2020-06-09T09:25:55-05:00 2019-12-31 541896113 ROBINSON FARMER COX ASSOCIATES 401 SOUTHLAKE BLVD RICHMOND VA 23236 990 2019-01-01 541287905 JOHNSON HEALTH CENTER JOHN 4349475967 134 ELON ROAD MADISON HEIGHTS VA 24572 GARY W CAMPBELL CEO 4349475967 2020-04-16 true PAUL LEE P01601085 8043784200 2020-06-09 50.77.77.25 2020-06-09 09:25:55 CD P 9ABF4A4CD9073D44961EDDFBB9D4FC555C086CE7 9ABF4A4CD9073D44961EDDFBB9D4FC555C086CE7 2019 2020-09-23 17:36:50Z GARY W CAMPBELL 20261500 false X WWW.JHCVIRGINIA.ORG X 2003 VA TO PROVIDE COMPREHENSIVE, COST-EFFECTIVE, PRIMARY AND PREVENTIVE HEALTH CARE AND RELATED SERVICES TO RESIDENTS OF LYNCHBURG, VA AND SURROUNDING AREAS. 13 13 258 4 0 3666524 4208655 13994745 14622419 11466 47172 623213 1383254 18295948 20261500 0 0 12963337 14483954 0 0 4494687 5117463 17458024 19601417 837924 660083 15546805 15176573 2498891 2043303 13047914 13133270 TO PROVIDE COMPREHENSIVE, COST-EFFECTIVE, PRIMARY AND PREVENTIVE HEALTH CARE AND RELATED SERVICES TO RESIDENTS OF LYNCHBURG, VA AND SURROUNDING AREAS. false false 14558180 14664585 MEDICAL SERVICES PROVIDED TO PATIENTS ON A SLIDING FEE SCALE WHICH ESTABLISHES LOWER RATES BASED ON FEDERAL POVERTY LEVELS. 14558180 true true false false false false false false false true true false false false true false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 33 0 true 258 true false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true false false X GARY CAMPBELL 4349475967 134 ELON ROAD MADISON HEIGHTS VA 24572 NATHANIEL MARSHALL CHAIRMAN X X 0 0 0 ARTHUR FISHER BOARD MEMBER X 0 0 0 JUSTIN MERCER BOARD MEMBER X 0 0 0 MARY BROPHY SECRETARY X X 0 0 0 DENISE COYLE BOARD MEMBER X 0 0 0 GARY HUTCHERSON BOARD MEMBER X 0 0 0 TERESA MCCRICKARD BOARD MEMBER X 0 0 0 JENNIFER HALL EDD BOARD MEMBER X 0 0 0 CAROLYN JACQUES BOARD MEMBER X 0 0 0 DEBBIE DRAKE VICE CHAIRMA X X 0 0 0 SHERRY GENTRY BOARD MEMBER X 0 0 0 ROBERT GOLCHESKI BOARD MEMBER X 0 0 0 SANDY GLASS TREASURER X X 0 0 0 GARY W CAMPBELL CEO 40.00 X 180807 0 41983 AHGNES U BOLUSA-SABUGO PHYSICIAN 40.00 X 196409 0 27295 WILLIAM COOK PHYSICIAN 40.00 X 327968 0 37663 REGINALD T PUCKETT PHYSICIAN 40.00 X 291604 0 49314 BRIAN ASSENT PHYSICIAN 40.00 X 223006 0 48319 MICHAEL HURST PHYSICIAN 40.00 X 218772 0 50395 1438566 254969 6 false true false COMMUNITY CARE NETWORK OF VIRGINIA INC 3831 WESTERRE PKWY HENRICO VA 23233 MEDICAL BILLING 352971 MCKESSON MEDICAL SURGICAL INC 9954 MARYLAND DRIVE SUITE 4000 RICHMOND VA 23233 MEDICAL SUPPLY 283842 SECURITY LOCK AND KEY 3736 FRANKLIN ROAD SW ROANOKE VA 24014 BUILDING MAINT 191367 WOMEN'S HEALTH SERVICES OF CENTRAL VIRGINIA INC 114 NATIONWIDE DRIVE LYNCHBURG VA 24502 GYNECOLOGIST 183750 ECLINICAL WORKS LLC 2 TECHNOLOGY DRIVE WESTBOROUGH MA 01581 SOFTWARE 150478 5 3500621 708034 4208655 PATIENT SERVICE 14622419 14622419 14622419 47172 47172 9588 9588 9588 9588 745 745 CONTRACT PHARMACY 1321064 1321064 MISCELLANEOUS 51857 51857 1372921 20261500 16052100 201691 201691 11366551 9071879 2294672 401115 325005 76110 1756651 1307646 449005 757946 593952 163994 49660 49660 39384 10 39374 1013675 283787 729888 74582 2618 71964 1689784 1525929 163855 172799 24505 148294 308598 295877 12721 77063 30885 46178 47331 45411 1920 316037 236079 79958 54146 551 53595 BUILDING, REPAIRS & MAINT 368890 327016 41874 ANCILLIARY SERVICES 359076 248250 110826 TRAINING AND CONTINE EDU 234274 77616 156658 TELEPHONE 205047 99908 105139 107117 61256 45861 19601417 14558180 5043237 0 3203630 4778059 1572451 1244629 5574100 3606638 92150 131730 6927193 1536800 5081405 5390393 13069 15124 10000 10000 15546805 15176573 727572 376386 1506694 1406259 264625 260658 2498891 2043303 X 13034845 13118146 13069 15124 13047914 13133270 15546805 15176573 660083 -574727 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13069 2055 15124 14674 -1604 13069 13276 1398 14674 13021 255 13276 12608 403 13021 false false 1404686 1404686 3507429 491198 3016231 616989 332044 284945 1302107 711958 590149 95982 1600 94382 5390393 COMPENSATED ABSENCES 260658 260658 20261500 20261500 20261500 19601417 19601417 19601417 SCHEDULE D, PAGE 2, PART V, LINE 4 THE PURPOSE OF THE ENDOWMENT FUNDS IS TO PROVIDE INCOME FOR THE SUPPORT OF JOHNSON HEALTH CENTER. false false false false false false false false false GARY W CAMPBELL CEO 180807 20885 21098 222790 AHGNES U BOLUSA-SABUGO PHYSICIAN 196409 10004 17291 223704 WILLIAM COOK PHYSICIAN 327968 13000 24663 365631 REGINALD T PUCKETT PHYSICIAN 291604 13000 36314 340918 BRIAN ASSENT PHYSICIAN 223006 14474 33845 271325 MICHAEL HURST PHYSICIAN 218772 7800 42595 269167 FORM 990, PAGE 6, PART VI, LINE 11B THE AUDITOR WILL PREPARE THE ANNUAL 990 IN A TIMELY MANNER TO ALLOW THE CHIEF EXECUTIVE OFFICER (CEO) TO SUBMIT TO THE BOARD OF DIRECTORS FOR BOARD APPROVAL BEFORE THE 990 IS DUE TO THE IRS. AT THE NEXT REGULARLY SCHEDULED BOARD MEETING THE BOARD OF DIRECTORS WILL REVIEW THE 990 AND THE BOARD CHAIRMAN WILL SIGN. THE CEO WILL MAIL TO THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF A MEMBER OF THE BOARD OF DIRECTORS OR A MEMBER OF A COMMITTEE WITH BOARD- DELEGATED POWERS SHALL BE DISCLOSED TO THE ENTIRE BOARD OR COMMITTEE AND MADE A MATTER OF RECORD. THIS PROCESS IS BOTH ONGOING AND SHALL ALSO BE AN ANNUAL OCCURRENCE. NEW BOARD OF DIRECTORS MEMBERS WILL READ AND SIGN THE CONFLICT OF INTEREST AND FULL DISCLOSURE POLICY WITHIN TWO MONTHS OF JOINING THE JOHNSON HEALTH CENTER BOARD OF DIRECTORS. THIS CONFLICT OF INTEREST FORM WILL BE COMPLETED ANNUALLY, AND MUST BE ON FILE FOR EACH JHC BOARD MEMBER. CURRENT MEMBERS WHO DO NOT COMPLETE AN UPDATED CONFLICT OF INTEREST FORM BY MAY 31ST OF EACH YEAR WILL BE CONSIDERED AS HAVING RESIGNED FROM THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 15A THE CHIEF EXECUTIVE OFFICER'S SALARY WAS GUIDED BY COMPARATIVE STATE AND NATIONAL DATA FOR CEOS OF COMMUNITY HEALTH CENTERS ALONG WITH COMPARATIVE INFORMATION FOR EXPERIENCE WITHIN THE CEO CATEGORY. FORM 990, PAGE 6, PART VI, LINE 19 UPON REQUEST OF THE CHIEF EXECUTIVE OFFICER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC.