CENTRAL VIRGINIA HEALTH SERVICES INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL VIRGINIA HEALTH SERVICES INC (EIN 54-0887287)
- Tax period
- 2011-04-01 to 2012-03-31
- Filed
- 2012-10-29
- IRS object ID
- 201233039349300123
- Schema version
- 2011v1.2
- 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 | 2012-10-29T08:56:35-07:00 | Timestamp |
| Tax Period End Date | 2012-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBINSON FARMER COX ASSOCIATES PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2011-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540887287 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL VIRGINIA HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CENT | NameControl |
| Phone | 4345813271 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHARLES ALLBAUGH | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 4345813271 | Phone |
| Date Signed | 2012-07-11 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES W KELLY | Name |
| Phone | 5402487300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CHARLES ALLBAUGH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 29508471 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.cvhsinc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1970 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 402 | TotalNbrEmployees |
| Total Nbr Volunteers | 208 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 10836886 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 11665012 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 16817513 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 17751866 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 101290 | InvestmentIncomePriorYear |
| Investment Income Current Year | 91593 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 27755689 | TotalRevenuePriorYear |
| Total Revenue Current Year | 29508471 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 19622256 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 20137193 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 182471 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6264909 | OtherExpensePriorYear |
| Other Expenses Current Year | 6762827 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 25887165 | TotalExpensesPriorYear |
| Total Expenses Current Year | 26900020 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1868524 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2608451 | RevenuesLessExpensesCY |
| Total Assets BOY | 24226279 | TotalAssetsBOY |
| Total Assets EOY | 24256134 | TotalAssetsEOY |
| Total Liabilities BOY | 6518517 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3917228 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 17707762 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20338906 | NetAssetsOrFundBalancesEOY |
| Mission Description | Central Virginia Health Services, Inc. (Organization) is a non-profit community health care organization | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 22584828 | Expense |
| Revenue | 17751866 | Revenue |
| Description | 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 2011 | Description |
| Total Program Service Expense | 22584828 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 402 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4345813271 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | OfficerOfficer | Key EmployeeKeyEmployee | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Individual Trustee Or DirectorIndividualTrusteeOrDirector | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| RODERICK MANIFOLD | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | X | X | 212329 | 0 | 28133 | ||
| RANDALL BASHORE | ||||||||
| MEDICAL DIRECTOR | 40.00 | X | 390369 | 0 | 25769 | |||
| CHARLES ALLBAUGH | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | X | 172308 | 0 | 31243 | ||
| FRANK SHERIDAN | ||||||||
| PRESIDENT | 2.00 | X | 0 | 0 | 0 | X | ||
| BOB SMITH | ||||||||
| DIRECTOR | 1.00 | 0 | 0 | 0 | X | |||
| SAMUEL BATEMAN | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | ||
| MARGARET HENDRICK | ||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | ||
| PEGGY SCOTT | ||||||||
| DIRECTOR | 1.00 | 0 | 0 | 0 | X | |||
| PATRICIA HARVEY | ||||||||
| DIRECTOR | 1.00 | 0 | 0 | 0 | X | |||
| REV DR RUDOLPH DUNBAR | ||||||||
| DIRECTOR | 1.00 | 0 | 0 | 0 | X | |||
| BYRON ADKINS | ||||||||
| DIRECTOR | 1.00 | 0 | 0 | 0 | X | |||
| MARGUERITE YOUNG | ||||||||
| DIRECTOR | 1.00 | 0 | 0 | 0 | X | |||
| TYLER WILLIAMS | ||||||||
| DIRECTOR | 1.00 | 0 | 0 | 0 | X | |||
| DONNA ISOM | ||||||||
| DIRECTOR | 1.00 | 0 | 0 | 0 | X | |||
| STEVEN MANSTER | ||||||||
| DIRECTOR | 1 | X | ||||||
| CARLA MARTINDALE | ||||||||
| DIRECTOR | 1 | X | ||||||
| JEARLINE A TAYLOR | ||||||||
| DIRECTOR | 1 | X | ||||||
| CANDYACE DUNN | ||||||||
| DIRECTOR | 1 | X | ||||||
| JANE WILLS | ||||||||
| DIRECTOR | 1 | X | ||||||
| CLARA SMITH | ||||||||
| DIRECTOR | 1 | X | ||||||
| GRANVILLE FISHER | ||||||||
| DIRECTOR | 1 | X | ||||||
| DAVID M CAMPANELLI | ||||||||
| PHYSICIAN | 40 | 200132 | 25772 | X | ||||
| BRIAN BLACKWELL | ||||||||
| PHYSICIAN | 40 | 291651 | 14550 | X | ||||
| DAVID A NEFF | ||||||||
| PHYSICIAN | 40 | 210411 | 11888 | X | ||||
| SON DUONG | ||||||||
| PHYSICIAN | 40 | 195802 | 7868 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1850382 | TotalReportableCompFromOrg |
| Total Other Compensation | 162724 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Government Grants | 10244603 | GovernmentGrants |
| All Other Contributions | 1420409 | AllOtherContributions |
| Total Contributions | 11665012 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn |
|---|---|---|
| Net medical/dental charges | 621110 | 17212217 |
| Other revenue | 621110 | 539649 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 17751866 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 91593 | TotalRevenueColumn |
| Exclusion | $91,593 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29508471 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17751866 | RelatedOrExemptFunctionIncome |
| Exclusion | $91,593 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1142327 | Total |
| Program Services | 254884 | ProgramServices |
| Management And General | 795424 | ManagementAndGeneral |
| Fundraising | 92019 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15478586 | Total |
| Program Services | 14884281 | ProgramServices |
| Management And General | 556431 | ManagementAndGeneral |
| Fundraising | 37874 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 416866 | Total |
| Program Services | 309886 | ProgramServices |
| Management And General | 102525 | ManagementAndGeneral |
| Fundraising | 4455 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2023135 | Total |
| Program Services | 1789576 | ProgramServices |
| Management And General | 227482 | ManagementAndGeneral |
| Fundraising | 6077 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1076279 | Total |
| Program Services | 980222 | ProgramServices |
| Management And General | 86247 | ManagementAndGeneral |
