WILLAMSBURG AREA MEDICAL ASSISTANCE CORPORATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- WILLAMSBURG AREA MEDICAL ASSISTANCE CORPORATION (EIN 54-1663905)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2013-11-08
- IRS object ID
- 201313129349300606
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-11-08T07:21:23-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3700 FESTIVAL PARK PLAZA | AddressLine1 |
| City | CHESTER | City |
| State | VA | State |
| ZIP Code | 238314415 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541663905 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WMBG AREA MEDICAL ASSISTANCE CORP | BusinessNameLine1 |
| Business Name Line2 | A/K/A OLDE TOWNE MEDICAL CENTER | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WILL | NameControl |
| Phone | 7572593252 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5249 OLDE TOWNE ROAD | AddressLine1 |
| City | WILLIAMSBURG | City |
| State | VA | State |
| ZIP Code | 23188 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM MANN JR | Name |
| Title | EXECUTIVE / MEDICAL DIRECTOR | Title |
| Phone | 7572593252 | Phone |
| Date Signed | 2013-11-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LESLIE ROBERTS | Name |
| PTIN | P00040492 | PTIN |
| Phone | 8044252600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | WILLIAM MANN JR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5249 OLDE TOWNE ROAD | AddressLine1 |
| City | WILLIAMSBURG | City |
| State | VA | State |
| ZIP Code | 23188 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2348340 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.OLDETOWNEMEDICALCENTER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1993 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | OLDE TOWNE MEDICAL CENTER PROVIDES QUALITY, COST-EFFECTIVE, COORDINATED MEDICAL AND DENTAL CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 24 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 24 | NbrIndependentVotingMembers |
| Total Nbr Employees | 37 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1369300 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1667018 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 570485 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 570972 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4566 | InvestmentIncomePriorYear |
| Investment Income Current Year | 13750 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -1114 | OtherRevenuePriorYear |
| Other Revenue Current Year | 34585 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1943237 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2286325 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1711934 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1638261 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 7823 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 619019 | OtherExpensePriorYear |
| Other Expenses Current Year | 480934 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2330953 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2119195 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -387716 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 167130 | RevenuesLessExpensesCY |
| Total Assets BOY | 3953463 | TotalAssetsBOY |
| Total Assets EOY | 4126697 | TotalAssetsEOY |
| Total Liabilities BOY | 2291816 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2297920 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1661647 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1828777 | NetAssetsOrFundBalancesEOY |
| Mission Description | OLDE TOWNE MEDICAL CENTER IS TO ASSURE ACCESS TO QUALITY HEALTH AND WELLNESS CARE TO THE RESIDENTS AND WORKFORCE OF THE GREATER WILLIAMSBURG COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1840617 | Expense |
| Revenue | 570972 | Revenue |
| Description | THE ORGANIZATION PROVIDES HEALTH CARE SERVICES TO THE ECONOMICALLY DISADVANTAGED RESIDENTS OF JAMES CITY AND YORK COUNTIES AND THE CITY OF WILLIAMSBURG, VA. | Description |
| Total Program Service Expense | 1840617 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 6 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 37 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 24 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 24 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNTY OF JAMES CITY VIRGINIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7572536630 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101-F MOUNTS BAY ROAD | AddressLine1 |
| City | WILLIAMSBURG | City |
| State | VA | State |
| ZIP Code | 23185 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| DAVID R BURRIS | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| THOMAS A TYLMAN DO | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ALFRED L WOODS | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| PETER WALENTISCH | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JENNIFER Y RYU | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| SHEILA NOLL | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| KENNETH O DREES | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| LAWRENCE VOLZ MD | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MARGARET DRISCOLL | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| STEPHEN D FOXX MD | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JENNIFER BICKHAM MENDEZ | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| RENE CABRAL | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JAMES DRAKE MD | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JAMES IVEY | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JUDITH N KNUDSON | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JOHN MCDONALD | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JOHN R SMITH | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JUDI FOREHAND WOODS | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JOHN MCGLENNON | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MARK D BECK | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| STEPHEN MCCARY | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| RAYMOND E BEDARD | ||||||
| TREASURER | 1.00 | 0 | 0 | 0 | X | |
| NANCY V MARSH | ||||||
| VICE PRESIDENT | 1.00 | 0 | 0 | 0 | X | |
| BARBARA REYNOLDS | ||||||
| PRESIDENT | 1.00 | 0 | 0 | 0 | X | |
| DENISE BOWLES | ||||||
| BUSINESS MANAGER | 40.00 | 39434 | 0 | 27272 | X | |
| WILLIAM MANN JR MD | ||||||
| EXECUTIVE / MEDICAL DIRECTOR | 40.00 | 0 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 39434 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 27272 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Federated Campaigns | 7386 | FederatedCampaigns |
| Fundraising Events | 67689 | FundraisingEvents |
| Government Grants | 491147 | GovernmentGrants |
| All Other Contributions | 1100796 | AllOtherContributions |
| Total Contributions | 1667018 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT BILLING | 621300 | 294915 | 294915 |
| MEDICAID - BILLINGS | 621300 | 126359 | 126359 |
| MEDICARE - BILLINGS | 621300 | 85738 | 85738 |
| MEDICAID DENTAL - BILL | 621300 | 63960 | 63960 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 570972 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13750 | TotalRevenueColumn |
