CENTRAL VIRGINIA HEALTH SERVICES INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL VIRGINIA HEALTH SERVICES INC (EIN 54-0887287)
- Tax period
- 2013-04-01 to 2014-03-31
- Filed
- 2014-11-14
- IRS object ID
- 201443189349302614
- 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 | 2014-11-14T08:03:30-08:00 | ReturnTs |
| Tax Period End | 2014-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Robinson Farmer Cox Associates PLLC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 47 Lee Hwy | AddressLine1 |
| City | Verona | City |
| State | VA | State |
| ZIP Code | 244822505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540887287 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Virginia Health Services Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 4345813271 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 220 | AddressLine1 |
| City | New Canton | City |
| State | VA | State |
| ZIP Code | 23123 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHARLES ALLBAUGH | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 4345813271 | PhoneNum |
| Signature | 2014-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES W KELLY | PreparerPersonNm |
| Phone | 5402487300 | PhoneNum |
| Preparation | 2014-11-14 | PreparationDt |
| 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 | CHARLES ALLBAUGH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 220 | AddressLine1 |
| City | New Canton | City |
| State | VA | State |
| ZIP Code | 23123 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,526,959 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cvhsinc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | Central Virginia Health Services is committed to providing safe, accessible, affordable, comprehensive, high quality and culturally sensitive health and dental services to the people it serves. Anyone can receive health care services, insured or uninsured. Low income patients may be eligible for a discount based on their income and family size. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 417 | TotalEmployeeCnt |
| Total Volunteers | 208 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $11,790,687 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,820,216 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,749,173 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,610,037 | CYProgramServiceRevenueAmt |
| PY Investment Income | $72,663 | PYInvestmentIncomeAmt |
| CY Investment Income | $96,706 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $29,612,523 | PYTotalRevenueAmt |
| CY Total Revenue | $26,526,959 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,211,173 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,361,620 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $212,765 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,708,345 | PYOtherExpensesAmt |
| CY Other Expenses | $6,602,019 | CYOtherExpensesAmt |
| PY Total Expenses | $26,919,518 | PYTotalExpensesAmt |
| CY Total Expenses | $26,963,639 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,693,005 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$436,680 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,480,633 | TotalAssetsBOYAmt |
| Total Assets EOY | $25,068,264 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,315,478 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,180,047 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $23,165,155 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $22,888,217 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Central Virginia Health Services, Inc. (Organization) is a non-profit community health care organization | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $22,293,245 | ExpenseAmt |
| Revenue | $16,610,037 | RevenueAmt |
| Desc | PROVIDED OUT-PATIENT HEALTH AND DENTAL CARE TO RESIDENTS OF FLUVANNA, CHARLES CITY, BUCKINGHAM, CUMBERLAND, CHARLOTTE,BRUNSWICK, ALBEMARLE, PRINCE EDWARD, KING WILLIAM, KING AND QUEEN, CAROLINE, LOUISA, WESTMORELAND, PRINCE GEORGE AND RICHMOND COUNTIES AND THE CITY OF PETERSBURG, HOPEWELL AND FREDERICKSBURG SERVING OVER 39,000 PATIENTS IN CALENDAR YEAR 2013 | Desc |
| Total Program Service Expenses | $22,293,245 | 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 | false | 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 | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 417 | 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 |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Corporation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4345813271 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25892 James Madison Hwy | AddressLine1 |
| City | New Canton | City |
| State | VA | State |
| ZIP Code | 23123 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| RODERICK MANIFOLD | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | Yes (X) | $266,193 | $0 | $24,337 | ||
| RANDALL BASHORE | ||||||||
| MEDICAL DIRECTOR | 40.00 | Yes (X) | $444,595 | $0 | $21,978 | |||
| CHARLES ALLBAUGH | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | Yes (X) | $238,648 | $0 | $24,483 | ||
| FRANK SHERIDAN | ||||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| BOB SMITH | ||||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| SAMUEL BATEMAN | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CAROLYN PERRY | ||||||||
