2013-11-08T07:21:23-06:00 2013-06-30 560747981 DIXON HUGHES GOODMAN LLP 3700 FESTIVAL PARK PLAZA CHESTER VA 238314415 990 2012-07-01 541663905 WMBG AREA MEDICAL ASSISTANCE CORP A/K/A OLDE TOWNE MEDICAL CENTER WILL 7572593252 5249 OLDE TOWNE ROAD WILLIAMSBURG VA 23188 WILLIAM MANN JR 7572593252 2013-11-06 1 LESLIE ROBERTS P00040492 8044252600 2012 2016-02-24 21:20:13Z WILLIAM MANN JR 5249 OLDE TOWNE ROAD WILLIAMSBURG VA 23188 2348340 0 X WWW.OLDETOWNEMEDICALCENTER.ORG X 1993 VA OLDE TOWNE MEDICAL CENTER PROVIDES QUALITY, COST-EFFECTIVE, COORDINATED MEDICAL AND DENTAL CARE. 24 24 37 0 0 0 1369300 1667018 570485 570972 4566 13750 -1114 34585 1943237 2286325 0 0 0 0 1711934 1638261 0 0 7823 619019 480934 2330953 2119195 -387716 167130 3953463 4126697 2291816 2297920 1661647 1828777 OLDE TOWNE MEDICAL CENTER IS TO ASSURE ACCESS TO QUALITY HEALTH AND WELLNESS CARE TO THE RESIDENTS AND WORKFORCE OF THE GREATER WILLIAMSBURG COMMUNITY. 0 0 1840617 570972 THE ORGANIZATION PROVIDES HEALTH CARE SERVICES TO THE ECONOMICALLY DISADVANTAGED RESIDENTS OF JAMES CITY AND YORK COUNTIES AND THE CITY OF WILLIAMSBURG, VA. 1840617 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 37 1 0 0 0 0 0 0 0 0 0 0 X 24 24 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X COUNTY OF JAMES CITY VIRGINIA 7572536630 101-F MOUNTS BAY ROAD WILLIAMSBURG VA 23185 DAVID R BURRIS 1.00 X 0 0 0 THOMAS A TYLMAN DO 1.00 X 0 0 0 ALFRED L WOODS 1.00 X 0 0 0 PETER WALENTISCH 1.00 X 0 0 0 JENNIFER Y RYU 1.00 X 0 0 0 SHEILA NOLL 1.00 X 0 0 0 KENNETH O DREES 1.00 X 0 0 0 LAWRENCE VOLZ MD 1.00 X 0 0 0 MARGARET DRISCOLL 1.00 X 0 0 0 STEPHEN D FOXX MD 1.00 X 0 0 0 JENNIFER BICKHAM MENDEZ 1.00 X 0 0 0 RENE CABRAL 1.00 X 0 0 0 JAMES DRAKE MD 1.00 X 0 0 0 JAMES IVEY 1.00 X 0 0 0 JUDITH N KNUDSON 1.00 X 0 0 0 JOHN MCDONALD 1.00 X 0 0 0 JOHN R SMITH 1.00 X 0 0 0 JUDI FOREHAND WOODS 1.00 X 0 0 0 JOHN MCGLENNON 1.00 X 0 0 0 MARK D BECK 1.00 X 0 0 0 STEPHEN MCCARY 1.00 X 0 0 0 RAYMOND E BEDARD 1.00 X 0 0 0 NANCY V MARSH 1.00 X 0 0 0 BARBARA REYNOLDS 1.00 X 0 0 0 DENISE BOWLES 40.00 X 39434 0 27272 WILLIAM MANN JR MD 40.00 X 0 0 0 39434 0 27272 0 0 0 0 0 7386 67689 491147 1100796 1667018 PATIENT BILLING 621300 294915 294915 MEDICAID - BILLINGS 621300 126359 126359 MEDICARE - BILLINGS 621300 85738 85738 MEDICAID DENTAL - BILL 621300 63960 63960 570972 13750 13750 96600 67689 62015 34585 34585 2286325 570972 0 48335 280058 63735 213245 3078 991541 991541 92976 92976 181277 181277 92409 77844 14358 207 13877 13877 86831 86831 199 199 23223 21391 1145 687 95157 73444 21713 3382 3382 659 659 11971 11971 SUPPLIES 128367 118099 6417 3851 LABORATORY SERVICES 60934 60934 FURNITURE AND EQUIPMENT 20027 20027 PATIENT REIMBURSEMENTS 15679 15679 20628 20628 2119195 1840617 270755 7823 94631 261165 3774009 3783640 84823 81892 3953463 4126697 41816 47920 2250000 2250000 2291816 2297920 X 0 0 0 0 1661647 1828777 1661647 1828777 3953463 4126697 167130 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3773891 37423 4119 3807195 3969087 4804 200000 3773891 3764425 200000 4662 3969087 3544481 200000 19944 3764425 3487533 56948 3544481 1 0 0 2351271 64946 64946 2286325 0 2286325 2175106 62015 62015 2113091 6104 6104 2119195 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. GOLF EVENT 63805 63805 2833 TRIBUTE & CELEBRATION EVENT 96600 96600 22901 3884 3884 36281 164289 67689 96600 62015 62015 34585 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.