VIRGINIA CENTER FOR HEALTH INNOVATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- VIRGINIA CENTER FOR HEALTH INNOVATION (EIN 80-0796077)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-03-08
- IRS object ID
- 201600689349300795
- Schema version
- 2015v2.1
- 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 | 2016-03-08T20:50:25-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 541631262 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEITERSTEPHENSHURSTGARY & SHREAVESPC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 32066 | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 232942066 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800796077 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIRGINIA CENTER FOR HEALTH INNOVATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VIRG | BusinessNameControlTxt |
| Phone | 8042371461 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3831 WESTERRE PARKWAY NO 5 | AddressLine1Txt |
| City | HENRICO | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23233 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BETH A BORTZ | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 8042371461 | PhoneNum |
| Signature | 2016-03-04 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | VIRGINIA R BELCHER | PreparerPersonNm |
| PTIN | P00421964 | PTIN |
| Phone | 8047470000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BETH A BORTZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3831 WESTERRE PARKWAY NO 5 | AddressLine1Txt |
| City | HENRICO | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,008,133 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VAHEALTHINNOVATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF THE VIRGINIA CENTER FOR HEALTH INNOVATION IS TO WORK IN PARTNERSHIP WITH MULTIPLE STAKEHOLDERS TO ACCELERATE THE ADOPTION OF VALUE-DRIVEN MODELS OF WELLNESS AND HEALTH CARE THROUGHOUT VIRGINIA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 7 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $582,505 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,007,388 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $495 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,000 | PYOtherRevenueAmt |
| CY Other Revenue | $250 | CYOtherRevenueAmt |
| PY Total Revenue | $583,505 | PYTotalRevenueAmt |
| CY Total Revenue | $2,008,133 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $267,131 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $657,882 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $20,805 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $363,011 | PYOtherExpensesAmt |
| CY Other Expenses | $1,365,457 | CYOtherExpensesAmt |
| PY Total Expenses | $630,142 | PYTotalExpensesAmt |
| CY Total Expenses | $2,023,339 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$46,637 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$15,206 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $813,650 | TotalAssetsBOYAmt |
| Total Assets EOY | $800,854 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $30,794 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $33,204 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $782,856 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $767,650 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF THE VIRGINIA CENTER FOR HEALTH INNOVATION IS TO WORK IN PARTNERSHIP WITH MULTIPLE STAKEHOLDERS TO ACCELERATE THE ADOPTION OF VALUE-DRIVEN MODELS OF WELLNESS AND HEALTH CARE THROUGHOUT VIRGINIA. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $78,502 | ExpenseAmt |
| Revenue | $66,436 | RevenueAmt |
| Desc | THE VIRGINIA HEALTH INNOVATION NETWORK (VHIN) IS THE PREMIER VEHICLE FOR THE WORK OF THE VIRGINIA CENTER FOR HEALTH INNOVATION. THE VHIN IS A UNIQUE ONLINE LEARNING, COLLABORATION, AND INNOVATION NETWORK DELIVERED VIA A SOCIAL MEDIA PLATFORM THAT ENABLES MEMBERS TO CONNECT WITH POTENTIAL PARTNERS AND COLLEAGUES BOTH IN AND OUTSIDE THEIR INDUSTRIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $24,797 | ExpenseAmt |
| Revenue | $0 | RevenueAmt |
| Desc | THE PURPOSE OF THE VIRGINIA HEALTH INNOVATION PLAN IS TO SEEK INPUT FROM AND BUILD CONSENSUS AMONG VIRGINIA'S STAKEHOLDERS IN HEALTH CARE AND WELLNESS AS TO THE NECESSARY COMPONENTS OF A THREE YEAR "VIRGINIA HEALTH INNOVATION PLAN" WHICH MEETS THE PARAMETERS ESTABLISHED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES FOR THE STATE INNOVATION MODEL GRANT PROGRAM, BUT WHICH ALSO POSITIONS VIRGINIA TO MOVE FORWARD WITH OTHER PRIVATE AND FOUNDATION FUNDERS AND WITHOUT RELIANCE ON FEDERAL IMPLEMENTATION FUNDS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,637,145 | ExpenseAmt |
| Revenue | $1,634,913 | RevenueAmt |
| Desc | STATE INNOVATION MODEL ROUND 2: VCHI WAS AWARDED A $2.5 MILLION GRANT FROM THE CENTER FOR MEDICARE AND MEDICAID SERVICES FOR THE STATE INNOVATION MODEL PROGRAM. THESE GRANT FUNDS ARE BEING USED TO FURTHER DEVELOP AND REFINE THE "VIRGINIA HEALTH INNOVATION PLAN". | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (5 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $186,409 | $186,314 | AHRQ: VCHI WAS AWARDED A 3 YEAR $1.6 MILLION GRANT TO SUPPORT THE HEART OF VIRGINIA HEALTHCARE COLLABORATIVE AND TO IMPROVE THE QUALITY OF CARE PROVIDED BY SMALL TO MEDIUM PRIMARY CARE PRACTICES. |
