SHENANDOAH VALLEY MEDICAL SYSTEM INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- SHENANDOAH VALLEY MEDICAL SYSTEM INC (EIN 55-0563741)
- Tax period
- 2017-04-01 to 2018-03-31
- Filed
- 2019-02-14
- IRS object ID
- 201920459349300502
- Schema version
- 2017v2.3
- 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 | 2019-02-14T06:32:21-06:00 | ReturnTs |
| Tax Period End | 2018-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 520783935 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMITH ELLIOTT KEARNS & COMPANY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19405 EMERALD SQUARE STE 1400 | AddressLine1Txt |
| City | HAGERSTOWN | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21742 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550563741 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHENANDOAH VALLEY MEDICAL SYSTEM I | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SHEN | BusinessNameControlTxt |
| Phone | 3042634999 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 99 TAVERN ROAD PO BOX 1146 | AddressLine1Txt |
| City | MARTINSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25402 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TODD LOCKCUFF | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3042634999 | PhoneNum |
| Signature | 2019-02-13 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TIMOTHY E PETERS CPA | PreparerPersonNm |
| PTIN | P00957675 | PTIN |
| Phone | 3017335020 | PhoneNum |
| Preparation | 2019-02-13 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 74.5.118.50 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-02-14 | IPDt |
| IP Tm | 06:32:21 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F292BA449C1BF8BBA7F8F0BF46EB3EDD96736C0F | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F292BA449C1BF8BBA7F8F0BF46EB3EDD96736C0F | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHENANDOAH COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN HERRING | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 242 TAVISTOCK DRIVE | AddressLine1Txt |
| City | WINCHESTER | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,894,945 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SVMS.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE HEALTH AND WELLNESS WITHIN THE COMMUNITY BY PROVIDING A MEDICAL HOME TO REDUCE BARRIERS TO CARE AND ENSURE ACCESS TO A FULL RANGE OF COORDINATED HEALTH CARE AND WELLNESS SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 367 | TotalEmployeeCnt |
| Total Volunteers | 102 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $7,875,156 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,704,666 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,653,909 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,566,798 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,041 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,119 | CYInvestmentIncomeAmt |
| CY Other Revenue | $1,120,271 | CYOtherRevenueAmt |
| PY Total Revenue | $28,538,106 | PYTotalRevenueAmt |
| CY Total Revenue | $24,397,854 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,522,776 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,429,266 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,754,916 | PYOtherExpensesAmt |
| CY Other Expenses | $6,386,763 | CYOtherExpensesAmt |
| PY Total Expenses | $26,277,692 | PYTotalExpensesAmt |
| CY Total Expenses | $25,816,029 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,260,414 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,418,175 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,276,099 | TotalAssetsBOYAmt |
| Total Assets EOY | $23,938,755 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,125,179 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,206,010 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,150,920 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,732,745 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROMOTE HEALTH AND WELLNESS WITHIN THE COMMUNITY BY PROVIDING A MEDICAL HOME TO REDUCE BARRIERS TO CARE AND ENSURE ACCESS TO A FULL RANGE OF COORDINATED HEALTH CARE AND WELLNESS SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $21,943,626 | ExpenseAmt |
| Revenue | $17,685,538 | RevenueAmt |
| Desc | SHENANDOAH VALLEY MEDICAL SYSTEM, INC (SVMS) IS A FEDERALLY QUALIFIED HEALTH CENTER PROVIDING OUTPATIENT AND INPATIENT HEALTH CARE SERVICES WITH THE GOAL OF IMPROVING HEALTH AND ACCESS TO HEALTH CARE. THERE ARE 72 CLINICIANS REPRESENTING DISCIPLINES OF OB/GYN, MIDWIFERY, FAMILY PRACTICE, INTERNAL MEDICINE, PEDIATRICS, ORAL HEALTH, AND BEHAVIORAL HEALTH. SVMS PROVIDES HEALTH CARE SERVICES TO APPROXIMATELEY 33,000 RESIDENTS OF BERKELEY, JEFFERSON, AND MORGAN COUNTIES IN WEST VIRGINIA AND TO MIGRANT FARM WORKERS IN NORTH WESTERN VIRGINIA. APPROXIMATELY 79% OF THE CONSUMERS OF SVMS SERVICES ARE BELOW 200% OF THE POVERTY LEVEL. ALL OF THESE SERVICES ARE PROVIDED REGARDLESS OF ABILITY TO PAY, TO PROMOTE HEALTH AND WELFARE IN THE COMMUNITY. FOR THE FISCAL YEAR ENDED MARCH 31, 2017, SVMS PROVIDED 134,563 MEDICAL SERVICES TO 33,437 PATIENTS. 53% OF THE PATIENTS WERE BELOW THE 100% POVERTY LEVEL. 47% WERE COVERED BY MEDICAID, 10% HAD NO HEALTH INSURANCE. | Desc |