| Director | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| PEGGY SCOTT | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| RALPH MOORE | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| REV DR RUDOLPH DUNBAR | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| BYRON ADKINS | ||||||||
| VICE PRESIDENT | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| MARGUERITE YOUNG | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| STEVEN MANSTER | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| CARLA MARTINDALE | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JEARLINE ATAYLOR | ||||||||
| DIRECTOR | 1 | Yes (X) | ||||||
| CANDYACE DUNN | ||||||||
| DIRECTOR | 1 | Yes (X) | ||||||
| JANE WILLS | ||||||||
| DIRECTOR | 1 | Yes (X) | ||||||
| GRANVILLE E FISHER JR | ||||||||
| DIRECTOR | 1 | Yes (X) | ||||||
| PAUL CROWTHER | ||||||||
| PHARMACY DIRECTOR | 40 | $199,474 | $19,442 | Yes (X) | ||||
| BRIAN BLACKWELL | ||||||||
| PHYSICIAN | 40 | $330,059 | $15,306 | Yes (X) | ||||
| MARION HAHESY-CALHOUN | ||||||||
| PHYSICIAN | 40 | $190,223 | $24,093 | Yes (X) | ||||
| DAVID M CAMPANELLI | ||||||||
| PHYSICIAN | 40 | $206,372 | $23,777 | Yes (X) | ||||
| JOHN VILLANEUVA | ||||||||
| PHYSICIAN | 40 | $195,303 | $14,127 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,070,867 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $167,543 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $8,482,061 | GovernmentGrantsAmt |
| All Other Contributions | $1,338,155 | AllOtherContributionsAmt |
| Total Contributions | $9,820,216 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| Net medical/dental charges | 621110 | $16,319,314 |
| Other revenue | 621110 | $290,723 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,610,037 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $96,706 | TotalRevenueColumnAmt |
| Exclusion | $96,706 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,526,959 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,610,037 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $96,706 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,623,575 | TotalAmt |
| Program Services | $279,944 | ProgramServicesAmt |
| Management And General | $1,232,941 | ManagementAndGeneralAmt |
| Fundraising | $110,690 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,873,121 | TotalAmt |
| Program Services | $14,572,159 | ProgramServicesAmt |
| Management And General | $260,938 | ManagementAndGeneralAmt |
| Fundraising | $40,024 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $429,841 | TotalAmt |
| Program Services | $334,931 | ProgramServicesAmt |
| Management And General | $89,826 | ManagementAndGeneralAmt |
| Fundraising | $5,084 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,318,203 | TotalAmt |
| Program Services | $2,056,187 | ProgramServicesAmt |
| Management And General | $246,406 | ManagementAndGeneralAmt |
| Fundraising | $15,610 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,116,880 | TotalAmt |
| Program Services | $970,992 | ProgramServicesAmt |
| Management And General | $134,800 | ManagementAndGeneralAmt |
| Fundraising | $11,088 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,350 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $25,350 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $439,757 | TotalAmt |
| Program Services | $362,459 | ProgramServicesAmt |
| Management And General | $77,298 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,252 | TotalAmt |
| Program Services | $14,974 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $1,278 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $598,963 | TotalAmt |
| Program Services | $520,200 | ProgramServicesAmt |
| Management And General | $76,506 | ManagementAndGeneralAmt |
| Fundraising | $2,257 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,323 | TotalAmt |
| Program Services | $46,800 | ProgramServicesAmt |
| Management And General | $40,523 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,112,769 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,112,769 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,664 | TotalAmt |
| Program Services | $27,151 | ProgramServicesAmt |
| Management And General | $1,762 | ManagementAndGeneralAmt |
| Fundraising | $2,751 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,007 | TotalAmt |
| Program Services | $2,603 | ProgramServicesAmt |
| Management And General | $28,254 | ManagementAndGeneralAmt |
| Fundraising | $10,150 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $820,247 | TotalAmt |
| Program Services | $428,956 | ProgramServicesAmt |
| Management And General | $391,291 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,477 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $46,477 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Supplies | $2,443,379 | $2,259,998 | $170,546 | $12,835 |
| Equipment rental/maintenance | $514,013 | $231,241 | $282,474 | $298 |
| Other expenses | $424,818 | $184,650 | $239,468 | $700 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,963,639 | TotalAmt |
| Program Services | $22,293,245 | ProgramServicesAmt |
| Management And General | $4,457,629 | ManagementAndGeneralAmt |
