Holston Valley Medical Center Medical Staff Fund

  • Kingsport, TN
  • Tax exemption issued: Aug. 2014
  • EIN: 45-2386864

Organization summary

Type of Nonprofit

Designated as a Social and recreational clubs.

Category: Recreation, Sports, Leisure, Athletics / Recreational, Pleasure, or Social Club (NTEE)

Donations to this organization are not tax deductible.

Tax Filings by Year

Form 990 is an information return that most organizations claiming federal tax-exempt status must file yearly with the IRS. Nonprofit Explorer has IRS digitized Form 990 data for filings processed in 2012 and later. Duplicate download links may indicate a resubmission or amendment to this organization's original return. Organizations with gross receipts of less than $50,000 can file the form 990-N postcard filing, which doesn’t include financial details. All Form 990 data is from the IRS.

Fiscal Year Ending Dec.
2024

Extracted Financial Data

Extracted Financial Data from 990-EZ
Revenue
$104,259
Expenses
$30,205
Net Income
$74,054
Net Assets
$441,329
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $0
Investment Income $7,847
7.5%
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Assets/Debt
Total Assets $441,329
Total Liabilities $0
Net Assets $441,329
Club or Co-Op Income
Initiation Fees & Contributions $0
Income From Public Use of Club Facilities $0
Compensation
Key Employees and Officers Compensation Other
Kevin Cornwell Md (President) $10,500 $0
Stephanie Hart Md (President-elect) $3,000 $0
Lauren Py Md (Secretary/treasurer) $1,625 $0
Evan Kulbacki Md (Prior President) $1,500 $0
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Document Links

990-EZ
Filed on March 18, 2025

Short form tax return for a nonprofit’s activities, finances, and governance

View Filing
PDF XML

Fiscal Year Ending Dec.
2023

Extracted Financial Data

Extracted Financial Data from 990-EZ
Revenue
$83,294
Expenses
$29,597
Net Income
$53,697
Net Assets
$367,275
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $0
Investment Income $2,720
3.3%
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Assets/Debt
Total Assets $367,275
Total Liabilities $0
Net Assets $367,275
Club or Co-Op Income
Initiation Fees & Contributions $0
Income From Public Use of Club Facilities $0
Compensation
Key Employees and Officers Compensation Other
Evan Kulbacki Md (President) $10,000 $0
Kevin Cornwell Md (President-elect) $3,500 $0
Stephanie Hart Md (Secretary/treasurer) $1,375 $0

Document Links

990-EZ
Filed on May 14, 2024

Short form tax return for a nonprofit’s activities, finances, and governance

View Filing
XML

Fiscal Year Ending Dec.
2022

Extracted Financial Data

Extracted Financial Data from 990-EZ
Revenue
$81,181
Expenses
$33,152
Net Income
$48,029
Net Assets
$313,578
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $0
Investment Income $1,681
2.1%
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Assets/Debt
Total Assets $313,578
Total Liabilities $0
Net Assets $313,578
Club or Co-Op Income
Initiation Fees & Contributions $0
Income From Public Use of Club Facilities $0
Compensation
Key Employees and Officers Compensation Other
Evan Kulbacki Md (President) $15,000 $0
Adam Coe Md (President-elect) $4,500 $0
Kevin Cornwell (Secretary/treasurer) $2,292 $0
Elizabeth Jackson Md (Past President) $0 $0
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Document Links

990-EZ
Filed on Aug. 16, 2023

Short form tax return for a nonprofit’s activities, finances, and governance

View Filing
PDF XML

Fiscal Year Ending Dec.
2021

Extracted Financial Data

Extracted Financial Data from 990-EZ
Revenue
$83,900
Expenses
$30,655
Net Income
$53,245
Net Assets
$265,549
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $0
Investment Income $1,400
1.7%
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Assets/Debt
Total Assets $265,549
Total Liabilities $0
Net Assets $265,549
Club or Co-Op Income
Initiation Fees & Contributions $0
Income From Public Use of Club Facilities $0
Compensation
Key Employees and Officers Compensation Other
Evan Kulbacki Md (President) $15,000 $0
Adam Coe Md (Secretary) $5,250 $0
Kelly Chumbley (Treasurer) $2,667 $0
Elizabeth Jackson Md (Past President) $0 $0
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Document Links

