Chesapeake Medical Group Inc: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- Chesapeake Medical Group Inc (EIN 54-1857174)
- Tax period
- 2013-04-01 to 2014-03-31
- Filed
- 2015-02-16
- IRS object ID
- 201530479349301028
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-02-16T15:21:07-06:00 | ReturnTs |
| Tax Period End | 2014-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 540737372 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PBMARES LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 TOWN CENTER DRIVE SUITE 900 | AddressLine1 |
| City | NEWPORT NEWS | City |
| State | VA | State |
| ZIP Code | 23606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541857174 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHESAPEAKE MEDICAL GROUP INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHES | BusinessNameControlTxt |
| Phone | 8044358582 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HARRIS DRIVE | AddressLine1 |
| City | KILMARNOCK | City |
| State | VA | State |
| ZIP Code | 22482 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES M HOLMES JR | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8044358582 | PhoneNum |
| Signature | 2015-02-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS R BROOKS | PreparerPersonNm |
| PTIN | P00168242 | PTIN |
| Phone | 7578731587 | PhoneNum |
| Preparation | 2015-02-16 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | JAMES M HOLMES JR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HARRIS DRIVE | AddressLine1 |
| City | KILMARNOCK | City |
| State | VA | State |
| ZIP Code | 22482 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,208,054 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | RAPPAHANNOCKHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE QUALITY, COMPASSIONATE, COST EFFECTIVE PRIMARY MEDICAL CARE SERVICES TO THE COMMUNITY AS A WHOLE IN A DEFINED GEOGRAPHIC AREA OF THE NORTHERN NECK AND MIDDLE PENINSULA OF VIRGINIA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 103 | TotalEmployeeCnt |
| Total Volunteers | 3 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,672,691 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,194,294 | CYProgramServiceRevenueAmt |
| PY Investment Income | $531 | PYInvestmentIncomeAmt |
| CY Investment Income | $200 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$609 | PYOtherRevenueAmt |
| CY Other Revenue | -$967 | CYOtherRevenueAmt |
| PY Total Revenue | $6,672,613 | PYTotalRevenueAmt |
| CY Total Revenue | $6,193,527 | 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 | $5,141,257 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,145,986 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,959,802 | PYOtherExpensesAmt |
| CY Other Expenses | $2,356,642 | CYOtherExpensesAmt |
| PY Total Expenses | $7,101,059 | PYTotalExpensesAmt |
| CY Total Expenses | $7,502,628 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$428,446 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,309,101 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,363,871 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,690,493 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,248,969 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,884,692 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$5,885,098 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$7,194,199 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF CHESAPEAKE MEDICAL GROUP, INC., (CMG) IS TO PROVIDE QUALITY, COMPASSIONATE, COST EFFECTIVE PRIMARY MEDICAL CARE SERVICES TO THE COMMUNITY AS A WHOLE IN A DEFINED GEOGRAPHIC AREA OF THE NORTHERN NECKAND MIDDLE PENINSULA OF VIRGINIA. THE COMPANY WILL PURSUE ITS MISSION THROUGH THE DEVELOPMENT AND MANAGEMENT OF ONE GROUP MEDICAL PRACTICE OPERATING AT MULTIPLE LOCATIONS WHICH ARE REASONABLY EQUIPPED AND EFFICIENTLY STAFFED BY COMPETENT CLINICAL AND ADMINISTRATIVE INDIVIDUALS. THE CORPORATION IS COMMITTED TO PROVIDING MEDICAL SERVICES WITHOUT REGARD TO THE PATIENTS' RACE, COLOR, CREED, NATIONAL ORIGIN, RELIGION OR DISABILITY AND WILL PROVIDE PRIMARY MEDICAL CARE TO ANY INDIVIDUAL WITH AN ACUTE INJURY OR ILLNESS WITHOUT REGARD TO THEIR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,411,115 | ExpenseAmt |
