2014-06-30T10:08:50-05:00 2013-11-30 541967771 CAVANAUGH NELSON PLC 999 WATERSIDE DRIVE SUITE 2250 NORFOLK VA 23510 990 2012-12-01 541083954 PENINSULA INSTITUTE FOR COMMUNITY HEALTH DBA SOUTHEASTERN VIRGINIA HEALTH SYSTEM PENI 7573808709 1033 28TH STREET 2ND FLOOR NEWPORT NEWS VA 23607 ANGELA FUTRELL 7573808709 2014-06-30 1 MARK A NELSON P00358004 7575784900 2012 2015-11-30 17:44:51Z ANGELA FUTRELL 1033 28TH STREET 2ND FLOOR NEWPORT NEWS VA 23607 12125576 0 X WWW.PICH.ORG X 1978 VA PROVIDE HIGH QUALITY, COMPREHENSIVE, PRIMARY HEALTH CARE SERVICES TO VIRGINIA RESIDENTS LIVING IN HAMPTON ROADS REGARDLESS OF THEIR ABILITY TO PAY. 19 19 192 0 0 0 6685356 6922238 5533037 5168479 2451 5855 0 13262 12220844 12109834 0 0 0 0 8276029 7904844 0 0 0 3721450 3692488 11997479 11597332 223365 512502 5146825 5754107 1187175 1281955 3959650 4472152 PROVIDING MEDICAL AND DENTAL CARE TO INDIGENT PATIENTS 0 0 7139391 5168479 COMMUNITY HEALTH CENTER: PRIMARY MEDICAL, DENTAL AND HEALTHCARE ENABLING SERVICES FOR THE MEDICALLY UNDERSERVED AREAS OF NEWPORT NEWS, HAMPTON, SUFFOLK, VIRGINIA BEACH, CHESAPEAKE, AND MATHEWS COUNTY, VA.: 84,007 VISITS 715032 HEALTHCARE FOR THE HOMELESS: PRIMARY MEDICAL CARE AND REFERRAL SERVICES FOR AREA HOMELESS: 11,339 VISITS 7854423 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 50 0 1 192 1 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X THE ORGANIZATION 7573808709 1033 28TH STREET 2ND FLOOR NEWPORT NEWS VA 23607 ROBERT AYERS 2.00 X 0 0 0 MARJORIE EMERSON-LAWRENCE 8.00 X 0 0 0 EUGENE JOHNSON 8.00 X 0 0 0 WANDA ALLEN ESQUIRE 6.00 X 0 0 0 BARBARA EASTER 2.00 X 0 0 0 JENNIFER SMITH 2.00 X 0 0 0 SHELIA HENDERSON 2.00 X 0 0 0 BARBARA MANLY 2.00 X 0 0 0 JACQUELINE HUDGINS 2.00 X 0 0 0 ALTON SKEETER 2.00 X 0 0 0 SHIRLEY WILLS 2.00 X 0 0 0 WENDELL BRAXTON 2.00 X 0 0 0 CATHY WILLIAMS 2.00 X 0 0 0 DOROTHY MURRAY 2.00 X 0 0 0 PAMELA PERRY 2.00 X 0 0 0 THOMAS E HARMON IV 2.00 X 0 0 0 MELISSA COUNCE 2.00 X 0 0 0 ANTHONY TAYLOR 2.00 X 0 0 0 MELINDA WILLIAMS 2.00 X 0 0 0 ANGELA FUTRELL 40.00 X 141522 0 27884 VALDA BRANCH 40.00 X 86611 0 13402 DENISE NEWLON 40.00 X 100959 0 6383 ALADEE DELAHOUSSAYE MD 40.00 X 133431 0 16947 CONCEPCION ASPILI 40.00 X 157909 0 22140 DAVID L LORENZO 40.00 X 169960 0 22118 CHARLIE M FAULK 40.00 X 223246 0 6970 NILDA ANTE 40.00 X 200745 0 2882 JACQUALYNNE K MCFARLANE 40.00 X 162561 0 13894 1376944 0 132620 18 0 1 0 LABCORP 860 OMNI BLVD 302A NEWPORT NEWS VA 23606 LAB SERVICES 340618 PATIENTS CHOICE DISCOUNT PHARMACY 533 DENBIGH BLVD NEWPORT NEWS VA 23608 PHARMACEUTICALS 143817 2 6181762 740476 6922238 NET PATIENT SERVICE REVENUE 621110 5168479 5168479 5168479 2655 2655 3200 0 3200 3200 3200 29004 15742 