990-EZ
Filed on Nov. 15, 2022

Short form tax return for a nonprofit’s activities, finances, and governance

View Filing
PDF XML

Fiscal Year Ending Dec.
2020

Extracted Financial Data

Extracted Financial Data from 990-EZ
Revenue
$76,927
Expenses
$38,969
Net Income
$37,958
Net Assets
$212,304
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $0
Investment Income $1,077
1.4%
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Assets/Debt
Total Assets $212,304
Total Liabilities $0
Net Assets $212,304
Club or Co-Op Income
Initiation Fees & Contributions $0
Income From Public Use of Club Facilities $0
Compensation
Key Employees and Officers Compensation Other
Elizabeth Jackson Md (President) $12,500 $0
Evan Kulbacki Md (Vice-president) $8,750 $0
Rohini Nathan Md (Treasurer) $3,000 $0

Document Links

990-EZ
Filed on March 19, 2021

Short form tax return for a nonprofit’s activities, finances, and governance

View Filing
PDF XML

Fiscal Year Ending Dec.
2019

Extracted Financial Data

Extracted Financial Data from 990-EZ
Revenue
$64,501
Expenses
$33,764
Net Income
$30,737
Net Assets
$174,346
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $0
Investment Income $751
1.2%
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Assets/Debt
Total Assets $174,346
Total Liabilities $0
Net Assets $174,346
Club or Co-Op Income
Initiation Fees & Contributions $0
Income From Public Use of Club Facilities $0
Compensation
Key Employees and Officers Compensation Other
Elizabeth Jackson Md (President) $12,000 $0
Evan Kulbacki Md (Vice-president) $6,250 $0
Rohini Nathan Md (Treasurer) $3,000 $0

Document Links

990-EZ
Filed on April 30, 2020

Short form tax return for a nonprofit’s activities, finances, and governance

View Filing
PDF XML

Fiscal Year Ending Dec.
2018

Extracted Financial Data

Extracted Financial Data from 990-EZ
Revenue
$64,581
Expenses
$53,889
Net Income
$10,692
Net Assets
$143,609
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $0
Investment Income $681
1.1%
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Assets/Debt
Total Assets $143,609
Total Liabilities $0
Net Assets $143,609
Club or Co-Op Income
Initiation Fees & Contributions $0
Income From Public Use of Club Facilities $0
Compensation
Key Employees and Officers Compensation Other
Marta Wayt Do (President) $12,000 $0
Elizabeth Jackson (President Elect) $6,000 $0
Evan Kulbacki (Secretary/treasurer) $3,250 $0

Document Links

990-EZ
Filed on Feb. 21, 2019

Short form tax return for a nonprofit’s activities, finances, and governance

View Filing
PDF XML

Fiscal Year Ending Dec.
2017

Extracted Financial Data

Extracted Financial Data from 990-EZ
Revenue
$63,536
Expenses
$45,865
Net Income
$17,671
Net Assets
$132,917
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $0
Investment Income $636
1.0%
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Assets/Debt
Total Assets $132,917
Total Liabilities $0
Net Assets $132,917
Club or Co-Op Income
Initiation Fees & Contributions $0
Income From Public Use of Club Facilities $0
Compensation
Key Employees and Officers Compensation Other
Tyler Greenfield Md (President) $12,000 $0
Marta Wayt Do (President-elect) $6,000 $0
Elizabeth Jackson Md (Secretary/treasurer) $1,500 $0

Document Links

990-EZ
Filed on Jan. 26, 2018

Short form tax return for a nonprofit’s activities, finances, and governance

View Filing
PDF XML

Fiscal Year Ending Dec.
2016

Extracted Financial Data

Extracted Financial Data from 990-EZ
Revenue
$69,316
Expenses
$53,998
Net Income
$15,318
Net Assets
$115,246
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $0
Investment Income $566
0.8%
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Assets/Debt
Total Assets $115,246
Total Liabilities $0
Net Assets $115,246
Club or Co-Op Income
Initiation Fees & Contributions $0
Income From Public Use of Club Facilities $0
Compensation
Key Employees and Officers Compensation Other
James R Herman Md (President) $12,000 $0
Tyler Greenfield Md (President-elect) $3,750 $0
Marta Wayt Do (Secretary/treasurer) $2,750 $0

Document Links

990-EZ
Filed on Feb. 7, 2017

Short form tax return for a nonprofit’s activities, finances, and governance

View Filing
PDF XML

Fiscal Year Ending Dec.
2015

Extracted Financial Data

Extracted Financial Data from 990-EZ
Revenue
$73,693
Expenses
$37,397
Net Income
$36,296
Net Assets
$99,928
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $0
Investment Income $393
0.5%
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Assets/Debt
Total Assets $99,928
Total Liabilities $0
Net Assets $99,928
Club or Co-Op Income
Initiation Fees & Contributions $0
Income From Public Use of Club Facilities $0
Compensation
Key Employees and Officers Compensation Other
Ken W Smith Md (President-elect) $12,000 $0
James R Herman Md (Secretary/treasurer) $6,000 $0
Donald Lewis Md (President) $0 $0

