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THE MEDARVA FOUNDATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
THE MEDARVA FOUNDATION (EIN 16-1628388)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202203199349328850
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)
Return2022-11-15T18:00:54-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1901 EAST CARY STREET SUITE 1000AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23219ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161628388EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RICHMOND EYE AND EAR FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRICHBusinessNameControlTxt
Phone8045459434PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18700 STONY POINT PARKWAY 100AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23235ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN HEADLEYPersonNm
Person TitleCFOPersonTitleTxt
Phone8045459434PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOHNPersonFirstNm
Person LastHEADLEYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAKRISHA J WATSONPreparerPersonNm
PTINP01677333PTIN
Phone8042827636PhoneNum
Preparation2022-11-15PreparationDt

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 Line1MEDARVA FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBRUCE KUPPERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18700 STONY POINT PARKWAY 100AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23235ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$160,110GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionRICHMOND EYE & EAR FOUNDATION OPERATES IN DIRECT SUPPORT OF THECHARITABLE PURPOSE OF ITS SUPPORTED ORGANIZATION, RICHMOND EYE AND EARHEALTHCARE ALLIANCE. RICHMOND EYE AND EAR HEALTHCARE ALLIANCE (REEHA)OFFERS LOW VISION REHABILITATION SERVICE TO VISUALLY IMPAIRED, TEACHINGPATIENTS TO USE THEIR REMAINING VISION MORE EFFICIENTLY. THE LOW VISIONCLINIC SERVES MORE THAN 900 PATIENTS. RICHMOND EYE & EAR CONTINUES TOPROVIDE THIS SERVICE DESPITE TRADITIONALLY HIGH OPERATING COSTS.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$101,704PYContributionsGrantsAmt
CY Contributions Grants$160,101CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$7PYInvestmentIncomeAmt
CY Investment Income$9CYInvestmentIncomeAmt
PY Other Revenue$9,300PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$111,011PYTotalRevenueAmt
CY Total Revenue$160,110CYTotalRevenueAmt
PY Grants And Similar Paid$36,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$72,625CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$22,753PYOtherExpensesAmt
CY Other Expenses$2,357CYOtherExpensesAmt
PY Total Expenses$58,753PYTotalExpensesAmt
CY Total Expenses$74,982CYTotalExpensesAmt
PY Revenues Less Expenses$52,258PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$85,128CYRevenuesLessExpensesAmt
Total Assets BOY$169,678TotalAssetsBOYAmt
Total Assets EOY$234,219TotalAssetsEOYAmt
Total Liabilities BOY$217,939TotalLiabilitiesBOYAmt
Total Liabilities EOY$197,352TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$48,261NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$36,867NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO OPERATE EXCLUSIVELY FOR THE BENEFIT OF RICHMOND EYE AND EAR HEALTHCARE ALLIANCE (REEHA). REEHA'S MISSION IS TO OPERATE AN OUTPATIENT SURGICAL HOSPITAL IN A MANNER THAT PROMOTES HEALTH FOR A BROAD CROSS SECTION OF THE COMMUNITY;PROVIDE ACCESS TO THE AVAILABILITY OF HEALTHCARE; FUND HEALTH RESEARCHAND COMMUNITY GRANTS; PROVIDE OTHER HEALTH CARE SERVICES AND FUNDING ASDEEMED APPROPRIATE BY THE BOARD OF DIRECTORS; PROMOTE THE USE OFTECHNOLOGY, AND PROVIDE EDUCATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$74,982ExpenseAmt
