FURP.ORG / PUBLIC DATA EXPLORER

WEST VIRGINIA PRIMARY CARE ASSOCIATION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
WEST VIRGINIA PRIMARY CARE ASSOCIATION INC (EIN 55-0656229)
Tax period
2021-04-01 to 2022-03-31
Filed
2023-02-01
IRS object ID
202340329349301149
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2023-02-01T15:59:15-06:00ReturnTs
Tax Period End2022-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN540504608PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BROWN EDWARDS & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1707 VIRGINIA STREET EAST SUITE 300AddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25301ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550656229EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WEST VIRGINIA PRIMARY CARE ASSOCIATIONBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlWESTBusinessNameControlTxt
Phone3043460032PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11700 MACCORKLE AVENUE SEAddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP253141518ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHERRI FERRELLPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone3043460032PhoneNum
Signature2022-12-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSHERRIPersonFirstNm
Person LastFERRELLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRUTH STILLPreparerPersonNm
PTINP00105121PTIN
Phone3043434188PhoneNum
Preparation2022-12-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-03-07 01:45:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHERRI FERRELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11700 MACCORKLE AVENUE SEAddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP253141518ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,234,627GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WVPCA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionTO REPRESENT COMMUNITY AND MIGRANT HEALTH CARE CENTERS IN PRIMARY CARE ISSUES AND ASSIST IN PLANNING AND DEVELOPING STATE BASED PRIMARY CARE STRATEGIES.ActivityOrMissionDesc
Voting Members Governing Body32VotingMembersGoverningBodyCnt
Voting Members Independent32VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,471,241PYContributionsGrantsAmt
CY Contributions Grants$2,139,750CYContributionsGrantsAmt
PY Program Service Revenue$19,302PYProgramServiceRevenueAmt
CY Program Service Revenue$90,539CYProgramServiceRevenueAmt
PY Investment Income$15,590PYInvestmentIncomeAmt
CY Investment Income$24,244CYInvestmentIncomeAmt
PY Other Revenue$144,949PYOtherRevenueAmt
CY Other Revenue-$19,906CYOtherRevenueAmt
PY Total Revenue$2,651,082PYTotalRevenueAmt
CY Total Revenue$2,234,627CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$296,421CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$919,194PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,052,349CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,161,512PYOtherExpensesAmt
CY Other Expenses$1,177,303CYOtherExpensesAmt
PY Total Expenses$2,080,706PYTotalExpensesAmt
CY Total Expenses$2,526,073CYTotalExpensesAmt
PY Revenues Less Expenses$570,376PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$291,446CYRevenuesLessExpensesAmt
Total Assets BOY$2,645,168TotalAssetsBOYAmt
Total Assets EOY$5,065,322TotalAssetsEOYAmt
Total Liabilities BOY$287,331TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,998,931TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,357,837NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,066,391NetAssetsOrFundBalancesEOYAmt
MissionTO ASSURE ACCESSIBLE, HIGH-QUALITY AND COST-EFFECTIVE HEALTH SERVICES FOR ALL WEST VIRGINIANS, REGARDLESS OF ECONOMIC OR SOCIAL STATUS, THROUGH THE CULTIVATION OF FINANCIAL, POLITICAL AND PHILANTHROPIC RELATIONSHIPS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,222,923ExpenseAmt
Grant$296,421GrantAmt
Revenue$70,633RevenueAmt
DescTO PROMOTE DEVELOPMENT AND IMPLEMENTATION OF INTEGRATED, COMPREHENSIVE HEALTH CARE SERVICES, INCLUDING BUT NOT LIMITED TO PRIMARY CARE, BEHAVIORAL HEALTH, ORAL HEALTH AND 340B; PROVIDE OUTREACH SERVICES TO UNDERSERVED AND UNINSURED POPULATIONS; PROVIDE COMMUNITY DEVELOPMENT AND LINKAGES TO CARE; ADDRESS EMERGING HEALTH CARE NEEDS AND TRENDS; PROVIDE TRAINING, TECHNICAL ASSISTANCE, QUALITY ASSURANCE TO SAFETY NET PROVIDERS - INCLUDING COMMUNITY HEALTH CENTERS IN WV.Desc
Total Program Service Expenses$2,222,923TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee12EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members32GoverningBodyVotingMembersCnt
Independent Voting Member32IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWVStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHERRI FERRELLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3043460032PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11700 MACCORKLE AVENUE SEAddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP253141518ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ERIC RUF
PRESIDENT4.00Yes (X)$0$0$0
PAUL WAMSLEY
BOARD MEMBER1.00Yes (X)$0$0$0
KRISTI ATHA-RADER
BOARD MEMBER1.00Yes (X)$0$0$0
AMY YOKUM
BOARD MEMBER1.00Yes (X)$0$0$0
STEVEN SHATTLS
BOARD MEMBER1.00Yes (X)$0$0$0
CRAIG GLOVER
PRESIDENT ELECT4.00Yes (X)$0$0$0
NANCY VANDERGRIFT
TREASURER4.00Yes (X)$0$0$0
BRITTANY MARTIN
BOARD MEMBER1.00Yes (X)$0$0$0
REBECCA THOMAS
BOARD MEMBER1.00Yes (X)$0$0$0
LINDA HUTCHENS
BOARD MEMBER1.00Yes (X)$0$0$0
CRAIG ROBINSON
BOARD MEMBER1.00Yes (X)$0$0$0
MEG HICKEY
BOARD MEMBER1.00Yes (X)$0$0$0
LISA MOWRY
BOARD MEMBER1.00Yes (X)$0$0$0
ROB DUDLEY
SECRETARY4.00Yes (X)$0$0$0
KRISTIN DIAL
BOARD MEMBER1.00Yes (X)$0$0$0
MELISSA THOMPSON
BOARD MEMBER1.00Yes (X)$0$0$0
MARGARET MARTIN
BOARD MEMBER1.00Yes (X)$0$0$0
ERIC RITCHIE
BOARD MEMBER1.00Yes (X)$0$0$0
JIM NELSON
BOARD MEMBER1.00Yes (X)$0$0$0
JAMIE HUDSON
BOARD MEMBER1.00Yes (X)$0$0$0
CIRO GRASSI
BOARD MEMBER1.00Yes (X)$0$0$0
LISA LEACH
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN SCHULTZ
BOARD MEMBER1.00Yes (X)$0$0$0
TIM CROFTON
BOARD MEMBER1.00Yes (X)$0$0$0
REBECCA GAUGHAN
BOARD MEMBER1.00Yes (X)$0$0$0
SCOTT MITCHELL
BOARD MEMBER1.00Yes (X)$0$0$0
MIKE HASSING
EXECUTIVE COMMITTEE4.00Yes (X)$0$0$0
RICK SIMON
BOARD MEMBER1.00Yes (X)$0$0$0
DONNA COOKE
BOARD MEMBER1.00Yes (X)$0$0$0
JORDAN GODWIN
BOARD MEMBER1.00Yes (X)$0$0$0
JUNE GRIFFITH
BOARD MEMBER1.00Yes (X)$0$0$0
VICKI JOHNSON
EXECUTIVE COMMITTEE4.00Yes (X)$0$0$0
SHERRI FERRELL
CEO40.00$130,000$0$14,465Yes (X)
DEBRA BOYD
COO/CFO40.00$98,838$0$38,438Yes (X)
JOSHUA L AUSTIN
POLICY & COMMUNICATIONS DIRECTOR40.00$100,000$0$4,016Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$328,838TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$56,919TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$123,500MembershipDuesAmt
Government Grants$1,940,750GovernmentGrantsAmt
All Other Contributions$75,500AllOtherContributionsAmt
Total Contributions$2,139,750TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONSULTING SERVICES812900$77,532$77,532
ANNUAL CONFERENCE812900$13,007$13,007
FieldValueIRS element (for citing)
Total Program Service Revenue$90,539TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,244TotalRevenueColumnAmt
Exclusion$24,244ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
Business900099BusinessCd
Total Revenue Column-$19,906TotalRevenueColumnAmt
Related Or Exempt Func Income-$19,906RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total-$19,906OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,234,627TotalRevenueColumnAmt
Related Or Exempt Func Income$70,633RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$24,244ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$296,421TotalAmt
Program Services$296,421ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$328,838TotalAmt
Program Services$289,377ProgramServicesAmt
Management And General$39,461ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$493,960TotalAmt
Program Services$474,612ProgramServicesAmt
Management And General$19,348ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$31,934TotalAmt
Program Services$29,686ProgramServicesAmt
Management And General$2,248ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$134,673TotalAmt
Program Services$121,735ProgramServicesAmt
Management And General$12,938ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$62,944TotalAmt
Program Services$58,445ProgramServicesAmt
Management And General$4,499ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$107,931TotalAmt
Program Services$26,225ProgramServicesAmt
Management And General$81,706ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$889,772TotalAmt
Program Services$791,302ProgramServicesAmt
Management And General$98,470ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$700TotalAmt
Management And General$700ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,509TotalAmt
Program Services$7,059ProgramServicesAmt
Management And General$4,450ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$17,101TotalAmt
Program Services$17,101ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$76,208TotalAmt
Program Services$64,777ProgramServicesAmt
Management And General$11,431ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,769TotalAmt
Program Services$5,900ProgramServicesAmt
Management And General$4,869ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,699TotalAmt
Program Services$5,380ProgramServicesAmt
Management And General$10,319ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,567TotalAmt
Program Services$7,567ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DUES AND SUBSCRIPTIONS$27,336$27,336
MISCELLANEOUS$12,711$12,711

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,526,073TotalAmt
Program Services$2,222,923ProgramServicesAmt
Management And General$303,150ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,292,335BOYAmt
EOY$3,703,843EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$259,969BOYAmt
EOY$323,952EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$83,279BOYAmt
EOY$146,911EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$119,146BOYAmt
EOY$23,212EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$274,286LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$246,889LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$41,514BOYAmt
EOY$27,397EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$848,925BOYAmt
EOY$840,007EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,645,168BOYAmt
EOY$5,065,322EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$121,233BOYAmt
EOY$250,747EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$166,098BOYAmt
EOY$2,748,184EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$287,331BOYAmt
EOY$2,998,931EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,789,488BOYAmt
EOY$1,831,747EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$568,349BOYAmt
EOY$234,644EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,357,837BOYAmt
EOY$2,066,391EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,645,168BOYAmt
EOY$5,065,322EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$291,446ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,792,804CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,342,439CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,054,972CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,003,022CurrentTaxYearMinus1YearAmt
Current Tax Year$2,139,750CurrentTaxYearAmt
Total$10,332,987TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,792,804CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,342,439CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,054,972CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,003,022CurrentTaxYearMinus1YearAmt
Current Tax Year$2,139,750CurrentTaxYearAmt
Total$10,332,987TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$10,332,987PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$37,686CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,672CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,979CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$160,539CurrentTaxYearMinus1YearAmt
Current Tax Year$24,244CurrentTaxYearAmt
Total$375,120TotalAmt
FieldValueIRS element (for citing)
Total Support$10,708,107TotalSupportAmt
Public Support CY1700.96500PublicSupportCY170Pct
Public Support PY1700.96760PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$274,286OtherCostOrOtherBasisAmt
Depreciation$246,889DepreciationAmt
Book Value$27,397BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$27,397TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,234,627TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,234,627RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,234,627TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,526,073TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,526,073ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,526,073TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING STANDARDS PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN WHERE THERE IS UNCERTAINTY ABOUT WHETHER A TAX POSITION WILL ULTIMATELY BE SUSTAINED UPON EXAMINATION. ON APRIL 1, 2009, THE ORGANIZATION ADOPTED THE RECOGNITION AND DISCLOSURE PROVISIONS OF THIS STANDARD. THE ADOPTION OF THIS STANDARD DID NOT HAVE AN EFFECT ON THE ORGANIZATION'S FINANCIAL POSITION OR CHANGES IN NET ASSETS. THE ORGANIZATION DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE ANY UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
BELINGTON MEDICAL CLINIC DBA BARBOUR COMMUNITY HEALTH ASSOCIATION
70N STURMER STREETBELINGTONWV262507403237310126$8,000$0COVID RESPONSE
BLUESTONE HEALTH ASSOCIATION INC
3997 BECKLEY ROADPRINCETONWV247407660310889730$9,000$0COVID RESPONSE
CABIN CREEK HEALTH SYSTEMS INC
104 ALEX LANECHARLESTONWV25304550709223$14,000$0COVID RESPONSE
CAMDEN ON GAULEY MEDICAL CENTER INC
10003 WEBSTER ROADCAMDEN ON GAULEYWV262087713550592596$8,000$0COVID RESPONSE
CHANGE INC
3158 WEST STREETWEIRTONWV260624637550629135$14,000$0COVID RESPONSE
COMMUNITY CARE OF WV
78 QUEENS ALLEY ROADROCK CAVEWV26234550599096$14,000$0COVID RESPONSE
COMMUNITY HEALTH SYSTEMS INC DBA ACCESS HEALTH
252 RURAL ACRES DRIVEBECKLEYWV258013503550490878$14,000$0COVID RESPONSE
EA HAWSE HEALTH CENTER
17978 STATE ROUTE 55BAKERWV268010097550591799$9,000$0COVID RESPONSE
LINCOLN COUNTY PRIMARY CARE CENTER INC DBA SOUTHERN WV HEALTH SYSTEM
7400 LYNN AVENUEHAMLINWV255231138550552212$14,000$0COVID RESPONSE
MINNIE HAMILTON HEALTH SYSTEM
186 HOSPITAL DRIVEGRANTSVILLEWV261470194550629032$9,000$0COVID RESPONSE
MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INC
1322 LOCUST AVENUEFAIRMONTWV26554550419191$9,000$0COVID RESPONSE
MONROE HEALTH CENTER
200 HEALTH CENTER DRIVEUNIONWV24983311013942$8,000$0COVID RESPONSE
NEW RIVER HEALTH ASSOCIATION INC
908 SCARBRO ROADSCARBROWV25917550581968$14,000$0COVID RESPONSE
PENDLETON COMMUNITY CARE
82 PINE STREETFRANKLINWV268070100311041705$5,500$0COVID RESPONSE
PRESTON-TAYLOR COMMUNITY HEALTH CENTERS INC
725 NORTH PIKE STREETGRAFTONWV263541270550665614$8,000$0COVID RESPONSE
RAINELLE MEDICAL CENTER INC
176 MEDICAL CENTER DRIVERAINELLEWV25962550686113$9,000$0COVID RESPONSE
RITCHIE REGIONAL HEALTH CENTER
135 SOUTH PENN AVENUEHARRISVILLEWV26362550737963$9,000$0COVID RESPONSE
ROANE COUNTY FAMILY HEALTH CARE INC
146 WILLIAMS DRIVESPENCERWV252761826550627933$5,500$0COVID RESPONSE
SHENANDOAH COMMUNITY HEALTH
PO BOX 1146 99 TAVERN ROADMARTINSBURGWV254012890550563741$14,000$0COVID RESPONSE
TUG RIVER HEALTH ASSOCIATION INC
5883 BLACK DIAMOND HIGHWAYGARYWV24836310889458$5,500$0COVID RESPONSE
VALLEY HEALTH CARE INC
46 TOWN CENTER PLAZA SUITE AMILL CREEKWV26280550695143$9,000$0COVID RESPONSE
VALLEY HEALTH SYSTEMS INC
3377 US ROUTE 60HUNTINGTONWV25705521357729$17,720$0COVID RESPONSE
WILLIAMSON HEALTH & WELLNESS CENTER
184 EAST 2ND AVENUE SUITE 102WILLIAMSONWV25661452849701$5,500$0COVID RESPONSE
WIRT COUNTY HEALTH SERVICES ASSOCIATION INC DBA COPLIN
483 COURT STREETELIZABETHWV26143310942184$9,000$0COVID RESPONSE
WOMENCARE INC DBA FAMILY CARE
97 GREAT TEAYS BOULEVARD SUITE 6SCOTT DEPOTWV255609816351609945$14,000$0COVID RESPONSE
FieldValueIRS element (for citing)
Total501c3 Org25Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BDURING THE IRS'S DEVELOPMENT OF THIS FORM, THE AICPA SUGGESTED COMPLIANCE AND FIDUCIARY DUTIES WOULD BE BEST MET IF A NON-PROFIT BOARD OF DIRECTORS, AUDIT COMMITTEE OR OTHER APPROPRIATE COMMITTEE RECEIVED CONFIRMATION FROM THE PARTY OR PARTIES RESPONSIBLE FOR FILING THE TAX RETURN IT HAD BEEN PREPARED BY A QUALIFIED PERSON(S) OR FIRM AND HAD BEEN FILED IN A TIMELY MANNER, RATHER THAN REVIEWING THE FORM IN LINE-BY-LINE DETAIL WITH MANAGEMENT. WE ARE CONCERNED THE VAST MAJORITY OF NON-PROFIT BOARD MEMBERS ARE NOT IN A POSITION TO REVIEW A 990 AND FURTHER WILL BE CONCERNED TO DO SO AS TO WHAT THAT MAY IMPLY ABOUT FORM COMPLIANCE. MOST NON-PROFITS HIRE CPA FIRMS OR OTHER TAX PROFESSIONALS TO PREPARE FORM 990 AND BOARD MEMBERS GENERALLY FEEL THIS IS THE APPROPRIATE FIDUCIARY PROCESS. THE BOARD OF DIRECTOR'S ROLE THEN IS TO EVALUATE THE COMPETENCY OF THE PERSON(S) OR FIRM HIRED TO PREPARE THE RETURN AND TO DETERMINE IT IS APPROPRIATELY FILED. WE HAVE TAKEN THOSE STEPS WITH OUR BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REVIEWS BOARD MEMBERS ANNUALLY FOR CONFLICT OF INTEREST WITH THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15THE CHIEF EXECUTIVE OFFICER'S SALARY IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. ALL TOP MANAGEMENT POSITION SALARIES ARE COMPARED TO PUBLICALLY AVAILABLE, EXTERNAL MARKET, AND INDUSTRY SPECIFIC DATA SETS FOR REASONABLENESS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FORM 1023 AND 990 FORMS AVAILABLE BY APPOINTMENT IF REQUESTED.
FORM 990, PART IX, LINE 11GLEGISLATIVE MONITOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 60,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,000. CONSULTING: PROGRAM SERVICE EXPENSES 791,302. MANAGEMENT AND GENERAL EXPENSES 38,470. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 829,772.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS NOT CHANGED THE PROCEDURE USED TO REVIEW AND OVERSEE THE PREPARATION OF ITS FINANCIAL STATEMENTS.