HARRISONBURG COMMUNITY HEALTH CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- HARRISONBURG COMMUNITY HEALTH CENTER INC (EIN 02-0813294)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-08-06
- IRS object ID
- 201432189349300733
- Schema version
- 2013v3.1
- 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 | 2014-08-06T09:26:05-07:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020813294 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Harrisonburg Community Health Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HARR | BusinessNameControlTxt |
| Phone | 5404334913 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 308 | AddressLine1 |
| City | Harrisonburg | City |
| State | VA | State |
| ZIP Code | 22803 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPER NYE | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 5404334913 | PhoneNum |
| Signature | 2014-08-05 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRISTOPER NYE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 308 | AddressLine1 |
| City | Harrisonburg | City |
| State | VA | State |
| ZIP Code | 22803 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,304,932 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.hburgchc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | to be a leading provider of quality healthcare in the diverse community of Harrisonburg and Rockingham County Virginia. The organization provides discounted medical and dental services based on income eligibility. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 69 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,099,578 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,386,744 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,076,233 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,861,433 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$12,759 | PYInvestmentIncomeAmt |
| CY Investment Income | -$11,167 | CYInvestmentIncomeAmt |
| PY Other Revenue | $24,181 | PYOtherRevenueAmt |
| CY Other Revenue | $56,424 | CYOtherRevenueAmt |
| PY Total Revenue | $5,187,233 | PYTotalRevenueAmt |
| CY Total Revenue | $4,293,434 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $569,783 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,191,895 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,612,712 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $15,293 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $24,430 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,450,384 | PYOtherExpensesAmt |
| CY Other Expenses | $1,313,926 | CYOtherExpensesAmt |
| PY Total Expenses | $3,657,572 | PYTotalExpensesAmt |
| CY Total Expenses | $4,496,421 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,529,661 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$202,987 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,721,273 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,102,440 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,098,640 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,682,794 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,622,633 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,419,646 | NetAssetsOrFundBalancesEOYAmt |
| Mission | to be a leading provider of quality | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,770,446 | ExpenseAmt |
| Grant | $569,783 | GrantAmt |
| Revenue | $2,861,433 | RevenueAmt |
| Desc | PROVIDED ACCESSIBLE AND AFFORDABLE PRIMARY HEALTH CARE SERVICES IN HARRISONBURG, VA. AND THE SURROUNDING AREA. THERE WERE 24,198 PATIENT VISITS IN 2013. IN 2013, 2,600 UNINSURED PATIENTS WERE PROVIDED WITH HEALTH CARE INCLUDING DISCOUNTS UNDER A SLIDING FEE SCALE FOR LOW INCOME ELIGIBLE PERSONS. THE ORGANIZATION PROVIDES CULTURALLY SENSITIVE HEALTHCARE INCLUDING LANGUAGE TRANSLATION AS NEEDED. | Desc |
| Total Program Service Expenses | $3,770,446 | 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 | Yes (true) | 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 |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 69 | 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 |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | 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 | ANITA PARKER CONTROLLER | PersonNm |
| Phone | 5404334913 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1380 Little Sorrell Drive Suite 100 | AddressLine1 |
| City | Harrisonburg | City |
| State | VA | State |
| ZIP Code | 22801 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ROBERT UNDERWOOD MD | ||||||||
| President | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WAYNE WOODSON | ||||||||
| Vice President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID COCKLEY PHD | ||||||||
| Treasurer | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RHONDA ZINGRAFF PHD | ||||||||
| Secretary | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MERINDA HAMBLIN DDS | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN TAYLOR | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ALAN SHELTON | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BETTY NEWELL | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN PHILLIPS MD | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JUDITH TRUMBO | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SAL ROMERO | ||||||||
| Director | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER NYE | ||||||||
| Chief Executive Officer | 40.00 | $83,323 | $0 | $19,079 | Yes (X) | |||
| KIM BILLINGSLEY CPA | ||||||||
| Chief Financial Officer | 24.00 | $44,688 | $0 | $1,788 | Yes (X) | |||
| HILLARY WHONDER GENUS MD | ||||||||
| Medical Director | 40.00 | $149,128 | $0 | $23,397 | Yes (X) | |||
| VICTOR BUCKWALTER MD | ||||||||
| Physician | 40 | $152,601 | $17,270 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $429,740 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $61,534 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $1,272,807 | GovernmentGrantsAmt |
| All Other Contributions | $113,937 | AllOtherContributionsAmt |
| Total Contributions | $1,386,744 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| Medical/dental services | 622110 | $2,633,132 |
| Patient pharmacy | 446110 | $218,331 |
| other income | 999999 | $9,970 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,861,433 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $331 | TotalRevenueColumnAmt |
| Exclusion | $331 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $56,424 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $56,424 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,424 | TotalRevenueColumnAmt |
| Exclusion | $56,424 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $11,498 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$11,498 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$11,498 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$11,498 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,293,434 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,849,935 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $56,755 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $569,783 | TotalAmt |
| Program Services | $569,783 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $328,311 | TotalAmt |
| Program Services | $177,006 | ProgramServicesAmt |
| Management And General | $151,305 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,859,370 | TotalAmt |
| Program Services | $1,670,758 | ProgramServicesAmt |
| Management And General | $165,968 | ManagementAndGeneralAmt |
| Fundraising | $22,644 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,345 | TotalAmt |
| Program Services | $26,086 | ProgramServicesAmt |
| Management And General | $1,259 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $235,808 | TotalAmt |
| Program Services | $198,607 | ProgramServicesAmt |
| Management And General | $37,201 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,878 | TotalAmt |
| Program Services | $136,688 | ProgramServicesAmt |
| Management And General | $23,404 | ManagementAndGeneralAmt |
| Fundraising | $1,786 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,330 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $12,330 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,319 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $88,319 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,507 | TotalAmt |