Document Links

990-EZ
Filed on May 4, 2016

Short form tax return for a nonprofit’s activities, finances, and governance

View Filing
PDF XML

Fiscal Year Ending Dec.
2014

Extracted Financial Data

Extracted Financial Data from 990-EZ
Revenue
$55,964
Expenses
$39,581
Net Income
$16,383
Net Assets
$63,632
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $0
Investment Income $314
0.6%
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Assets/Debt
Total Assets $63,632
Total Liabilities $0
Net Assets $63,632
Club or Co-Op Income
Initiation Fees & Contributions $0
Income From Public Use of Club Facilities $0
Compensation
Key Employees and Officers Compensation Other
Donald Lewis Md (President) $12,000 $0
Ken Smith Md (President-elect) $6,000 $0
James Herman Md (Secretary/treasurer) $1,500 $0

Document Links

990-EZ
Filed on Sept. 28, 2015

Short form tax return for a nonprofit’s activities, finances, and governance

View Filing
PDF XML

Fiscal Year Ending Dec.
2013

Extracted Financial Data

Extracted Financial Data from 990-EZ
Revenue
$66,009
Expenses
$44,394
Net Income
$21,615
Net Assets
$47,249
Notable Sources of Revenue Percent of Total Revenue
Contributions $0
Program Services $0
Investment Income $259
0.4%
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Assets/Debt
Total Assets $47,249
Total Liabilities $0
Net Assets $47,249
Club or Co-Op Income
Initiation Fees & Contributions $0
Income From Public Use of Club Facilities $0

Document Links

990-EZ

Short form tax return for a nonprofit’s activities, finances, and governance

PDF

About This Data

What Is This Data?

Nonprofit Explorer includes summary data for nonprofit tax returns and full Form 990 documents, in both PDF and digital formats.

The summary data contains financial information from tax returns processed by the IRS since the 2012 calendar years, as well as data extracted from digital filings. IRS summary data also includes limited older records. This data release includes only a subset of what can be found in the full Form 990s.

In addition to the raw summary data, we link to PDFs and digital copies of full Form 990 documents wherever possible. This consists of separate releases by the IRS of Form 990 documents processed by the agency, which we update regularly.

We also link to copies of audits for nonprofit organizations that spent $750,000 or more in federal grant money in a single fiscal year since 2016. These audits are copied from the Federal Audit Clearinghouse.

Which Organizations Are Here?

Most organizations that have been recognized as tax exempt by the IRS have to file the Form 990 every year, unless they make less than $200,000 in revenue and have less than $500,000 in assets, in which case they have to file the Form 990-EZ. Organizations making less than $50,000 don’t have to file either form but do have to let the IRS they’re still in business via a Form 990N "e-Postcard," which does not contain financial details. Churches are not required to file Form 990.

Nonprofit Explorer has organizations that are claiming tax exemption in any of the 27 subsections of the 501(c) section of the tax code. Taxable trusts and private foundations that are required to file a form 990PF are also included.

Types of Nonprofits

There are 27 nonprofit designations based on the numbered subsections of section 501(c) of the tax code. See the list »

Get the Data

For those interested in acquiring the original data from the source, here’s where our data comes from:

  • Raw filing data. Includes Employer Identification Numbers and summary financials as structured data.
  • Exempt Organization profiles. Includes organization names, addresses, etc. You can merge this with the raw filing data using EIN numbers.
  • Form 990 documents. Prior to 2017, these documents were obtained and processed by Public.Resource.org and ProPublica.
  • Form 990 documents as XML files. Includes complete filing data (financial details, names of officers, tax schedules, etc.) in machine-readable format. Only available for electronically filed documents. Electronic data released prior to October 2021 is also available through Amazon Web Services.
  • Audits. PDFs of single or program-specific audits for nonprofit organizations that spent $750,000 or more in federal grant money in a single fiscal year. Available for fiscal year 2015 and later.

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Browse millions of annual returns filed by tax-exempt organizations with ProPublica’s Nonprofit Explorer. See details like executive compensation, revenue, expenses and more. Search for an organization or a person, or search the full text of filings.

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