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FAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
FAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION INC (EIN 56-1082675)
Tax period
2021-07-01 to 2022-06-30
Filed
2022-11-14
IRS object ID
202203189349312885
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2022-11-14T15:40:02-06:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560574444PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHERRY BEKAERT LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13800 GLENWOOD AVE SUITE 200AddressLine1Txt
CityRALEIGHCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561082675EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FAYETTEVILLE AREA HEALTH EDUCATIONBusinessNameLine1Txt
Business Name Line2FOUNDATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlFAYEBusinessNameControlTxt
Phone9106787220PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11601 OWEN DRIVEAddressLine1Txt
CityFAYETTEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28304ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUSHMA KAPOOR MDPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone9103231152PhoneNum
Signature2022-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSUSHMAPersonFirstNm
Person LastKAPOOR MDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMANDA ADAMSPreparerPersonNm
PTINP00748038PTIN
Phone9197821040PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN REGIONAL AHECBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSUSHMA KAPOOR MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11601 OWEN DRIVEAddressLine1Txt
CityFAYETTEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28304ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,954,314GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SR-AHEC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1974FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTHE MISSION OF SR-AHEC IS TO DELIVER QUARLITY HEALTHCARE EDUCATION AND MEET THE REGIONS' HEALTH WORKFORCE NEEDS BY: PROMOTING STATE OF THE ART HEALTHCARE EDUCATION, CONTINUALLY SEEKING INNOVATION IN THE EDUCATION EXPERIENCE AND PROVIDING TIMELY INFORMATION RESOURCES FOR THE PROVIDERS AND CUSTOMERS IN THE REGION. OUR MISSION IS TO IMPROVE ACCESS TO CARE THROUGH HIGHQUALITY CLINICAL SERVICES AND INCREASE THE NUMBER AND DIVERSITY OF PRACTICING HEALTH CARE PROFESSIONALS.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee189TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,615,396PYContributionsGrantsAmt
CY Contributions Grants$9,151,394CYContributionsGrantsAmt
PY Program Service Revenue$11,274,810PYProgramServiceRevenueAmt
CY Program Service Revenue$11,018,258CYProgramServiceRevenueAmt
PY Investment Income$630,597PYInvestmentIncomeAmt
CY Investment Income$747,033CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$21,520,803PYTotalRevenueAmt
CY Total Revenue$20,916,685CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,912,176PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,186,171CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,892,880PYOtherExpensesAmt
CY Other Expenses$8,284,549CYOtherExpensesAmt
PY Total Expenses$18,805,056PYTotalExpensesAmt
CY Total Expenses$19,470,720CYTotalExpensesAmt
PY Revenues Less Expenses$2,715,747PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,445,965CYRevenuesLessExpensesAmt
Total Assets BOY$35,260,140TotalAssetsBOYAmt
Total Assets EOY$34,117,990TotalAssetsEOYAmt
Total Liabilities BOY$13,456,925TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,255,543TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,803,215NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,862,447NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF SR-AHEC IS TO DELIVER QUALITY HEALTHCARE EDUCATION AND MEET THE REGIONS' HEALTH WORKFORCE NEEDS BY: PROMOTING STATE OF THE ART HEALTHCARE EDUCATION, CONTINUALLY SEEKING INNOVATION IN THE EDUCATION EXPERIENCE AND PROVIDING TIMELY INFORMATION RESOURCES FOR THE PROVIDERS AND CUSTOMERS IN THE REGION. OUR MISSION IS TO IMPROVE ACCESS TO CARE THROUGH HIGH QUALITY CLINICAL SERVICES AND INCREASE THE NUMBER AND DIVERSITY OF PRACTICING HEALTH CARE PROFESSIONALS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$14,030,140ExpenseAmt
Revenue$3,648,972RevenueAmt
DescTHERE WERE TWENTY FOUR FAMILY MEDICINE RESIDENTS IN THE PROGRAM THIS YEAR. EIGHT PHYSICIANS COMPLETED THE RESIDENCY IN JUNE WITH EIGHT NEW RESIDENTS ENTERING THE PROGRAM. THERE WERE 31,894 PATIENT VISITS IN THE FAMILY MEDICINE CENTER AND SPECIALTY MEDICINE CENTER. THE BUSINESS OFFICE STAFF CONTINUED TO EXCEED MGMA BEST PRACTICE TARGETS FOR DAYS IN ACCOUNTS RECEIVABLE AND NUMBER OF DENIALS. AT SR-AHEC FAMILY MEDICINE RESIDENCY OUR MISSION HAS ALWAYS BEEN TO TRAIN RESIDENTS AND PLACE OUR RESIDENCY GRADUATES IN THE COMMUNITY TO HELP IMPROVE HEALTHCARE ACCESS FOR OUR PATIENTS AND IMPROVE THE OVERALL HEALTH OF THE POPULATION IN OUR NINE-COUNTY REGION OF: BLADEN, CUMBERLAND, HARNETT, HOKE, MOORE, ROBESON, SAMPSON AND SCOTLAND COUNTIES. IN FY21, EIGHT PHYSICIANS JOINED THE OVER 220 DOCTORS WHO HAVE CHOSEN THE DUKE/SOUTHERN REGIONAL AHEC FAMILY MEDICINE RESIDENCY PROGRAM SINCE 1977 TO BOARD-CERTIFY THEIR SKILLS IN FAMILY MEDICINE. THESE DOCTORS OF ALLOPATHIC AND OSTEOPATHIC MEDICINE CONTINUE THEIR EDUCATION OR BEGIN THEIR CAREERS IN HOSPITALS, PRIVATE PRACTICES, IN THE MILITARY, AND OTHER AVENUES AS THEY PURSUE THEIR LIFE-LONG AMBITION OF PROVIDING COMPREHENSIVE HEALTH CARE TO PEOPLE OF ALL AGES.SINCE 1977, APPROX. TWENTY FIVE PERCENT OF THESE PRIMARY CARE PHYSICIANS STAYED IN NORTH CAROLINA OR IN THE REGION AFTER GRADUATING FROM THE PROGRAM. SINCE 2015, THE NUMBER OF GRADUATES OPTING TO WORK WITH LOCAL OR REGIONAL HOSPITALS AS THEIR FIRST JOB AFTER GRADUATION HAS BEEN STEADILY INCREASING.THIS PAST YEAR WE HAD SEVENTY PERCENT OF OUR GRADUATES PRACTICE IN OUR REGION. FACULTY AND STAFF PRESENTED AT NUMEROUS NATIONAL AND STATE PROFESSIONAL MEETINGS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,640,219ExpenseAmt
Revenue$7,369,286RevenueAmt
DescTHE HEALTH CAREERS AND WORKFORCE DIVERSITY PROGRAM FOCUSED ON THE PLANNING OF THE AHEC SCHOLARS PROGRAM IN PREPARATION FOR THE THIRD COHORT OF SCHOLARS. ITS AIM IS TO RECRUIT, TRAIN, AND SUPPORT A DIVERSE GROUP OF STUDENTS FROM EACH AHEC REGION, CREATING A MULTIDISCIPLINARY TEAM OF HEALTH PROFESSIONALS COMMITTED TO COMMUNITY SERVICE AND THE TRANSFORMATION OF HEALTH CARE IN NORTH CAROLINA. THIS NEW PROGRAM IS AN EXTENSION OF THE K-12 HEALTH CAREERS PIPELINE TO HIGHER EDUCATION THAT HAS BEEN OFFERED THROUGH NC AHEC SINCE THE 1990S. THE NC AHEC SCHOLARS PROGRAM WAS DEVELOPED FOR HEALTH PROFESSIONS STUDENTS INTERESTED IN SUPPLEMENTING THEIR EDUCATION WITH ADDITIONAL KNOWLEDGE AND EXPERIENCE IN RURAL AND/OR UNDERSERVED URBAN SETTINGS. SR AHEC CONTINUED TO OFFER SPECIFIC PIPELINE PROGRAMS TO INCLUDE HEALTH CAREERS PASSPORT, H.U.M.P. DAY IN PARTNERSHIP WITH CAMPBELL, TEACH, AND AHEC ON THE HILL. TEACHING EXCELLENCE FOR A CAREER IN HEALTH (TEACH) IS A NINE-MONTH PRE-PROFESSIONAL HEALTH ENRICHMENT PROGRAM FOR HIGH SCHOOL STUDENTS IN GRADES 8 -12. ITS GOAL IS TO SERVE AS AN INTEGRAL COMPONENT IN THE STATE'S EDUCATION PIPELINE AND TO MAKE A SIGNIFICANT IMPACT ON THE NUMBER OF UNDER-REPRESENTED STUDENTS ENTERING THE HEALTH PROFESSIONS IN THE REGION. DUE TO THE PANDEMIC SOME OF THESE PROGRAMS HAVE TRANSITIONED TO A VIRTUAL PLATFORM.IN 2021-2022, 380 CE/CME PROGRAMS WITH 1,072.25 PROGRAM HOURS WERE OFFERED TO HEALTH CARE PROFESSIONALS THROUGH SR-AHEC. THIRTY-SIX PERCENT OF THESE PROGRAMS WERE HELD IN CUMBERLAND COUNTY, WITH 16 PERCENT HOSTED IN SR-AHEC'S OTHER 8 COUNTIES IN THE REGION AND ANOTHER 48 PERCENT HELD OUTSIDE OF THE REGION. THE TRANSITION TO A VIRTUAL PLATFORM DUE TO THE PANDEMIC PLAYED A ROLE IN INCREASED PARTICIPATION FROM OUTSIDE THE REGION. THERE WERE 9,706 INDIVIDUALS WHO ATTENDED CE/CME PROGRAMS, WITH AN AVERAGE OF 26 PER PROGRAM. A TOTAL OF 187 HEALTH PROFESSIONS STUDENTS RESIDED IN SR-AHEC PROVIDED STUDENT HOUSING IN THE REGION. STUDENTS CAME PRIMARILY FROM DUKE, EAST CAROLINA, METHODIST UNIVERSITY, UNIVERSITY OF NORTH CAROLINA-CHAPELHILL, WESTERN CAROLINA UNIVERSITY AND WAKE FOREST UNIVERSITY AND CAMPBELL.THERE WERE ALSO ROTATIONS FOR TEN 3RD YEAR VIRGINIA COLLEGE OF OSTEOPATHIC MEDICINE (VCOM) STUDENTS WHO SPENT THE WHOLE ACADEMIC YEAR LEARNING IN THE FAMILY MEDICINE CENTER. SOUTHERN REGIONAL AHEC'S PRACTICE SUPPORT TEAM TRANSFORMS HEALTHCARE DELIVERY IN OUR NINE-COUNTY REGION BY HELPING PROVIDERS MEET NATIONAL STANDARDS AND READY THEMSELVES FOR VALUE-BASED CARE. THIS TEAM WORKSWITH INDIVIDUAL PRACTICES TO PROVIDE ON-SITE ASSISTANCE ON THE TOOLS AND SYSTEMS NEEDED TO OFFER CONSISTENT, HIGH-QUALITY CARE TO ALL PATIENTS, AND PREPARE THE PRACTICE TO RECEIVE VALUE-BASED PAYMENT INITIATIVES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$17,670,359TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document145IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee189EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LYNN GREENEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9106787232PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11601 OWEN DRIVEAddressLine1Txt
CityFAYETTEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28304ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
TODD TELEMECO PHD
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
DAVID TOLENTINO DO
VICE-CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
JOHN R WORTH CPA
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
DINA H ADAMS PHARMD RPH
TRUSTEE0.50Yes (X)$0$0$0
TIMOTHY BELL PA MPH
TRUSTEE0.50Yes (X)$0$0$0
DAVID L BOLIEK JR JD MBA
TRUSTEE0.50Yes (X)$0$0$0
DAVID G DICKERHOFF DDS
TRUSTEE0.50Yes (X)$0$0$0
HELENE F EDWARDS MS RD
TRUSTEE0.50Yes (X)$0$0$0
TIMOTHY HALL
TRUSTEE0.50Yes (X)$0$0$0
SHANNON A MATTHEWS
TRUSTEE0.50Yes (X)$0$0$0
WESLEY A MEREDITH
TRUSTEE0.50Yes (X)$0$0$0
MARVIN SWARTZ MD
TRUSTEE1.00Yes (X)$0$0$0
SUSHMA S KAPOOR MD
PRESIDENT/CEO50.00Yes (X)$311,908$0$15,647
KATHRYN L GREENE MBA
VP ADMIN & FINANCE/CFO45.00Yes (X)$154,228$0$12,528
TAIWONA L ELLIOTT DO
VP CLINICAL EDUCATION & SERVICES/RESIDENCY PROGRAM45.00$273,547$0$8,729Yes (X)
LENARD D SALZBERG MD
FACULTY PHYSICIAN45.00$236,212$0$14,864Yes (X)
JAMES S LESTER DO
FACULTY PHYSICIAN45.00$217,527$0$13,384Yes (X)
WESLEY A HILBERT MD
FACULTY PHYSICIAN45.00$221,946$0$14,694Yes (X)
RAJESH KHURANA MD
FACULTY PHYSICIAN45.00$201,873$0$14,473Yes (X)
VICKI HARDY DO
FACULTY PHYSICIAN45.00$199,695$0$13,465Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,816,936TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$107,784TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LABORATORY CORPORATION OF AMERICABusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 N SHENANDOAH AVE STE AAddressLine1Txt
CityFRONT ROYALCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22630ZIPCd
FieldValueIRS element (for citing)
ServicesLAB TESTINGServicesDesc
Compensation$133,774CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$1,750,315GovernmentGrantsAmt
