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WILLAMSBURG AREA MEDICAL ASSISTANCE CORPORATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
WILLAMSBURG AREA MEDICAL ASSISTANCE CORPORATION (EIN 54-1663905)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-04-04
IRS object ID
201630959349300608
Schema version
2014v6.0
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)
Return2016-04-04T10:30:50-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

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 Begin2014-07-01TaxPeriodBeginDt

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
Signature2016-03-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLESLIE ROBERTSPreparerPersonNm
PTINP00040492PTIN
Phone8044252600PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

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$2,531,022GrossReceiptsAmt
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 Body26VotingMembersGoverningBodyCnt
Voting Members Independent26VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers102TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,718,438PYContributionsGrantsAmt
CY Contributions Grants$1,838,271CYContributionsGrantsAmt
PY Program Service Revenue$537,559PYProgramServiceRevenueAmt
CY Program Service Revenue$516,516CYProgramServiceRevenueAmt
PY Investment Income$157,603PYInvestmentIncomeAmt
CY Investment Income$176,235CYInvestmentIncomeAmt
PY Other Revenue-$2,625PYOtherRevenueAmt
CY Other Revenue-$4,729CYOtherRevenueAmt
PY Total Revenue$2,410,975PYTotalRevenueAmt
CY Total Revenue$2,526,293CYTotalRevenueAmt
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$1,928,210PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,799,489CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$12,182CYTotalFundraisingExpenseAmt
PY Other Expenses$458,157PYOtherExpensesAmt
CY Other Expenses$525,189CYOtherExpensesAmt
PY Total Expenses$2,386,367PYTotalExpensesAmt
CY Total Expenses$2,324,678CYTotalExpensesAmt
PY Revenues Less Expenses$24,608PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$201,615CYRevenuesLessExpensesAmt
Total Assets BOY$4,132,239TotalAssetsBOYAmt
Total Assets EOY$4,334,333TotalAssetsEOYAmt
Total Liabilities BOY$2,278,854TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,279,333TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,853,385NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,055,000NetAssetsOrFundBalancesEOYAmt
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$2,005,800ExpenseAmt
Revenue$516,516RevenueAmt
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$2,005,800TotalProgramServiceExpensesAmt
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 Equipment0ReportLandBuildingEquipmentInd
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 Members26GoverningBodyVotingMembersCnt
Independent Voting Member26IndependentVotingMemberCnt
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 (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ALFRED L WOODS
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
RENE CABRAL-DANIELS
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
MARK BECK MSM RN
MEMBER1.00Yes (X)$0$0$0
WILLIAM BENNETT DDS
MEMBER1.00Yes (X)$0$0$0
THOMAS BROWNLIE
ASSISTANT TREASURER1.00Yes (X)Yes (X)$0$0$0
STEPHEN D FOXX MD
MEMBER1.00Yes (X)$0$0$0
JUDITH N KNUDSON
MEMBER1.00Yes (X)$0$0$0
LAWRENCE VOLZ MD
MEMBER1.00Yes (X)$0$0$0
PETER WALENTISCH
MEMBER1.00Yes (X)$0$0$0
JOHN MCGLENNON
MEMBER1.00Yes (X)$0$0$0
JUDITH FOREHAND WOODS
MEMBER1.00Yes (X)$0$0$0
JENNIFER BICKHAM MENDEZ
MEMBER1.00Yes (X)$0$0$0
SHEILA NOLL
MEMBER1.00Yes (X)$0$0$0
DAVID R BURRIS
TREASURER1.00Yes (X)Yes (X)$0$0$0
KENNETH O DREES
MEMBER1.00Yes (X)$0$0$0
JAMES IVEY
MEMBER1.00Yes (X)$0$0$0
STEPHEN MCCARY
MEMBER1.00Yes (X)$0$0$0
JAMES WHITE
MEMBER1.00Yes (X)$0$0$0
BARBARA REYNOLDS
MEMBER1.00Yes (X)$0$0$0
STEVE VIGNOLO
MEMBER1.00Yes (X)$0$0$0
ROBERT DICKLER
MEMBER1.00Yes (X)$0$0$0
ROBERT HARRISON GIBBS JR
MEMBER1.00Yes (X)$0$0$0
RICHARD KRAPF
ASSISTANT TREASURER1.00Yes (X)$0$0$0
ANNE SMITH
MEMBER1.00Yes (X)$0$0$0
SUSAN GOLDNER
MEMBER1.00Yes (X)$0$0$0
BOB MANDALA
MEMBER1.00Yes (X)$0$0$0
DENISE BOWLES
BUSINESS MANAGER40.00Yes (X)$0$48,501$26,310
WILLIAM J MANN JR MD
EXECUTIVE / MEDICAL DIRECT40.00Yes (X)$0$130,000$37,931
MARTHA KLINGER
CLINICAL DIRECTOR40.00Yes (X)$0$94,793$31,618
PAULA WOZNIAK
PHYSICIAN40.00$0$145,600$34,614Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$418,894TotReportableCompRltdOrgAmt
Total Other Compensation$130,473TotalOtherCompensationAmt
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$3,577FederatedCampaignsAmt
Fundraising$70,164FundraisingAmt
Government Grants$508,643GovernmentGrantsAmt
All Other Contributions$1,255,887AllOtherContributionsAmt
Total Contributions$1,838,271TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT BILLING621300$341,588$341,588
MEDICAID - BILLINGS621300$88,544$88,544
MEDICARE - BILLINGS621300$56,498$56,498
MEDICAID DENTAL - BILL621300$29,886$29,886
FieldValueIRS element (for citing)
Total Program Service Revenue$516,516TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$176,235TotalRevenueColumnAmt
Exclusion$176,235ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$70,164ContriRptFundraisingEventAmt
Fundraising Direct Expenses$4,729FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,729TotalRevenueColumnAmt
Exclusion-$4,729ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,526,293TotalRevenueColumnAmt
Related Or Exempt Func Income$516,516RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$171,506ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$518,539TotalAmt
Program Services$260,254ProgramServicesAmt
Management And General$250,377ManagementAndGeneralAmt
Fundraising$7,908FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$936,740TotalAmt
Program Services$936,740ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$89,512TotalAmt
Program Services$89,512ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$155,725TotalAmt
Program Services$155,725ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$98,973TotalAmt
Program Services$83,721ProgramServicesAmt
Management And General$15,043ManagementAndGeneralAmt
Fundraising$209FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,107TotalAmt
Management And General$11,107ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$131,061TotalAmt
Program Services$131,061ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$28,408TotalAmt
Program Services$26,414ProgramServicesAmt
Management And General$1,246ManagementAndGeneralAmt
Fundraising$748FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$106,068TotalAmt
Program Services$82,673ProgramServicesAmt
Management And General$23,395ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,408TotalAmt
Program Services$7,408ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,214TotalAmt
Program Services$12,214ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$110,553$101,708$5,528$3,317
FURNITURE AND EQUIPMENT$61,461$61,461
LABORATORY SERVICES$37,876$37,876
DUES AND SUBSCRIPTIONS$6,210$6,210

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,823TotalAmt
Program Services$12,823ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,324,678TotalAmt
Program Services$2,005,800ProgramServicesAmt
Management And General$306,696ManagementAndGeneralAmt
Fundraising$12,182FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$117,575BOYAmt
EOY$88,974EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,916,843BOYAmt
EOY$4,093,079EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$97,821BOYAmt
EOY$152,280EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,132,239BOYAmt
EOY$4,334,333EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$28,854BOYAmt
EOY$29,333EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,278,854BOYAmt
EOY$2,279,333EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$1,853,385BOYAmt
EOY$2,055,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,853,385BOYAmt
EOY$2,055,000EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,132,239BOYAmt
EOY$4,334,333EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$201,615ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$4,106,651BeginningYearBalanceAmt
Investment Earnings Or Losses$100,771InvestmentEarningsOrLossesAmt
End Year Balance$4,207,422EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,764,425BeginningYearBalanceAmt
Contributions$200,000ContributionsAmt
Investment Earnings Or Losses$4,662InvestmentEarningsOrLossesAmt
End Year Balance$3,969,087EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.46500BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.53500PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,476,563TotalRevEtcAuditedFinclStmtAmt
Other Revenue$4,729OtherRevenueAmt
Revenue Not Reported$4,729RevenueNotReportedAmt
Revenue Subtotal$2,471,834RevenueSubtotalAmt
Other Revenues Not Included$54,459OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$54,459RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,526,293TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,328,928TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$4,729OtherExpensesIncludedAmt
Expenses Not Reported$4,729ExpensesNotReportedAmt
Expenses Subtotal$2,324,199ExpensesSubtotalAmt
Other Expenses Not Included$479OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$479ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,324,678TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (7 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. THE CENTER HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2015.
PART XI, LINE 2D - OTHER ADJUSTMENTS:ACCRUAL BASED REVENUES INCLUDED IN PRIOR YEAR FUND RAISING EXPENSES NETTED AGAINST REVENUES 4,729.
PART XI, LINE 4B - OTHER ADJUSTMENTS:ACCRUAL BASED REVENUES TAKEN IN CURRENT YEAR 54,459.
PART XII, LINE 2D - OTHER ADJUSTMENTS:ACCRUED EXPENSES TAKEN IN PRIOR YEAR FUND RAISING EXPENSES NETTED AGAINST REVENUES 4,729.
PART XII, LINE 4B - OTHER ADJUSTMENTS:ACCRUED EXPENSES TAKEN IN CURRENT YEAR 479.
PART XI, LINES 2D AND 4B; PART XII, LINE 2DTHE FINANCIAL STATEMENT OF THE ORGANIZATION REPORTED AUDITED CASH RECEIPTS AND DISBURSEMENTS. THE TAX RETURN IS REPORTED ON AN ACCRUAL BASIS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF EVENTEvent1Nm
Gross Receipts Event1$70,164GrossReceiptsEvent1Amt
Charitable Contri Event1$70,164CharitableContriEvent1Amt
Other Direct Expenses Event1$4,729OtherDirectExpensesEvent1Amt
Gross Receipts Total$70,164GrossReceiptsTotalAmt
Charitable Contributions Tot$70,164CharitableContributionsTotAmt
Oth Direct Expnss Total Events$4,729OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$4,729DirectExpenseSummaryEventsAmt
Net Income Summary-$4,729NetIncomeSummaryAmt

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$0$0$37,931$0$167,931$0$0
PAULA WOZNIAK
PHYSICIAN$0$145,600$0$0$0$0$0$0$0$34,614$0$180,214$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 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. 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 XII, LINE 2C:THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE CURRENT TAX YEAR.

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 VIRIGNIA
C$330,750CASH BASIS
JAMES CITY COUNTY VIRIGNIA
K$90,458CASH BASIS
JAMES CITY COUNTY VIRIGNIA
O$1,808,556CASH BASIS
JAMES CITY COUNTY VIRIGNIA
P$12,214CASH BASIS

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