STRATEGY STUDIO / PUBLIC DATA EXPLORER

DORN RESEARCH INSTITUTE: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
DORN RESEARCH INSTITUTE (EIN 56-2034464)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-05-15
IRS object ID
201521359349306102
Schema version
2013v4.0
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)
Return2015-05-15T11:59:24-07:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CAMP MORING & CANNON LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11418 LAUREL STAddressLine1
CityCOLUMBIACity
StateSCState
ZIP Code292012566ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562034464EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DORN RESEARCH INSTITUTE INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlDORNBusinessNameControlTxt
Phone8036956773PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16439 GARNERS FERRY RDAddressLine1
CityCOLUMBIACity
StateSCState
ZIP Code292091638ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTAREK SOBEIH PHD CPIPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8036956773PhoneNum
Signature2015-02-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCONNIE CANNONPreparerPersonNm
Phone8032529375PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

FieldValueIRS element (for citing)
Business Name Line1T SOBEIHBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line16439 GARNERS FERRY RDAddressLine1
CityCOLUMBIACity
StateSCState
ZIP Code292091638ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$450,569GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionRESEARCH & EDUCATION TO FIND NEW IMPROVED WAYS TO TREAT DISEASE.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee13TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$197,646PYContributionsGrantsAmt
CY Contributions Grants$366,593CYContributionsGrantsAmt
PY Program Service Revenue$216,577PYProgramServiceRevenueAmt
CY Program Service Revenue$80,688CYProgramServiceRevenueAmt
PY Investment Income$2,869PYInvestmentIncomeAmt
CY Investment Income$1,400CYInvestmentIncomeAmt
PY Other Revenue$5,807PYOtherRevenueAmt
CY Other Revenue$1,888CYOtherRevenueAmt
PY Total Revenue$422,899PYTotalRevenueAmt
CY Total Revenue$450,569CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$246,169PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$262,262CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$133,459PYOtherExpensesAmt
CY Other Expenses$233,265CYOtherExpensesAmt
PY Total Expenses$379,628PYTotalExpensesAmt
CY Total Expenses$495,527CYTotalExpensesAmt
PY Revenues Less Expenses$43,271PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$44,958CYRevenuesLessExpensesAmt
Total Assets BOY$754,825TotalAssetsBOYAmt
Total Assets EOY$747,160TotalAssetsEOYAmt
Total Liabilities BOY$13,296TotalLiabilitiesBOYAmt
Total Liabilities EOY$50,590TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$741,529NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$696,570NetAssetsOrFundBalancesEOYAmt
MissionRESEARCH & EDUCATION TO FIND NEW IMPROVED WAYS TO TREAT DISEASE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$326,337ExpenseAmt
Revenue$450,569RevenueAmt
DescTHE DORN RESEARCH INSTITUTE, INC. (DRI) IS A RESEARCH AND EDUCATION FOUNDATION AFFLIATED WITH THE DEPARTMENT OF VETERANS AFFAIRS (VA) IN COLUMBIA, SOUTH CAROLINA. DRI WORKS WITH SPONSORS AND THE US DEPT OF VETERAN AFFAIRS IN ADMINISTERING FUNDS FOR CONDUCTING RESEARCH AND EDUCATION TO FIND IMPROVED WAYS TO COMBAT DISEASE. RESEARCH ADMINISTERED BY DRI IS VA APPROVED RESEARCH CONDUCTED AT THE VA.Desc
Total Program Service Expenses$326,337TotalProgramServiceExpensesAmt
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 EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
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 EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee13EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
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 OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGLORIA GOODWYNPersonNm
Phone8036956773PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16439 GARNERS FERRY RDAddressLine1
CityCOLUMBIACity
StateSCState
ZIP Code292091638ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeInd
K SUE HADDOCK
BOARD CHAIR1.00Yes (X)$0$158,687$0
CAROLE PILLINGER
SECRETARY/TREASURER1.00Yes (X)$0$236,663$0
TIMOTHY MCMURRY
BOARD MEMBER1.00Yes (X)$0$153,945$0
BERNARD DEKONING
BOARD MEMBER1.00Yes (X)$0$253,430$0
NELSON LACY
BOARD MEMBER1.00Yes (X)$0$0$0
BROWN MCCALLUM
BOARD MEMBER1.00Yes (X)$0$0$0
JIMMY RUFF
BOARD MEMBER1.00Yes (X)$0$0$0
NIKKI WOOTEN
BOARD MEMBER1.00Yes (X)$0$0$0
REID MALCOLM
BOARD MEMBER1.00Yes (X)$0$0$0
PETER KORN
BOARD MEMBER1.00Yes (X)$0$0$0
TAREK SOBEITH
EXECUTIVE DIRECTOR40.00$47,084$0$0Yes (X)Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$47,084TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$802,725TotReportableCompRltdOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$366,593AllOtherContributionsAmt
Total Contributions$366,593TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CLINICAL STUDY CONTRACT900099$24,438$24,438
GENERAL EDUCATION FUND900099$56,250$56,250
FieldValueIRS element (for citing)
Total Program Service Revenue$80,688TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,400TotalRevenueColumnAmt
Exclusion$1,400ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$1,888TotalRevenueColumnAmt
Exclusion$1,888ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,888OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$450,569TotalRevenueColumnAmt
Exclusion$83,976ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$237,290TotalAmt
Program Services$116,583ProgramServicesAmt
Management And General$120,707ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$24,972TotalAmt
Program Services$10,320ProgramServicesAmt
Management And General$14,652ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,838TotalAmt
Program Services$1,440ProgramServicesAmt
Management And General$8,398ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$27,929TotalAmt
Program Services$24,930ProgramServicesAmt
Management And General$2,999ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,795TotalAmt
Program Services$2,795ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,607TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,607ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM EXPENSE$23,247$17,847$5,400$0
CONTRACT LABOR$144,422$135,422$9,000$0
DUES & SUBSCRIPTIONS$4,868$2,368$2,500$0
MINOR EQUIPMENT$4,766$4,766$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,793TotalAmt
Program Services$9,866ProgramServicesAmt
Management And General$1,927ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$495,527TotalAmt
Program Services$326,337ProgramServicesAmt
Management And General$169,190ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$240,601BOYAmt
EOY$508,163EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$43,077BOYAmt
EOY$95,997EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$470,000BOYAmt
EOY$143,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,147BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$754,825BOYAmt
EOY$747,160EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,296BOYAmt
EOY$50,590EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,296BOYAmt
EOY$50,590EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$698,452BOYAmt
EOY$696,570EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$43,077BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$741,529BOYAmt
EOY$696,570EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$754,825BOYAmt
EOY$747,160EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$44,958ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$1PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Medical Research OrganizationYes (X)MedicalResearchOrganizationInd

Hospital Name And Address HospitalNameAndAddressGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1DORN VETERANS ADMINISTRATION HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
CityCOLUMBIACityNm
State AbbreviationSCStateAbbreviationCd
FieldValueIRS element (for citing)
Public Support Total170$0PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support CY1700PublicSupportCY170Pct
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

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

FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$450,569TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$450,569RevenueSubtotalAmt
Total Revenue Per Form990$450,569TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$495,527TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$495,527ExpensesSubtotalAmt
Total Expenses Per Form990$495,527TotalExpensesPerForm990Amt

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 (4 entries)

Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
K SUE HADDOCK
$158,687$158,687
CAROLE PILLINGER
$236,663$236,663
TIMOTHY MCMURRY
$153,945$153,945
BERNARD DEKONING
$253,430$253,430

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bACCOUNTING PERSONNEL REVIEWS THE FORM, EXECUTIVE DIRECTOR APPROVES AND SIGNS, BOD ARE OVERSEE THE PROCESS
Pt VI, Line 12cREVIEW CONFLICTS OF INTEREST ANNUALLY
Pt VI, Line 15aBOARD APPROVES ALL SALARIES
Pt VI, Line 15bBOARD APPROVES ALL SALARIES
Form 990, Part IX, Line 24fBAD DEBT EXPENSE 4500. 4500. 0. 0. BANK SERVICE CHARGES 150. 0. 150. 0. SUPPLIES 4769. 4108. 661. 0. OTHER EXPENSES 2272. 1258. 1014. 0. UNREALIZED LOSS 102. 0. 102. 0.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1WJB DORN VA MEDICAL CENTERBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line16439 GARNERS FERRY ROADAddressLine1
CityCOLUMBIACity
StateSCState
ZIP Code29209ZIPCode
FieldValueIRS element (for citing)
EIN741612229EIN
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd