00Yes (X)$0$0$0
GARNETT KELLAM
BOARD MEMBER2.00Yes (X)$0$0$0
BOB KERNS
TREASURER2.00Yes (X)$0$0$0
SHEILA KERPELMAN
BOARD MEMBER2.00Yes (X)$0$0$0
TOM PACE
BOARD MEMBER2.00Yes (X)$0$0$0
JOHN SCHULZ
BOARD MEMBER2.00Yes (X)$0$0$0
JOHN SPARKMAN
BOARD MEMBER2.00Yes (X)$0$0$0
WILLIAM STURGIS
BOARD MEMBER2.00Yes (X)$0$0$0
SCOTT WOLPIN
CHIEF DENTAL40.00$202,837$0$0Yes (X)
THOMAS HOLLANDSWORTH
CHIEF MEDICA40.00$197,070$0$0Yes (X)
NANCY STERN
CHIEF EXECUT40.00$191,032$0$0Yes (X)
KANDICE BRUNO
CHIEF FINANC40.00$131,190$0$0Yes (X)
BLAIR CHICK
CHIEF MEDICA40.00$123,751$0$0Yes (X)
ANNE CRABBE
CHIEF OPERAT40.00$105,104$0$0Yes (X)
JEANNETTE EDWARDS
CHIEF HR OFF40.00$103,549$0$0Yes (X)
KIMBERLY SAVAGE
CHIEF COMPLI40.00$96,019$0$0Yes (X)
MIKE ZODUN
CHIEF INFORM40.00$91,666$0$0Yes (X)
JENNIFER TYLER
CHIEF CLIN I40.00$72,383$0$0Yes (X)
JEANNE ROLL
DOCTOR40.00$198,266$0$0Yes (X)
DAVID HOSHINO
DOCTOR40.00$197,388$0$0Yes (X)
DAVID RIOPEL
DOCTOR40.00$173,171$0$0Yes (X)
JOAN LINGEN
DOCTOR40.00$169,736$0$0Yes (X)
ALBERT HALLS
DOCTOR40.00$167,219$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,220,381TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K29IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$5,251,561GovernmentGrantsAmt
All Other Contributions$1,016,143AllOtherContributionsAmt
Noncash Contributions$73,384NoncashContributionsAmt
Total Contributions$6,267,704TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE$14,126,526$14,126,526
340B$4,152,797$4,152,797
MEANINGFUL USE$59,500$59,500
FieldValueIRS element (for citing)
Total Program Service Revenue$18,338,823TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,046TotalRevenueColumnAmt
Exclusion$24,046ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,680RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,680RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,680TotalRevenueColumnAmt
Related Or Exempt Func Income$4,680RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$6,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$13,576OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$7,576OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$7,576TotalRevenueColumnAmt
Related Or Exempt Func Income-$7,576RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Total Revenue Column$24,047TotalRevenueColumnAmt
Related Or Exempt Func Income$24,047RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$24,047OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,651,724TotalRevenueColumnAmt
Related Or Exempt Func Income$18,359,974RelatedOrExemptFuncIncomeAmt
Exclusion$24,046ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,159,742TotalAmt
Program Services$287,618ProgramServicesAmt
Management And General$601,950ManagementAndGeneralAmt
Fundraising$270,174FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,520,605TotalAmt
Program Services$10,575,890ProgramServicesAmt
Management And General$918,776ManagementAndGeneralAmt
Fundraising$25,939FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$352,707TotalAmt
Program Services$322,367ProgramServicesAmt
Management And General$28,901ManagementAndGeneralAmt
Fundraising$1,439FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,425,977TotalAmt
Program Services$1,303,311ProgramServicesAmt
Management And General$116,846ManagementAndGeneralAmt
Fundraising$5,820FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$822,245TotalAmt
Program Services$751,513ProgramServicesAmt
Management And General$67,376ManagementAndGeneralAmt
Fundraising$3,356FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$23,880TotalAmt
Management And General$23,880ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,500TotalAmt
Management And General$22,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$365,437TotalAmt
Program Services$316,827ProgramServicesAmt
Fundraising$48,610FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$116,314TotalAmt
Management And General$116,314ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$529,929TotalAmt
Program Services$338,177ProgramServicesAmt
Management And General$159,996ManagementAndGeneralAmt
Fundraising$31,756FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$57,008TotalAmt
Program Services$54,578ProgramServicesAmt
Management And General$2,238ManagementAndGeneralAmt
Fundraising$192FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$154,085TotalAmt
Management And General$147,996ManagementAndGeneralAmt
Fundraising$6,089FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$90,586TotalAmt
Program Services$90,152ProgramServicesAmt
Management And General$434ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$548,651TotalAmt
Program Services$487,104ProgramServicesAmt
Management And General$56,688ManagementAndGeneralAmt
Fundraising$4,859FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$69,047TotalAmt
Management And General$69,047ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PHARMACY PROGRAMS$1,634,975$1,634,975
MEDICAL SUPPLIES$1,369,833$1,369,833
TELEPHONE & UTILITIES$315,632$260,169$51,084$4,379
REPAIRS & MAINTENANCE$222,625$209,353$12,224$1,048