All Other Contributions$7,401,079AllOtherContributionsAmt
Total Contributions$9,151,394TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES621110$5,475,398$5,475,398
RESIDENCY CONTRACT FEES900099$3,648,972$3,648,972
PHARMACY PROCEEDS900099$601,846$601,846
WORKSHOPS900099$503,644$503,644
OTHER SERVICE REVENUE900099$148,536$148,536

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$639,862TotalRevenueColumnAmt
Related Or Exempt Func Income$639,862RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$11,018,258TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$219,252TotalRevenueColumnAmt
Exclusion$219,252ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,565,410SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,037,629SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$527,781SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$527,781TotalRevenueColumnAmt
Exclusion$527,781ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,916,685TotalRevenueColumnAmt
Related Or Exempt Func Income$11,018,258RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$747,033ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$791,576TotalAmt
Program Services$280,091ProgramServicesAmt
Management And General$511,485ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,510,173TotalAmt
Program Services$7,807,230ProgramServicesAmt
Management And General$702,943ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$229,163TotalAmt
Program Services$197,621ProgramServicesAmt
Management And General$31,542ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,012,231TotalAmt
Program Services$1,012,908ProgramServicesAmt
Management And General-$677ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$643,028TotalAmt
Program Services$562,930ProgramServicesAmt
Management And General$80,098ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,382TotalAmt
Management And General$3,382ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$68,066TotalAmt
Management And General$68,066ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$82,724TotalAmt
Management And General$82,724ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,859,657TotalAmt
Program Services$4,846,622ProgramServicesAmt
Management And General$13,035ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,555TotalAmt
Program Services$6,985ProgramServicesAmt
Management And General$5,570ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,210,398TotalAmt
Program Services$1,092,270ProgramServicesAmt
Management And General$118,128ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$40,977TotalAmt
Program Services$34,176ProgramServicesAmt
Management And General$6,801ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$705,696TotalAmt
Program Services$700,700ProgramServicesAmt
Management And General$4,996ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$70,776TotalAmt
Program Services$65,289ProgramServicesAmt
Management And General$5,487ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$51,666TotalAmt
Program Services$37,099ProgramServicesAmt
Management And General$14,567ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$717,363TotalAmt
Program Services$643,976ProgramServicesAmt
Management And General$73,387ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$241,366TotalAmt
Program Services$162,539ProgramServicesAmt
Management And General$78,827ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
WORKSHOPS$150,426$150,426
BAD DEBT$69,497$69,497

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,470,720TotalAmt
Program Services$17,670,359ProgramServicesAmt
Management And General$1,800,361ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,603,904BOYAmt
EOY$4,679,329EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$515,369BOYAmt
EOY$516,466EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,071,562BOYAmt
EOY$6,404,509EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$365,647BOYAmt
EOY$666,834EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$86,492BOYAmt
EOY$76,796EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$349,710BOYAmt
EOY$415,979EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,655,117LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,884,723LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$13,381,865BOYAmt
EOY$12,770,394EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$8,882,741BOYAmt
EOY$8,584,833EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,850BOYAmt
EOY$2,850EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$35,260,140BOYAmt
EOY$34,117,990EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,242,529BOYAmt
EOY$1,258,247EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$723,620BOYAmt
EOY$28,440EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$11,490,776BOYAmt
EOY$10,968,856EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,456,925BOYAmt
EOY$12,255,543EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,770,448BOYAmt
EOY$21,834,425EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,767BOYAmt
EOY$28,022EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,803,215BOYAmt
EOY$21,862,447EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,260,140BOYAmt
EOY$34,117,990EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,445,965ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,386,733NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,917,978CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,665,974CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,930,101CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,615,396CurrentTaxYearMinus1YearAmt
Current Tax Year$9,151,394CurrentTaxYearAmt
Total$35,280,843TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,917,978CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,665,974CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,930,101CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,615,396CurrentTaxYearMinus1YearAmt
Current Tax Year$9,151,394CurrentTaxYearAmt
Total$35,280,843TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$35,280,843PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$178,460CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$171,839CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$213,165CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$204,935CurrentTaxYearMinus1YearAmt
Current Tax Year$219,252CurrentTaxYearAmt
Total$987,651TotalAmt
FieldValueIRS element (for citing)
Total Support$36,268,494TotalSupportAmt
Gross Receipts Rltd Activities$54,049,060GrossReceiptsRltdActivitiesAmt
Public Support CY1700.97280PublicSupportCY170Pct
Public Support PY1700.97000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$19,387,996FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$19,387,996FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$868,784CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$3,868,784TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$5,803,176LobbyingCeilingAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$217,196CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$967,196TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,450,794GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$32,767BeginningYearBalanceAmt
Investment Earnings Or Losses-$4,745InvestmentEarningsOrLossesAmt
End Year Balance$28,022EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,735BeginningYearBalanceAmt