| Fundraising | 9810 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11708 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 11708 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32700 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 32700 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 707617 | Total |
| Program Services | 590062 | ProgramServices |
| Management And General | 117555 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18874 | Total |
| Program Services | 14652 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 4222 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 617142 | Total |
| Program Services | 517593 | ProgramServices |
| Management And General | 82893 | ManagementAndGeneral |
| Fundraising | 16656 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22203 | Total |
| Program Services | 6142 | ProgramServices |
| Management And General | 16061 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1075630 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1075630 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37559 | Total |
| Program Services | 31180 | ProgramServices |
| Management And General | 3109 | ManagementAndGeneral |
| Fundraising | 3270 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36458 | Total |
| Program Services | 7922 | ProgramServices |
| Management And General | 23926 | ManagementAndGeneral |
| Fundraising | 4610 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 106 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 567187 | Total |
| Program Services | 246609 | ProgramServices |
| Management And General | 320578 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35581 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 35581 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Supplies | 2781346 | 2556193 | 225153 | 0 |
| Equipment rental/maintenance | 482767 | 241712 | 241055 | 0 |
| Other expenses | 335949 | 153914 | 178557 | 3478 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26900020 | Total |
| Program Services | 22584828 | ProgramServices |
| Management And General | 4132721 | ManagementAndGeneral |
| Fundraising | 182471 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 821631 | BOY |
| EOY | 867550 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7297578 | BOY |
| EOY | 8191387 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4106849 | BOY |
| EOY | 2083179 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2452183 | BOY |
| EOY | 1854703 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 175550 | BOY |
| EOY | 186408 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5000 | BOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 15462505 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5696710 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8096786 | BOY |
| EOY | 9765795 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1239604 | BOY |
| EOY | 1276014 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12000 | BOY |
| EOY | 12000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19098 | BOY |
| EOY | 19098 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24226279 | BOY |
| EOY | 24256134 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2312837 | BOY |
| EOY | 1874002 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4205680 | BOY |
| EOY | 2043226 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6518517 | BOY |
| EOY | 3917228 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17707762 | BOY |
| EOY | 20338906 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17707762 | BOY |
| EOY | 20338906 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24226279 | BOY |
| EOY | 24256134 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2608451 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 22693 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | false | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Public Support Total170 | 0 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Pertcentage170 | 0 | PublicSupportPertcentage170 |
| Public Support Total509 | 0 | PublicSupportTotal509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
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
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 477313 | OtherCostOrOtherBasis |
| Book Value | 477313 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8809267 | OtherCostOrOtherBasis |
| Depreciation | 2900108 | Depreciation |
| Book Value | 5909159 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4347423 | OtherCostOrOtherBasis |
| Depreciation | 2592851 | Depreciation |
| Book Value | 1754572 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1828502 | OtherCostOrOtherBasis |
| Depreciation | 203751 | Depreciation |
| Book Value | 1624751 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9765795 | TotalOfBookValueLandBuildings |
| Total Revenue | 29508471 | TotalRevenue |
| Total Expenses | 26900020 | TotalExpenses |
| Excess Or Deficit For Year | 2608451 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 2608451 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 29531164 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 22693 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 22693 | RevenueNotRptdF990 |
| Revenue Subtotal | 29508471 | RevenueSubtotal |
| Total Revenue Per Form990 | 29508471 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 26900020 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 26900020 | ExpensesSubtotal |
| Total Expenses Per Form990 | 26900020 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|
| RODERICK MANIFOLD | |||||
| 204829 | 7500 | 14473 | 1360 | 228162 | 255830 |
| RANDALL BASHORE | |||||
| 382869 | 7500 | 22000 | 3769 | 416138 | 420843 |
| CHARLES ALLBAUGH | |||||
| 164808 | 7500 | 16214 | 15028 | 203550 | 214307 |
| DAVID M CAMPANELLI | |||||
| 165206 | 34926 | 16500 | 9272 | 225904 | 242929 |
| BRIAN BLACKWELL | |||||
| 246337 | 45314 | 10360 | 4190 | 306201 | 387204 |
| DAVID A NEFF | |||||
| 161590 | 48821 | 6954 | 4934 | 222299 | 225946 |
| SON DUONG | |||||
| 195802 | 3609 | 4259 | 203670 | ||
| JOHN GALEN VILLANUEVA | |||||
| 177380 | 16500 | 1001 | 194881 | 198856 | |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (17 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI, Line 11a | A copy of the form 990 is provided to Board members |
| for review and input prior to being filed with the IRS. | |
| Pt VI, Line 12c | Compliance is enforced at varying levels of disciplinary |
| actions for violations to be reported promptly to the | |
| Executive Director or to the President of the Board | |
| if the Executive Director has violated the policy. | |
| Pt VI, Line 15 | The Executive Director is hired and evaluated annually |
| by the Board of Directors. All other employees are | |
| hired by the Executive Director who determines their compensation. | |
| Pt XI | Other changes in fund balances includes a re-statement |
| of prior year financial statements of net $20,234 revenue | |
| and unrealized gains on investments in the current year of | |
| $113,812. Unrealized gains and losses on investments are | |
| not 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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