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$57,889TotalAmt
Program Services$14,125ProgramServicesAmt
Management And General$43,764ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,859,667TotalAmt
Program Services$18,015,992ProgramServicesAmt
Management And General$2,440,014ManagementAndGeneralAmt
Fundraising$403,661FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,306,703BOYAmt
EOY$9,825,516EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$295,049BOYAmt
EOY$526,047EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,981,216BOYAmt
EOY$2,816,175EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$20,982BOYAmt
EOY$9,357EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,467,655LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,173,767LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$13,072,485BOYAmt
EOY$13,293,888EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,000BOYAmt
EOY$6,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,682,435BOYAmt
EOY$26,476,983EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,339,972BOYAmt
EOY$1,383,007EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$2,290,812BOYAmt
EOY$2,250,454EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$611BOYAmt
EOY$425EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,631,395BOYAmt
EOY$3,633,886EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,624,999BOYAmt
EOY$21,880,218EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$426,041BOYAmt
EOY$962,879EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,051,040BOYAmt
EOY$22,843,097EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,682,435BOYAmt
EOY$26,476,983EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,792,057ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

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$4,559,812CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,402,967CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,019,639CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,812,005CurrentTaxYearMinus1YearAmt
Current Tax Year$6,267,704CurrentTaxYearAmt
Total$26,062,127TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,727,647CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,200,132CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,011,768CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,112,136CurrentTaxYearMinus1YearAmt
Current Tax Year$18,367,550CurrentTaxYearAmt
Total$79,419,233TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,287,459CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,603,099CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,031,407CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,924,141CurrentTaxYearMinus1YearAmt
Current Tax Year$24,635,254CurrentTaxYearAmt
Total$105,481,360TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$105,481,360PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,346CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,034CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,904CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,168CurrentTaxYearMinus1YearAmt
Current Tax Year$24,046CurrentTaxYearAmt
Total$55,498TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,346CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,034CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,904CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,168CurrentTaxYearMinus1YearAmt
Current Tax Year$24,046CurrentTaxYearAmt
Total$55,498TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,407CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,715CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,983CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,199CurrentTaxYearMinus1YearAmt
Current Tax Year$24,047CurrentTaxYearAmt
Total$85,351TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,307,212CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,613,848CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,058,294CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,959,508CurrentTaxYearMinus1YearAmt
Current Tax Year$24,683,347CurrentTaxYearAmt
Total$105,622,209TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99870PublicSupportCY509Pct
Public Support PY5090.99880PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 12FormAndLineReferenceDesc
ExplanationOTHER INCOME 85,351ExplanationTxt

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,001,166OtherCostOrOtherBasisAmt
Book Value$1,001,166BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,450,938OtherCostOrOtherBasisAmt
Depreciation$3,929,615DepreciationAmt
Book Value$10,521,323BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,157,200OtherCostOrOtherBasisAmt
Depreciation$1,244,152DepreciationAmt
Book Value$913,048BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$858,351OtherCostOrOtherBasisAmt
Book Value$858,351BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,293,888TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHER LIABILITIESDesc
Amt$425Amt
FieldValueIRS element (for citing)
Total Liability$425TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$24,651,724TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$24,651,724RevenueSubtotalAmt
Total Revenue Per Form990$24,651,724TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,859,667TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$20,859,667ExpensesSubtotalAmt
Total Expenses Per Form990$20,859,667TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
SCOTT WOLPIN
CHIEF DENTAL OFFICER$202,837$202,837
THOMAS HOLLANDSWORTH
CHIEF MEDICAL OFF.$197,070$197,070
NANCY STERN
CHIEF EXECUTIVE OFF.$191,032$191,032
JEANNE ROLL
DOCTOR$198,266$198,266
DAVID HOSHINO
DOCTOR$197,388$197,388
DAVID RIOPEL
DOCTOR$173,171$173,171
JOAN LINGEN
DOCTOR$169,736$169,736
ALBERT HALLS
DOCTOR$167,219$167,219

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$73,384NoncashContributionsRptF990Amt
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS REVIEWED BY THE CEO, CFO, AND THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12CINITIALLY, 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 15ATHE 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 15BFOLLOWING 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 19THE 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.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.