| Total Program Service Expenses | $21,943,626 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 92 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 367 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WV | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARGIE A DOVE CONTROLLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3042634999 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 99 TAVERN ROAD | AddressLine1Txt |
| City | MARTINSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25402 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| LAURA CLAYTON | ||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHARLES F PRINTZ JR | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| FRANK S COE | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOAN ERGIN | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ERDEM ERGIN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN CHARLTON | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BYRON R SIMPSON | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RUDOLPH M BROPLEH | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ARLENE V VERGE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LEONS KABONGO | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| AMY OLACK | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHELE MILLER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HANS FOGLE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANGELA ELLIOTT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CRIS KINSELLA | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID J FANT | ||||||||
| FORMER CEO | 40.00 | Yes (X) | $186,613 | $0 | $4,507 | |||
| STEVEN HERRING | ||||||||
| CFO | 40.00 | Yes (X) | $154,528 | $0 | $4,785 | |||
| MICHAEL HASSING | ||||||||
| CEO | 40.00 | Yes (X) | $0 | $0 | $0 | |||
| DAWN JONES | ||||||||
| MEDICAL DIRE | 40.00 | $244,104 | $0 | $12,463 | Yes (X) | |||
| CONSUELA CRUDEN-PARHAM | ||||||||
| OB/GYN | 40.00 | $262,604 | $0 | $4,627 | Yes (X) | |||
| RYAN CLARK | ||||||||
| DENTIST, DIR | 40.00 | $247,971 | $0 | $12,525 | Yes (X) | |||
| ANTHONY OWUNNA | ||||||||
| INTERNIST | 40.00 | $230,959 | $0 | $4,880 | Yes (X) | |||
| LAWRENCE OSTROW | ||||||||
| PSYCHIATRIST | 40.00 | $230,199 | $0 | $2,622 | Yes (X) | |||
| MICHELLE ABE | ||||||||
| FAMILY PHYSI | 40.00 | $226,264 | $0 | $4,880 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,783,242 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $51,289 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 36 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STAFF CARE INC | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 281923 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 303841923 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | STAFFING | ServicesDesc |
| Compensation | $107,575 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,284,070 | GovernmentGrantsAmt |
| All Other Contributions | $420,596 | AllOtherContributionsAmt |
| Total Contributions | $6,704,666 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $16,497,066 | $16,497,066 |
| PROVISION FOR BAD DEBTS | 621110 | $69,732 | $69,732 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,566,798 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,650 | TotalRevenueColumnAmt |
| Exclusion | $7,650 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $15,223 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $16,754 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$1,531 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,531 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$1,531 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $3,600,608 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $2,480,337 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,120,271 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,120,271 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,397,854 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,685,538 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $7,650 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $609,084 | TotalAmt |
| Program Services | $517,722 | ProgramServicesAmt |
| Management And General | $91,362 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,137,925 | TotalAmt |
| Program Services | $13,717,236 | ProgramServicesAmt |
| Management And General | $2,420,689 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,922 | TotalAmt |
| Program Services | $268,534 | ProgramServicesAmt |
| Management And General | $47,388 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,170,210 | TotalAmt |
| Program Services | $994,679 | ProgramServicesAmt |
