2016-11-14T14:50:29-06:00 2015-12-31 560747981 DIXON HUGHES GOODMAN LLP 901 EAST CARY STREET SUITE 1000 RICHMOND VA 23219 990 2015-01-01 541884190 CAPITAL AREA HEALTH NETWORK CAPI 8047800840 2809 NORTH AVENUE RICHMOND VA 23222 TRACEY CAUSEY CEO 8047800840 2016-11-08 1 CHRISTOPHER T BENNETT P01232201 8042827636 2015 2017-02-10 21:41:12Z TRACEY CAUSEY 2809 NORTH AVENUE RICHMOND VA 23222 10129171 0 X WWW.CAHEALTHNET.ORG X 1998 VA TO PROVIDE MEDICAL AND DENTAL CARE TO INDIGENTS. WE PROVIDED OVER 15,000 MEDICAL VISITS AND OVER 4,000 DENTAL VISITS. 9 9 112 0 0 0 7232838 6554550 3997834 3571711 2994 2407 58236 -1964 11291902 10126704 0 0 0 0 5780684 5579206 0 0 0 3211604 3750976 8992288 9330182 2299614 796522 7392322 8089080 873916 774152 6518406 7314928 TO PROVIDE EFFECTIVE, ACCESSIBLE, AND CULTURALLY RESPONSIVE PATIENT CARE, EDUCATION, AND ADVOCACY THAT PROMOTE THE HEALTH AND QUALITY OF LIFE FOR ALL RESIDENTS OF METROPOLITAN RICHMOND. 0 0 5141201 3571711 PROVIDE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO THE MEDICALLY UNDERSERVED AND UNINSURED COMMUNITY WITHIN THE METROPOLITAN RICHMOND AREA. ALL SERVICES ARE PROVIDED AT THE FOLLOWING LOCATIONS: VERNON J. HARRIS MEDICAL AND DENTAL CENTER, GLENWOOD MEDICAL AND DENTAL CENTER, NORTHSIDE MEDICAL CENTER, AND SOUTHSIDE MEDICAL CENTER. 5141201 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 26 0 1 112 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X TRACY CAUSEY 8047800840 2809 NORTH AVENUE RICHMOND VA 23222 REV ROSCOE D COOPER III PRESIDENT 2.00 X X 0 0 0 DANIEL HERLIHY VICE PRESIDENT 2.00 X X 0 0 0 JEFF MARSHALL TREASURER 2.00 X X 0 0 0 ANNA RUTH STATON SECRETARY 2.00 X X 0 0 0 DARRELL JOHNSON BOARD MEMBER 2.00 X 0 0 0 WILMA HARRIS BOARD MEMBER 2.00 X 0 0 0 DENINEZ A MOSS BOARD MEMBER 2.00 X 0 0 0 DR VANESSA CABRA-LEDESMA BOARD MEMBER 2.00 X 0 0 0 MICHELLE P HALL BOARD MEMBER 2.00 X 0 0 0 TRACY CAUSEY CEO 40.00 X 152566 0 31422 ROBERT GLENN RYDER CFO 40.00 X 84602 0 4200 DR TORINO JENNINGS CMO 40.00 X 152599 0 10656 DR SMRITI BAJAJ CDO 40.00 X 169000 0 1518 DR BARBARA STEELE DOCTOR 40.00 X 155000 0 6018 DR JOHN ROBERTS DOCTOR 40.00 X 122399 0 3750 DAYNA VANGO NURSE PRACTITIONER 40.00 X 106731 0 4200 942897 0 61764 10 0 1 0 SYNERGY BILLING SOLUTIONS 1410 LPGA BOULEVARD SUITE 148 DAYTONA BEACH FL 32117 BILLING AND COLLECTIONS 202536 ADP 2812 EMERYWOOD PARKWAY RICHMOND VA 23294 HUMAN RESOURCES/401K 157297 MCKESSON MEDICAL SURGICAL 9954 MAYLAND DRIVE HENRICO VA 23233 MEDICAL SUPPLIES 142611 PAETEC PO BOX 9001013 LOUISVILLE KY 402901013 TELEPHONE AND INTERNET 123274 EXPERT HR SOLUTIONS LLC 6933 COMMONS PLAZA SUITE 245 CHESTERFIELD VA 23832 HUMAN RESOURCES 103432 5 4934193 1620357 520967 6554550 PATIENT FEES 621110 3450267 3450267 PHARMACY INCOME 621110 96184 96184 MISCELLANEOUS 900099 14282 14282 MEDICAL RECORDS TRANSCRIPTION FEE 621110 10978 10978 3571711 2407 2407 503 2467 -1964 -1964 10126704 3571711 0 443 517762 258881 258881 4432666 2216333 2216333 140236 70118 70118 47112 23556 23556 441430 220715 220715 160894 80447 80447 43448 43448 107628 53814 53814 681980 340990 340990 273675 185669 88006 3554 1777 1777 721810 360905 360905 93788 46894 46894 10294 5147 5147 30976 15488 15488 288722 144361 