NOVA SCRIPTSCENTRAL INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- NOVA SCRIPTSCENTRAL INC (EIN 65-1275162)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-07-10
- IRS object ID
- 201801949349300300
- Schema version
- 2017v2.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-07-10T22:04:04-04:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mullins PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7625 Wisconsin Avenue | AddressLine1Txt |
| City | Bethesda | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20814 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 651275162 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOVA ScriptsCentral | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NOVA | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6400 Arlington Blvd | AddressLine1Txt |
| City | Falls Church | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22042 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Donney John | PersonNm |
| Person Title | Executive Direc | PersonTitleTxt |
| Phone | 7035320269 | PhoneNum |
| Signature | 2018-07-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | John K Mullins | PreparerPersonNm |
| PTIN | P01429307 | PTIN |
| Phone | 2027706371 | PhoneNum |
| Preparation | 2018-07-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Donney John | PrincipalOfficerNm |
| Gross Receipts | $2,531,182 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.novascriptscentral.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | NOVA ScriptsCentral, Inc. is a central-fill, mail order pharmacy that provides pharmaceuticals to Northern Virginians with limited incomes who lack insurance coverage for pharmaceuticals. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 11 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,772,206 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,439,547 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $103,412 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $91,185 | CYProgramServiceRevenueAmt |
| PY Investment Income | $255 | PYInvestmentIncomeAmt |
| CY Investment Income | $330 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,879 | PYOtherRevenueAmt |
| CY Other Revenue | $120 | CYOtherRevenueAmt |
| PY Total Revenue | $2,877,752 | PYTotalRevenueAmt |
| CY Total Revenue | $2,531,182 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $2,123,884 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $569,371 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $640,874 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $40,000 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $68,348 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,012,642 | PYOtherExpensesAmt |
| CY Other Expenses | $162,971 | CYOtherExpensesAmt |
| PY Total Expenses | $2,622,013 | PYTotalExpensesAmt |
| CY Total Expenses | $2,927,729 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $255,739 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$396,547 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,936,661 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,560,078 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $36,035 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $55,999 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,900,626 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,504,079 | NetAssetsOrFundBalancesEOYAmt |
| Mission | NOVA ScriptsCentral, Inc. is a central-fill, mail order pharmacy that provides pharmaceuticals to Northern Virginians with limited incomes who lack insurance coverage for pharmaceuticals. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,123,884 | ExpenseAmt |
| Grant | $2,123,884 | GrantAmt |
| Desc | Medication Filling: NOVA ScriptsCentral, Inc. provides pharmaceuticals to northern Virginians with limited incomes whom are uninsured and are in need of maintenance medications. Their formulary is approximately 250 medications that are for chronic diseases such as asthma, diabetes, heart disease, & cholesterol. Approximately 16,187 prescriptions were filled during 2017; providing 48,561 months of therapy to almost 1700 patients. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $553,389 | ExpenseAmt |
| Desc | Research: NOVA ScriptsCentral, Inc. participates in research to further define and develop best practices in medication use. They have patients that they track whom have diabetes that are at risk of having cardiovascular diseases; these are ALL PHASE patients. They served 1,069 patients, 688 are newly enrolled and they filled 1,704 months of medication therapy. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $82,371 | ExpenseAmt |
| Desc | The organization provides services to ensure the best use of medication in the community. These services include patient counseling, therapy management, assistant to providers, and health literacy classes/workshops. The health literacy workshops started in 2017. 678 patients increased their health literacy and learned the value of preventative care during 21 workshops on 10 different topics. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $2,759,644 | 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 | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | Yes (true) | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 11 | 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 | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | The Organization | PersonNm |
| Phone | 7035320269 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6400 Arlington Blvd | AddressLine1Txt |
| City | Falls Church | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22042 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| Eva Starrak | |||||||
| Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Sallie Eissler | |||||||
| Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| John Tucker | |||||||
| Treasurer | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Mindy Rubin | |||||||
| Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| S Whitney Bowman-Zatzkin | |||||||
| Chair | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Donney John | |||||||
| Executive Director | 40.00 | 0.00 | $108,787 | $0 | $8,113 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $108,787 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $8,113 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $2,439,547 | AllOtherContributionsAmt |
| Noncash Contributions | $1,711,606 | NoncashContributionsAmt |
| Total Contributions | $2,439,547 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Administrative Fill Fee | 900099 | $80,222 | $80,222 |
| Partnership Fees | 900099 | $10,963 | $10,963 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $91,185 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $330 | TotalRevenueColumnAmt |
| Exclusion | $330 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $120 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $120 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $120 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,531,182 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $91,305 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $330 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,123,884 | TotalAmt |
| Program Services | $2,123,884 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,787 | TotalAmt |
| Program Services | $95,648 | ProgramServicesAmt |
| Management And General | $7,696 | ManagementAndGeneralAmt |
| Fundraising | $5,443 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $422,532 | TotalAmt |
| Program Services | $371,498 | ProgramServicesAmt |
| Management And General | $29,893 | ManagementAndGeneralAmt |
| Fundraising | $21,141 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,139 | TotalAmt |
| Program Services | $11,552 | ProgramServicesAmt |
| Management And General | $930 | ManagementAndGeneralAmt |
| Fundraising | $657 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,646 | TotalAmt |
| Program Services | $47,626 | ProgramServicesAmt |
| Management And General | $3,220 | ManagementAndGeneralAmt |
| Fundraising | $1,800 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,770 | TotalAmt |
| Program Services | $38,483 | ProgramServicesAmt |
| Management And General | $3,097 | ManagementAndGeneralAmt |
| Fundraising | $2,190 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,367 | TotalAmt |
| Program Services | $1,800 | ProgramServicesAmt |
| Management And General | $31,465 | ManagementAndGeneralAmt |
| Fundraising | $102 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,000 | TotalAmt |
| Fundraising | $36,000 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,467 | TotalAmt |
| Program Services | $13,669 | ProgramServicesAmt |
| Management And General | $5,565 | ManagementAndGeneralAmt |
| Fundraising | $233 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,672 | TotalAmt |
| Program Services | $4,802 | ProgramServicesAmt |
| Management And General | $8,870 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,807 | TotalAmt |
| Program Services | $1,626 | ProgramServicesAmt |
| Management And General | $181 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,211 | TotalAmt |
| Program Services | $9,857 | ProgramServicesAmt |
| Management And General | $793 | ManagementAndGeneralAmt |
| Fundraising | $561 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,422 | TotalAmt |
| Program Services | $3,888 | ProgramServicesAmt |
| Management And General | $313 | ManagementAndGeneralAmt |
| Fundraising | $221 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Dues and Subscriptions | $9,957 | $7,352 | $2,605 |
| VAFC Fees | $15,806 | $15,806 | |
| Electronic Prescribing | $5,549 | $5,549 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,713 | TotalAmt |
| Program Services | $6,604 | ProgramServicesAmt |
| Management And General | $5,109 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,927,729 | TotalAmt |
| Program Services | $2,759,644 | ProgramServicesAmt |
| Management And General | $99,737 | ManagementAndGeneralAmt |
| Fundraising | $68,348 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,566 | BOYAmt |
| EOY | $272,710 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,005 | BOYAmt |
| EOY | $174,238 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,705 | BOYAmt |
| EOY | $136,169 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,859 | BOYAmt |
| EOY | $4,762 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,287,291 | BOYAmt |
| EOY | $912,192 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,276 | BOYAmt |
| EOY | $22,272 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $108,249 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $87,075 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,385 | BOYAmt |
| EOY | $21,174 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,574 | BOYAmt |
| EOY | $16,561 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,936,661 | BOYAmt |
| EOY | $1,560,078 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,035 | BOYAmt |
| EOY | $55,999 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,035 | BOYAmt |
| EOY | $55,999 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,493,496 | BOYAmt |
| EOY | $1,133,064 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $407,130 | BOYAmt |
| EOY | $371,015 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,900,626 | BOYAmt |
| EOY | $1,504,079 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,936,661 | BOYAmt |
| EOY | $1,560,078 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$396,547 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,761,643 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,909,052 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,519,290 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,787,693 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,439,547 | CurrentTaxYearAmt |
| Total | $18,417,225 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $157,389 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $113,697 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $116,419 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $103,412 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $91,185 | CurrentTaxYearAmt |
| Total | $582,102 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,919,032 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,022,749 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,635,709 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,891,105 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,530,732 | CurrentTaxYearAmt |
| Total | $18,999,327 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $18,999,327 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,190 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,796 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,252 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $255 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $330 | CurrentTaxYearAmt |
| Total | $5,823 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,190 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,796 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,252 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $255 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $330 | CurrentTaxYearAmt |
| Total | $5,823 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $242 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $794 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,879 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $120 | CurrentTaxYearAmt |
| Total | $3,035 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,921,222 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,024,787 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,637,755 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,893,239 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,531,182 | CurrentTaxYearAmt |
| Total | $19,008,185 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99950 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99940 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $58,979 | OtherCostOrOtherBasisAmt |
| Depreciation | $53,803 | DepreciationAmt |
| Book Value | $5,176 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,270 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,272 | DepreciationAmt |
| Book Value | $15,998 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,174 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Accrued Revenue | Desc |
| Book Value | $16,561 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $16,561 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $2,623,886 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $92,704 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $92,704 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,531,182 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $2,531,182 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,020,433 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $92,704 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $92,704 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,927,729 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $2,927,729 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Medication Dispensed | GrantTypeTxt |
| Recipient | 1700 | RecipientCnt |
| Non Cash Assistance | $2,123,884 | NonCashAssistanceAmt |
| Valuation Method Used | Fair Market Value | ValuationMethodUsedDesc |
| Non Cash Assistance | Medication Dispensed | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Monitoring procedures (Part I, line 2) | FormAndLineReferenceDesc |
| Explanation | Medications are dispensed to eligible patients through a network of clinics on Northern Virginia. | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,711,606 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Fair Market Value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | The 2015 form 990 is prepared by an independent certified public accountant and then reviewed by the organizations Executive Director, Business Manager, and Board Treasurer. The form is then provided to all Board of Directors members and submitted to the IRS. |
| Conflict of interest policy compliance Part VI line 12c | The organization maintains a written Conflict of Interest Policy. The Policy requires periodic reviews by the Board of Directors. All actual and potential conflicts of interest are required to be reported to the Board of Directors. In addition, each Director is required to submit a form annually to the Board which affirms such person has (a) received, read, and understands the Policy, and (b) complied with the Policy. |
| CEO executive director top management comp Part VI line 15a | Compensation of the Executive Director and other management is established by the Board after looking at industry standards and peer data. |
| Other officer or key employee compensation Part VI line 15b | Compensation of the Executive Director and other management is established by the Board after looking at industry standards and peer data. |
| Governing documents etc available to public Part VI line 19 | The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. |