| Program Services | $201,731 | ProgramServicesAmt |
| Management And General | $29,776 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,517 | TotalAmt |
| Program Services | $28,517 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,378 | TotalAmt |
| Program Services | $59,738 | ProgramServicesAmt |
| Management And General | $34,640 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,785 | TotalAmt |
| Program Services | $44,252 | ProgramServicesAmt |
| Management And General | $1,533 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,150 | TotalAmt |
| Program Services | $112,641 | ProgramServicesAmt |
| Management And General | $9,509 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,741 | TotalAmt |
| Program Services | $954 | ProgramServicesAmt |
| Management And General | $4,787 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,445 | TotalAmt |
| Program Services | $402 | ProgramServicesAmt |
| Management And General | $8,043 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,112 | TotalAmt |
| Program Services | $4,549 | ProgramServicesAmt |
| Management And General | $62,563 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,044 | TotalAmt |
| Program Services | $165,818 | ProgramServicesAmt |
| Management And General | $9,226 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,578 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $13,578 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| staff development and recruitment | $50,531 | $20,531 | $30,000 | $0 |
| medical supplies and medications | $350,237 | $350,237 | $0 | $0 |
| dues, taxes and licenses | $19,717 | $2,148 | $17,569 | $0 |
| other | $535 | $0 | $535 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,496,421 | TotalAmt |
| Program Services | $3,770,446 | ProgramServicesAmt |
| Management And General | $701,545 | ManagementAndGeneralAmt |
| Fundraising | $24,430 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,483 | BOYAmt |
| EOY | $163,568 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,655 | BOYAmt |
| EOY | $85,773 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $279,322 | BOYAmt |
| EOY | $10,473 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $441,267 | BOYAmt |
| EOY | $329,858 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,306 | BOYAmt |
| EOY | $9,759 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,840,861 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $337,852 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,672,240 | BOYAmt |
| EOY | $4,503,009 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,721,273 | BOYAmt |
| EOY | $5,102,440 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $514,834 | BOYAmt |
| EOY | $171,700 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,558,806 | BOYAmt |
| EOY | $1,486,094 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,000 | BOYAmt |
| EOY | $25,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,098,640 | BOYAmt |
| EOY | $1,682,794 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,622,633 | BOYAmt |
| EOY | $3,419,646 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,622,633 | BOYAmt |
| EOY | $3,419,646 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,721,273 | BOYAmt |
| EOY | $5,102,440 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$202,987 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,031,305 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $857,708 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,561,033 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,099,578 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,386,744 | CurrentTaxYearAmt |
| Total | $7,936,368 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $974,635 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,534,158 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,874,232 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,076,233 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,861,433 | CurrentTaxYearAmt |
| Total | $9,320,691 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,005,940 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,391,866 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,435,265 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,175,811 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,248,177 | CurrentTaxYearAmt |
| Total | $17,257,059 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $17,257,059 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,921 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,527 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,463 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,704 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $56,755 | CurrentTaxYearAmt |
| Total | $87,370 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,921 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,527 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,463 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,704 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $56,755 | CurrentTaxYearAmt |
| Total | $87,370 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,344,429 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99500 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99780 | PublicSupportPY509Pct |
| Investment Income CY | 0.00500 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00220 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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) |
|---|---|---|
| Other Cost Or Other Basis | $769,404 | OtherCostOrOtherBasisAmt |
| Book Value | $769,404 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,598,311 | OtherCostOrOtherBasisAmt |
| Depreciation | $122,250 | DepreciationAmt |
| Book Value | $3,476,061 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $473,146 | OtherCostOrOtherBasisAmt |
| Depreciation | $215,602 | DepreciationAmt |
| Book Value | $257,544 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,503,009 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $4,296,934 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $3,500 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $3,500 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,293,434 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $4,293,434 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,499,921 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $3,500 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $3,500 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,496,421 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $4,496,421 | TotalExpensesPerForm990Amt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Care Network of Va | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3831 Westerre Pkwy | AddressLine1 |
| City | Richmond | City |
| State | VA | State |
| ZIP Code | 23233 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 541835968 | RecipientEIN |
| Cash Grant | $569,783 | CashGrantAmt |
| Purpose Of Grant | health information technology | PurposeOfGrantTxt |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 2 | The organization regularly met and discussed program requirements with the |
| 2 | grantee regarding accomplishment of goals and objectives. The organization reimbursed the |
| 2 | grantee only for staff time and equipment specifically outlined in the |
| 2 | grant agreement. The Community Care Network Of Virginia was a sub-recipient |
| 2 | of federal funds received by the organiazation from the Dept. Of Health |
| 2 | and Human Services for health information technology for federally qualified |
| 2 | health centers in Virginia. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| HILLARY WHONDER GENUS MD | |||
| $149,128 | $6,108 | $21,770 | $177,006 |
| VICTOR BUCKWALTER MD | |||
| $152,601 | $6,104 | $12,827 | $171,532 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 15a | The Board of Directors determines the salary of the |
| Pt VI, Line 15a | Chief Executive Officer based on a survey of similar |
| Pt VI, Line 15a | organizations across the state. |
| Pt VI, Line 11b | The Finance Committee of the Board of Directors reviewed |
| Pt VI, Line 11b | the Form 990 before it was filed. |
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