144361 69068 34534 34534 CLINICAL SUPPLIES 798276 798276 CONTRACT LABOR 289542 144771 144771 MISCELLANEOUS COSTS 77593 38797 38796 HEALTH FAIR EVENTS/MARK 74689 74689 25039 25039 9330182 5141201 4188981 0 380766 1718648 1051800 793577 521117 191411 1500440 1558651 25408 28473 5292235 1511847 3894859 3780388 6000 6000 11932 11932 7392322 8089080 409161 395588 462117 376836 2638 1728 873916 774152 X 5839704 6184157 678702 1130771 6518406 7314928 7392322 8089080 796522 0 X X 0 1 X 1 1 1 X 4238118 4234452 5067983 7232838 6554550 27327941 4238118 4234452 5067983 7232838 6554550 27327941 27327941 3223 34240 25927 2994 2407 68791 27396732 18166780 0.99750 0.99720 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 61832 61832 2441180 144763 2296417 1174203 329517 844686 1573895 1037567 536328 41125 41125 3780388 DUE TO OTHER ORGANIZATIONS 1728 1728 X 10371148 241977 2467 244444 10126704 0 10126704 9574626 241977 2467 244444 9330182 0 9330182 PART X, LINE 2: THE CENTER IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES AS A NOT-FOR-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE TAX STATUTES OF THE COMMONWEALTH OF VIRGINIA AND WILL BE TAXED ONLY TO THE EXTENT IT HAS TAXABLE TRADE OR BUSINESS INCOME UNRELATED TO ITS EXEMPT PURPOSE. ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE CENTER HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2015. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 2,467. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 2,467. X 0 0 0 0 0 0 0 0 0 TRACY CAUSEY CEO 152566 0 0 0 0 0 6722 0 24700 0 183988 0 0 0 DR TORINO JENNINGS CMO 152599 0 0 0 0 0 6906 0 3750 0 163255 0 0 0 DR SMRITI BAJAJ CDO 169000 0 0 0 0 0 1518 0 0 0 170518 0 0 0 DR BARBARA STEELE DOCTOR 155000 0 0 0 0 0 2268 0 3750 0 161018 0 0 0 PART I, LINE 3 THE BOARD OF DIRECTORS DETERMINES COMPENSATION FOR THE CEO BASED ON CREDENTIALS AND ORGANIZATIONAL PERFORMANCE. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES ARE DETERMINED BASED ON CREDENTIALS, EXPERIENCE, AND THE PERFORMANCE EVALUATION PROCESS SET BY THE CEO, HUMAN RESOURCES AND SENIOR MANAGEMENT. HUMAN RESOURCES RECEIVES SALARY INFORMATION ANNUALLY FROM A STATE ASSOCIATION THAT IS USED TO DETERMINE AND SUPPORT SALARIES. X 22 520967 WHOLESALE ACQUISITION 0 0 0 PART I, COLUMN (B): 22 SHIPMENTS THROUGHOUT THE YEAR TOTALING 2,036 CASES OF MEDICAL SUPPLIES. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION WILL PROVIDE A COPY OF THE FORM 990 TO ALL VOTING BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND DIRECTORS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST STATEMENT ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS DETERMINES COMPENSATION FOR THE CEO BASED ON CREDENTIALS AND ORGANIZATIONAL PERFORMANCE. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES ARE DETERMINED BASED ON CREDENTIALS, EXPERIENCE, AND THE PERFORMANCE EVALUATION PROCESS SET BY THE CEO, HUMAN RESOURCES AND SENIOR MANAGEMENT. HUMAN RESOURCES RECEIVES SALARY INFORMATION ANNUALLY FROM A STATE ASSOCIATION THAT IS USED TO DETERMINE AND SUPPORT SALARIES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THERE WERE NO SIGNIFICANT CHANGES TO THE ORGANIZATION'S OVERSIGHT PROCESS DURING THE TAX YEAR.