Civic Intelligence

Eastern Shore Rural Health System Inc

EIN 51-0196935 • 501(c)3 • Onancock, VA

Profile

Operation of federally supported community health centers.

20280 Market StreetOnancock, VA 23417

www.esrh.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

36th percentile

0.12x

Higher debt load relative to assets than 36% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Liabilities / Revenue

32nd percentile

0.18x

Higher debt load relative to revenue than 32% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Net Margin

38th percentile

1.1%

Higher net margin than 38% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Top Officer Pay

41st percentile

$309,654

Higher top officer pay than 41% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Asset Growth

35th percentile

2.1%

Faster asset growth than 35% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Revenue Growth

17th percentile

-8.1%

Faster revenue growth than 17% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Assets

Up

$64,631,499

Up $1,314,299 (+2.1%) from 2024

Liabilities

Up

$8,028,363

Up $819,587 (+11%) from 2024

Net Assets

Up

$56,603,136

Up $494,712 (+0.9%) from 2024

Revenue

Down

$45,845,487

Down $4,055,933 (-8.1%) from 2024

Expenses

Up

$45,350,775

Up $2,008,745 (+4.6%) from 2024

Net Income

Down

$494,712

Down $6,064,678 (-92%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$80M$60M$40M$20M$0Assets 2012: $12,538,140Liabilities 2012: $3,612,264Net Assets 2012: $8,925,8762012Assets 2013: $17,332,945Liabilities 2013: $3,723,660Net Assets 2013: $13,609,2852013Assets 2014: $18,092,533Liabilities 2014: $3,233,989Net Assets 2014: $14,858,5442014Assets 2015: $18,489,846Liabilities 2015: $3,283,943Net Assets 2015: $15,205,9032015Assets 2016: $20,131,385Liabilities 2016: $3,573,396Net Assets 2016: $16,557,9892016Assets 2017: $22,682,435Liabilities 2017: $3,631,395Net Assets 2017: $19,051,0402017Assets 2018: $26,476,983Liabilities 2018: $3,633,886Net Assets 2018: $22,843,0972018Assets 2019: $31,893,116Liabilities 2019: $4,335,150Net Assets 2019: $27,557,9662019Assets 2020: $38,919,662Liabilities 2020: $7,803,398Net Assets 2020: $31,116,2642020Assets 2021: $43,291,038Liabilities 2021: $7,250,003Net Assets 2021: $36,041,0352021Assets 2022: $50,328,522Liabilities 2022: $3,972,075Net Assets 2022: $46,356,4472022Assets 2023: $55,188,808Liabilities 2023: $5,639,774Net Assets 2023: $49,549,0342023Assets 2024: $63,317,200Liabilities 2024: $7,208,776Net Assets 2024: $56,108,4242024Assets 2025: $64,631,499Liabilities 2025: $8,028,363Net Assets 2025: $56,603,1362025

Highlighted filing

2025

Assets$64,631,499
Liabilities$8,028,363
Net Assets$56,603,136

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0Revenue 2012: $15,480,907Expenses 2012: $14,083,216Net Income 2012: $1,397,6912012Expenses 2013: $15,483,5242013Revenue 2014: $18,148,279Expenses 2014: $16,899,020Net Income 2014: $1,249,2592014Revenue 2015: $18,564,261Expenses 2015: $18,216,902Net Income 2015: $347,3592015Revenue 2016: $21,031,604Expenses 2016: $19,679,518Net Income 2016: $1,352,0862016Revenue 2017: $22,938,309Expenses 2017: $20,445,258Net Income 2017: $2,493,0512017Revenue 2018: $24,651,724Expenses 2018: $20,859,667Net Income 2018: $3,792,0572018Revenue 2019: $27,972,080Expenses 2019: $23,257,211Net Income 2019: $4,714,8692019Revenue 2020: $28,403,856Expenses 2020: $24,845,558Net Income 2020: $3,558,2982020Revenue 2021: $31,263,001Expenses 2021: $26,338,230Net Income 2021: $4,924,7712021Revenue 2022: $38,285,000Expenses 2022: $27,969,588Net Income 2022: $10,315,4122022Revenue 2023: $39,254,153Expenses 2023: $36,061,566Net Income 2023: $3,192,5872023Revenue 2024: $49,901,420Expenses 2024: $43,342,030Net Income 2024: $6,559,3902024Revenue 2025: $45,845,487Expenses 2025: $45,350,775Net Income 2025: $494,7122025

