VIRGINIA TELEHEALTH NETWORK: Form 990EZ, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- VIRGINIA TELEHEALTH NETWORK (EIN 26-1120684)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-08-04
- IRS object ID
- 202142169349200304
- Schema version
- 2020v4.0
- 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) |
|---|---|---|
| Return | 2021-08-04T08:40:11-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 264555225 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEVE WALLS & ASSOC PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11541 NUCKOLS RD STE A | AddressLine1Txt |
| City | GLEN ALLEN | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23059 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261120684 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIRGINIA TELEHEALTH NETWORK INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VIRG | BusinessNameControlTxt |
| Phone | 8042450097 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3412 | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23235 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HOWARD CHAPMAN JR | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 8046014477 | PhoneNum |
| Signature | 2021-08-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | HOWARD | PersonFirstNm |
| Person Last | CHAPMAN JR | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEVEN P WALLS | PreparerPersonNm |
| PTIN | P00609162 | PTIN |
| Phone | 8042700784 | PhoneNum |
| Preparation | 2021-08-03 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Other | MOD. ACCRUAL | MethodOfAccountingOtherDesc |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | HTTP://EHEALTHVIRGINIA.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $192,057 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $7,835 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $184,222 | ProgramServiceRevenueAmt |
| Total Revenue | $192,057 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $164,289 | FeesAndOtherPymtToIndCntrctAmt |
| Other Expenses Total | $52,841 | OtherExpensesTotalAmt |
| Total Expenses | $217,130 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$25,073 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $70,450 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $45,377 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,450 | BOYAmt |
| EOY | $45,377 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,450 | BOYAmt |
| EOY | $45,377 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,450 | BOYAmt |
| EOY | $45,377 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | VISION: VIRGINIA TELEHEALTH NETWORK, INC. ("VTN") BELIEVES THAT ALL VIRGINIANS SHOULD HAVE ACCESS TO HIGH QUALITY HEALTH CARE ANYWHERE, ANYTIME. MISSION: VTN DEVOTES ITS RESOURCES TO ADVANCING THE ADOPTION, IMPLEMENTATION, AND INTEGRATION OF TELEHEALTH AND RELATED TECHNOLOGIES STATEWIDE AND PROMOTES THE COORDINATION AND DELIVERY OF CARE FOR ALL VIRGINIANS. IN CARRYING OUT ITS WORK, THE VTN IS INVOLVED IN MANY ACTIVITIES THAT ARE LINKED TO ITS FIVE TOP PRIORITIES: 1. FACILITATING THE SHARING OF RESOURCES; 2. SUPPORTING QUALITY IMPROVEMENT INITIATIVES BY USING TECHNOLOGIES; 3. IDENTIFYING AND ADDRESSING BARRIERS TO IMPLEMENTATION; 4. EDUCATING STAKEHOLDERS; AND 5. DEVELOPING MODEL POLICIES AND PROCEDURES. WHAT IS TELEMEDICINE/TELEHEALTH: THE USE OF ELECTRONIC INFORMATION AND TELECOMMUNICATIONS TECHNOLOGIES TO SUPPORT DISTANCE CLINICAL HEALTH CARE, PATIENT AND PROFESSIONAL HEALTH-RELATED EDUCATION, PUBLIC HEALTH AND HEALTH ADMINISTRATION. TELEHEALTH/TELEMEDICINE IS PRIMARILY DELIVERED IN | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | SEE SCHEDULE O. | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $197,347 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $197,347 | TotalProgramServiceExpensesAmt |
| Info In Schedule O Part IV | Yes (X) | InfoInScheduleOPartIVInd |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (17 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| KAREN RHEUBAN MD | ||
| PRESIDENT | 2.00 | $0 |
| KATHY WIBBERLY PHD | ||
| VICE PRESIDE | 2.00 | $0 |
| CAROLYN RUTLEDGE PHD | ||
| SECRETARY | 2.00 | $0 |
| HOWARD CHAPMAN JR | ||
| TREASURER | 2.00 | $0 |
| MARA SERVAITES | ||
| EXECUTIVE DI | 10.00 | $42,000 |
| JENNIFER O'DELL | ||
| CHIEF ACCOUN | 8.00 | $12,000 |
| REBECCA ANDERSON MBA PHD | ||
| MEMBER | 1.00 | $0 |
| LINDSAY BERRY | ||
| MEMBER | 1.00 | $0 |
| JIMMY CARR | ||
| MEMBER | 1.00 | $0 |
| THERESA M DAVIS PHD RN | ||
| MEMBER | 1.00 | $0 |
| ALLEN IZADPANAH | ||
| MEMBER | 1.00 | $0 |
| RAY LAMURA | ||
| MEMBER | 1.00 | $0 |
| ELIZABETH J MARTIN MHA | ||
| MEMBER | 1.00 | $0 |
| AZHAR RAFIQ MD MBA | ||
| MEMBER | 1.00 | $0 |
| TRINETTE RANDOLPH MS ED | ||
| MEMBER | 1.00 | $0 |
| K MICHAEL RODRIGUEZ MD FAAFP | ||
| MEMBER | 1.00 | $0 |
| SENATOR BILL STANLEY | ||
| MEMBER | 1.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER O'DELL | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1338 NEGRO MOUNTAIN ROAD | AddressLine1Txt |
| City | WARFORDSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17267 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8042450097 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,950 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,751 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,651 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,835 | CurrentTaxYearAmt |
| Total | $55,187 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,950 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,751 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,651 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,835 | CurrentTaxYearAmt |
| Total | $55,187 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $55,187 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1 | CurrentTaxYearMinus4YearsAmt |
| Total | $1 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $825 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $175 | CurrentTaxYearAmt |
| Total | $2,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $57,188 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $511,054 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96500 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96500 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | TELEMEDICINE E-GUIDE 2,000 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES POSTAGE & MAILING 16 EXHIBITOR FEES 2,700 INTEREST 100 INSURANCE 845 ADAPTIVE TELEHEALTH 38,385 DUES 3,490 EDUCATION & TRAINING 1,678 SOFTWARE 582 CONNECTIVITY/WEB 433 ROYALTIES 84 SUPPLIES - OTHER 32 SUPPLIES 29 OTHER 1 NON-INVESTMENT DEPRECIATION 4,466 TOTAL 52,841 |