| Management And General | $175,531 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,196,125 | TotalAmt |
| Program Services | $1,016,706 | ProgramServicesAmt |
| Management And General | $179,419 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,927 | TotalAmt |
| Program Services | $16,088 | ProgramServicesAmt |
| Management And General | $2,839 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,325 | TotalAmt |
| Program Services | $41,926 | ProgramServicesAmt |
| Management And General | $7,399 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $915,315 | TotalAmt |
| Program Services | $778,017 | ProgramServicesAmt |
| Management And General | $137,298 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,439 | TotalAmt |
| Program Services | $112,573 | ProgramServicesAmt |
| Management And General | $19,866 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,058,963 | TotalAmt |
| Program Services | $1,750,119 | ProgramServicesAmt |
| Management And General | $308,844 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,938 | TotalAmt |
| Program Services | $57,747 | ProgramServicesAmt |
| Management And General | $10,191 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $749,879 | TotalAmt |
| Program Services | $637,397 | ProgramServicesAmt |
| Management And General | $112,482 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,205 | TotalAmt |
| Program Services | $40,974 | ProgramServicesAmt |
| Management And General | $7,231 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,203 | TotalAmt |
| Program Services | $58,823 | ProgramServicesAmt |
| Management And General | $10,380 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,649 | TotalAmt |
| Program Services | $241,102 | ProgramServicesAmt |
| Management And General | $42,547 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,367 | TotalAmt |
| Program Services | $417,662 | ProgramServicesAmt |
| Management And General | $73,705 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,145 | TotalAmt |
| Program Services | $16,273 | ProgramServicesAmt |
| Management And General | $2,872 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $717,376 | $609,770 | $107,606 |
| LICENSES, DUES, & SUBSCRI | $400,907 | $340,771 | $60,136 |
| PATIENT BILLING EXPENSE | $141,370 | $120,165 | $21,205 |
| STAFF RECRUITMENT | $114,427 | $97,263 | $17,164 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,328 | TotalAmt |
| Program Services | $92,079 | ProgramServicesAmt |
| Management And General | $16,249 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,816,029 | TotalAmt |
| Program Services | $21,943,626 | ProgramServicesAmt |
| Management And General | $3,872,403 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,085,317 | BOYAmt |
| EOY | $10,413,387 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,021,532 | BOYAmt |
| EOY | $1,024,240 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $714,750 | BOYAmt |
| EOY | $378,056 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,831,858 | BOYAmt |
| EOY | $1,801,505 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,594 | BOYAmt |
| EOY | $276,414 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,165,894 | BOYAmt |
| EOY | $227,639 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,993,352 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,189,838 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,209,154 | BOYAmt |
| EOY | $9,803,514 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,000 | BOYAmt |
| EOY | $14,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,276,099 | BOYAmt |
| EOY | $23,938,755 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,055,612 | BOYAmt |
| EOY | $3,234,881 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,901 | BOYAmt |
| EOY | $250,901 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,860,743 | BOYAmt |
| EOY | $2,770,631 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,095,923 | BOYAmt |
| EOY | $3,949,597 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,125,179 | BOYAmt |
| EOY | $10,206,010 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,150,920 | BOYAmt |
| EOY | $13,732,745 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,150,920 | BOYAmt |
| EOY | $13,732,745 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,276,099 | BOYAmt |
| EOY | $23,938,755 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,418,175 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $942,621 | OtherCostOrOtherBasisAmt |
| Book Value | $942,621 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,694,800 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,390,088 | DepreciationAmt |
| Book Value | $8,304,712 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,043,719 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,541,283 | DepreciationAmt |
| Book Value | $502,436 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $312,212 | OtherCostOrOtherBasisAmt |
| Depreciation | $258,467 | DepreciationAmt |