| Fundraising | $212,765 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,566,454 | BOYAmt |
| EOY | $1,255,364 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,450,083 | BOYAmt |
| EOY | $9,077,403 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $455,068 | BOYAmt |
| EOY | $721,836 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,602,066 | BOYAmt |
| EOY | $1,368,523 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $188,680 | BOYAmt |
| EOY | $160,045 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,798,426 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,185,145 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,275,944 | BOYAmt |
| EOY | $10,613,281 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,911,240 | BOYAmt |
| EOY | $1,840,714 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,000 | BOYAmt |
| EOY | $12,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,098 | BOYAmt |
| EOY | $19,098 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,480,633 | BOYAmt |
| EOY | $25,068,264 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,861,575 | BOYAmt |
| EOY | $1,628,731 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $453,903 | BOYAmt |
| EOY | $551,316 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,315,478 | BOYAmt |
| EOY | $2,180,047 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,165,155 | BOYAmt |
| EOY | $22,888,217 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,165,155 | BOYAmt |
| EOY | $22,888,217 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,480,633 | BOYAmt |
| EOY | $25,068,264 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$436,680 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $159,742 | NetUnrlzdGainsLossesInvstAmt |
| 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 | false | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
| 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 |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
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 | $477,312 | OtherCostOrOtherBasisAmt |
| Book Value | $477,312 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,454,567 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,494,486 | DepreciationAmt |
| Book Value | $7,960,081 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,561,514 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,460,956 | DepreciationAmt |
| Book Value | $2,100,558 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $305,033 | OtherCostOrOtherBasisAmt |
| Depreciation | $229,703 | DepreciationAmt |
| Book Value | $75,330 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,613,281 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $26,686,701 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $159,742 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $159,742 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,526,959 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $26,526,959 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $26,963,639 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $26,963,639 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $26,963,639 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| RODERICK MANIFOLD | ||||
| $257,693 | $8,500 | $9,156 | $15,181 | $290,530 |
| RANDALL BASHORE | ||||
| $434,595 | $10,000 | $10,185 | $11,793 | $466,573 |
| CHARLES ALLBAUGH | ||||
| $230,148 | $8,500 | $7,800 | $16,683 | $263,131 |
| PAUL CROWTHER | ||||
| $195,349 | $4,125 | $7,649 | $11,793 | $218,916 |
| BRIAN BLACKWELL | ||||
| $297,234 | $32,825 | $10,185 | $5,121 | $345,365 |
| MARION HAHESY-CALHOUN | ||||
| $187,741 | $2,482 | $7,410 | $16,683 | $214,316 |
| DAVID M CAMPANELLI | ||||
| $203,394 | $2,978 | $8,017 | $15,760 | $230,149 |
| JOHN VILLANEUVA | ||||
| $192,724 | $2,579 | $7,606 | $6,521 | $209,430 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | A copy of the form 990 is provided to Board members |
| Pt VI, Line 11b | for review and input prior to being filed with the IRS. |
| Pt VI, Line 12c | Compliance is enforced at varying levels of disciplinary |
| Pt VI, Line 12c | actions for violations to be reported promptly to the |
| Pt VI, Line 12c | Executive Director or to the President of the Board |
| Pt VI, Line 12c | if the Executive Director has violated the policy. |
| Pt VI, Line 15a | The Executive Director is hired and evaluated annually |
| Pt VI, Line 15a | by the Board of Directors. All other employees are |
| Pt VI, Line 15a | hired by the Executive Director who determines their compensation. |
| Pt XI | Other changes in fund balances includes unrealized gains |
| Pt XI | on investments in the current year of $159,742. |
| Pt XI | Unrealized gains and losses on investments are not |
| Pt XI | included in revenues for the 990 tax filing. |
| Form 990EZ, Part II, Line 24 | ACCOUNTS RECEIVABLE - NET GRANTS RECEIVABLE - NET OTHER RECEIVABLES INVENTORIES PREPAIDS |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE & ACCRUED EXPENSES BONDS, MORTGAGES & OTHER NOTES UNEARNED GRANT ACCRUED SALARIES AND EXPENSES OBLIGATION-CAPITAL LEASE SALARY ADVANCE |
| Form 990, Part IX, Line 24f | STAFF RECRUITMENT MARKETING DUES, FEES, & SUBS TAXES AND LICENSES MEDICAL SUPPLIES |
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