Highlighted filing

2025

Revenue$45,845,487
Expenses$45,350,775
Net Income$494,712

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$64.6$8.03$56.6$45.8$45.4$0.49
2024Detailed filing. Detailed filing data is available for this year.$63.3$7.21$56.1$49.9$43.3$6.56
2023Detailed filing. Detailed filing data is available for this year.$55.2$5.64$49.5$39.3$36.1$3.19
2022Detailed filing. Detailed filing data is available for this year.$50.3$3.97$46.4$38.3$28.0$10.3
2021Detailed filing. Detailed filing data is available for this year.$43.3$7.25$36.0$31.3$26.3$4.92
2020Detailed filing. Detailed filing data is available for this year.$38.9$7.80$31.1$28.4$24.8$3.56
2019Detailed filing. Detailed filing data is available for this year.$31.9$4.34$27.6$28.0$23.3$4.71
2018Detailed filing. Detailed filing data is available for this year.$26.5$3.63$22.8$24.7$20.9$3.79
2017Detailed filing. Detailed filing data is available for this year.$22.7$3.63$19.1$22.9$20.4$2.49
2016Detailed filing. Detailed filing data is available for this year.$20.1$3.57$16.6$21.0$19.7$1.35
2015Detailed filing. Detailed filing data is available for this year.$18.5$3.28$15.2$18.6$18.2$0.35
2014Detailed filing. Detailed filing data is available for this year.$18.1$3.23$14.9$18.1$16.9$1.25
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.3$3.72$13.6$15.5
2012Summary only. Only limited summary data is available for this year.$12.5$3.61$8.93$15.5$14.1$1.40
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jun 1, 2024 to May 31, 2025
Signed
Sep 17, 2025
Return Version
2024v5.0
Gross Receipts
$45,845,487
Mission and Program Overview

Mission

Operation of federally supported community health centers.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$26,245,176$25,383,452▼ $861,724
Land, Buildings, and Equipment, Net$22,660,175$22,299,180▼ $360,995
Cash and Non-Interest-Bearing Accounts$5,668,000$8,249,241▲ $2,581,241
Accounts Receivable$6,926,105$6,805,779▼ $120,326
Intangible Assets$900,000$800,000▼ $100,000
Prepaid Expenses and Deferred Charges$378,408$128,877▼ $249,531
Total Assets$63,317,200$64,631,499▲ $1,314,299
Other Assets Total$539,336$964,970▲ $425,634
Liabilities
Unsecured Notes Loans Payable$4,649,950$4,370,702▼ $279,248
Accounts Payable and Accrued Expenses$2,385,837$3,421,925▲ $1,036,088
Other Liabilities$172,989$235,736▲ $62,747
Total Liabilities$7,208,776$8,028,363▲ $819,587
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$56,108,424$56,414,738▲ $306,314
Net Assets With Donor Restrictions-$188,398-
Total Net Assets Fund Balance$56,108,424$56,603,136▲ $494,712
Total Liabilities and Net Assets / Fund Balance$63,317,200$64,631,499▲ $1,314,299

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$19,788,962$7,683,431$27,472,393
Equipment$1,521,052$2,401,587$3,922,639
Land$989,166-$989,166
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Joan LingenChief MedicaFT$309,654$309,654
Joan LingenChief Medical Off.-$309,654$309,654
Scott WolpinChief DentalFT$290,603$290,603
Scott WolpinChief Dental Officer-$290,603$290,603
Jeannette EdwardsChief ExecutFT$288,450$288,450
Jeannette EdwardsChief Executive Off.-$288,450$288,450
Thomas HollandsworthDoctorFT$288,193$288,193
Jeanne RollDoctorFT$280,196$280,196
David HoshinoDoctorFT$275,077$275,077
Albert HallsDoctorFT$236,846$236,846
Kandice BrunoChief FinancFT$213,476$213,476
Kandice BrunoChief Financial Off.-$213,476$213,476
Margaret StilesDoctorFT$195,163$195,163
Jody OsbonChief InformFT$192,352$192,352
Jody OsbonChief Information of-$192,352$192,352
Jennifer TylerChief Ops &FT$172,780$172,780
Jennifer TylerChief Ops & Clin Off-$172,780$172,780
Chris DeitchDirector of PharFT$157,668$157,668
Chris DeitchDirector of Pharmacy-$157,668$157,668
Kimberly SavageChief CompliFT$154,155$154,155
Kimberly SavageChief Compliance Off-$154,155$154,155
Jessica BonniwellChief QualitFT$123,405$123,405

Board Members and Trustees

NameTitle
Lisa CubaPresident
Art FournierBoard Member
Constance JohnsonBoard Member
Doris Ebony BrownBoard Member
Eddie LawrenceBoard Member
Jay DavenportBoard Member
John SparkmanBoard Member
Kristine MarcyBoard Member
Luther ByrdBoard Member
Marisa SanchezBoard Member
Michael ImperialBoard Member
Betty BibbinsImm. Past Pr
Leslie WestSecretary
Chad SaundersTreasurer
Andy CobbVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$6,366,317
Program Service Revenue
$37,902,240
Investment Income
$1,488,027
Other Revenue
$88,903
All Other Contributions
$708,974
Change in Net Assets
$494,712

Audited Revenue Reconciliation

Revenue per Audited Statements
$45,845,487
Total Revenue per Audited Statements
$45,845,487
Total Revenue per Form 990
$45,845,487
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$28,302,415
Other Expenses$17,048,360
Total Fundraising Expense$622,229
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$18,869,285$1,954,156$112,302$20,935,743
Other Employee Benefits$2,815,524$394,533$52,191$3,262,248
Current Officers, Directors, Trustees, and Key Employees$899,880$646,762$355,901$1,902,543
Office Expenses$641,754$1,042,585$32,902$1,717,241
Payroll Taxes$1,409,693$197,538$26,131$1,633,362
Depreciation Depletion$1,055,496$126,939$9,765$1,192,200
Fees for Services Other$1,167,828--$1,167,828
Pension Plan Contributions$490,668$68,756$9,095$568,519
Other Expenses$438,309$37,404$2,877$478,590
Advertising-$386,320-$386,320
Insurance-$182,149-$182,149
Travel-$166,727$7,435$174,162
Occupancy$170,482$2,035$157$172,674
Fees for Services Legal-$153,535-$153,535
Interest$130,316$2,877-$133,193
All Other Expenses$16,833$54,506-$71,339
Fees for Services Accounting-$67,759-$67,759
Total Functional Expenses$39,068,822$5,659,724$622,229$45,350,775

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$45,350,775
Total Expenses per Audited Statements$45,350,775
Total Expenses per Form 990$45,350,775
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other Liabilities$235,736
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

Form 990 is reviewed by the ceo, cfo, and the board of directors prior to filing.

Form 990, Page 6, Part VI, Line 12C

Initially, board members sign the conflict of interest policy as part of orientation. The conflict of interest attestation form is distributed to all board members annually for an updated signature. The forms are tracked by the executive assistant to ensure 100% of the signatures are collected.

Form 990, Page 6, Part VI, Line 15A

The organization includes an average salary increase for all staff in the budget submitted to the board of directors for approval on an annual basis. This budget is part of the 330 grant application submitted to the department of health and human services, health resources and services administration for grant funding that represents 30% of the total budget. Generally, the grant application is submitted to the board at a special called meeting prior to the grant due date and is voted on for approval or amendments a week later at the regularly scheduled monthly board meeting. The budget contains an average increase that will be available for all staff, contractual employees, officers, and the ceo. Next, in june of each year, all employees, including the ceo, are evaluated through a written appraisal process. The ceo is evaluated by the board chair. All valuations require a minimum of two independent evaluations in addition to the supervisor and each employee submits a written self-appraisal. The evaluations are written and based on the essential job functions. Performance of each function is assigned a numerical value. The evaluations also set goals for the upcoming year and evaluate the level of achievement of goals established during the prior evaluation period. Upon completion of all evaluations, the board determines the percentage increase for the ceo based on the numeric score achieved, the accomplishment of goals established in the prior year, the financial position of the organization, the range approved in the budget cycle, and compensation of ceos from the community health centers located in virginia. This information is gathered from an annual compensation survey gathered from all community health centers in the state and conducted by the virginia community healthcare association.

Form 990, Page 6, Part VI, Line 15B

Following the budget and evaluation process (described for ceo), the ceo determines the percent increases for the other officers based on the numeric scores of evaluations, the range set by the board during the budget cycle, financial position of the organization, and prevailing compensation from the salary survey. The chief human resource officer and the cfo use the numeric value of each employee's evaluation to determine the percent increase from the pool approved by the board in the budget. These proposed raises are then submitted to the ceo for final approval.

Form 990, Page 6, Part VI, Line 19

The organization provides its governing documents, policies, and tax returns to the public upon request. The financial statements are made available on the organization's website.

Filing and Contact Details

Filer

Filer Name
Eastern Shore Rural Health
EIN
51-0196935
Phone
7574140400
Address
20280 MARKET STREET, ONANCOCK, VA 23417

Signing Officer

Name
Jeannette Edwards
Title
Chief Executive Off.
Phone
7574140400
Signed
2025-09-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeannette Edwards
Formed
1976
Legal Domicile
Va
Voting Board Members
15
Independent Board Members
15
Employees
441
Volunteers
15

Preparer

Firm
Robinson Farmer Cox Associates
Address
530 WESTFIELD RD, CHARLOTTESVILLE, VA 22901-1726
Preparer
Michael E Lupton
Phone
4349738314
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