Investment Earnings Or Losses$6,032InvestmentEarningsOrLossesAmt
End Year Balance$32,767EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,888BeginningYearBalanceAmt
Investment Earnings Or Losses$847InvestmentEarningsOrLossesAmt
End Year Balance$26,735EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$25,000ContributionsAmt
Investment Earnings Or Losses$888InvestmentEarningsOrLossesAmt
End Year Balance$25,888EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$356,018OtherCostOrOtherBasisAmt
Book Value$356,018BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,017,379OtherCostOrOtherBasisAmt
Depreciation$2,212,606DepreciationAmt
Book Value$11,804,773BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,745,642OtherCostOrOtherBasisAmt
Depreciation$2,298,102DepreciationAmt
Book Value$447,540BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$536,078OtherCostOrOtherBasisAmt
Depreciation$374,015DepreciationAmt
Book Value$162,063BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,770,394TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$19,447,228TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,386,733NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,386,733RevenueNotReportedAmt
Revenue Subtotal$20,833,961RevenueSubtotalAmt
Investment Expenses Not Incld$82,724InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$82,724RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$20,916,685TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$19,387,996TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$19,387,996ExpensesSubtotalAmt
Investment Expenses Not Incld2$82,724InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$82,724ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$19,470,720TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE PURPOSE OF THE ENDOWMENT FUNDS IS TO PROVIDE AN ANNUAL AWARD TO AN INDIVIDUAL THAT HAS GIVEN EXTRAORDINARY SERVICE TO THE MISSION OF SR-AHEC. THE PERCENTAGE REPORTED FOR PERMANENT ENDOWMENTS INCLUDES AMOUNTS THAT MUST BE MAINTAINED IN PERPETUITY AS WELL AS ACCUMULATED EARNINGS ON SUCH AMOUNTS THAT HAVE NOT YET BEEN APPROPRIATED FOR EXPENDITURE.
PART X, LINE 2:THE FOUNDATION IS EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT HAS EVALUATED THE EFFECT OF THE GUIDANCE PROVIDED BY U.S. GAAP ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT BELIEVES THAT THE FOUNDATION CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX-EXEMPT ORGANIZATION AT JUNE 30, 2022. MANAGEMENT HAS EVALUATED ALL OTHER TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE FINANCIAL STATEMENTS AND DETERMINED THE FOUNDATION HAD NO UNCERTAIN INCOME TAX POSITIONS AT JUNE 30, 2022.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SUSHMA S KAPOOR MD
PRESIDENT/CEO$304,033$0$7,875$0$0$0$7,708$0$7,939$0$327,555$0$0$0
TAIWONA L ELLIOTT DO
VP CLINICAL EDUCATION & SERVICES/RES$265,432$0$6,615$0$1,500$0$8,000$0$729$0$282,276$0$0$0
LENARD D SALZBERG MD
FACULTY PHYSICIAN$226,608$0$5,704$0$3,900$0$6,925$0$7,939$0$251,076$0$0$0
WESLEY A HILBERT MD
FACULTY PHYSICIAN$216,517$0$5,429$0$0$0$6,755$0$7,939$0$236,640$0$0$0
JAMES S LESTER DO
FACULTY PHYSICIAN$212,230$0$5,297$0$0$0$5,445$0$7,939$0$230,911$0$0$0
RAJESH KHURANA MD
FACULTY PHYSICIAN$196,576$0$5,297$0$0$0$6,534$0$7,939$0$216,346$0$0$0
VICKI HARDY DO
FACULTY PHYSICIAN$194,398$0$5,297$0$0$0$5,526$0$7,939$0$213,160$0$0$0
KATHRYN L GREENE MBA
VP ADMIN & FINANCE/CFO$150,365$0$3,863$0$0$0$4,679$0$7,849$0$166,756$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATAIWONA L. ELLIOTT, MD AND LENARD D. SALZBERG RECEIVED BONUSES WHICH WERE GROSSED UP FOR TAX PURPOSES. GROSS UP AMOUNTS WERE ALSO TREATED AS TAXABLE COMPENSATION.