| FORM 990-EZ, PART II, LINE 24 | IPAD 1 0 1,037 LESS ACCUMULATED DEPRECIATION 0 1,037 IPAD 2 0 1,037 LESS ACCUMULATED DEPRECIATION 0 1,037 COMPUTER 0 2,392 LESS ACCUMULATED DEPRECIATION 0 2,392 TOTAL 0 0 |
| FORM 990-EZ, PART III | VISION: VIRGINIA TELEHEALTH NETWORK, INC. ("VTN") BELIEVES THAT ALL VIRGINIANS SHOULD HAVE ACCESS TO HIGH QUALITY HEALTH CARE ANYWHERE, ANYTIME. MISSION: VTN DEVOTES ITS RESOURCES TO ADVANCING THE ADOPTION, IMPLEMENTATION, AND INTEGRATION OF TELEHEALTH AND RELATED TECHNOLOGIES STATEWIDE AND PROMOTES THE COORDINATION AND DELIVERY OF CARE FOR ALL VIRGINIANS. IN CARRYING OUT ITS WORK, THE VTN IS INVOLVED IN MANY ACTIVITIES THAT ARE LINKED TO ITS FIVE TOP PRIORITIES: 1. FACILITATING THE SHARING OF RESOURCES; 2. SUPPORTING QUALITY IMPROVEMENT INITIATIVES BY USING TECHNOLOGIES; 3. IDENTIFYING AND ADDRESSING BARRIERS TO IMPLEMENTATION; 4. EDUCATING STAKEHOLDERS; AND 5. DEVELOPING MODEL POLICIES AND PROCEDURES. WHAT IS TELEMEDICINE/TELEHEALTH: THE USE OF ELECTRONIC INFORMATION AND TELECOMMUNICATIONS TECHNOLOGIES TO SUPPORT DISTANCE CLINICAL HEALTH CARE, PATIENT AND PROFESSIONAL HEALTH-RELATED EDUCATION, PUBLIC HEALTH AND HEALTH ADMINISTRATION. TELEHEALTH/TELEMEDICINE IS PRIMARILY DELIVERED IN FOUR WAYS: 1. VIDEO CONFERENCING (SYNCHRONOUS): LIVE, TWO-WAY INTERACTION BETWEEN A PERSON AND A PROVIDER USING AUDIO-VISUAL TELECOMMUNICATIONS TECHNOLOGY. VIRTUAL VISITS ARE ACCOMPLISHED USING HIGH SPEED CONNECTIONS AND HIGH DEFINITION MONITORS. 2. STORE AND FORWARD (ASYNCHRONOUS): TRANSMISSION OF PRE-RECORDED HEALTH HISTORY THROUGH AN ELECTRONIC COMMUNICATIONS SYSTEM TO A PRACTITIONER, USUALLY A SPECIALIST, WHO USES THE INFORMATION TO EVALUATE THE CASE OR RENDER A SERVICE. 3. REMOTE PATIENT MONITORING (RPM): DATA COLLECTION OF HEALTH AND MEDICAL DATA FROM AN INDIVIDUAL IN ONE LOCATION AND TRANSMITTED ELECTRONICALLY TO A HEALTH CARE PROVIDER IN A DIFFERENT LOCATION FOR USE IN PATIENT CARE. 4. MOBILE HEALTH (MHEALTH): HEALTH CARE AND PUBLIC HEALTH PRACTICE SUPPORTED BY MOBILE COMMUNICATION DEVICES SUCH AS CELL PHONES, TABLET COMPUTERS, AND PDAS. APPLICATIONS CAN RANGE FROM TARGETED TEXT MESSAGES THAT PROMOTE HEALTHY BEHAVIOR TO SECURE VIDEOCONFERENCING FOR MEDICAL SERVICES TO WIDE-SCALE ALERTS ABOUT DISEASE OUTBREAKS TO THE GAMIFICATION OF HEALTH TO ENCOURAGE HEALTHY BEHAVIORS AND PRACTICES. |
| FORM 990-EZ, PART IV | MJS CONSULTING ASSOCIATES, INC. ("MJS") HAS BEEN ENGAGED BY THE ORGANIZATION TO MANAGE ITS PROGRAMS AND FINANCIAL AFFAIRS. MARA SERVAITES, THE SOLE OWNER OF MJS, HAS BEEN REPORTED IN PART IV AS THE EXECUTIVE DIRECTOR. DURING THE YEAR ENDED DECEMBER 31, 2020 MARA SERVAITES (THROUGH MJS) WAS COMPENSATED 42,000 FOR SERVICES RENDERED. |
Compensation Explanation CompensationExplanation
Compensation Explanation CompensationExplanationGrp (17 entries)
| KAREN RHEUBAN MD |
| KATHY WIBBERLY PHD |
| CAROLYN RUTLEDGE PHD |
| HOWARD CHAPMAN JR |
| MARA SERVAITES |
| JENNIFER ODELL |
| REBECCA ANDERSON MBA PHD |
| LINDSAY BERRY |
| JIMMY CARR |
| THERESA M DAVIS PHD RN |
| ALLEN IZADPANAH |
| RAY LAMURA |
| ELIZABETH J MARTIN MHA |
| AZHAR RAFIQ MD MBA |
| TRINETTE RANDOLPH MS ED |
| K MICHAEL RODRIGUEZ MD FAAFP |
| SENATOR BILL STANLEY |