| Exclusion | $13,750 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 96600 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 67689 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 62015 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34585 | TotalRevenueColumn |
| Exclusion | $34,585 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2286325 | TotalRevenueColumn |
| Related Or Exempt Function Income | 570972 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $48,335 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 280058 | Total |
| Program Services | 63735 | ProgramServices |
| Management And General | 213245 | ManagementAndGeneral |
| Fundraising | 3078 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 991541 | Total |
| Program Services | 991541 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92976 | Total |
| Program Services | 92976 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 181277 | Total |
| Program Services | 181277 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92409 | Total |
| Program Services | 77844 | ProgramServices |
| Management And General | 14358 | ManagementAndGeneral |
| Fundraising | 207 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13877 | Total |
| Management And General | 13877 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86831 | Total |
| Program Services | 86831 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 199 | Total |
| Program Services | 199 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23223 | Total |
| Program Services | 21391 | ProgramServices |
| Management And General | 1145 | ManagementAndGeneral |
| Fundraising | 687 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95157 | Total |
| Program Services | 73444 | ProgramServices |
| Management And General | 21713 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3382 | Total |
| Program Services | 3382 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 659 | Total |
| Program Services | 659 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11971 | Total |
| Program Services | 11971 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| SUPPLIES | 128367 | 118099 | 6417 | 3851 |
| LABORATORY SERVICES | 60934 | 60934 | ||
| FURNITURE AND EQUIPMENT | 20027 | 20027 | ||
| PATIENT REIMBURSEMENTS | 15679 | 15679 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20628 | Total |
| Program Services | 20628 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2119195 | Total |
| Program Services | 1840617 | ProgramServices |
| Management And General | 270755 | ManagementAndGeneral |
| Fundraising | 7823 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94631 | BOY |
| EOY | 261165 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3774009 | BOY |
| EOY | 3783640 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84823 | BOY |
| EOY | 81892 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3953463 | BOY |
| EOY | 4126697 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41816 | BOY |
| EOY | 47920 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2250000 | BOY |
| EOY | 2250000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2291816 | BOY |
| EOY | 2297920 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1661647 | BOY |
| EOY | 1828777 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1661647 | BOY |
| EOY | 1828777 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3953463 | BOY |
| EOY | 4126697 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 167130 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3773891 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 37423 | InvestmentEarningsOrLosses |
| Other Expenditures | 4119 | OtherExpenditures |
| End Of Year Balance | 3807195 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3969087 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 4804 | InvestmentEarningsOrLosses |
| Other Expenditures | 200000 | OtherExpenditures |
| End Of Year Balance | 3773891 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3764425 | BeginningOfYearBalance |
| Contributions | 200000 | Contributions |
| Investment Earnings Or Losses | 4662 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3969087 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3544481 | BeginningOfYearBalance |
| Contributions | 200000 | Contributions |
| Investment Earnings Or Losses | 19944 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3764425 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3487533 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 56948 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3544481 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 2351271 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 64946 | OtherRevenues |
| Revenue Not Rptd F990 | 64946 | RevenueNotRptdF990 |
| Revenue Subtotal | 2286325 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 2286325 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2175106 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 62015 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 62015 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2113091 | ExpensesSubtotal |
| Other Expenses Not Included | 6104 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 6104 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2119195 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | 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. $4,119 OF ACCUMULATED INCOME WAS TRANSFERRED FROM THE ENDOWMENT DURING THE CURRENT FISCAL YEAR TO COVER A SETTLEMENT WITH A PATIENT. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | ACCRUAL BASED REVENUES INCLUDED IN PRIOR YEAR 2,931. FUND RAISING EXPENSES NETTED AGAINST REVENUES 62,015. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | ACCRUED EXPENSES TAKEN IN CURRENT YEAR | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | ACCRUED EXPENSES TAKEN IN A PRIOR YEAR FUND RAISING EXPENSES NETTED AGAINST REVENUES 62,015. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | ACCRUED EXPENSES TAKE IN CURRENT YEAR 6,104. | |
| THE FINANCIAL STATEMENT OF THE ORGANIZATION REPORTED AUDITED CASH RECEIPTS AND DISBURSEMENTS. THE TAX RETURN IS REPORTED ON AN ACCRUAL BASIS. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF EVENT | NameOfEvent1 |
| Gross Receipts Event1 | 63805 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 63805 | CharitableContributionsEvent1 |
| Other Direct Expenses Event1 | 2833 | OtherDirectExpensesEvent1 |
| Name Of Event2 | TRIBUTE & CELEBRATION EVENT | NameOfEvent2 |
| Gross Receipts Event2 | 96600 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 96600 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 22901 | OtherDirectExpensesEvent2 |
| Gross Receipts Other Events | 3884 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 3884 | CharitableContribOtherEvents |
| Other Direct Expenses Other Events | 36281 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 164289 | GrossReceiptsTotal |
| Charitable Contributions Total | 67689 | CharitableContributionsTotal |
| Gross Revenue Total Events | 96600 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 62015 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 62015 | DirectExpenseSummaryEvents |
| Net Income Summary | 34585 | NetIncomeSummary |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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. |
| THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE CURRENT TAX YEAR. |
Comments