CENTRAL VIRGINIA HEALTH SERVICES INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL VIRGINIA HEALTH SERVICES INC (EIN 54-0887287)
- Tax period
- 2016-04-01 to 2017-03-31
- Filed
- 2017-08-31
- IRS object ID
- 201712439349300901
- Schema version
- 2016v3.0
- 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 | 2017-08-31T08:57:11-04:00 | ReturnTs |
| Tax Period End | 2017-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 541896113 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBINSON FARMER COX ASSOCIATES | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 HEDGEROW DR | AddressLine1Txt |
| City | STAUNTON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 244016360 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540887287 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL VIRGINIA HEALTH SERVICES | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 4345813271 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 220 | AddressLine1Txt |
| City | NEW CANTON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23123 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHARLES W ALLBAUGH | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4345813271 | PhoneNum |
| Signature | 2017-08-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES W KELLY | PreparerPersonNm |
| PTIN | P01486083 | PTIN |
| Phone | 5402487300 | PhoneNum |
| Preparation | 2017-08-31 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 5DE83D308AF21EAAC4F44A572013746C71D0E517 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5DE83D308AF21EAAC4F44A572013746C71D0E517 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHARLES W ALLBAUGH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25892 JAMES MADISON HWY | AddressLine1Txt |
| City | NEW CANTON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23123 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $34,995,942 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CVHSINC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | CENTRAL VIRGINIA HEALTH SERVICES IS COMMITTED TO PROVIDING SAFE, ACCESSIBLE, AFFORDABLE, COMPREHENSIVE, HIGH QUALITY AND CULTURALLY SENSITIVE HEALTH AND DENTAL SERVICES TO THE PEOPLE IT SERVES. ANYONE CAN RECEIVE HEALTH CARE SERVICES, INSURED OR UNINSURED. LOW INCOME PATIENTS MAY BE ELIGIBLE FOR A DISCOUNT BASED ON THEIR INCOME AND FAMILY SIZE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 496 | TotalEmployeeCnt |
| Total Volunteers | 208 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $11,546,168 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,050,657 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,826,492 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,737,325 | CYProgramServiceRevenueAmt |
| PY Investment Income | $182,530 | PYInvestmentIncomeAmt |
| CY Investment Income | $207,960 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $31,555,190 | PYTotalRevenueAmt |
| CY Total Revenue | $34,995,942 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,237,451 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,699,806 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $272,506 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,790,538 | PYOtherExpensesAmt |
| CY Other Expenses | $8,015,221 | CYOtherExpensesAmt |
| PY Total Expenses | $31,027,989 | PYTotalExpensesAmt |
| CY Total Expenses | $33,715,027 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $527,201 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,280,915 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $26,217,775 | TotalAssetsBOYAmt |
| Total Assets EOY | $27,730,440 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,845,933 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,899,752 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $23,371,842 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,830,688 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CENTRAL VIRGINIA HEALTH SERVICES, INC. (ORGANIZATION) IS A NON-PROFIT HEALTH CARE ORGANIZATION WITH LOCATIONS IN BOWLING GREEN, CHARLES CITY, NEW CANTON, CHARLOTTE COURT HOUSE, FARMVILLE, ALBERTA, PETERSBURG, AYLETT, HOPEWELL, MONTROSS, CHARLOTTESVILLE AND FREDERICKSBURG VIRGINIA. THE ORGANIZATION PROVIDES COMPREHENSIVE HEALTH AND MEDICAL CARE SERVICES ON AN OUT-PATIENT BASIS TO THE RESIDENTS OF THE COUNTIES OF FLUVANNA, CHARLES CITY, BUCKINGHAM, CUMBERLAND, CHARLOTTE, BRUNSWICK, ALBEMARLE, PRINCE EDWARD, KING WILLIAM, KIND AND QUEEN, CAROLINE, LOUISA, WESTMORELAND, PRINCE GEORGE, RICHMOND, CITY OF PETERSBURG, CITY OF HOPEWELL, CITY OF FREDERICKSBURG, CITY OF CHARLOTTESVILLE AND OTHER SURROUNDING COUNTIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $27,617,882 | ExpenseAmt |
| Revenue | $22,737,325 | RevenueAmt |
| Desc | PROVIDE OUT-PATIENT HEALTH AND DENTAL CARE TO RESIDENTS OF FLUVANNA, CHARLES CITY, BUCKINGHAM, CUMBERLAND, CHARLOTTE, BRUNSWICK, ALBEMARLE, PRINCE EDWARD, KING WILLIAM, KING AND QUEEN, CAROLINE, LOUISA, WESTMORELAND, PRINCE GEORGE AND RICHMOND COUNTIES AND THE CITIES OF PETERSBURG, HOPEWELL, CHARLOTTESVILLE AND FREDERICKSBURG SERVING NEARLY 43,000 PATIENTS IN CALENDAR YEAR 2016 | Desc |
| Total Program Service Expenses | $27,617,882 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 496 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHARLES W ALLBAUGH | PersonNm |
| Phone | 4345813271 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25892 JAMES MADISON HWY | AddressLine1Txt |
| City | NEW CANTON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23123 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| CAROLYN PERRY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PEGGY SCOTT | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RALPH MOORE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| REV DR RUDOLPH DUNBAR | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BYRON ADKINS SR | |||||||
| VICE PRESIDE | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MARGUERITE YOUNG | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVEN MANSTER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEARLINE A TAYLOR | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CANDYACE DUNN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANE WILLS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GRANVILLE FISHER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| FRANKIE SHERIDAN | |||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ROBERT SMITH | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| SAM BATEMAN | |||||||
| BOARD SECRET | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| EVELYN BENET | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DEBRA JONES | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TAMICA WILLIAMS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RANDALL BASHORE | |||||||
| PHYSICIAN | 40.00 | $474,966 | $0 | $31,582 | Yes (X) | ||
| CHARLES W ALLBAUGH | |||||||
| CFO | 40.00 | $267,126 | $0 | $21,556 | Yes (X) | ||
| RODERICK MANIFOLD | |||||||
| CHIEF EXEC. | 40.00 | $255,905 | $0 | $34,335 | Yes (X) | ||
| DAVID CHRISTIAN | |||||||
| PHARMACY DIR | 40.00 | $190,229 | $0 | $29,715 | Yes (X) | ||
| PAULA TOMKO | |||||||
| CHIEF EXECUT | 40.00 | $169,447 | $0 | $19,879 | Yes (X) | ||
| KRISTINA D STAPLES | |||||||
| DENTAL DIREC | 40.00 | $164,055 | $0 | $25,214 | Yes (X) | ||
| DEBRA S BABER | |||||||
| CLINICAL OPE | 40.00 | $126,779 | $0 | $12,111 | Yes (X) | ||
| SHEENA M MACKENZIE | |||||||
| DEVELOPMENT | 40.00 | $108,007 | $0 | $21,915 | Yes (X) | ||
| BRIAN BLACKWELL | |||||||
| PHYSICIAN | 40.00 | $322,652 | $0 | $27,141 | Yes (X) | ||
| DAVID M CAMPINELLI | |||||||
| PHYSICIAN | 40.00 | $239,948 | $0 | $30,419 | Yes (X) | ||
| ANDREW F WALKER | |||||||
| PHYSICIAN | 40.00 | $232,850 | $0 | $15,861 | Yes (X) | ||
| JOHN GALEN T VILLANEUVA | |||||||
| PHYSICIAN | 40.00 | $222,605 | $0 | $16,499 | Yes (X) | ||
| MARIAN HASHESY-CALHOUN | |||||||
| PHYSICIAN | 40.00 | $203,352 | $0 | $29,493 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,977,921 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $315,720 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $10,428,100 | GovernmentGrantsAmt |
| All Other Contributions | $1,622,557 | AllOtherContributionsAmt |
| Total Contributions | $12,050,657 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| NET MEDICAL/DENTAL CHARGES | $22,135,389 | $22,135,389 |
| OTHER REVENUE | $601,936 | $601,936 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,737,325 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $207,960 | TotalRevenueColumnAmt |
| Exclusion | $207,960 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,995,942 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,737,325 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $207,960 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,959,055 | TotalAmt |
| Program Services | $666,078 | ProgramServicesAmt |
| Management And General | $1,175,433 | ManagementAndGeneralAmt |
| Fundraising | $117,544 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,477,049 | TotalAmt |
| Program Services | $17,483,009 | ProgramServicesAmt |
| Management And General | $904,261 | ManagementAndGeneralAmt |
| Fundraising | $89,779 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,511 | TotalAmt |
| Program Services | $120,385 | ProgramServicesAmt |
| Management And General | $201,086 | ManagementAndGeneralAmt |
| Fundraising | $3,040 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,720,360 | TotalAmt |
| Program Services | $3,376,340 | ProgramServicesAmt |
| Management And General | $344,020 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,218,831 | TotalAmt |
| Program Services | $1,085,819 | ProgramServicesAmt |
| Management And General | $116,760 | ManagementAndGeneralAmt |
| Fundraising | $16,252 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $660,144 | TotalAmt |
| Program Services | $517,352 | ProgramServicesAmt |
| Management And General | $142,792 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,266 | TotalAmt |
| Program Services | $8,266 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $505,473 | TotalAmt |
| Program Services | $195,912 | ProgramServicesAmt |
| Management And General | $306,880 | ManagementAndGeneralAmt |
| Fundraising | $2,681 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,017,824 | TotalAmt |
| Management And General | $1,017,824 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,658 | TotalAmt |
| Program Services | $25,363 | ProgramServicesAmt |
| Management And General | $4,028 | ManagementAndGeneralAmt |
| Fundraising | $2,267 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,583 | TotalAmt |
| Program Services | $61,234 | ProgramServicesAmt |
| Management And General | $94,595 | ManagementAndGeneralAmt |
| Fundraising | $12,754 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $683,795 | TotalAmt |
| Program Services | $354,150 | ProgramServicesAmt |
| Management And General | $329,645 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,394 | TotalAmt |
| Management And General | $54,394 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $3,421,589 | $3,286,753 | $109,592 | $25,244 |
| DUES AND SUBSCRIPTIONS | $930,673 | $100,616 | $829,276 | $781 |
| REPAIRS AND MAINTENANCE | $391,931 | $234,768 | $157,163 | |
| OTHER | $71,377 | $67,504 | $1,709 | $2,164 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,514 | TotalAmt |
| Program Services | $34,333 | ProgramServicesAmt |
| Management And General | $35,181 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,715,027 | TotalAmt |
| Program Services | $27,617,882 | ProgramServicesAmt |
| Management And General | $5,824,639 | ManagementAndGeneralAmt |
| Fundraising | $272,506 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $835,881 | BOYAmt |
| EOY | $1,118,679 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,944,609 | BOYAmt |
| EOY | $7,615,313 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $573,817 | BOYAmt |
| EOY | $444,320 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,683,374 | BOYAmt |
| EOY | $3,553,517 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,608 | BOYAmt |
| EOY | $181,251 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,600 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,950,556 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,897,906 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,090,586 | BOYAmt |
| EOY | $9,052,650 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,820,214 | BOYAmt |
| EOY | $5,728,112 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,000 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,086 | BOYAmt |
| EOY | $36,598 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,217,775 | BOYAmt |
