2015-05-13T14:26:49-05:00 2014-06-30 560747981 DIXON HUGHES GOODMAN LLP 3700 FESTIVAL PARK PLAZA CHESTER VA 238314415 990 2013-07-01 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 2015-03-25 1 LESLIE ROBERTS P00040492 8044252600 2013 2016-02-25 16:41:14Z WILLIAM J MANN JR MD 5249 OLDE TOWNE ROAD WILLIAMSBURG VA 23188 2413600 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. 25 25 0 70 0 0 1667018 1718438 570972 537559 13750 157603 34585 -2625 2286325 2410975 0 0 0 0 1638261 1928210 0 0 8473 480934 458157 2119195 2386367 167130 24608 4126697 4132239 2297920 2278854 1828777 1853385 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 2062365 537559 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. 2062365 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 25 25 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 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 MEMBER 1.00 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 MEMBER 1.00 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 JOHN MCDONALD 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 BOB DICKLER MEMBER 1.00 X 0 0 0 ROBERT HARRISON GIBBS JR MEMBER 1.00 X 0 0 0 ROBERT KRAPF MEMBER 1.00 X 0 0 0 ANNE SMITH MEMBER 1.00 X 0 0 0 DENISE BOWLES BUSINESS MANAGER 40.00 X 0 40463 26921 WILLIAM J MANN JR MD EXECUTIVE / MEDICAL DIRECTOR 40.00 X 0 99972 17370 MARTHA KLINGER CLINICAL DIRECTOR 40.00 X 0 85976 33276 PAULA WOZNIAK PHYSICIAN 40.00 X 0 151667 35086 0 378078 112653 0 0 1 0 0 7175 64836 508580 1137847 1718438 PATIENT BILLING 621300 313940 313940 MEDICAID - BILLINGS 621300 97894 97894 MEDICARE - BILLINGS 621300 81343 81343 MEDICAID DENTAL - BILL 621300 44382 44382 537559 157603 157603 0 64836 2625 -2625 -2625 2410975 537559 0 154978 521157 262482 255106 3569 1060342 1060342 83684 83684 152193 152193 110834 95406 15215 213 14915 14915 76923 76923 25987 23995 1245 747 103137 80663 22474 5546 5546 11971 11971 SUPPLIES 131470 120952 6574 3944 LABORATORY SERVICES 56262 56262 FURNITURE AND EQUIPMENT 18832 18832 DUES AND SUBSCRIPTIONS 6196 6196 6918 6918 2386367 2062365 315529 8473 261165 117575 3783640 3916843 81892 97821 4126697 4132239 47920 28854 2250000 2250000 2297920 2278854 X 0 0 0 0 1828777 1853385 1828777 1853385 4126697 4132239 24608 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3807195 323856 24400 4106651 3773891 37423 4119 3807195 3969087 4804 200000 3773891 3764425 200000 4662 3969087 3544481 200000 19944 3764425 0.45000 0.55000 1 0 0 X 2397671 2625 2625 2395046 15929 15929 2410975 2408058 21691 21691 2386367 0 2386367 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. $24,400 OF ACCUMULATED INCOME WAS TRANSFERRED FROM THE ENDOWMENT DURING THE CURRENT FISCAL YEAR TO FUND TWO PART-TIME POSITIONS. PART X, LINE 2: THE CENTER HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2014. FISCAL YEARS ENDING ON OR AFTER JUNE 30, 2011, REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: ACCRUAL BASED REVENUES INCLUDED IN PRIOR YEAR FUND RAISING EXPENSES NETTED AGAINST REVENUES 2,625. PART XI, LINE 4B - OTHER ADJUSTMENTS: ACCRUAL BASED REVENUES TAKEN IN CURRENT YEAR 15,929. PART XII, LINE 2D - OTHER ADJUSTMENTS: ACCRUED EXPENSES TAKEN IN PRIOR YEAR 19,066. FUND RAISING EXPENSES NETTED AGAINST REVENUES 2,625. PART XII, LINE 4B - OTHER ADJUSTMENTS: ACCRUED EXPENSES TAKEN IN CURRENT YEAR 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 64714 64714 2625 64714 64714 2625 2625 -2625 0 0 0 0 0 0 0 0 0 PAULA WOZNIAK PHYSICIAN 0 151667 0 0 0 0 0 0 0 35086 0 186753 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 0 0 0 0 JAMES CITY COUNTY VIRIGNIA C 330750 CASH BASIS JAMES CITY COUNTY VIRIGNIA K 86584 CASH BASIS JAMES CITY COUNTY VIRIGNIA O 1929079 CASH BASIS