PART I, LINE 1BTAX INDEMNIFICATION AND GROSS-UP PAYMENTS WERE RELATED TO BONUSES AWARDED BY THE ORGANIZATION, THEREFORE NO SUBSTANTIATION WITH RESPECT TO REIMBURSING OR ALLOWING EXPENSES WAS REQUIRED.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BONCE COMPLETED, THE FORM 990 IS PRESENTED TO THE EXECUTIVE COMMITTEE, THE PRESIDENT/CEO AND VICE PRESIDENT, ADMINISTRATION & FINANCE VIA CONFERENCE CALL BY THE AUDITOR. THE FORM 990 IS UPLOADED TO THE BOARD OF TRUSTEES WEBSITE FOR THEIR REVIEW PRIOR TO THE NOVEMBER BOARD MEETING. THE EXECUTIVE COMMITTEE RECOMMENDS THE ACTION TO ACCEPT THE REPORT AS PRESENTED, BARRING ANY CHANGES/CORRECTIONS, AND THE FULL BOARD VOTES TO ACCEPT THE REPORT. ONCE APPROVED THE FORM 990 IS FILED ON TIME.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS REVIEWED AND DECLARATION IS RENEWED ANNUALLY AND KEPT ON FILE. IN THE EVENT OF A CONFLICT OCCURRING DURING THE YEAR, A BOARD MEMBER MUST DISCLOSE ANY CONFLICT OR POTENTIAL CONFLICT OF INTEREST AS SOON AS HE OR SHE RECOGNIZES IT. IF A BOARD MEMBER OR THE CEO HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, HE/SHE SHALL NOTIFY THE BOARD CHAIR. THE BOARD CHAIR SHALL THEN ACT IN ACCORDANCE WITH THE POLICY IN INVESTIGATING THE CONCERN.
FORM 990, PART VI, SECTION B, LINE 15AN EXECUTIVE SALARY RANGE WILL BE ESTABLISHED BASED ON SIMILAR POSITIONS ACROSS THE NC AHEC SYSTEM WITH CONSIDERATION GIVEN TO JOB TITLE, DUTIES, EXPERIENCE, EDUCATION, ORGANIZATION SIZE BY REVENUE AND EMPLOYEES, CHALLENGES FACING THE ORGANIZATION REQUIRING EXCEPTIONAL SKILLS OR ATTRIBUTES AND IMPACT OF ORGANIZATIONAL WELL BEING. ANNUALLY, THE EXECUTIVE COMMITTEE OR FULL BOARD OF TRUSTEES WILL MEET INDEPENDENT OF THE CHIEF EXECUTIVE TO DISCUSS PERFORMANCE RELATIVE TO THE JOB DESCRIPTION AND ANNUAL GOALS. ONCE A CONSENSUS IS REACHED REGARDING PERFORMANCE, A SIMILAR DISCUSSION IS HELD CONCERNING COMPENSATION RELATIVE TO THE ANNUAL BENCHMARKS AND ESTABLISHED OBJECTIVES. THE COMPENSATION DECISION IS APPROVED BY THE FULL BOARD OF TRUSTEES. DOCUMENTATION THAT THE DELIBERATION AND DECISION TOOK PLACE WILL BE NOTED IN THE BOARD OF TRUSTEES MINUTES. THE BOARD CHAIR WILL MEET WITH THE CHIEF EXECUTIVE TO DISCUSS STRENGTHS, WEAKNESSES AND GOALS FOR THE UPCOMING YEAR. COMPENSATION IS BASED ON MARKET DATA OF COMPARABLE POSITIONS AT OTHER NC AHEC PROGRAMS AND MGMA (MEDICAL GROUP MANAGEMENT ASSOCIATION) SALARY SURVEYS. THE DATA IS COMPILED BY THE DIRECTOR OF HUMAN RESOURCES AND REVIEWED WITH THE PRESIDENT/CEO FOR DETERMINATION OF COMPENSATION WITH CONSIDERATION OF EXPERIENCE, EDUCATION, DUTIES AND RESPONSIBILITIES, AND SPECIFIC CHALLENGES FACING THE ORGANIZATION IN THOSE WORK AREAS.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 178,930. MANAGEMENT AND GENERAL EXPENSES 13,035. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 191,965. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 253,037. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 253,037. RESIDENCY SUPPORT PAYMENTS: PROGRAM SERVICE EXPENSES 4,414,655. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,414,655.