Grant$72,625GrantAmt
DescRICHMOND EYE & EAR FOUNDATION OPERATES IN DIRECT SUPPORT OF THE CHARITABLE PURPOSE OF ITS SUPPORTED ORGANIZATION, RICHMOND EYE AND EAR HEALTHCARE ALLIANCE (REEHA). REEHA PROVIDES FREE VISION AND HEARING SCREENINGS FOR PRE KINDERGARTEN CHILDREN TO INCREASE ACCESS TO CARE FOR CHILDREN AND TO HELP THEM SEE AND HEAR AS WELL AS THEIR CLASSMATES. THE PROGRAM PROVIDES FREE MOBILE SCREENINGS, IN ADDITION TO EDUCATIONAL INFORMATION REGARDING THE IMPORTANCE OF VISUAL AND AUDITORY HEALTH, AND SEEKS TO BREAK DOWN BARRIERS TO CARE SUCH AS LANGUAGE, TRANSPORTATION, LOW INCOME OR THE LACK OF INSURANCE. REEHA SCREENING ASSISTANTS DETECT POTENTIAL VISUAL AND AUDITORY PROBLEMS AND REPORT ANY NECESSARY REFERRALS. DETECTINGTHESE ISSUES AT AN EARLY AGE IS CRITICAL FOR ACADEMIC SUCCESS. MORE THAN 18,000 CHILDREN HAVE BEEN SCREENED SINCE THE PROGRAM'S INCEPTION IN FALL 2015. 17% OF THE CHILDREN SCREENED WERE REFERRED TO A PHYSICIAN FOR VISION, HEARING, OR BOTH. 80% OF CHILDREN REFERRED RECEIVED FOLLOW-UP CARE.RICHMOND EYE AND EAR HEALTHCARE ALLIANCE PROVIDES GRANTS TO RICHMOND EYE AND EAR FOUNDATION FOR THE EXPRESS PURPOSE OF HAVING RICHMOND EYE AND EAR HEALTH FOUNDATION USE THE MONEY TO PROVIDE EDUCATIONAL, CHARITABLE, AND SUPPORT SERVICES TO THE COMMUNITY. RICHMOND EYE AND EAR FOUNDATION'S OPERATIONS AND GRANT MAKING ACTIVITIES PROVIDED SERVICES TO COMMUNITY HEALTH INITIATIVES, INCLUDING:EDUCATION AND OUTREACH VISION AND HEARING - (A) OPERATING SUPPORT AND FUNDING FOR INCREASED OUTREACH ACTIVITIES FOR MORE THAN 2,500 PRINT-DISABLED INDIVIDUALS, INCLUDING RADIOS AND THE READING OF CURRENT PRINTED (B) SUPPORT OF THE PARENT-CHILD ADVOCATE PROGRAM FOR DEAF AND HARD OF HEARING COMMUNITY COUNSELING SERVICES, SERVING OVER 55 FAMILIES, INCLUDING 150 INDIVIDUALS (C) PROVIDE VISION, HEARING, AND DENTAL SCREENINGS, AND FITNESS ASSESSMENTS TO THOSE WITH INTELLECTUAL DISABILITIES. (D) SUPPORTING FREE CLINIC FOR MORE THAN 6,800 UNINSURED INDIVIDUALS.RESEARCH GRANTS - FUNDS TO SUPPORT RESEARCH STUDIES BY MAJOR TEACHING INSTITUTIONS IN THE AREAS OF USHER SYNDROME, NOCTURNAL ENURESIS, AND CHRONIC RHINOSINUSITISDesc
Total Program Service Expenses$74,982TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
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 EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
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 Members19GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
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 Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN HEADLEYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8047754545PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18700 STONY POINT PARKWAY STE 100AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23235ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
MRS CHERRY PETERS
DIRECTOR1.002.00Yes (X)$0$0$0
MR PETER PASTORE
DIRECTOR1.002.00Yes (X)$0$0$0
MRS CHERYL JARVIS
DIRECTOR1.002.00Yes (X)$0$0$0
MS JOANNE WILEY
DIRECTOR1.002.00Yes (X)$0$0$0
CHRIS PETRAS MD
DIRECTOR1.002.00Yes (X)$0$0$0
MICHAEL ARMSTRONG JR MD
DIRECTOR1.00Yes (X)$0$0$0
DR ANNE H MCELROY
DIRECTOR1.00Yes (X)$0$0$0
MRS JEAN BENSON
DIRECTOR1.00Yes (X)$0$0$0
