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JOHNSON HEALTH CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
JOHNSON HEALTH CENTER (EIN 54-1287905)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-18
IRS object ID
201811389349300241
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

FieldValueIRS element (for citing)
Return2018-05-18T16:29:31-04:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN541896113PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ROBINSON FARMER COX ASSOCIATESBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1401 SOUTHLAKE BLVD STE C1AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23236ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN541287905EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHNSON HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJOHNBusinessNameControlTxt
Phone4349475967PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1134 ELON ROADAddressLine1Txt
CityMADISON HEIGHTSCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24572ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGARY W CAMPBELLPersonNm
Person TitleCEOPersonTitleTxt
Phone4349475967PhoneNum
Signature2018-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPAUL LEEPreparerPersonNm
PTINP01601085PTIN
Phone8043784200PhoneNum
Preparation2018-05-18PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGARY W CAMPBELLPrincipalOfficerNm
Gross Receipts$16,998,730GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JHCVIRGINIA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTO PROVIDE COMPREHENSIVE, COST-EFFECTIVE, PRIMARY AND PREVENTIVE HEALTH CARE AND RELATED SERVICES TO RESIDENTS OF LYNCHBURG, VA AND SURROUNDING AREAS.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee196TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$727,866PYContributionsGrantsAmt
CY Contributions Grants$3,567,878CYContributionsGrantsAmt
PY Program Service Revenue$1,635,602PYProgramServiceRevenueAmt
CY Program Service Revenue$13,395,125CYProgramServiceRevenueAmt
PY Investment Income$1,411PYInvestmentIncomeAmt
CY Investment Income$10,985CYInvestmentIncomeAmt
PY Other Revenue$636PYOtherRevenueAmt
CY Other Revenue$24,742CYOtherRevenueAmt
PY Total Revenue$2,365,515PYTotalRevenueAmt
CY Total Revenue$16,998,730CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,588,816PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,822,688CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$513,099PYOtherExpensesAmt
CY Other Expenses$3,914,201CYOtherExpensesAmt
PY Total Expenses$2,101,915PYTotalExpensesAmt
CY Total Expenses$14,736,889CYTotalExpensesAmt
PY Revenues Less Expenses$263,600PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,261,841CYRevenuesLessExpensesAmt
Total Assets BOY$12,371,341TotalAssetsBOYAmt
Total Assets EOY$14,848,459TotalAssetsEOYAmt
Total Liabilities BOY$2,423,192TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,638,469TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,948,149NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,209,990NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE COMPREHENSIVE, COST-EFFECTIVE, PRIMARY AND PREVENTIVE HEALTH CARE AND RELATED SERVICES TO RESIDENTS OF LYNCHBURG, VA AND SURROUNDING AREAS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$11,235,996ExpenseAmt
Revenue$12,637,950RevenueAmt
DescMEDICAL SERVICES PROVIDED TO PATIENTS ON A SLIDING FEE SCALE WHICH ESTABLISHES LOWER RATES BASED ON FEDERAL POVERTY LEVELS.Desc
Total Program Service Expenses$11,235,996TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document39IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee196EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGARY CAMPBELLPersonNm
Phone4349475967PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1134 ELON ROADAddressLine1Txt
CityMADISON HEIGHTSCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24572ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
NATHANIEL MARSHALL
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
JOHN RUFF
VICE CHAIRMA1.00Yes (X)Yes (X)$0$0$0
JACK SORRELS III
TREASURER1.00Yes (X)Yes (X)$0$0$0
MARY BROPHY
SECRETARY1.00Yes (X)Yes (X)$0$0$0
ALFRED DEAN
BOARD MEMBER1.00Yes (X)$0$0$0
ROBERT GRAY
BOARD MEMBER1.00Yes (X)$0$0$0
TERESA MCCRICKARD
BOARD MEMBER1.00Yes (X)$0$0$0
JENNIFER HALL EDD
BOARD MEMBER1.00Yes (X)$0$0$0
CAROLYN JACQUES
BOARD MEMBER1.00Yes (X)$0$0$0
DEBBIE DRAKE
BOARD MEMBER1.00Yes (X)$0$0$0
DOROTHY HOLMES
BOARD MEMBER1.00Yes (X)$0$0$0
SHERRY GENTRY
BOARD MEMBER1.00Yes (X)$0$0$0
ROBERT GOLCHESKI
BOARD MEMBER1.00Yes (X)$0$0$0
SANDY GLASS
BOARD MEMBER1.00Yes (X)$0$0$0
GARY W CAMPBELL
CEO40.00Yes (X)$161,302$0$36,286
WILLIAM COOK
PHYSICIAN40.00$284,493$0$39,698Yes (X)
REGINALD T PUCKET
PHYSICIAN40.00$273,056$0$11,723Yes (X)
MARGARET KADREE
CMO40.00$268,062$0$24,000Yes (X)
STEFANIA DIMOFTE
PHYSICIAN40.00$226,793$0$42,789Yes (X)
AHGNES U BOLUSA-SABUGO
PHYSICIAN40.00$201,502$0$17,929Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,415,208TotalReportableCompFromOrgAmt
Total Other Compensation$172,425TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Business Name Line2ContractorName/BusinessName/BusinessNameLine2TxtAddress Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COMMUNITY CARE NETWORK OF VIRGINIA
INC3831 WESTERRE PKWYHENRICOVA23233MEDICAL BILLING$397,148
ECLINICALWORKS
2 TECHNOLOGY DRIVEWESTBOROUGHMA01851CLOUD EHR$350,112
WOMEN'S HEALTH SERVICES OF CENTRAL
VIRGINIA INC114 NATIONWIDE DRIVELYNCHBURGVA24502GYNECOLOGIST$285,000
FLOOR CARE SPECIALISTS INC
215 LAUREL WOODS DRIVEDANVILLEVA24540JANITORIAL$257,976
LABORATORY CORPORATION OF AMERICA
HOLDINGSPO BOX 2240BURLINGTONNC27216LAB TESTING$224,542
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$3,209,897GovernmentGrantsAmt
All Other Contributions$357,981AllOtherContributionsAmt
Total Contributions$3,567,878TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE$12,637,950$12,637,950
COST REPORT RECEIVABLE$757,175$757,175
FieldValueIRS element (for citing)
Total Program Service Revenue$13,395,125TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,985TotalRevenueColumnAmt
Related Or Exempt Func Income$10,985RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$7,604RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$7,604RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,604TotalRevenueColumnAmt
Related Or Exempt Func Income$7,604RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Total Revenue Column$17,138TotalRevenueColumnAmt
Related Or Exempt Func Income$17,138RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$17,138OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,998,730TotalRevenueColumnAmt
Related Or Exempt Func Income$13,430,852RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$176,252TotalAmt
Management And General$176,252ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,585,237TotalAmt
Program Services$6,969,994ProgramServicesAmt
Management And General$1,615,243ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$282,323TotalAmt
Program Services$229,191ProgramServicesAmt
Management And General$53,132ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,182,360TotalAmt
Program Services$855,049ProgramServicesAmt
Management And General$327,311ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$596,516TotalAmt
Program Services$469,828ProgramServicesAmt
Management And General$126,688ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$50,892TotalAmt
Management And General$50,892ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$39,738TotalAmt
Management And General$39,738ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$521,566TotalAmt
Program Services$207,939ProgramServicesAmt
Management And General$313,627ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$124,944TotalAmt
Program Services$14,049ProgramServicesAmt
Management And General$110,895ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,394,266TotalAmt
Program Services$1,286,304ProgramServicesAmt
Management And General$107,962ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$132,142TotalAmt
Program Services$27,444ProgramServicesAmt
Management And General$104,698ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$376,256TotalAmt
Program Services$365,040ProgramServicesAmt
Management And General$11,216ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$46,714TotalAmt
Program Services$13,372ProgramServicesAmt
Management And General$33,342ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$52,036TotalAmt
Program Services$52,036ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$171,416TotalAmt
Program Services$132,048ProgramServicesAmt
Management And General$39,368ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$41,373TotalAmt
Program Services$823ProgramServicesAmt
Management And General$40,550ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ANCILLIARY SERVICES$293,210$238,750$54,460
BUILDING, REPAIRS & MAINT$228,304$198,942$29,362
TRAINING AND CONTINE EDU$219,423$66,039$153,384
TELEPHONE$128,739$51,439$77,300

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$93,182TotalAmt
Program Services$57,709ProgramServicesAmt
Management And General$35,473ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,736,889TotalAmt
Program Services$11,235,996ProgramServicesAmt
Management And General$3,500,893ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,552,115BOYAmt
EOY$3,852,739EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,918,475BOYAmt
EOY$3,319,579EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,858,334BOYAmt
EOY$2,992,967EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$25,554BOYAmt
EOY$73,722EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,493,902LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$909,124LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,993,587BOYAmt
EOY$4,584,778EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$13,276BOYAmt
EOY$14,674EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY$10,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,371,341BOYAmt
EOY$14,848,459EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$599,195BOYAmt
EOY$852,914EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,670,432BOYAmt
EOY$1,579,662EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$153,565BOYAmt
EOY$205,893EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,423,192BOYAmt
EOY$2,638,469EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,934,873BOYAmt
EOY$12,195,316EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,276BOYAmt
EOY$14,674EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,948,149BOYAmt
EOY$12,209,990EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,371,341BOYAmt
EOY$14,848,459EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,261,841ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,021BeginningYearBalanceAmt
Investment Earnings Or Losses$255InvestmentEarningsOrLossesAmt
End Year Balance$13,276EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,608BeginningYearBalanceAmt
Investment Earnings Or Losses$403InvestmentEarningsOrLossesAmt
End Year Balance$13,021EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,701BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,093InvestmentEarningsOrLossesAmt
End Year Balance$12,608EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,276BeginningYearBalanceAmt
Investment Earnings Or Losses$425InvestmentEarningsOrLossesAmt
End Year Balance$13,701EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$960,202OtherCostOrOtherBasisAmt
Book Value$960,202BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,486,124OtherCostOrOtherBasisAmt
Depreciation$230,706DepreciationAmt
Book Value$3,255,418BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$191,733OtherCostOrOtherBasisAmt
Depreciation$154,114DepreciationAmt
Book Value$37,619BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$832,305OtherCostOrOtherBasisAmt
Depreciation$524,304DepreciationAmt
Book Value$308,001BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,538OtherCostOrOtherBasisAmt
Book Value$23,538BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,584,778TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCOMPENSATED ABSENCESDesc
Amt$205,893Amt
FieldValueIRS element (for citing)
Total Liability$205,893TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$16,998,730TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$16,998,730RevenueSubtotalAmt
Total Revenue Per Form990$16,998,730TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,736,889TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$14,736,889ExpensesSubtotalAmt
Total Expenses Per Form990$14,736,889TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 2, PART V, LINE 4FormAndLineReferenceDesc
ExplanationTHE PURPOSE OF THE ENDOWMENT FUNDS IS TO PROVIDE INCOME FOR THE SUPPORT OF JOHNSON HEALTH CENTER.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
GARY W CAMPBELL
CEO$161,302$14,950$21,336$197,588
WILLIAM COOK
PHYSICIAN$284,493$13,000$26,698$324,191
REGINALD T PUCKET
PHYSICIAN$273,056$11,723$284,779
MARGARET KADREE
CMO$268,062$24,000$292,062
STEFANIA DIMOFTE
PHYSICIAN$226,793$24,000$18,789$269,582
AHGNES U BOLUSA-SABUGO
PHYSICIAN$201,502$4,550$13,379$219,431

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE 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 12CANY 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 15ATHE 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 19UPON REQUEST OF THE CHIEF EXECUTIVE OFFICER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC.