Loudoun Health Services, Countryside Surgery Center in Falls Church, Virginia (VA)
Table of contents:
| Loudoun Health Services, Countryside Surgery Center | |
| Employer Identification Number (EIN) | 541555489 |
| Name of Organization | Loudoun Health Services |
| Secondary Name | Countryside Surgery Center |
| In Care of Name | Mary Mcclain |
| Address | 8110 Gatehouse Rd Ste 400w, Falls Church, VA 22042-1254 |
| Activities | Hospital |
| Subsection | Charitable Organization |
| Ruling Date | 12/1991 |
| Deductibility | Contributions are deductible |
| Foundation | Hospital or medical research organization |
| Organization | Corporation |
| Exempt Organization Status | Unconditional Exemption |
| Tax Period | 12/2013 |
| Assets | $500,000 to $999,999 |
| Income | $25,000 to $99,999 |
| Filing Requirement | 990 (all other) or 990EZ return |
| Asset Amount | $808,218 |
| Amount of Income | $90,268 |
| Form 990 Revenue Amount | $90,268 |
| National Taxonomy of Exempt Entities (NTEE) | Health - General and Rehabilitative: |
Non-representatives - add comments:
Amount of income in 2013: $90,268 (it was $1,324 in 2012)
| This organization: | $90,268 |
| Other organizations performing similar types of work: | $408,744 |
Assets in 2013: $808,218 (it was $824,631 in 2012)
| Loudoun Health Services, Countryside Surgery Center: | $808,218 |
| Other organizations performing similar types of work: | $548,240 |
Expenses in 2012: $1,119,248
| Loudoun Health Services, Countryside Surgery Center: | $1,119,248 |
| Other organizations performing similar types of work: | $428,349 |
Income to expenses ratio in 2012: 0.1
| Loudoun Health Services, Countryside Surgery Center: | 0.1 |
| Other organizations performing similar types of work: | 1.0 |
Grants share in income in 2012: 0.0%
| Loudoun Health Services, Countryside Surgery Center: | 0.0% |
| Other organizations performing similar types of work: | 17.4% |
Functional expenses for 2012
Support schedule
| Statements Regarding Other IRS Filings and Tax Compliance (for 2012) | |
| Did the organization have unrelated business gross income of $1,000 or more during the year? | No |
| Initiation fees and capital contributions | $0 |
| Gross receipts for public use of club facilities | $0 |
| Gross income from members or shareholders | $0 |
| Gross income from other sources | $0 |
| Statement of Revenue (for 2012) | |
| Total revenue | $1,324 |
| Contributions, Gifts, Grants and Other Similar Amounts | $0 |
| Program Service Revenue | $1,324 |
| Other Revenue | |
| Investment income (including dividends, interest, and other similar amounts) | $0 |
| Income from investment of tax-exempt bond proceeds | $0 |
| Royalties | $0 |
| Net rental income | $0 |
| Net gain from sales of assets other than inventory | $0 |
| Net income from fundraising events | $0 |
| Net income from gaming activities | $0 |
| Net income from sales of inventory | $0 |
| Miscellaneous Revenue | $0 |
| Statement of Functional Expenses (for 2012) | |
| Total functional expenses | $1,119,248 |
| Compensation of current officers, directors, trustees, and key employees | $0 |
| Other salaries and wages | $66,033 |
| Payroll taxes | $1,392 |
| Professional fundraising services | $0 |
| Other | $1,051,823 |
| Balance Sheet (for 2012) | |
| Total assets | $824,631 |
| Total liabilities | $6,266,544 |
| Tax-exempt bond liabilities | $0 |
| Secured mortgages and notes payable to unrelated third parties | $0 |
| Unsecured notes and loans payable to unrelated third parties | $0 |
| Other | $6,266,544 |
| Total net assets or fund balances | $-5,441,913 |
| Retained earnings, endowment, accumulated income, or other funds | $0 |
| Reason for Public Charity Status (for 2012) | |
| The organization is not a private foundation because it is: | An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975 |
| Support Schedule for Organizations Described in Section 509(a)(2) (for 2012) | |
| 2008 - 2012 Total | |
|---|---|
| Total support | $3,234,364 |
| Gifts, grants, contributions, and membership fees received | $0 |
| Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | $2,718,541 |
| Tax revenues levied for the organization's benefit and either paid to or expended on its behalf | $0 |
| The value of services or facilities furnished by a governmental unit to the organization without charge | $0 |
| Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources and Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 | $348 |
| Other | $515,475 |
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| Organizations performing similar types of work | |||||
| Id | Name | Address | State | Established | Total Income |
|---|---|---|---|---|---|
| 1 | Loudoun County Emergency Medical Services Advisory Council Inc | PO BOX 1841, Leesburg, VA 20177-1841 | VA | 1986-05 | $284,954 |
| 2 | Madison Emergency Services Association Incorporated | PO BOX 665, Madison, VA 22727-0665 | VA | 1983-05 | $143,575 |
| 3 | Sentara Medical Group | 6015 Poplar Hall Dr, Norfolk, VA 23502-3819 | VA | 1983-11 | $239,910,012 |
| 4 | University Of Maryland Emergency Medicine Associates P A | 110 S Paca St Fl 6, Baltimore, MD 21201-1645 | MD | 1986-11 | $17,351,171 |
| 5 | Vanguard Medical Inc | 2830 Victory Pkwy, Cincinnati, OH 45206-1785 | OH | 1995-11 | $17,125,248 |
| 6 | West Shore Advanced Life Support Services Inc | 205 Grandview Ave, Camp Hill, PA 17011-1708 | PA | 1986-05 | $12,520,290 |
| 7 | Washington County-Johnson City Emergency Medical Services Inc | 296 Wesley St, Johnson City, TN 37601-1720 | TN | 1985-01 | $8,772,456 |
| 8 | Rutland Regional Health Services | 160 Allen St, Rutland, VT 05701-4560 | VT | 1984-04 | $7,639,713 |
| 9 | Western Virginia Emergency Medical Services Council Inc | 1944 Peters Creek Rd Nw, Roanoke, VA 24017-1613 | VA | 1976-05 | $1,423,069 |
| 10 | Bristol Life Saving Crew Inc | 1601 Euclid Ave, Bristol, VA 24201-3733 | VA | 1974-10 | $1,089,195 |
| 11 | Sterling Park Rescue Squad Inc | PO BOX 108, Sterling, VA 20167-0108 | VA | 1975-07 | $1,070,349 |
| 12 | Floyd County Life Saving And First Aid Squad Incorporated | PO BOX 257, Floyd, VA 24091-0257 | VA | 1979-04 | $451,946 |
| 13 | Rural Retreat Volunteer Emergency Service Inc | PO BOX 111, Rural Retreat, VA 24368-0111 | VA | 1980-11 | $350,879 |
| 14 | Jonesville Rescue Squad Inc | PO BOX 505, Jonesville, VA 24263-0505 | VA | 1997-03 | $190,209 |
| 15 | Roanoke Emergency Medical Svc Inc | PO BOX 1830, Roanoke, VA 24008-1830 | VA | 1990-04 | $155,666 |
| 16 | Loudoun Health Services, Countryside Surgery Center | 8110 Gatehouse Rd Ste 400w, Falls Church, VA 22042-1254 | VA | 1991-12 | $90,268 |
| 17 | White Oak Volunteer Rescue Squad Inc | 535 White Oak Rd, Fredericksbrg, VA 22405-5729 | VA | 1991-08 | $8,639 |
| 18 | Demc Inc | 736 Battlefield Blvd N, Chesapeake, VA 23320 | VA | 1986-01 | $0 |
| 19 | Institute For Victims Of Trauma | 6801 Market Square Drive, Mclean, VA 22101 | VA | 1988-02 | $0 |
| 20 | Patterson Volunteer Rescue Squad | PO BOX 25, Patterson, VA 24631-0025 | VA | 1997-01 | $0 |
| Number of organizations performing similar types of work | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total | 156 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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