MRS CAROL ADELAAR
DIRECTOR1.00Yes (X)$0$0$0
ISAAC WORNAM
DIRECTOR1.00Yes (X)$0$0$0
ALENE OWENS
DIRECTOR1.00Yes (X)$0$0$0
DR PETER NETLAND
COMMITTEE MEMBER1.00Yes (X)$0$0$0
DR LAURENCE DINARDO
COMMITTEE MEMBER1.00Yes (X)$0$0$0
DR WILLIAM BENSON
COMMITTEE MEMBER1.00Yes (X)$0$0$0
MRS RENE HICKS
COMMITTEE MEMBER1.00Yes (X)$0$0$0
JAMIE PUCCI OD
COMMITTEE MEMBER40.000.00Yes (X)$0$154,564$14,879
BARRY E ROPER MD
COMMITTEE MEMBER1.00Yes (X)$0$0$0
DANIEL COELHO MD
COMMITTEE MEMBER1.00Yes (X)$0$0$0
RICHARD COSTANZO PHD
COMMITTEE MEMBER1.00Yes (X)$0$0$0
MR BRUCE P KUPPER
CEO1.0041.00$0$304,993$25,604Yes (X)
MR JOHN HEADLEY
CFO1.0041.00$0$215,780$20,803Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$675,337TotReportableCompRltdOrgAmt
Total Other Compensation$61,286TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$160,101AllOtherContributionsAmt
Total Contributions$160,101TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9TotalRevenueColumnAmt
Exclusion$9ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$160,110TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$9ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$72,625TotalAmt
Program Services$72,625ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,500TotalAmt
Program Services$1,500ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$549TotalAmt
Program Services$549ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$308TotalAmt
Program Services$308ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$74,982TotalAmt
Program Services$74,982ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$104,065BOYAmt
EOY$14,848EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$65,613BOYAmt
EOY$219,371EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$169,678BOYAmt
EOY$234,219EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$217,939BOYAmt
EOY$197,352EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$217,939BOYAmt
EOY$197,352EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$48,261BOYAmt
EOY$36,867EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$48,261BOYAmt
EOY$36,867EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$169,678BOYAmt
EOY$234,219EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$85,128ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1RICHMOND EYE AND EAR HEALTHCARE ALLIANCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN541904435EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (1)MajorityDirTrstSupportedOrgInd

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM REEHADesc
Book Value$219,371BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$219,371TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FOUNDATION IA EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
CROSS-OVER MINISTRIES
8600 QUIOCCASIN RDRICHMONDVA23229541371067501(C)(3)$67,625$0FREE CLINIC PROJECT
CHILDRENS MUSEUM OF RICHMOND
2626 WEST BROAD STRICHMONDVA23220510220694501(C)(3)$10,000$0OPERATIONAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationRECIPIENTS MUST BE 501(C)(3) OR OTHER NOT-FOR-PROFIT AND USE THE PROVIDED FUNDS TO SUPPORT THE RICHMOND EYE & EAR HEALTHCARE ALLIANCE (REEHA) AND FOUNDATION MISSIONS. REEHA'S MISSION IS TO OPERATE AN OUTPATIENT SURGICAL HOSPITAL IN A MANNER THAT PROMOTES HEALTH FOR A BROAD CROSS SECTION OF THE COMMUNITY; PROVIDE THE AVAILABILITY OF HEALTHCARE; FUND HEALTH RESEARCH AND COMMUNITY GRANTS; PROVIDE OTHER HEALTH CARE SERVICES AND FUNDING AS DEEMED APPROPRIATE BY THE BOARD OF