| $111,000 | LEADERSHIP COUNCIL: VCHI INITIATED THE CREATION OF THE VCHI LEADERSHIP COUNCIL IN 2014. THIS GROUP SERVES AS AN ADVISORY GROUP ON KEY INITIATIVES AND FUNDING OPPORTUNITIES. MEMBERSHIP DUES ARE DETERMINED BY THE ORGANIZATION'S FINANCIAL REVENUES AND RANGE FROM $500-$5,000. THIS PROVIDES ADDITIONAL UNRESTRICTED FUNDING FOR VCHI AND PROVIDES AN OPPORTUNITY TO GROW VCHI'S STAKEHOLDER BASE. IN 2015 LEADERSHIP COUNCIL DUES GENERATED $111,000 IN REVENUE FOR VCHI. | |
| $360 | $0 | DIABETES COLLABORATIVE: THIS COLLABORATION WAS FUNDED BY A GRANT FROM THE RICHMOND MEMORIAL HEALTH FOUNDATION AND INCLUDED ENGAGEMENT FROM BON SECOURS, HCA, AND VCU TO BETTER UNDERSTAND THE ISSUES SURROUNDING DIABETES. |
| $9,637 | $0 | INNOVATION FELLOWS: THIS PROGRAM SUPPORTS STIPENDS TO COLLEGE STUDENTS WHO ARE FOCUSING THEIR STUDIES IN THE AREAS OF HEALTH & WELLNESS. THESE STUDENTS REGULARLY CONTRIBUTE ARTICLES AND BLOGS TO THE INNOVATION NETWORK. |
| $6,725 | $6,725 | RMHF PRE-SIM BHI SUMMIT: THIS SUMMIT WAS A KICKOFF FOR THE SIM GRANT AND WAS FUNDED BY RMHF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $203,131 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $304,039 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,943,575 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 7 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8042371461 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3831 WESTERRE PARKWAY NO 5 | AddressLine1Txt |
| City | HENRICO | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23233 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| NANCY AGEE | ||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| URSULA BUTTS BSN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SHARON BRIGNER MSRN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BEN DAVENPORT | ||||||
| DIRECTOR-ENDED 12/15 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SIOBHAN DUNNAVANT MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BARRY DUVAL | ||||||
| SECRETARY-ENDED 10/15 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RICHARD M HAMRICK III MD MBA | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| WILLIAM A HAZEL JR MD | ||||||
| IMMEDIATE PAST CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KENDALL D HUNTER | ||||||
| VICE CHAIR-ENDED 12/15 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANNA MCKEAN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DEBORAH D OSWALT | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PAM SUTTON-WALLACE | ||||||
| DIRECTOR - 11/6/15 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANDREW CORSIG | ||||||
| DIRECTOR-ENDED 10/15 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| WILLIAM MURRAY PHD | ||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHAS ROADES | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ELIZABETH WHALLEY-BUONO ESQ | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MATTHEW TURNER | ||||||
| DIRECTOR-ENDED 1/15 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BETH A BORTZ | ||||||
| PRESIDENT & CEO | 40.00 | Yes (X) | $186,780 | $0 | $16,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $186,780 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $16,000 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VA COMMONWEALTH UNIVERSITY | |||||
| PO BOX 843039 | RICHMOND | VA | 232843039 | SIM GRANT | $212,262 |
| GEORGE MASON UNIVERSITY | |||||
| 4400 UNIVERSITY DRIVE MAIL STOP 2E | FAIRFAX | VA | 22030 | SIM GRANT | $110,906 |
| MANATT PHELPS & PHILLIPS LLP | |||||
| 11355 W OLYMPIC BLVD | LOS ANGELES | CA | 90064 | SIM GRANT | $105,417 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $111,000 | MembershipDuesAmt |
| All Other Contributions | $1,896,388 | AllOtherContributionsAmt |
| Total Contributions | $2,007,388 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $495 | TotalRevenueColumnAmt |
| Exclusion | $495 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $250 | TotalRevenueColumnAmt |
| Exclusion | $250 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $250 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,008,133 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $745 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,580 | TotalAmt |
| Program Services | $173,885 | ProgramServicesAmt |
| Management And General | $9,899 | ManagementAndGeneralAmt |
| Fundraising | $19,796 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,019 | TotalAmt |
| Program Services | $343,019 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,645 | TotalAmt |
| Program Services | $33,645 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,461 | TotalAmt |
| Program Services | $38,461 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,177 | TotalAmt |
| Program Services | $37,656 | ProgramServicesAmt |
| Management And General | $512 | ManagementAndGeneralAmt |
| Fundraising | $1,009 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,895 | TotalAmt |
| Program Services | $64,265 | ProgramServicesAmt |
| Management And General | $15,630 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,940 | TotalAmt |
| Program Services | $9,940 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,245 | TotalAmt |
| Program Services | $4,240 | ProgramServicesAmt |
| Management And General | $1,005 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,714 | TotalAmt |
| Program Services | $8,983 | ProgramServicesAmt |
| Management And General | $9,731 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,806 | TotalAmt |
| Program Services | $18,007 | ProgramServicesAmt |
| Management And General | $799 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,650 | TotalAmt |
| Program Services | $8,146 | ProgramServicesAmt |
| Management And General | $2,504 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,365 | TotalAmt |
| Management And General | $2,365 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,852 | TotalAmt |
| Management And General | $8,852 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTUAL SERVICES | $1,116,734 | $1,116,734 | $0 |
| TECHNOLOGY SERVICES / W | $79,366 | $76,273 | $3,093 |
| TELEPHONE | $7,200 | $7,200 | |
| PRINTING | $3,503 | $3,006 | $497 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,187 | TotalAmt |
| Program Services | $115 | ProgramServicesAmt |
| Management And General | $4,072 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,023,339 | TotalAmt |
| Program Services | $1,943,575 | ProgramServicesAmt |
| Management And General | $58,959 | ManagementAndGeneralAmt |
| Fundraising | $20,805 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $529,530 | BOYAmt |
| EOY | $594,557 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,616 | BOYAmt |
| EOY | $196,984 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,594 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,826 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,107 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,504 | BOYAmt |
| EOY | $7,719 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $813,650 | BOYAmt |
| EOY | $800,854 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,794 | BOYAmt |
| EOY | $33,204 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,794 | BOYAmt |
| EOY | $33,204 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,546 | BOYAmt |
| EOY | $162,202 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $650,310 | BOYAmt |
| EOY | $605,448 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $782,856 | BOYAmt |
| EOY | $767,650 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $813,650 | BOYAmt |
| EOY | $800,854 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$15,206 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $702,872 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,133,252 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $646,490 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,007,388 | CurrentTaxYearAmt |
| Total | $4,490,002 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $702,872 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,133,252 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $646,490 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,007,388 | CurrentTaxYearAmt |
| Total | $4,490,002 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $4,490,002 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $495 | CurrentTaxYearAmt |
| Total | $495 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $1,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $250 | CurrentTaxYearAmt |
| Total | $1,250 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $4,491,747 | TotalSupportAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
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 | $11,156 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,973 | DepreciationAmt |
| Book Value | $7,183 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $670 | OtherCostOrOtherBasisAmt |
| Depreciation | $134 | DepreciationAmt |
| Book Value | $536 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,719 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,008,133 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,008,133 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,008,133 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,023,339 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,023,339 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,023,339 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THE EFFECT OF GUIDANCE SURROUNDING UNCERTAIN INCOME TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS NO SIGNIFICANT FINANCIAL STATEMENT EXPOSURE TO UNCERTAIN INCOME TAX POSITIONS AT DECEMBER 31, 2015 AND 2014. THE ORGANIZATION'S INFORMATIONAL RETURNS (FORM 990) SINCE 2012 REMAIN OPEN FOR EXAMINATION BY TAX AUTHORITIES. THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT BY ANY TAX JURISDICTION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BETH A BORTZ | PersonNm |
| Title | PRESIDENT & CEO | TitleTxt |
| Base Compensation Filing Org | $167,200 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $19,580 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $16,000 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $202,780 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | AHRQ: VCHI WAS AWARDED A 3 YEAR $1.6 MILLION GRANT TO SUPPORT THE HEART OF VIRGINIA HEALTHCARE COLLABORATIVE AND TO IMPROVE THE QUALITY OF CARE PROVIDED BY SMALL TO MEDIUM PRIMARY CARE PRACTICES. |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE TAX RETURN IS SENT TO BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE COMMITTEE REVIEWS THE ANNUAL PERFORMANCE AND ACCOMPLISHMENTS OF THE PRESIDENT & CEO AS WELL AS MARKET DATA WHEN DETERMINING HIS/HER COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | NO GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XII, LINE 2C: | THE ENTIRE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELCTION OF AN INDEPENDENT AUDITOR. |