2024-11-14T10:08:56-06:00 2023-12-31 540504608 BROWN EDWARDS & COMPANY LLP 810 SOUTHPARK BLVD 2ND FLOOR COLONIAL HEIGHTS VA 23834 990 2023-01-01 261120684 VIRGINIA TELEHEALTH NETWORK INC VIRG 8042450097 PO BOX 3412 NORTH CHESTERFIELD VA 23235 HOWARD CHAPMAN JR TREASURER 8042450097 2024-11-13 1 0 M JAMES HARTSON JR CPA P00590214 8047335566 2023 2024-10-15 13:58:12Z KAREN RHEUBAN MD PO BOX 3412 RICHMOND VA 23235 1255175 0 X HTTP://EHEALTHVIRGINIA.ORG X 2006 VA VTN DEVOTES ITS RESOURCES TO ADVANCING THE ADOPTION, IMPLEMENTATION, AND INTEGRATION OF TELEHEALTH AND RELATED TECHNOLOGIES STATEWIDE AND PROMOTES THE COORDINATION AND DELIVERY OF CARE FOR ALL VIRGINIANS.IN CARRYING OUT ITS WORK, THE VTN IS INVOLVED IN MANY ACTIVITIES THAT ARELINKED TO ITS FIVE TOP PRIORITIES:1. FACILITATING THE SHARING OF RESOURCES;2. SUPPORTING QUALITY IMPROVEMENT INITIATIVES BY USING TECHNOLOGIES;3. IDENTIFYING AND ADDRESSING BARRIERS TO IMPLEMENTATION;4. EDUCATING STAKEHOLDERS; AND5. IDENTIFYING BEST PRACTICES IN TELEHEALTH DEPLOYMENT. 15 15 4 27 0 0 4529 1252782 1112945 0 0 2313 0 80 1117474 1255175 0 0 0 0 0 171772 0 0 7174 834953 581407 834953 753179 282521 501996 403998 930514 0 24520 403998 905994 X VTN DEVOTES ITS RESOURCES TO ADVANCING THE ADOPTION, IMPLEMENTATION, AND INTEGRATION OF TELEHEALTH AND RELATED TECHNOLOGIES STATEWIDE AND PROMOTES THE COORDINATION AND DELIVERY OF CARE FOR ALL VIRGINIANS.IN CARRYING OUT ITS WORK, THE VTN IS INVOLVED IN MANY ACTIVITIES THAT ARELINKED TO ITS FIVE TOP PRIORITIES:1. FACILITATING THE SHARING OF RESOURCES;2. SUPPORTING QUALITY IMPROVEMENT INITIATIVES BY USING TECHNOLOGIES;3. IDENTIFYING AND ADDRESSING BARRIERS TO IMPLEMENTATION;4. EDUCATING STAKEHOLDERS; AND5. IDENTIFYING BEST PRACTICES IN TELEHEALTH DEPLOYMENT. 0 0 659220 MAJOR ACCOMPLISHMENTS1. IN A PARTNERSHIP WITH THE VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS, CONDUCTED A SURVEY ON TELEHEALTH USAGE WITH ALL LICENSED HEALTH CARE PROVIDERS IN THE COMMONWEALTH.2. BROUGHT TELEHEALTH STAKEHOLDERS TOGETHER FOR FACILITATED DISCUSSIONS TO FUTURE PLAN FOR TELEHEALTH IN THE COMMONWEALTH. 3. RESEARCHED AND PUBLISHED BEST PRACTICE CASE STUDIES ON BREAKING DOWN ACCESS BARRIERS FOR TELEHEALTH. 4. CONTINUED THE PILOT PROGRAM OF PARTNERING WITH FREE AND CHARITABLE CLINICS TO SERVE THEIR MEDICALLY UNDERSERVED PATIENTS WITH TELEMENTAL HEALTH SERVICES PROVIDED BY PRE-LICENSED MENTAL HEALTH PROFESSIONAL VOLUNTEERS. IN 2022, THE ORGANIZATION BEGAN PROVIDING TELEMENTAL HEALTH SERVICES IN A PILOT PROGRAM. THE UNIVERSITY OF VIRGINIA SERVES AS A FUNDING PARTNER. IN MARCH 2023, A SEPARATE LEGAL ENTITY, VIRGINIA TELEMENTAL HEALTH INITIATIVE ("VTMHI") WAS FORMED WITH THE INTENT TO PROVIDE SUCH SERVICES UNDER THIS SEPARATE ENTITY. THIS ENTITY, WHICH SHARES COMMON BOARD MEMBERS AND MANAGEMENT, AND RECEIVED TAX EXEMPT STATUS (501(C)(3)) WITH THE INTERNAL REVENUE SERVICE IN NOVEMBER OF 2023., THE ORGANIZATION INTENDS TO GRANT FUNDS TO VTMHI AND ALSO ENTER INTO A MANAGEMENT AGREEMENT FOR SHARED SERVICES. ALL TRANSACTIONS WITH VTMHI WILL BE REPORTED ON SCHEDULE R, RELATED ORGANIZATIONS AND UNRELATED PARTNERSHIPS, IN FUTURE YEARS. 659220 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 10 0 1 4 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 X JENNIFER O'DELL 8042450097 1338 NEGRO MOUNTAIN ROAD WARFORDSBURG PA 17267 X KAREN RHEUBAN MD PRESIDENT 0.50 X X 0 0 0 KATHY WIBBERLY PHD VICE PRESIDENT 0.50 X X 0 0 0 CAROLYN RUTLEDGE PHD FNP-BC SECRETARY 0.50 X X 0 0 0 HOWARD CHAPMAN JR TREASURER 0.50 X X 0 0 0 JIMMY CARR DIRECTOR 0.50 X 0 0 0 THERESA M DAVIS PHD RN DIRECTOR 0.50 X 0 0 0 ERICA FACETTI DIRECTOR 0.50 X 0 0 0 JOHN MORGAN MD DIRECTOR 0.50 X 0 0 0 CHRISTY HELSEL RN BSN DIRECTOR 0.50 X 0 0 0 ALLEN IZADPANAH DIRECTOR 0.50 X 0 0 0 RAY LAMURA DIRECTOR 0.50 X 0 0 0 GEORGINA OWUSU-ASIEDU MD DIRECTOR 0.50 X 0 0 0 SENATOR BILL STANLEY DIRECTOR 0.50 X 0 0 0 AZHAR RAFIQ MD MBA DIRECTOR 0.50 X 0 0 0 K MICHAEL RODRIGUEZ MD FAAFP DIRECTOR 0.50 X 0 0 0 MARA SERVAITES MSW PCMH CCE EXECUTIVE DIRECTOR 10.00 X 67204 0 0 67204 0 0 0 0 0 0 THE HODGES PARTNERSHIP INC 1805 E BROAD STREET RICHMOND VA 23223 PROMOTION SERVICES 127500 ROBIN C CUMMINGS 2901 HALSTEAD ROAD NORTH CHESTERFIELD VA 23235 ADVISORY SERVICES 107601 2 4900 1247739 143 1252782 2313 2313 OTHER INCOME 900099 80 80 80 1255175 0 0 2393 X 158657 140687 17632 338 13115 11643 1472 67204 56362 6138 4704 18346 9001 9345 1584 1584 438067 411084 24851 2132 3603 3603 16083 10528 5555 8113 4684 3429 1100 1100 10718 10718 PAYMENT PROCESSING FEES 7512 5332 2180 OTHER 6164 2283 3881 TRANING & CERTIFICATION 2913 2913 753179 659220 86785 7174 403998 118678 791831 10000 5534 5534 0 0 0 10005 403998 930514 24520 0 24520 X 403998 57931 848063 403998 905994 403998 930514 501996 0 X X 0 0 0 X 119510 192057 369324 1117474 1252782 3051147 119510 192057 369324 1117474 1252782 3051147 3051147 2313 2313 175 80 255 3053715 0.99920 0.97790 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 175. 2023 AMOUNT: $ 80. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 1584 0 0 1584 0 5534 5534 0 0 FORM 990, PART VI, SECTION A, LINE 3 MJS CONSULTING ASSOCIATES, INC. ("MJS") HAS BEEN ENGAGED BY THE ORGANIZATION TO MANAGE ITS PROGRAMS AND FINANCIAL AFFAIRS. MARA SERVAITES, THE SOLE OWNER OF MJS, HAS BEEN REPORTED IN PART IV AS THE EXECUTIVE DIRECTOR. DURING THE YEAR ENDED DECEMBER 31, 2023 MARA SERVAITES (THROUGH MJS) WAS COMPENSATED $67,203.53 FOR SERVICES RENDERED. FORM 990, PART VI, SECTION B, LINE 11B THE TREASURER REVIEWS FORM 990 BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS DISCLOSE ANY FINANCIAL INTEREST IN NEW VENDORS/COMPANIES BEFORE SUCH PARTIES ARE HIRED TO WORK FOR THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: MJS CONSULTING ASSOCIATES, INC. ("MJS") HAS BEEN ENGAGED BY THE ORGANIZATION TO MANAGE ITS PROGRAMS AND FINANCIAL AFFAIRS. MARA SERVAITES, THE SOLE OWNER OF MJS, HAS BEEN REPORTED IN PART IV AS THE EXECUTIVE DIRECTOR. DURING THE YEAR ENDED DECEMBER 31, 2023 MARA SERVAITES (THROUGH MJS) WAS COMPENSATED $67,203.53 FOR SERVICES RENDERED. FORM 990, PART IX, LINE 11G PROGRAM: PROGRAM SERVICE EXPENSES 262,115. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 2,132. TOTAL EXPENSES 264,247. PROMOTION: PROGRAM SERVICE EXPENSES 137,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 137,500. TECHNOLOGY: PROGRAM SERVICE EXPENSES 4,625. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,625. OTHER: PROGRAM SERVICE EXPENSES 95. MANAGEMENT AND GENERAL EXPENSES 35. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 130. WEB DEVELOPMENT: PROGRAM SERVICE EXPENSES 6,749. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,749. LEGISLATIVE CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,816. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,816. FORM 990, PART XII, LINE 1: THE ORGANIZATION HAS CHANGED FROM PREPARING THE 990 RETURN ON THE CASH BASIS OF ACCOUNTING TO THE ACCRUAL BASIS OF ACCOUNTING. VIRGINIA TELEMENTAL HEALTH INITIATIVE PO BOX 3412 NORTH CHESTERFIELD VA 23235 923261217 TELEMENTAL HEALTH VA 501(C)(3) LINE 7 VIRGINIA TELEHEALTH NETWORK INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 VIRGINIA TELEMENTAL HEALTH INITIATIVE R 10005 CASH ADVANCES TO ORGANIZATION