| Book Value | $53,745 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,803,514 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $24,400,635 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $2,781 | OtherRevenueAmt |
| Revenue Not Reported | $2,781 | RevenueNotReportedAmt |
| Revenue Subtotal | $24,397,854 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $24,397,854 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $25,816,029 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $25,816,029 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $25,816,029 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | THE ORGANIZATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ON INCOME FROM OPERATIONS RELATED TO ITS TAX-EXEMPT PURPOSE. IT IS CLASSIFIED AS A PUBLIC CHARITY. THE ORGANIZATION FOLLOWS THE FASB ACCOUNTING STANDARDS CODIFICATION, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS. THE ORGANIZATION'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ON UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IN THE COMBINED FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE TAX AUTHORITIES, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THE RETURNS ARE FILED. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | LOSS ON SALE OF EQUIPMENT 1,531 FOUNDATION INCOME 1,250 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| DAVID J FANT | |||||
| FORMER CEO | $181,513 | $5,100 | $4,475 | $32 | $191,120 |
| STEVEN HERRING | |||||
| CFO | $154,428 | $100 | $4,500 | $285 | $159,313 |
| DAWN JONES | |||||
| MEDICAL DIRECTOR/PHY | $244,004 | $100 | $4,500 | $7,963 | $256,567 |
| CONSUELA CRUDEN-PARHAM | |||||
| OB/GYN | $227,886 | $34,718 | $4,500 | $127 | $267,231 |
| RYAN CLARK | |||||
| DENTIST, DIRECTOR/OH | $116,653 | $131,318 | $4,500 | $8,025 | $260,496 |
| ANTHONY OWUNNA | |||||
| INTERNIST | $199,159 | $31,800 | $4,500 | $380 | $235,839 |
| LAWRENCE OSTROW | |||||
| PSYCHIATRIST | $230,099 | $100 | $2,250 | $372 | $232,821 |
| MICHELLE ABE | |||||
| FAMILY PHYSICIAN | $191,553 | $34,711 | $4,500 | $380 | $231,144 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERKELEY COUNTY BUILDING COMMISSION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issued | 2012-12-31 | BondIssuedDt |
| Issue Price | $3,200,000 | IssuePriceAmt |
| Purpose | REFI EXISTING BLDG | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $429,369 | RetiredAmt |
| Total Proceeds | $3,200,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $64,000 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $3,136,000 | CapitalExpendituresAmt |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | FOR THE FISCAL YEAR ENDED MARCH 31, 2017, SVMS PROVIDED 134,563 MEDICAL SERVICES TO 33,437 PATIENTS. 53% OF THE PATIENTS WERE BELOW THE 100% POVERTY LEVEL. 47% WERE COVERED BY MEDICAID, 10% HAD NO HEALTH INSURANCE. |
| FORM 990, PAGE 6, PART VI, LINE 2 | ERDEM ERGIN JOAN ERGIN DIRECTOR SECRETARY FAMILY RELATIONSHIP |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE COMPLETED FORM 990 IS REVIEWED BY THE CEO, CFO, AND THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS, THEN PRESENTED TO THE FULL BOARD. A COPY OF THE FORM 990 IS PROVIDED TO EVERY VOTING MEMBER BEFORE IT IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL BOARD MEMBERS ARE REQUIRED TO SIGN THE ORGANIZATION'S CODE OF CONDUCT WHICH INCLUDES THE CONFLICT OF INTEREST POLICY, ANNUALLY. BOARD MEMBERS ARE REQUIRED TO IDENTIFY POTENTIAL CONFLICTS AND ABSTAIN FROM DISCUSSION AND VOTING WHEN POTENTIAL CONFLICTS ARISE DURING BOARD MEETINGS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | SALARY COMPENSATION FOR CEO IS DETERMINED BY THE BOARD OF DIRECTORS |
| FORM 990, PAGE 6, PART VI, LINE 15B | SALARY COMPENSATION FOR CFO, AND OTHER OFFICERS IS DETERMINED BY CURRENT CEO. |
| FORM 990, PAGE 6, PART VI, LINE 18 | THE ORGANIZATION'S FORMS ARE AVAILABLE FOR PUBLIC INSPECTION ON REQUEST. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHENANDOAH PHARMACY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1146 | AddressLine1Txt |
| City | MARTINSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | PHARMACEUT | PrimaryActivitiesTxt |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Total Income | $591,279 | TotalIncomeAmt |
| End Of Year Assets | $1,246,893 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SVMS | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHENANDOAH COMMUNITY HEALTH FOUNDAT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1146 | AddressLine1Txt |
| City | MARTINSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300300989 | EIN |
| Primary Activities | PROVIDES F | PrimaryActivitiesTxt |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Exempt Code Section | 501C3 | ExemptCodeSectionTxt |
| Public Charity Status | 12B | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHENANDOAH | BusinessNameLine1Txt |
| Business Name Line2 | VALLEY MEDICAL SYSTEM INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |