2016-04-04T10:30:50-05:00 2015-06-30 560747981 DIXON HUGHES GOODMAN LLP 3700 FESTIVAL PARK PLAZA CHESTER VA 23831 990 2014-07-01 541663905 WMBG AREA MEDICAL ASSISTANCE CORP DBA OLDE TOWNE MEDICAL AND DENTAL CENTER WILL 7572593252 5249 OLDE TOWNE ROAD WILLIAMSBURG VA 23188 WILLIAM J MANN JR MD EXECUTIVE / MEDICAL DIRECTOR 7572593252 2016-03-29 1 LESLIE ROBERTS P00040492 8044252600 2014 2016-08-17 19:52:53Z WILLIAM J MANN JR MD 5249 OLDE TOWNE ROAD WILLIAMSBURG VA 23188 2531022 0 X WWW.OLDETOWNEMEDICALCENTER.ORG X 1993 VA OLDE 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. 26 26 0 102 0 0 1718438 1838271 537559 516516 157603 176235 -2625 -4729 2410975 2526293 0 0 0 0 1928210 1799489 0 0 12182 458157 525189 2386367 2324678 24608 201615 4132239 4334333 2278854 2279333 1853385 2055000 OLDE 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. 0 0 2005800 516516 OLDE 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. 2005800 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 1 0 0 0 0 0 0 0 0 0 0 0 X 26 26 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X COUNTY OF JAMES CITY VIRGINIA 7572536630 101-F MOUNTS BAY ROAD WILLIAMSBURG VA 23185 ALFRED L WOODS PRESIDENT 1.00 X X 0 0 0 RENE CABRAL-DANIELS VICE PRESIDENT 1.00 X X 0 0 0 MARK BECK MSM RN MEMBER 1.00 X 0 0 0 WILLIAM BENNETT DDS MEMBER 1.00 X 0 0 0 THOMAS BROWNLIE ASSISTANT TREASURER 1.00 X X 0 0 0 STEPHEN D FOXX MD MEMBER 1.00 X 0 0 0 JUDITH N KNUDSON MEMBER 1.00 X 0 0 0 LAWRENCE VOLZ MD MEMBER 1.00 X 0 0 0 PETER WALENTISCH MEMBER 1.00 X 0 0 0 JOHN MCGLENNON MEMBER 1.00 X 0 0 0 JUDITH FOREHAND WOODS MEMBER 1.00 X 0 0 0 JENNIFER BICKHAM MENDEZ MEMBER 1.00 X 0 0 0 SHEILA NOLL MEMBER 1.00 X 0 0 0 DAVID R BURRIS TREASURER 1.00 X X 0 0 0 KENNETH O DREES MEMBER 1.00 X 0 0 0 JAMES IVEY MEMBER 1.00 X 0 0 0 STEPHEN MCCARY MEMBER 1.00 X 0 0 0 JAMES WHITE MEMBER 1.00 X 0 0 0 BARBARA REYNOLDS MEMBER 1.00 X 0 0 0 STEVE VIGNOLO MEMBER 1.00 X 0 0 0 ROBERT DICKLER MEMBER 1.00 X 0 0 0 ROBERT HARRISON GIBBS JR MEMBER 1.00 X 0 0 0 RICHARD KRAPF ASSISTANT TREASURER 1.00 X 0 0 0 ANNE SMITH MEMBER 1.00 X 0 0 0 SUSAN GOLDNER MEMBER 1.00 X 0 0 0 BOB MANDALA MEMBER 1.00 X 0 0 0 DENISE BOWLES BUSINESS MANAGER 40.00 X 0 48501 26310 WILLIAM J MANN JR MD EXECUTIVE / MEDICAL DIRECT 40.00 X 0 130000 37931 MARTHA KLINGER CLINICAL DIRECTOR 40.00 X 0 94793 31618 PAULA WOZNIAK PHYSICIAN 40.00 X 0 145600 34614 0 418894 130473 0 0 1 0 0 3577 70164 508643 1255887 1838271 PATIENT BILLING 621300 341588 341588 MEDICAID - BILLINGS 621300 88544 88544 MEDICARE - BILLINGS 621300 56498 56498 MEDICAID DENTAL - BILL 621300 29886 29886 516516 176235 176235 0 70164 4729 -4729 -4729 2526293 516516 0 171506 518539 260254 250377 7908 936740 936740 89512 89512 155725 155725 98973 83721 15043 209 11107 11107 131061 131061 28408 26414 1246 748 106068 82673 23395 7408 7408 12214 12214 SUPPLIES 110553 101708 5528 3317 FURNITURE AND EQUIPMENT 61461 61461 LABORATORY SERVICES 37876 37876 DUES AND SUBSCRIPTIONS 6210 6210 12823 12823 2324678 2005800 306696 12182 117575 88974 3916843 4093079 97821 152280 4132239 4334333 28854 29333 2250000 2250000 2278854 2279333 X 0 0 0 0 1853385 2055000 1853385 2055000 4132239 4334333 201615 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4106651 100771 4207422 3807195 323856 24400 4106651 3773891 37423 4119 3807195 3969087 4804 200000 3773891 3764425 200000 4662 3969087 0.46500 0.53500 0.00000 1 0 0 X 2476563 4729 4729 2471834 54459 54459 2526293 2328928 4729 4729 2324199 479 479 2324678 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 2D THE FINANCIAL STATEMENT OF THE ORGANIZATION REPORTED AUDITED CASH RECEIPTS AND DISBURSEMENTS. THE TAX RETURN IS REPORTED ON AN ACCRUAL BASIS. GOLF EVENT 70164 70164 4729 70164 70164 4729 4729 -4729 0 0 0 0 0 0 0 0 0 WILLIAM J MANN JR MD EXECUTIVE / MEDICAL DIRECT 0 130000 0 0 0 0 0 0 0 37931 0 167931 0 0 PAULA WOZNIAK PHYSICIAN 0 145600 0 0 0 0 0 0 0 34614 0 180214 0 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBER WILLIAM BENNETT IS PART OWNER OF BFH SUPPLIES, WHICH SELLS DENTAL SUPPLIES TO THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C NEW 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 15 THE 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 19 THE 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. JAMES CITY COUNTY VIRGINIA 101-F MOUNTS BAY ROAD WILLIAMSBURG VA 23185 546001365 LOCAL GOVERNMENT VA 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 JAMES CITY COUNTY VIRIGNIA C 330750 CASH BASIS JAMES CITY COUNTY VIRIGNIA K 90458 CASH BASIS JAMES CITY COUNTY VIRIGNIA O 1808556 CASH BASIS JAMES CITY COUNTY VIRIGNIA P 12214 CASH BASIS