| Revenue | $6,194,294 | RevenueAmt |
| Desc | DURING THE FISCAL YEAR, CMG EMPLOYED 10 PHYSICIANS AND 6 NURSE PRACTITIONERS ADN PHYSICIAN AIDS WHO PROVIDED EITHER FAMILY PRACTICE, PEDIATRIC, GYN OR SURGICAL MEDICAL CARE AT 8 OFFICES LOCATED IN THREE COUNTIES. CMG PROVIDERS SAW A TOTAL OF 47,818 PATIENTS DURING THE FISCAL YEAR. OF THE TOTAL SERVICES RENDERED, 62% WAS BILLED TO MEDICARE/MEDICAID; 24% TO ANTHEM; 9% TO OTHER COMMERCIAL PAYORS; AND 5% WAS BILLED DIRECTLY TO PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $225,515 | ExpenseAmt |
| Desc | DURING THE YEAR, CMG PHYSICIANS AND NURSE PRACTITIONERS PROVIDED NUMEROUS SERVICES FOR THE COMMUNITY WHICH INCLUDED:A. PROVIDING ADMISSION SERVICES AND COVERAGE TO FIVE AREA NURSING HOMES.B. PROVIDING FREE HEALTH CARE TO INDIGENT PATIENTS THROUGH PARTICIPATION WITH THE NORTHERN NECK FREE HEALTH CLINIC.C. PROVIDING FREE COMMUNITY EDUCATION THROUGH SPEAKING AND TEACHING ENGAGEMENTS ON NUMEROUS TOPICS. D. PARTICIPATION IN DISCOUNT SPORTS PHYSICALS FOR SECONDARY SCHOOL STUDENTS OF LANCASTER, MIDDLESEX, NORTHUMBERLAND, RICHMOND, WESTMORELAND AND ESSEX COUNTIES.E. PARTICIPATION IN FREE HEALTH SCREENING EVENTS IN SEVERAL COUNTIES. THE HEALTH SCREENINGS INCLUDED FREE BLOOD GLUCOSE TESTING; CHOLESTEROL TESTING; AND BLOOD PRESSURE TESTING. ADDITIONALLY, PREVENTATIVE HEALTH CARE INFORMATION WAS PROVIDED AT EACH SCREENING EVENT.F. OUR POLICY REMAINS TO PROVIDE CARE TO ANY PATIENT (OTHER THAN ROUTINE CARE)REGARDLESS OF THEIR ABILITY TO PAY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,636,630 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | Yes (1) | 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 | Yes (1) | 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 |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 103 | 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN HEADLEY | PersonNm |
| Phone | 8044358000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HARRIS ROAD | AddressLine1 |
| City | KILMARNOCK | City |
| State | VA | State |
| ZIP Code | 22482 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JAMES M HOLMES JR | ||||||||
| PRESIDENT | 6.00 | 34.00 | Yes (X) | Yes (X) | $0 | $366,385 | $29,009 | |
| BONNIE B ABBOTT | ||||||||
| SECRETARY | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES E BRYANT MD | ||||||||
| BOARD MEMBER | 1.00 | 39.00 | Yes (X) | $0 | $196,247 | $11,883 | ||
| DAVID R ANTONIO MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN K WHITEWAY | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIAN L WALKER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NORMAN R TINGLE JR MD | ||||||||
| BOARD MEMBER | 40.00 | Yes (X) | $285,540 | $0 | $8,273 | |||
| MARVENE RUIT | ||||||||
| VICE PRESIDENT OPERATIONS | 39.00 | 1.00 | Yes (X) | $0 | $115,568 | $18,030 | ||
| STEVEN OLTERMANN MD | ||||||||
| PHYSICIAN | 40.00 | $265,651 | $0 | $17,526 | Yes (X) | |||
| JOHN DANIEL MD | ||||||||
| PHYSICIAN | 40.00 | $178,043 | $0 | $10,213 | Yes (X) | |||
| BARBARA KAHLER MD | ||||||||
| PHYSICIAN | 40.00 | $186,484 | $0 | $7,043 | Yes (X) | |||
| MATHEW JAEGER MD | ||||||||
| PHYSICIAN | 40.00 | $187,669 | $0 | $11,450 | Yes (X) | |||
| DARLENE STIBAL MD | ||||||||
| PHYSICIAN | 40.00 | $250,538 | $0 | $6,935 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,353,925 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $678,200 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $120,362 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BON SECOURS HEALTH SOURCE | |||||
| 7229 FOREST AVE | RICHMOND | VA | 23226 | BILLING SYSTEM SERVICES | $198,533 |
| CHESAPEAKE HEALTH SERVICES | |||||
| 101 HARRIS ROAD | KILMARNOCK | VA | 22480 | MANAGEMENT FEE | $182,245 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENU | 621110 | $5,573,835 | $5,573,835 |
| SERVICE CONTRACT REVEN | 561000 | $620,459 | $620,459 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,194,294 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $200 | TotalRevenueColumnAmt |
| Exclusion | $200 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,560 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $14,527 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$967 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$967 | TotalRevenueColumnAmt |
| Exclusion | -$967 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,193,527 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,194,294 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$767 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,677 | TotalAmt |
| Program Services | $239,641 | ProgramServicesAmt |
| Management And General | $20,036 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,056,221 | TotalAmt |
| Program Services | $3,825,466 | ProgramServicesAmt |
| Management And General | $230,755 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,522 | TotalAmt |
| Program Services | $58,022 | ProgramServicesAmt |
| Management And General | $3,500 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $498,539 | TotalAmt |
| Program Services | $470,178 | ProgramServicesAmt |
| Management And General | $28,361 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,027 | TotalAmt |
| Program Services | $254,665 | ProgramServicesAmt |
| Management And General | $15,362 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,246 | TotalAmt |
| Management And General | $182,246 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $420 | TotalAmt |
| Management And General | $420 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $703,415 | TotalAmt |
| Program Services | $424,228 | ProgramServicesAmt |
| Management And General | $279,187 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,579 | TotalAmt |
| Program Services | $3,981 | ProgramServicesAmt |
| Management And General | $2,598 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,990 | TotalAmt |
| Program Services | $95,696 | ProgramServicesAmt |
| Management And General | $69,294 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,868 | TotalAmt |
| Program Services | $277,920 | ProgramServicesAmt |
| Management And General | $21,948 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,850 | TotalAmt |
| Program Services | $1,750 | ProgramServicesAmt |
| Management And General | $6,100 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,655 | TotalAmt |
| Program Services | $32,655 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,678 | TotalAmt |
| Program Services | $177,678 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,032 | TotalAmt |
| Program Services | $189,032 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES AND PH | $256,162 | $256,162 | |
| BAD DEBT EXPENSE | $232,358 | $232,358 | |
| REPAIRS, MAINTENANCE AN | $52,689 | $50,225 | $2,464 |
| DUES, SUBSCRIPTIONS AND | $47,515 | $43,788 | $3,727 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,185 | TotalAmt |
| Program Services | $3,185 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,502,628 | TotalAmt |
| Program Services | $6,636,630 | ProgramServicesAmt |
| Management And General | $865,998 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,917 | BOYAmt |
| EOY | $46,063 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $343,765 | BOYAmt |
| EOY | $295,735 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,091 | BOYAmt |
| EOY | $117,697 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,034 | BOYAmt |
| EOY | $26,388 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,298,733 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,096,142 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $870,727 | BOYAmt |
| EOY | $1,202,591 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,337 | BOYAmt |
| EOY | $2,019 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,363,871 | BOYAmt |
| EOY | $1,690,493 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,286 | BOYAmt |
| EOY | $570,893 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $552,364 | BOYAmt |
| EOY | $524,188 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,359,319 | BOYAmt |
| EOY | $7,789,611 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,248,969 | BOYAmt |
| EOY | $8,884,692 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,885,098 | BOYAmt |
| EOY | -$7,194,199 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,885,098 | BOYAmt |
| EOY | -$7,194,199 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,363,871 | BOYAmt |
| EOY | $1,690,493 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,309,101 | 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 | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Certification | Yes (X) | CertificationInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHESAPEAKE HOSPITAL CORP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237424835 | EIN |
| Organization Type | 3 | OrganizationTypeDesc |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| US Organized | Yes (1) | USOrganizedInd |
| Support | $0 | SupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,000 | OtherCostOrOtherBasisAmt |
| Book Value | $34,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $837,411 | OtherCostOrOtherBasisAmt |
| Depreciation | $390,630 | DepreciationAmt |
| Book Value | $446,781 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $170,104 | OtherCostOrOtherBasisAmt |
| Depreciation | $141,740 | DepreciationAmt |
| Book Value | $28,364 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,257,218 | OtherCostOrOtherBasisAmt |
| Depreciation | $563,772 | DepreciationAmt |
| Book Value | $693,446 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,202,591 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RAPPAHANNOCK GEN HOSP | $5,357,965 |
| DUE TO CHESAPEAKE HEALTH SVC | $2,431,646 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,789,611 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES M HOLMES JR | ||||||||||||||
| PRESIDENT | $0 | $232,204 | $0 | $0 | $0 | $134,181 | $0 | $7,939 | $0 | $21,070 | $0 | $395,394 | $0 | $0 |
| JAMES E BRYANT MD | ||||||||||||||
| BOARD MEMBER | $0 | $196,247 | $0 | $0 | $0 | $0 | $0 | $5,580 | $0 | $6,303 | $0 | $208,130 | $0 | $0 |
| NORMAN R TINGLE JR MD | ||||||||||||||
| BOARD MEMBER | $285,540 | $0 | $0 | $0 | $0 | $0 | $2,492 | $0 | $5,781 | $0 | $293,813 | $0 | $0 | $0 |
| STEVEN OLTERMANN MD | ||||||||||||||
| PHYSICIAN | $265,651 | $0 | $0 | $0 | $0 | $0 | $7,650 | $0 | $9,876 | $0 | $283,177 | $0 | $0 | $0 |
| JOHN DANIEL MD | ||||||||||||||
| PHYSICIAN | $178,043 | $0 | $0 | $0 | $0 | $0 | $2,654 | $0 | $7,559 | $0 | $188,256 | $0 | $0 | $0 |
| BARBARA KAHLER MD | ||||||||||||||
| PHYSICIAN | $186,484 | $0 | $0 | $0 | $0 | $0 | $1,396 | $0 | $5,647 | $0 | $193,527 | $0 | $0 | $0 |
| MATHEW JAEGER MD | ||||||||||||||
| PHYSICIAN | $187,669 | $0 | $0 | $0 | $0 | $0 | $3,000 | $0 | $8,450 | $0 | $199,119 | $0 | $0 | $0 |
| DARLENE STIBAL MD | ||||||||||||||
| PHYSICIAN | $250,538 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,935 | $0 | $257,473 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J PART II | FormAndLineReferenceDesc |
| Explanation | THE OTHER COMPENSATION LISTED FOR JAMES M. HOLMES, JR. IS FROM A RHS THIRD PARTY STOCK OPTION PLAN FOR EMPLOYEES. THE PLAN BEGAN IN 1998 AND WAS SET UP TO PROVIDE ADDITIONAL RETIREMENT BENEFITS AND WAS ONLY FUNDED FOR A FEW YEARS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAMES M HOLMES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | CHESAPEAKE HEALTH SERVICES | RelationshipDescriptionTxt |
| Transaction | $182,246 | TransactionAmt |
| Transaction | HOLMES IS AN EMPLOYEE OF CHESAPEAKE HEALTH SERVICES WHICH IS THE MANAGEMENT COMPANY FOR CHESAPEAKE MEDICAL GROUP, INC. AMOUNT OF TRANSACTION IS TOTAL PAID FOR MANAGEMENT FEE. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 7G AND H | QUESTIONS 7G AND H DOES NOT APPLY TO THE ORGANIZATION BECAUSE THE ORGANIZATION DID NOT HAVE CONTRIBUTIONS OF QUALIFIED INTELLECTUAL PROPERTY OR CONTRIBUTIONS OF CARS, BOATS, AIRPLANES OR OTHER VEHICLES DURING THE YEAR. |
| FORM 990, PART VI, SECTION A, LINE 3 | DAILY MANAGEMENT DUTIES ARE HANDLED BY CHESAPEAKE HEALTH SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS STOCKHOLDERS. |
| FORM 990, PART VI, SECTION B, LINE 11 | WHEN THE COMPLETED FORM 990 COMES BACK FROM THE OUTSIDE TAX PREPARERS, IT IS REVIEWED BY THE CHESAPEAKE HEALTH SERVICES (CHS) CFO FOR ACCURACY. ONCE IT IS DETERMINED TO BE THE FINAL DRAFT, THE PACKAGE IS GIVEN TO THE PRESIDENT. THE PRESIDENT WILL SCHEDULE A MEETING OF THE CHS BOARD'S EXECUTIVE COMMITTEE WHICH CONSISTS OF THE CHAIRMAN-CHESAPEAKE HEALTH SERVICES BOARD, CHAIRMAN-CHESAPEAKE HOSPITAL CORPORATION BOARD, FINANCE COMMITTEE CHAIRMAN, AND A MEMBER OF THE CHS BOARD. THE EXECUTIVE COMMITTEE REVIEWS THE RETURN AND RECOMMENDS THAT THE BOARD OF DIRECTORS ACCEPT IT. ONCE THIS MEETING AND APPROVAL OF THE FORM 990 HAVE TAKEN PLACE, THE RETURN IS SIGNED AND E-FILED. SUBSEQUENT TO FISCAL YEAR END, BUT PRIOR TO THE FILING OF THE 2013 TAX RETURN, CHESAPEAKE MEDICAL GROUP WAS SOLD. AS OF THE DATE OF THE SALE, CHESAPEAKE MEDICAL GROUP BOARD WAS DISSOLVED AND WERE UNABLE TO REVIEW THE 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC FOR REVIEW IN ADMINISTRATION DURING REGULAR BUSINESS HOURS, MONDAY THROUGH FRIDAY. ALL BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT ONCE A YEAR STATING THEY WILL MAKE THE BOARD AWARE IF THERE IS A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CHESAPEAKE HEALTH SERVICES (CHS) EXECUTIVE SALARY COMMITTEE OF THE BOARD OF DIRECTORS MEETS AT LEAST ANNUALLY TO REVIEW THE COMPENSATION OF THE CEO, OFFICERS & OTHER KEY EMPLOYEES. THESE ARE SHARED POSITIONS WITH CHESAPEAKE HEALTH SERVICES, RAPPAHANNOCK GENERAL HOSPITAL, RAPPAHANNOCK GENERAL HOSPITAL FOUNDATION AND CHESAPEAKE MEDICAL GROUP. THE CHS PRESIDENT WILL SCHEDULE A MEETING OF THE BOARD'S EXECUTIVE SALARY COMMITTEE WHICH CONSISTS OF THE CHAIRMAN-CHESAPEAKE HEALTH SERVICES BOARD, CHAIRMAN-CHESAPEAKE HOSPITAL CORPORATION BOARD, FINANCE COMMITTEE CHAIRMAN, AND A MEMBER OF THE CHS BOARD. THE CHS EXECUTIVE COMMITTEE REVIEWS THE CURRENT SALARY AND BENEFITS OF EACH OFFICER AND KEY EMPLOYEE AND RECOMMENDS ADJUSTMENTS AS NECESSARY. THEIR REVIEW CONSISTS OF COMPARING THE SALARY AND BENEFITS TO A PERIODIC SURVEY DONE BY AN OUTSIDE THIRD PARTY OR HOSPITAL-RELATED CIRCULATIONS. IF IT HAS BEEN DETERMINED THAT NO INCREASES WILL BE GIVEN IN THE FISCAL YEAR, NO MEETING WILL TAKE PLACE. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL DOCUMENTS ARE AVAILABLE UPON REQUEST BY APPOINTMENT IN ADMINISTRATIONS, MONDAY THROUGH FRIDAY, DURING REGULAR BUSINESS HOURS. |
| FORM 990, PART XI, LINE 2C | THE AUDIT COMMITTEE OF THE CHESAPEAKE HEALTH SERVICES IS RESPONSIBLE UNDER ITS CORPORATE DOCUMENTS FOR THE SELECTION OF THE INDEPENDENT AUDITORS AND FOR THE OVERSIGHT OF THE ANNUAL AUDIT PROCESS THAT WILL COVER ALL OF THE ENTITIES, ACCOUNTS AND ACTIVITIES PRESENTED IN THE CONSOLIDATED ANNUAL FINANCIAL STATEMENTS, INCLUDING AMOUNTS REPORTED HEREIN. THERE HAS BEEN NO CHANGE IN THE PROCEDURE FROM THE PRIOR YEAR. |
| FORM 990, PART VII | JAMES M. HOLMES, JR. IS EMPLOYED BY CHESAPEAKE HEALTH SERVICES AND WORKS 40+ HOURS PER WEEK FOR THAT ENTITY. JAMES E. BRYANT, MD IS EMPLOYED BY CHESAPEAKE HOSPITAL CORPORATION AND WORKS 40+ HOURS PER WEEK FOR THAT ENTITY. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHESAPEAKE HOSPITAL CORPORATION | ||||||||||
| PO BOX 1449 | KILMARNOCK | VA | 22482 | 237424835 | HOSPITAL | VA | 501(C)(3) | 3 | N/A | 0 |
| CHESAPEAKE HEALTH SERVICES INC | ||||||||||
| PO BOX 1449 | KILMARNOCK | VA | 22482 | 541513371 | MANAGEMENT SERVICES | VA | 501(C)(3) | 11 | N/A | 0 |
| RAPPAHANNOCK GENERAL HOSPITAL FOUNDATION | ||||||||||
| PO BOX 1449 | KILMARNOCK | VA | 22482 | 541210450 | FUNDRAISING | VA | 501(C)(3) | 11 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CHESAPEAKE HOSPITAL CORPORATION | ||
| L | $107,428 | CASH |
| CHESAPEAKE HEALTH SERVICES | ||
| M | $182,245 | CASH |
| CHESAPEAKE HOSPITAL CORPORATION | ||
| E | $1,184,098 | CASH |
| CHESAPEAKE HEALTH SERVICES | ||
| E | $246,193 | CASH |
| CHESAPEAKE HOSPITAL CORPORATION | ||
| P | $64,862 | CASH |
| CHESAPEAKE HOSPITAL CORPORATION | ||
| S | $509,505 | VALUE OF ASSET PURCH FOR ENTITY |