2017-11-15T14:08:44-06:00 2016-12-31 540737372 PBMARES LLP 558 SOUTH MAIN STREET HARRISONBURG VA 22801 990 2016-01-01 020813294 HARRISONBURG COMMUNITY HEALTH CENTER HARR 5404334913 P O BOX 308 HARRISONBURG VA 22803 BETH MOSELEY CHIEF FINANCIAL OFFICER 5404334913 2017-11-12 1 KEVIN HUMPHRIES P00168667 5404345975 2017-11-12 X 209.10.80.132 2017-11-12 19:30:40 ES P 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 CAF2F61FEF47B780C89D0A0885DA2B8D94242D92 2016 2017-02-10 21:41:12Z BETH MOSELEY 1380 LITTLE SORRELL DRIVE SUITE 100 HARRISONBURG VA 22801 4716261 0 X WWW.HBURGCHC.ORG X 2007 VA TO 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. 13 13 93 0 0 -4545 1540021 1822225 2716858 2842945 221 -7601 -42677 -32537 4214423 4625032 164555 248916 0 0 2926316 3262632 5682 0 6238 1265719 1361487 4362272 4873035 -147849 -248003 5113269 5094547 1486475 1715756 3626794 3378791 TO 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. 0 0 2808468 2251252 PROVIDED ACCESSIBLE AND AFFORDABLE PRIMARY HEALTH CARE SERVICES IN HARRISONBURG, VIRGINIA, AND THE SURROUNDING AREA. THERE WERE 21,474 PATIENT VISITS IN 2016. IN 2016, 3,865 UNINSURED VISITS WERE PROVIDED WITH HEALTHCARE INCLUDING DISCOUNTS UNDER A SLIDING FEE SCALE FOR LOW INCOME ELIGIBLE PERSONS. THE ORGANIZATION PROVIDES CULTURALLY SENSITIVE HEALTHCARE INCLUDING LANGUAGE TRANSLATION AS NEEDED. 784395 580822 PROVIDED ACCESSIBLE AND AFFORABLE DENTAL SERVICES IN HARRISONBURG, VIRGINIA, AND THE SURROUNDING AREA. 248916 248916 GRANTS 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. 3841779 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 93 1 1 1 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 1 0 0 X BETH MOSELEY 5404334913 1380 LITTLE SORRELL DRIVE SUITE 100 HARRISONBURG VA 22801 WAYNE WOODSON VICE CHAIR 2.00 X X 0 0 0 HEIDI DERSTINE CPA TREASURER 2.00 X X 0 0 0 RHONDA ZINGRAFF PHD SECRETARY 2.00 X X 0 0 0 DAVID COCKLEY PHD MEMBER 1.00 X 0 0 0 RACHAEL HARNISH BOARD CHAIR 2.00 X X 0 0 0 STEPHEN PHILLIPS MD MEMBER 1.00 X 0 0 0 NANCY PINZON MEMBER 1.00 X 0 0 0 JUDITH TRUMBO MEMBER 1.00 X 0 0 0 JOHN TAYLOR MEMBER 1.00 X 0 0 0 DANE BYERS MEMBER 1.00 X 0 0 0 JANE HUBBELL MEMBER 1.00 X 0 0 0 ERIKA METZLER-SAWIN MEMBER 1.00 X 0 0 0 EVELIN GONZALEZ MEMBER 1.00 X 0 0 0 ELIZABETH MOSELEY CHIEF FINANCIAL OFFICER 40.00 X 50205 0 1849 LISA BRICKER CHIEF EXECUTIVE OFFICER 40.00 X 70581 0 2400 CORINNE REPLOGLE MD MEDICAL PROVIDER 40.00 X 162359 0 5115 JEROME HOTCHKISS MD MEDICAL PROVIDER 40.00 X 171140 0 5410 454285 0 14774 2 0 1 0 0 41102 1771061 10062 1822225 MEDICAL/DENTAL SERVICE 622110 2561637 2561637 PHARMACEUTICAL SALES 446110 275400 275400 OTHER INCOME 999999 5908 5908 2842945 154 154 50937 61808 -10871 -10871 -10871 7755 -7755 -7755 -7755 0 41102 21666 -21666 -21666 4625032 2832074 0 -29267 248916 248916 125035 125035 2672923 2259272 413651 269694 128375 141319 194980 135564 59416 79480 79480 308457 232445 76012 19935 7920 5777 6238 88023 70345 17678 49788 44809 4979 95758 85470 10288 6248 2466 3782 3851 1070 2781 45756 34317 11439 125238 121336 3902 15685 15685 PATIENT CARE COSTS 377784 377784 STAFF DEVELOPMENT 85106 64571 20535 DUES, FEES, AND LICENSE 32431 23543 8888 OTHER 15662 3576 12086 12285 12285 4873035 3841779 1025018 6238 329617 94138 3197 330 386095 71897 158526 761379 11107 50116 4844000 727313 4224727 4116687 5113269 5094547 158877 367573 1327598 1248183 100000 1486475 1715756 X 3626794 3378791 3626794 3378791 5113269 5094547 -248003 0 X 0 1 X 0 0 X 3099578 1386744 978305 1540021 1822225 8826873 20762323 2861433 3190130 2716858 2837036 32367780 23861901 4248177 4168435 4256879 4659261 41194653 0 0 0 41194653 24704 56755 55850 54294 51091 242694 24704 56755 55850 54294 51091 242694 23886605 4304932 4224285 4311173 4710352 41437347 0.99410 0.99520 0.00590 0.00480 X 769404 769404 3615697 399157 3216540 429567 312517 117050 29332 15639 13693 4116687 X 4716261 91229 91229 4625032 0 4625032 4964264 91229 91229 4873035 0 4873035 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. SUCH RETURNS FOR THE TAX YEARS ENDED DECEMBER 31, 2012 THROUGH 2015 REMAIN OPEN TO POTENTIAL EXAMINATION BY TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 21,666. RENTAL EXPENSES 61,808. LOSS ON ASSET DISPOSAL 7,755. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 21,666. RENTAL EXPENSES 61,808. LOSS ON ASSET DISPOSAL 7,755. BREWS AT THE BARN EVENT 41102 41102 2200 8832 1250 9384 41102 41102 2200 8832 1250 9384 21666 -21666 1 VALLEY AIDS NETWORK MSC 9018 BLUE RIDGE HALL HARRISONBURG VA 22807 621471623 248916 MEDICAL, DENTAL 0 0 0 0 0 0 0 0 0 CORINNE REPLOGLE MD MEDICAL PROVIDER 162359 0 0 0 0 0 0 0 5115 0 167474 0 0 0 JEROME HOTCHKISS MD MEDICAL PROVIDER 171140 0 0 0 0 0 0 0 5410 0 176550 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWED AN ELECTRONIC COPY OF THE 990 PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 15A THE 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 19 INFORMATION IS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE CORPORATE OFFICE.