| EOY | $27,730,440 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,188,328 | BOYAmt |
| EOY | $2,343,157 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $657,605 | BOYAmt |
| EOY | $556,595 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,845,933 | BOYAmt |
| EOY | $2,899,752 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,371,842 | BOYAmt |
| EOY | $24,830,688 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,371,842 | BOYAmt |
| EOY | $24,830,688 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,217,775 | BOYAmt |
| EOY | $27,730,440 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,280,915 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $177,931 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $477,313 | InvestmentCostOrOtherBasisAmt |
| Book Value | $477,313 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $11,713,803 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $4,161,604 | DepreciationAmt |
| Book Value | $7,552,199 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $4,759,440 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $3,736,302 | DepreciationAmt |
| Book Value | $1,023,138 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,052,650 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $35,173,873 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $177,931 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $177,931 | RevenueNotReportedAmt |
| Revenue Subtotal | $34,995,942 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $34,995,942 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $33,715,027 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $33,715,027 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $33,715,027 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| RANDALL BASHORE | |||||
| PHYSICIAN | $461,466 | $13,500 | $10,600 | $20,982 | $506,548 |
| CHARLES W ALLBAUGH | |||||
| CFO | $255,126 | $12,000 | $6,258 | $15,298 | $288,682 |
| RODERICK MANIFOLD | |||||
| CHIEF EXEC. OFFICER | $245,905 | $10,000 | $6,556 | $27,779 | $290,240 |
| DAVID CHRISTIAN | |||||
| PHARMACY DIRECTOR | $185,229 | $5,000 | $7,209 | $22,506 | $219,944 |
| PAULA TOMKO | |||||
| CHIEF EXECUTIVE OFF. | $159,597 | $9,850 | $5,820 | $14,059 | $189,326 |
| KRISTINA D STAPLES | |||||
| DENTAL DIRECTOR | $158,355 | $5,700 | $5,200 | $20,014 | $189,269 |
| BRIAN BLACKWELL | |||||
| PHYSICIAN | $301,109 | $21,543 | $5,651 | $21,490 | $349,793 |
| DAVID M CAMPINELLI | |||||
| PHYSICIAN | $231,779 | $8,169 | $8,929 | $21,490 | $270,367 |
| ANDREW F WALKER | |||||
| PHYSICIAN | $214,934 | $17,916 | $7,881 | $7,980 | $248,711 |
| JOHN GALEN T VILLANEUVA | |||||
| PHYSICIAN | $213,764 | $8,841 | $8,181 | $8,318 | $239,104 |
| MARIAN HASHESY-CALHOUN | |||||
| PHYSICIAN | $201,852 | $1,500 | $8,003 | $21,490 | $232,845 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | CENTRAL VIRGINIA HEALTH SERVICES, INC. (ORGANIZATION) IS A NON-PROFIT HEALTH CARE ORGANIZATION WITH LOCATIONS IN BOWLING GREEN, CHARLES CITY, NEW CANTON, CHARLOTTE COURT HOUSE, FARMVILLE, ALBERTA, PETERSBURG, AYLETT, HOPEWELL, MONTROSS, CHARLOTTESVILLE AND FREDERICKSBURG VIRGINIA. THE ORGANIZATION PROVIDES COMPREHENSIVE HEALTH AND MEDICAL CARE SERVICES ON AN OUT-PATIENT BASIS TO THE RESIDENTS OF THE COUNTIES OF FLUVANNA, CHARLES CITY, BUCKINGHAM, CUMBERLAND, CHARLOTTE, BRUNSWICK, ALBEMARLE, PRINCE EDWARD, KING WILLIAM, KIND AND QUEEN, CAROLINE, LOUISA, WESTMORELAND, PRINCE GEORGE, RICHMOND, CITY OF PETERSBURG, CITY OF HOPEWELL, CITY OF FREDERICKSBURG, CITY OF CHARLOTTESVILLE AND OTHER SURROUNDING COUNTIES. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD MEMBERS |
| FORM 990, PAGE 6, PART VI, LINE 12C | COPLIANCE IS ENFORCED AT VARYING LEVELS OF DISCIPLINARY ACTIONS FOR VIOLATIONS TO BE REPORTED PROMPTLY TO THE EXECUTIVE DIRECTOR OR TO THE PRESIDENT OF THE BOARD, IF THE EXECUTIVE DIRECTOR HAS VIOLATED THE POLICY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE DIRECTOR IS HIRED AND EVAULATED ANNUALLY BY THE BOARD OF DIRECTORS. ALL OTHER EMPLOYEES ARE HIRED BY THE EXECUTIVE DIRECTOR WHO DETERMINES THEIR COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUESTS TO THE EXECUTIVE DIRECTOR. |
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