13262 13262 12109834 5168479 0 19117 527139 150378 376761 6124042 4354413 1769629 233068 157787 75281 540705 441483 99222 479890 309014 170876 33146 27424 5722 28496 23576 4920 1060746 877587 183159 56150 3212 52938 1255442 860236 395206 85736 85736 567576 293098 274478 17129 700 16429 36814 80 36734 306341 210841 95500 89251 23271 65980 DUES AND PUBLICATIONS 132543 34408 98135 TAXES AND LICENSES 17570 1179 16391 RECRUITMENT 5548 0 5548 11597332 7854423 3742909 0 2460128 3397313 892490 533068 197769 169018 72488 172246 4734995 3252533 1523950 1482462 5146825 5754107 808451 774502 378724 507453 1187175 1281955 X 3959650 4472152 3959650 4472152 5146825 5754107 512502 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 217200 217200 1601124 1329654 271470 1628431 1305181 323250 1288240 617698 670542 1482462 X 12323434 213600 213600 12109834 0 12109834 11810932 213600 213600 11597332 0 11597332 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE TAXPAYER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. INTERNAL REVENUE CODE SECTION 513(A)DEFINES AN UNRELATED TRADE OR BUSINESS OF AN EXEMPT ORGANIZATION AS ANY TRADE OR BUSINESS WHICH IS NOT SUBSTANTIALLY RELATED TO THE EXERCISE OR PERFORMANCE OF ITS EXEMPT PURPOSE. CURRENTLY, THE TAXPAYER HAS NO OBLIGATION FOR ANY UNRELATED BUSINESS INCOME TAX. THE TAXPAYER BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PENINSULA INSTITUTE FOR COMMUNITY HEALTH, INC.'S RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) IS GENERALLY NOT SUBJECT TO EXAMINATION BY THE IRS FOR THE RETURNS FILED PRIOR TO 2009. X 0 FALL FETE 29004 29004 10742 5000 29004 29004 10742 5000 15742 13262 X X 0 0 0 0 0 0 0 0 0 ANGELA FUTRELL 141522 0 0 0 0 0 0 0 27884 0 169406 0 0 0 ALADEE DELAHOUSSAYE MD 133431 0 0 0 0 0 0 0 16947 0 150378 0 0 0 CONCEPCION ASPILI 157909 0 0 0 0 0 0 0 22140 0 180049 0 0 0 DAVID L LORENZO 169960 0 0 0 0 0 0 0 22118 0 192078 0 0 0 CHARLIE M FAULK 223246 0 0 0 0 0 0 0 6970 0 230216 0 0 0 NILDA ANTE 200745 0 0 0 0 0 0 0 2882 0 203627 0 0 0 JACQUALYNNE K MCFARLANE 162561 0 0 0 0 0 0 0 13894 0 176455 0 0 0 EDWINA GARY FORMER CEO 18150 COMPENSATION FOR GRANT WRITING;LIST TOTAL $18,150 0 X YEARLY LEASES 3 213600 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE CFO AND CEO REVIEW FORM 990 BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD IS CHARGED WITH REVIEWING THE POLICIES ANNUALLY OR AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION NEGOTIATIONS ARE BASED UPON EXPERIENCE AND SKILL SET IN KEEPING WITH FAIR MARKET VALUE AND FORMAL PAY SCALE FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE PROCESSES FOR AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAVE NOT CHANGED.