DIRECTORS; PROMOTE THE USE OF TECHNOLOGY; PROVIDE EDUCATION; AND FACILITATE THE AVAILABILITY OF HEALTHCARE. FULL GRANT APPLICATIONS INCLUDING 990 TAX RETURNS MUST BE SUBMITTED. THE RICHMOND EYE & EAR FOUNDATION, A REEHA SUPPORTING ORGANIZATION, REVIEWS APPLICATIONS BY SUB-COMMITTEE. THE SUB-COMMITTEE REPORTS BACK TO THE FOUNDATION WITH SUGGESTIONS FOR FINAL GRANT APPROVAL. THE FOUNDATION MINUTES AND PROGRESS ARE REPORTED QUARTERLY TO REEHA. GRANT RECIPIENTS MUST FILE A FINAL REPORT 1 YEAR AFTER PROJECT COMPLETION WITH QUANTITATIVE MEASUREMENTS ON THE USE OF THE GRANTS RECEIVED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (3 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
MR BRUCE P KUPPER
CEO$0$304,993$0$0$0$0$0$13,659$0$11,945$0$330,597$0$0
MR JOHN HEADLEY
CFO$0$215,780$0$0$0$0$0$10,063$0$10,740$0$236,583$0$0
JAMIE PUCCI OD
COMMITTEE MEMBER$0$154,564$0$0$0$0$0$7,486$0$7,393$0$169,443$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION DOES NOT DIRECTLY COMPENSATE ANY INDIVIDUALS. RICHMOND EYE AND EAR HEALTHCARE ALLIANCE, A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF INDIVIDUALS LISTED IN PART II: THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS MEETS TO ESTABLISH CEO'S GOALS AND RATE IMPLEMENTATION OF THE CEO GOALS. THE COMMITTEE ALSO COMMISSIONS AN INDEPENDENT SALARY SURVEY FOR THE CEO AND CFO. THE COMPENSATION COMMITTEE EVALUATES THE CEO. THE CEO EVALUATES AND DETERMINES THE OTHER DIRECTORS SALARY USING MGMA 2015 SALARY SURVEY DATA AND ANNUAL EVALUATION. BENCHMARKS ARE OBTAINED FROM THE INDEPENDENT SALARY SURVEY AND THE MGMA 2015 SALARY SURVEY DATA.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE ORGANIZATION IS THE RICHMOND EYE & EAR HEALTHCARE ALLIANCE.
FORM 990, PART VI, SECTION A, LINE 7ATHE RICHMOND EYE & EAR HEALTHCARE ALLIANCE HAS THE POWER TO APPOINT A MAJORITY OF THE TRUSTEES SERVING ON THE BOARD OF TRUSTEES (MEMBER CLASS TRUSTEES). THE MEMBER HAS THE POWER TO REMOVE AND REPLACE MEMBER CLASS TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 11BCOPIES OF THE FORM 990 WILL BE REVIEWED BY THE FINANCE COMMITTEE AT A DESIGNATED MEETING PRIOR TO FILING. THE FINANCE COMMITTEE WILL REPORT ITS REVIEW TO THE EXECUTIVE COMMITTEE, WHICH PRESENTED THE COMPLETED FORM TO EACH OF THE MEMBERS OF THE BOARD FOR THEIR REVIEW. ANY QUESTIONS OR COMMENTS FROM THE BOARD MEMBERS ARE REFLECTED IN THE FORM 990 FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CMEMBERS OF THE BOARD ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY, OR AS THEY ARISE. MEMBERS WITH A POTENTIAL CONFLICT OF INTEREST ARE EXCUSED DURING ANY VOTE IN WHICH A CONFLICT MAY APPLY.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST. ADDITIONALLY, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE FROM GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
RICHMOND EYE & EAR HEALTHCARE ALLIANCE
8700 STONY POINT PARKWAY STE 100RICHMONDVA23235541904435HEALTHCAREVA501(C)(3)LINE 3N/A0
RICHMOND EYE & EAR SURGEONS
8700 STONY POINT PARKWAY STE 100RICHMONDVA23235542040968HEALTHCAREVA501(C)(3)LINE 11Yes (1)RICHMOND EYE & EAR HEALTHCARE ALLIANCE

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1STONY POINT SURGERY CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18700 STONY POINT PARKWAY STE 100AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23235ZIPCd
FieldValueIRS element (for citing)
EIN582675285EIN
Primary ActivitiesOUTPATIENT SURGICAL HOSPITALPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd