2018-05-18T16:29:31-04:00 2017-12-31 541896113 ROBINSON FARMER COX ASSOCIATES 401 SOUTHLAKE BLVD STE C1 RICHMOND VA 23236 990 2017-01-01 541287905 JOHNSON HEALTH CENTER JOHN 4349475967 134 ELON ROAD MADISON HEIGHTS VA 24572 GARY W CAMPBELL CEO 4349475967 2018-05-15 true PAUL LEE P01601085 8043784200 2018-05-18 2017 2022-09-23 18:48:47Z GARY W CAMPBELL 16998730 false X WWW.JHCVIRGINIA.ORG X 2003 VA TO PROVIDE COMPREHENSIVE, COST-EFFECTIVE, PRIMARY AND PREVENTIVE HEALTH CARE AND RELATED SERVICES TO RESIDENTS OF LYNCHBURG, VA AND SURROUNDING AREAS. 14 14 196 0 727866 3567878 1635602 13395125 1411 10985 636 24742 2365515 16998730 0 0 1588816 10822688 0 0 513099 3914201 2101915 14736889 263600 2261841 12371341 14848459 2423192 2638469 9948149 12209990 TO PROVIDE COMPREHENSIVE, COST-EFFECTIVE, PRIMARY AND PREVENTIVE HEALTH CARE AND RELATED SERVICES TO RESIDENTS OF LYNCHBURG, VA AND SURROUNDING AREAS. false false 11235996 12637950 MEDICAL SERVICES PROVIDED TO PATIENTS ON A SLIDING FEE SCALE WHICH ESTABLISHES LOWER RATES BASED ON FEDERAL POVERTY LEVELS. 11235996 true true false false false false false false false true true false false false true false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 39 0 true 196 true false false false false false false X 14 14 false false false false false false false true true false false true true true true true true true false false X GARY CAMPBELL 4349475967 134 ELON ROAD MADISON HEIGHTS VA 24572 NATHANIEL MARSHALL CHAIRMAN 1.00 X X 0 0 0 JOHN RUFF VICE CHAIRMA 1.00 X X 0 0 0 JACK SORRELS III TREASURER 1.00 X X 0 0 0 MARY BROPHY SECRETARY 1.00 X X 0 0 0 ALFRED DEAN BOARD MEMBER 1.00 X 0 0 0 ROBERT GRAY BOARD MEMBER 1.00 X 0 0 0 TERESA MCCRICKARD BOARD MEMBER 1.00 X 0 0 0 JENNIFER HALL EDD BOARD MEMBER 1.00 X 0 0 0 CAROLYN JACQUES BOARD MEMBER 1.00 X 0 0 0 DEBBIE DRAKE BOARD MEMBER 1.00 X 0 0 0 DOROTHY HOLMES BOARD MEMBER 1.00 X 0 0 0 SHERRY GENTRY BOARD MEMBER 1.00 X 0 0 0 ROBERT GOLCHESKI BOARD MEMBER 1.00 X 0 0 0 SANDY GLASS BOARD MEMBER 1.00 X 0 0 0 GARY W CAMPBELL CEO 40.00 X 161302 0 36286 WILLIAM COOK PHYSICIAN 40.00 X 284493 0 39698 REGINALD T PUCKET PHYSICIAN 40.00 X 273056 0 11723 MARGARET KADREE CMO 40.00 X 268062 0 24000 STEFANIA DIMOFTE PHYSICIAN 40.00 X 226793 0 42789 AHGNES U BOLUSA-SABUGO PHYSICIAN 40.00 X 201502 0 17929 1415208 172425 11 false true false COMMUNITY CARE NETWORK OF VIRGINIA INC 3831 WESTERRE PKWY HENRICO VA 23233 MEDICAL BILLING 397148 ECLINICALWORKS 2 TECHNOLOGY DRIVE WESTBOROUGH MA 01851 CLOUD EHR 350112 WOMEN'S HEALTH SERVICES OF CENTRAL VIRGINIA INC 114 NATIONWIDE DRIVE LYNCHBURG VA 24502 GYNECOLOGIST 285000 FLOOR CARE SPECIALISTS INC 215 LAUREL WOODS DRIVE DANVILLE VA 24540 JANITORIAL 257976 LABORATORY CORPORATION OF AMERICA HOLDINGS PO BOX 2240 BURLINGTON NC 27216 LAB TESTING 224542 6 3209897 357981 3567878 PATIENT SERVICE 12637950 12637950 COST REPORT RECEIVABLE 757175 757175 13395125 10985 10985 7604 7604 7604 7604 MISCELLANEOUS 17138 17138 17138 16998730 13430852 176252 176252 8585237 6969994 1615243 282323 229191 53132 1182360 855049 327311 596516 469828 126688 50892 50892 39738 39738 521566 207939 313627 124944 14049 110895 1394266 1286304 107962 132142 27444 104698 376256 365040 11216 46714 13372 33342 52036 52036 171416 132048 39368 41373 823 40550 ANCILLIARY SERVICES 293210 238750 54460 BUILDING, REPAIRS & MAINT 228304 198942 29362 TRAINING AND CONTINE EDU 219423 66039 153384 TELEPHONE 128739 51439 77300 93182 57709 35473 14736889 11235996 3500893 0 4552115 3852739 1918475 3319579 1858334 2992967 25554 73722 5493902 909124 3993587 4584778 13276 14674 10000 10000 12371341 14848459 599195 852914 1670432 1579662 153565 205893 2423192 2638469 X 9934873 12195316 13276 14674 9948149 12209990 12371341 14848459 2261841 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13021 255 13276 12608 403 13021 13701 -1093 12608 13276 425 13701 false false 960202 960202 3486124 230706 3255418 191733 154114 37619 832305 524304 308001 23538 23538 4584778 COMPENSATED ABSENCES 205893 205893 16998730 16998730 16998730 14736889 14736889 14736889 SCHEDULE D, PAGE 2, PART V, LINE 4 THE PURPOSE OF THE ENDOWMENT FUNDS IS TO PROVIDE INCOME FOR THE SUPPORT OF JOHNSON HEALTH CENTER. false false false false false false false false false GARY W CAMPBELL CEO 161302 14950 21336 197588 WILLIAM COOK PHYSICIAN 284493 13000 26698 324191 REGINALD T PUCKET PHYSICIAN 273056 11723 284779 MARGARET KADREE CMO 268062 24000 292062 STEFANIA DIMOFTE PHYSICIAN 226793 24000 18789 269582 AHGNES U BOLUSA-SABUGO PHYSICIAN 201502 4550 13379 219431 FORM 990, PAGE 6, PART VI, LINE 11B THE AUDITOR WILL PREPARE THE ANNUAL 990 IN A TIMELY MANNER TO ALLOW THE CHIEF EXECUTIVE OFFICER (CEO) TO SUBMIT TO THE BOARD OF DIRECTORS FOR BOARD APPROVAL BEFORE THE 990 IS DUE TO THE IRS. AT THE NEXT REGULARLY SCHEDULED BOARD MEETING THE BOARD OF DIRECTORS WILL REVIEW THE 990 AND THE BOARD CHAIRMAN WILL SIGN. THE CEO WILL MAIL TO THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF A MEMBER OF THE BOARD OF DIRECTORS OR A MEMBER OF A COMMITTEE WITH BOARD- DELEGATED POWERS SHALL BE DISCLOSED TO THE ENTIRE BOARD OR COMMITTEE AND MADE A MATTER OF RECORD. THIS PROCESS IS BOTH ONGOING AND SHALL ALSO BE AN ANNUAL OCCURRENCE. NEW BOARD OF DIRECTORS MEMBERS WILL READ AND SIGN THE CONFLICT OF INTEREST AND FULL DISCLOSURE POLICY WITHIN TWO MONTHS OF JOINING THE JOHNSON HEALTH CENTER BOARD OF DIRECTORS. THIS CONFLICT OF INTEREST FORM WILL BE COMPLETED ANNUALLY, AND MUST BE ON FILE FOR EACH JHC BOARD MEMBER. CURRENT MEMBERS WHO DO NOT COMPLETE AN UPDATED CONFLICT OF INTEREST FORM BY MAY 31ST OF EACH YEAR WILL BE CONSIDERED AS HAVING RESIGNED FROM THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 15A THE CHIEF EXECUTIVE OFFICER'S SALARY WAS GUIDED BY COMPARATIVE STATE AND NATIONAL DATA FOR CEOS OF COMMUNITY HEALTH CENTERS ALONG WITH COMPARATIVE INFORMATION FOR EXPERIENCE WITHIN THE CEO CATEGORY. FORM 990, PAGE 6, PART VI, LINE 19 UPON REQUEST OF THE CHIEF EXECUTIVE OFFICER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC.