WILLAMSBURG AREA MEDICAL ASSISTANCE CORPORATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
WILLAMSBURG AREA MEDICAL ASSISTANCE CORPORATION (EIN 54-1663905)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-04-24
IRS object ID
201731149349300323
Schema version
2015v3.0
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

FieldValueIRS element (for citing)
Return2017-04-24T12:00:11-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13700 FESTIVAL PARK PLAZAAddressLine1Txt
CityCHESTERCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23831ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN541663905EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WMBG AREA MEDICAL ASSISTANCE CORPBusinessNameLine1Txt
Business Name Line2DBA OLDE TOWNE MEDICAL AND DENTAL CENTERBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlWILLBusinessNameControlTxt
Phone7572593252PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15249 OLDE TOWNE ROADAddressLine1Txt
CityWILLIAMSBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23188ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM J MANN JR MDPersonNm
Person TitleEXECUTIVE / MEDICAL DIRECTORPersonTitleTxt
Phone7572593252PhoneNum
Signature2017-04-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLESLIE ROBERTSPreparerPersonNm
PTINP00040492PTIN
Phone8044252600PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWILLIAM J MANN JR MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15249 OLDE TOWNE ROADAddressLine1Txt
CityWILLIAMSBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23188ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,632,371GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.OLDETOWNEMEDICALCENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionOLDE TOWNE MEDICAL AND DENTAL CENTER'S MISSION IS TO ENSURE ACCESS TO QUALITY HEALTH AND WELLNESS CARE TO THE RESIDENTS AND WORKFORCE OF THE GREATER WILLIAMSBURG COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,838,271PYContributionsGrantsAmt
CY Contributions Grants$1,874,525CYContributionsGrantsAmt
PY Program Service Revenue$516,516PYProgramServiceRevenueAmt
CY Program Service Revenue$566,780CYProgramServiceRevenueAmt
PY Investment Income$176,235PYInvestmentIncomeAmt
CY Investment Income$191,066CYInvestmentIncomeAmt
PY Other Revenue-$4,729PYOtherRevenueAmt
CY Other Revenue-$776CYOtherRevenueAmt
PY Total Revenue$2,526,293PYTotalRevenueAmt
CY Total Revenue$2,631,595CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,799,489PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,941,047CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$51,896CYTotalFundraisingExpenseAmt
PY Other Expenses$525,189PYOtherExpensesAmt
CY Other Expenses$516,100CYOtherExpensesAmt
PY Total Expenses$2,324,678PYTotalExpensesAmt
CY Total Expenses$2,457,147CYTotalExpensesAmt
PY Revenues Less Expenses$201,615PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$174,448CYRevenuesLessExpensesAmt
Total Assets BOY$4,334,333TotalAssetsBOYAmt
Total Assets EOY$4,607,698TotalAssetsEOYAmt
Total Liabilities BOY$2,279,333TotalLiabilitiesBOYAmt
Total Liabilities EOY$24,787TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,055,000NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,582,911NetAssetsOrFundBalancesEOYAmt
MissionOLDE TOWNE MEDICAL AND DENTAL CENTER'S MISSION IS TO ENSURE ACCESS TO QUALITY HEALTH AND WELLNESS CARE TO THE RESIDENTS AND WORKFORCE OF THE GREATER WILLIAMSBURG COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,603,099ExpenseAmt
Revenue$566,780RevenueAmt
DescOLDE TOWNE PROVIDES PRIMARY MEDICAL AND DENTAL CARE TO UNINSURED AND UNDERINSURED ADULTS AND CHILDREN, AND HAS DONE SO SINCE 1994. IN ADDITION, PRENATAL CARE IS AVAILABLE FOR PREGNANT WOMEN, AND WE ALSO PROVIDE NEWBORN CARE FOR INFANTS. WE OFFER SPECIALTY CARE, IN PEDIATRICS, GYNECOLOGY, PSYCHIATRY, ORTHOPEDICS, PULMONOLOGY, CARDIOLOGY, NEPHROLOGY, DERMATOLOGY AND HIV/AIDS MANAGEMENT.OUR GOAL IS TO PROVIDE HIGH QUALITY, CULTURALLY SENSITIVE COST EFFECTIVE CARE IN A WELCOMING ENVIRONMENT, WHICH IS EASILY ACCESSIBLE TO THE UNDERSERVED MEMBERS OF OUR COMMUNITY. WE HAVE OVER 15,000 PATIENT VISITS ANNUALLY, AND HAVE EXPANDED OUR FACILITY TO OFFER MORE SERVICES TO OUR PATIENTS.Desc
Total Program Service Expenses$1,603,099TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF JAMES CITY VIRGINIABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7572536630PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101-F MOUNTS BAY ROADAddressLine1Txt
CityWILLIAMSBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23185ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ALFRED L WOODS
CHAIR1.00Yes (X)Yes (X)$0$0$0
ANNE BRADSTREET SMITH
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
THOMAS BROWNLIE
TREASURER1.00Yes (X)Yes (X)$0$0$0
RICHARD W KRAPF
ASSISTANT TREASURER1.00Yes (X)Yes (X)$0$0$0
JOHN ANDERSON MD
MEMBER1.00Yes (X)$0$0$0
MARK D BECK
MEMBER1.00Yes (X)$0$0$0
WILLIAM BENNETT DDS
MEMBER1.00Yes (X)$0$0$0
JAMES IVEY
MEMBER1.00Yes (X)$0$0$0
RENE CABRAL-DANIELS
MEMBER1.00Yes (X)$0$0$0
STEPHEN MCCARY
MEMBER1.00Yes (X)$0$0$0
ROBERT DICKLER
MEMBER1.00Yes (X)$0$0$0
JENNIFER BICKHAM MENDEZ
MEMBER1.00Yes (X)$0$0$0
DAVID R BURRIS
MEMBER1.00Yes (X)$0$0$0
STEVE VIGNOLO
MEMBER1.00Yes (X)$0$0$0
ROBERT HARRISON GIBBS JR
MEMBER1.00Yes (X)$0$0$0
JANNA ROCHE
MEMBER1.00Yes (X)$0$0$0
JAMES WHITE
MEMBER1.00Yes (X)$0$0$0
CHRIS JAMES
MEMBER1.00Yes (X)$0$0$0
GREGORY MCLEOD PH D
MEMBER1.00Yes (X)$0$0$0
DENISE BOWLES
BUSINESS MANAGER40.00Yes (X)$0$49,230$22,150
WILLIAM J MANN JR MD
EXECUTIVE / MEDICAL DIRECT40.00Yes (X)$0$130,000$28,652
MARTHA KLINGER
CLINICAL DIRECTOR40.00Yes (X)$0$96,218$23,605
PAULA WOZNIAK
PHYSICIAN40.00$0$145,600$24,805Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$421,048TotReportableCompRltdOrgAmt
Total Other Compensation$99,212TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$1,377FederatedCampaignsAmt
Fundraising$61,125FundraisingAmt
Government Grants$504,710GovernmentGrantsAmt
All Other Contributions$1,307,313AllOtherContributionsAmt
Total Contributions$1,874,525TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT BILLING621300$350,212$350,212
MEDICAID - BILLINGS621300$95,538$95,538
MEDICARE - BILLINGS621300$79,418$79,418
MEDICAID DENTAL - BILL621300$20,837$20,837
MISCELLANEOUS REVENUE621300$14,720$14,720

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,055TotalRevenueColumnAmt
Related Or Exempt Func Income$6,055RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$566,780TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$191,066TotalRevenueColumnAmt
Exclusion$191,066ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$61,125ContriRptFundraisingEventAmt
Fundraising Direct Expenses$776FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$776TotalRevenueColumnAmt
Exclusion-$776ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,631,595TotalRevenueColumnAmt
Related Or Exempt Func Income$566,780RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$190,290ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$488,814TotalAmt
Program Services$242,834ProgramServicesAmt
Management And General$242,586ManagementAndGeneralAmt
Fundraising$3,394FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,043,039TotalAmt
Program Services$768,863ProgramServicesAmt
Management And General$246,743ManagementAndGeneralAmt
Fundraising$27,433FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$100,166TotalAmt
Program Services$61,101ProgramServicesAmt
Management And General$38,063ManagementAndGeneralAmt
Fundraising$1,002FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$202,369TotalAmt
Program Services$121,209ProgramServicesAmt
Management And General$77,722ManagementAndGeneralAmt
Fundraising$3,438FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$106,659TotalAmt
Program Services$71,214ProgramServicesAmt
Management And General$33,236ManagementAndGeneralAmt
Fundraising$2,209FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,251TotalAmt
Management And General$11,251ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$123,459TotalAmt
Program Services$81,052ProgramServicesAmt
Management And General$38,206ManagementAndGeneralAmt
Fundraising$4,201FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$39,929TotalAmt
Program Services$757ProgramServicesAmt
Management And General$36,854ManagementAndGeneralAmt
Fundraising$2,318FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$90,609TotalAmt
Program Services$65,118ProgramServicesAmt
Management And General$20,267ManagementAndGeneralAmt
Fundraising$5,224FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,258TotalAmt
Program Services$2,167ProgramServicesAmt
Management And General$2,407ManagementAndGeneralAmt
Fundraising$684FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,713TotalAmt
Management And General$4,713ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,435TotalAmt
Program Services$15,435ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$136,012$107,904$26,383$1,725
LABORATORY SERVICES$47,064$47,064
FURNITURE AND EQUIPMENT$20,687$10,591$10,096
MISCELLANEOUS$9,497$7,790$1,589$118

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,186TotalAmt
Management And General$12,036ManagementAndGeneralAmt
Fundraising$150FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,457,147TotalAmt
Program Services$1,603,099ProgramServicesAmt
Management And General$802,152ManagementAndGeneralAmt
Fundraising$51,896FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$88,974BOYAmt
EOY$27,960EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,093,079BOYAmt
EOY$4,278,476EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$152,280BOYAmt
EOY$247,228EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$15,435EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$52,012LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,413LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$38,599EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,334,333BOYAmt
EOY$4,607,698EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,333BOYAmt
EOY$24,787EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,250,000BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,279,333BOYAmt
EOY$24,787EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,055,000BOYAmt
EOY$2,332,911EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$2,250,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,055,000BOYAmt
EOY$4,582,911EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,334,333BOYAmt
EOY$4,607,698EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$174,448ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$47,798NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$151,261PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$2,250,000OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,207,422BeginningYearBalanceAmt
Investment Earnings Or Losses$143,268InvestmentEarningsOrLossesAmt
Other Expenditures$72,214OtherExpendituresAmt
End Year Balance$4,278,476EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,106,651BeginningYearBalanceAmt
Investment Earnings Or Losses$100,771InvestmentEarningsOrLossesAmt
End Year Balance$4,207,422EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,807,195BeginningYearBalanceAmt
Investment Earnings Or Losses$323,856InvestmentEarningsOrLossesAmt
Other Expenditures$24,400OtherExpendituresAmt
End Year Balance$4,106,651EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,773,891BeginningYearBalanceAmt
Investment Earnings Or Losses$37,423InvestmentEarningsOrLossesAmt
Other Expenditures$4,119OtherExpendituresAmt
End Year Balance$3,807,195EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,969,087BeginningYearBalanceAmt
Investment Earnings Or Losses$4,804InvestmentEarningsOrLossesAmt
Other Expenditures$200,000OtherExpendituresAmt
End Year Balance$3,773,891EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.47410BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.52590PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,012OtherCostOrOtherBasisAmt
Depreciation$13,413DepreciationAmt
Book Value$38,599BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$38,599TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,642,650TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$47,798NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$58,077DonatedServicesAndUseFcltsAmt
Other Revenue$776OtherRevenueAmt
Revenue Not Reported$11,055RevenueNotReportedAmt
Revenue Subtotal$2,631,595RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,631,595TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,516,000TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$58,077DonatedServicesUseFcltsAmt
Other Expenses Included$776OtherExpensesIncludedAmt
Expenses Not Reported$58,853ExpensesNotReportedAmt
Expenses Subtotal$2,457,147ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,457,147TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:WILLIAMSBURG AREA MEDICAL ASSISTANCE CORP INTENDS TO ONLY USE FUNDS FROM THE ENDOWMENT FUND AS NEEDED TO SUPPORT THE CENTER'S MISSION AND TO PROVIDE A STEADY SOURCE OF INCOME TO PARTIALLY DEFRAY OPERATIONAL EXPENSES OF THE CENTER. THE INTENT IS TO KEEP THE ORIGINAL CORPUS INTACT, BUT THE PRINCIPAL MAY BE INVADED BY AUTHORITY OF THE BOARD OF DIRECTORS UNDER CERTAIN CIRCUMSTANCES, SUCH AS AN EXTRAORDINARY NATURAL CALAMITY. TO DATE NO PORTION OF THE CORPUS HAS BEEN USED.
PART X, LINE 2:THE CENTER IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES AS A NONPROFIT UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE AND THE TAX STATUTES OF THE COMMONWEALTH OF VIRGINIA. ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL OR STATE INCOME TAXES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FUND RAISING EXPENSES NETTED AGAINST REVENUES 776.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUND RAISING EXPENSES NETTED AGAINST REVENUES 776.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF EVENTEvent1Nm
Gross Receipts Event1$61,125GrossReceiptsEvent1Amt
Charitable Contri Event1$61,125CharitableContriEvent1Amt
Other Direct Expenses Event1$776OtherDirectExpensesEvent1Amt
Gross Receipts Total$61,125GrossReceiptsTotalAmt
Charitable Contributions Tot$61,125CharitableContributionsTotAmt
Oth Direct Expnss Total Events$776OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$776DirectExpenseSummaryEventsAmt
Net Income Summary-$776NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WILLIAM J MANN JR MD
EXECUTIVE / MEDICAL DIRECT$0$130,000$0$0$0$0$0$16,250$0$12,402$0$158,652$0$0
PAULA WOZNIAK
PHYSICIAN$0$145,600$0$0$0$0$0$18,385$0$6,420$0$170,405$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BOARD MEMBER WILLIAM BENNETT IS PART OWNER OF BFH SUPPLIES, WHICH SELLS DENTAL SUPPLIES TO THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11THE TAX RETURN IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND PRESENTED TO AND REVIEWED WITH THE EXECUTIVE DIRECTOR, BUSINESS MANAGER, AND FINANCE COMMITTEE. ANY REVISIONS TO THE FORM 990 WILL BE GIVEN TO THE ACCOUNTANT FOR CHANGES AND THEN RETURNED TO THE FINANCE COMMITTEE FOR FINAL APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CNEW BOARD MEMBERS OF THE ORGANIZATION SIGN A CONFLICT OF INTEREST STATEMENT BEFORE BEING APPOINTED TO THE BOARD. THE CONFLICT OF INTEREST STATEMENT IS REVIEWED ANNUALLY AT THE MAY BOARD MEETING TO REMIND BOARD MEMBERS OF THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE DIRECTOR'S SALARY AND ANNUAL ADJUSTMENT ARE DETERMINED BY THE BOARD OF DIRECTORS. OTHER KEY EMPLOYEE POSITION SALARIES ARE DETERMINED BY THE ORGANIZATION'S SALARY RANGE SHEET WHICH SHOWS THE MINIMUM, AVERAGE, AND MAXIMUM ANNUAL SALARIES AND HOURLY WAGE BY POSITION. ALL OTHER EMPLOYEES' ANNUAL INCREASES ARE DETERMINED BY THE EXECUTIVE DIRECTOR BASED ON WILLIAMSBURG AREA MEDICAL ASSISTANCE CORP'S BUDGET. JAMES CITY COUNTY VA CONTROLS ALL HIRING PRACTICES, PROCESSING OF PAYROLL, AND PAYROLL TAX REPORTING. JAMES CITY COUNTY IS A MAJOR CONTRIBUTOR TO THE ORGRANIZATION'S BUDGET. IF FUNDS ARE AVAILABLE, EMPLOYEES TYPICALLY GET THE SAME ANNUAL INCREASE PERCENT AS COUNTY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON THEIR WEBSITE AT WWW.OLDETOWNEMEDICALCENTER.ORG. THE MINUTES AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CORRECTLY CLASSIFYING PERMANENTLY RESTRICTED NET ASSETS FROM DEFERRED REV 2,250,000.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE CURRENT TAX YEAR.
LINE 8 PRIOR PERIOD ADJUSTMENTUNREALIZED GAINS IN INVESTMENT ASSETS PREVIOUSLY UNRECORDED ON THE BALANCE SHEET PRIOR TO 6.30.15 WERE $114,461. EQUIPMENT, NET OF ACCUMULATED DEPRECIATION, PREVIOUSLY UNRECORDED ON THE BALANCE SHEET PRIOR TO 6.30.15 WAS $36,800

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1JAMES CITY COUNTY VIRGINIABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101-F MOUNTS BAY ROADAddressLine1Txt
CityWILLIAMSBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23185ZIPCd
FieldValueIRS element (for citing)
EIN546001365EIN
Primary ActivitiesLOCAL GOVERNMENTPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
JAMES CITY COUNTY VIRGINIA
C$330,750CASH BASIS
JAMES CITY COUNTY VIRGINIA
K$90,609CASH BASIS
JAMES CITY COUNTY VIRGINIA
O$1,941,047CASH BASIS
JAMES CITY COUNTY VIRGINIA
P$15,435CASH BASIS

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