2013-10-09T12:35:40-05:00 2012-11-30 541967771 CAVANAUGH NELSON PLC 999 WATERSIDE DRIVE SUITE 2250 NORFOLK VA 23510 990 2011-12-01 541083954 PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC PENI 7573808709 1033 28TH STREET 2ND FLOOR NEWPORT NEWS VA 23607 ANGELA FUTRELL 7573808709 2013-10-09 1 MARK A NELSON P00358004 7575784900 2011 2016-02-24 21:20:13Z ANGELA FUTRELL 1033 28TH STREET 2ND FLOOR NEWPORT NEWS VA 23607 12220844 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. 17 17 196 0 0 0 6577916 6685356 4770296 5533037 5965 2451 0 0 11354177 12220844 0 0 0 0 7553680 8276029 0 0 0 4130516 3721450 11684196 11997479 -330019 223365 5004637 5146825 1268352 1187175 3736285 3959650 PROVIDING MEDICAL AND DENTAL CARE TO INDIGENT PATIENTS 0 0 7796037 5533037 COMMUNITY HEALTH CENTER: PRIMARY MEDICAL, DENTAL AND HEALTHCARE ENABLING SERVICES FOR THE MEDICALLY UNDERSERVED AREAS OF NEWPORT NEWS, HAMPTON, SUFFOLK, VIRGINIA BEACH, AND MATHEWS COUNTY, VA.: 88,328 VISITS 700976 HEALTHCARE FOR THE HOMELESS: PRIMARY MEDICAL CARE AND REFERRAL SERVICES FOR AREA HOMELESS: 12,835 VISITS 8497013 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 42 0 196 1 0 0 0 0 0 0 0 0 0 0 X 17 17 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 REV RALPH HAINES 2.00 X 0 0 0 BENITA JOHNSON 4.00 X 0 0 0 BARBARA MANLY 2.00 X 0 0 0 LOUVENIA MILTEER 2.00 X 0 0 0 CYNTHIA MULLEN 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 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 NILDA ANTE 40.00 X 200745 0 2882 DAVID L LORENZO 40.00 X 169960 0 22118 JACQUALYNNE K MCFARLANE 40.00 X 162561 0 13894 CHARLIE M FAULK 40.00 X 223246 0 6970 1376944 0 132620 18 0 1 0 LABCORP 860 OMNI BLVD 302A NEWPORT NEWS VA 23606 LAB SERVICES 558149 1 6300281 385075 6685356 NET PATIENT SERVICE RE 621110 5533037 5533037 5533037 2451 2451 12220844 5533037 0 2451 527139 150378 376761 6291154 4809152 1482002 338263 338263 632527 404989 227538 486946 340485 146461 37452 2330 35122 554934 277466 277468 7413 2164 5249 22218 4358 17860 334721 221881 112840 60834 24987 35847 PROFESSIONAL FEES & CON 1246746 1018144 228602 EQUIPMENT AND FACILITY 557558 283014 274544 SUPPLIES 445326 360046 85280 TELEPHONE 159516 113551 45965 294732 145805 148927 11997479 8497013 3500466 0 2403686 2460128 429275 892490 399387 197769 63124 72488 4487970 2964020 1709165 1523950 5004637 5146825 844398 808451 423954 378724 1268352 1187175 X 3736285 3959650 3736285 3959650 5004637 5146825 223365 0 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 217200 217200 1565011 1281118 283893 1628431 1174918 453513 1077328 507984 569344 1523950 12220844 11997479 223365 223365 12434444 213600 213600 12220844 0 12220844 12211079 213600 213600 11997479 0 11997479 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 2008. 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 NILDA ANTE 200745 0 0 0 0 0 0 0 2882 0 203627 0 0 0 DAVID L LORENZO 169960 0 0 0 0 0 0 0 22118 0 192078 0 0 0 JACQUALYNNE K MCFARLANE 162561 0 0 0 0 0 0 0 13894 0 176455 0 0 0 CHARLIE M FAULK 223246 0 0 0 0 0 0 0 6970 0 230216 0 0 0 EDWINA GARY FORMER CEO 8450 COMPENSATION FOR GRANT WRITING;LIST TOTAL 8,450 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.