FMRS HEALTH SYSTEMS INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- FMRS HEALTH SYSTEMS INC (EIN 55-0520303)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-12
- IRS object ID
- 202211329349306701
- Schema version
- 2020v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-12T15:22:51-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 540504608 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROWN EDWARDS & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 VIRGINIA STREET EAST SUITE 300 | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550520303 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FMRS HEALTH SYSTEMS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FMRS | BusinessNameControlTxt |
| Phone | 3042567100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SOUTH EISENHOWER DRIVE | AddressLine1Txt |
| City | BECKLEY | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY REDMAN | PersonNm |
| Person Title | CHIEF ADMINISTRATIVE OFFICER | PersonTitleTxt |
| Phone | 3042567100 | PhoneNum |
| Signature | 2022-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARY | PersonFirstNm |
| Person Last | REDMAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MELISSA PRICE | PreparerPersonNm |
| PTIN | P00750418 | PTIN |
| Phone | 3043434188 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RANDALL VENABLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SOUTH EISENHOWER DRIVE | AddressLine1Txt |
| City | BECKLEY | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,993,171 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FMRS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | FMRS HEALTH SYSTEMS' MISSION IS TO SERVE INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH PREVENTION, TREATMENT AND RECOVERY SERVICES, ENSURING THAT HELP TODAY LEADS TO A BETTER TOMORROW. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 346 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,318,429 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,462,988 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,716,757 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,384,708 | CYProgramServiceRevenueAmt |
| PY Investment Income | $100,932 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,875 | CYInvestmentIncomeAmt |
| PY Other Revenue | $121,835 | PYOtherRevenueAmt |
| CY Other Revenue | $125,800 | CYOtherRevenueAmt |
| PY Total Revenue | $15,257,953 | PYTotalRevenueAmt |
| CY Total Revenue | $14,989,371 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,516,032 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,659,757 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,769,151 | PYOtherExpensesAmt |
| CY Other Expenses | $3,656,162 | CYOtherExpensesAmt |
| PY Total Expenses | $14,285,183 | PYTotalExpensesAmt |
| CY Total Expenses | $14,315,919 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $972,770 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $673,452 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,241,144 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,812,954 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,814,399 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,712,756 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,426,745 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,100,198 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FMRS HEALTH SYSTEMS' MISSION IS TO SERVE INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH PREVENTION, TREATMENT AND RECOVERY SERVICES, ENSURING THAT HELP TODAY LEADS TO A BETTER TOMORROW. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,035,896 | ExpenseAmt |
| Revenue | $409,647 | RevenueAmt |
| Desc | SUBSTANCE ABUSE - FEDERALLY FUNDED PROGRAM OFFERING A COMPREHENSIVE ARRAY OF SUBSTANCE ABUSE ASSESSMENT AND TREATMENT SERVICES TO MEET THE VARYING NEEDS OF THOSE WHO ARE ABUSING OR ADDICTED TO ALCOHOL OR OTHER DRUGS OF ABUSE | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,342,158 | ExpenseAmt |
| Revenue | $1,130,137 | RevenueAmt |
| Desc | OUTPATIENT - PROGRAM FOCUSING ON THE DIAGNOSIS AND TREATMENT OF EMOTIONAL AND BEHAVIORAL HEALTH PROBLEMS ON AN OUTPATIENT BASIS | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,228,350 | ExpenseAmt |
| Revenue | $869,498 | RevenueAmt |
| Desc | PHYSICIANS - PROGRAM DEDICATED TO ENHANCING THE EMOTIONAL AND BEHAVIORAL HEALTH THROUGH ADVOCACY, COMMUNITY INVOLVEMENT AND PROVISION OF THE HIGHEST QUALITY DIAGNOSTIC AND PROFESSIONAL TREATMENT SERVICES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,196,243 | ExpenseAmt |
| Revenue | $3,335,559 | RevenueAmt |
| Desc | CRISIS - COMPREHENSIVE ARRAY OF PROGRAMS DESIGNED TO STABILIZE THE CONDITIONS OF ACUTE OR SEVERE PSYCHIATRIC SYMPTOMS; DAY TREATMENT - PROGRAM FOCUSING ON THE DIAGNOSIS AND TREATMENT OF EMOTIONAL AND BEHAVIORAL HEALTH PROBLEMS IN A DAY TIME TREATMENT; COMMUNITY ENGAGEMENT ( FORMERLY CARE COORDINATOR) - PROGRAM TO DEVELOP A COMMUNITY SUPPORT SYSTEM FOR ADULTS WITH SERIOUS MENTAL ILLNESS AND CO-OCCURRING MENTAL ILLNESS AND/OR SUBSTANCE ABUSE AND/OR DEVELOPMENTAL DISABILITIES WHO ARE AT RISK OF HOSPITALIZATION; SERVICE COORDINATION - CASE MANAGEMENT PROGRAM DESIGNED TO PROVIDE A SINGLE POINT OF CONTACT TO ENSURE PATIENTS' NEEDS ARE MET; ACT - ASSERTIVE COMMUNITY TREATMENT. AN INCLUSIVE ARRAY OF COMMUNITY-BASED REHABILITATION SERVICES TO HIGH RISK CONSUMERS WHO HAVE A HISTORY OF FREQUENT HOSPITALIZATIONS AND/OR CRISIS CONTACTS; WAIVER SERVICES - STATE FUNDED MEDICAID PROGRAM DESIGNED TO DELIVER SERVICES TO INDIVIDUALS IN THEIR HOME AND COMMUNITY AS AN ALTERNATIVE TO RECEIVING SERVICES IN AN INTERMEDIATE CARE FACILITY | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $6,196,243 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $3,335,559 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $10,802,647 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 29 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 346 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JODIE C KEMLOCK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3042567100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 S EISENHOWER DR | AddressLine1Txt |
| City | BECKLEY | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DANIEL CALVERT | |||||||
| AT-LARGE COMMITTEE MEMBER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CLYDE SMITH | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CLEO MATHEWS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JACK TANNER | |||||||
| CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEANA CARR | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRAD WARTELLA | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JANETT GREEN | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHAEL E MAYS | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $165,306 | $0 | $19,411 | ||
| MARY REDMAN | |||||||
| CHIEF ADMINISTRATIVE OFFICER | 40.00 | Yes (X) | $94,128 | $0 | $16,295 | ||
| JENNIFER HAMICK | |||||||
| CHIEF OPERATIONS OFFICER | 40.00 | Yes (X) | $94,123 | $0 | $12,028 | ||
| TAMMY SAULS | |||||||
| FAMILY NURSE PRACTITIONER | 40.00 | $122,668 | $0 | $15,479 | Yes (X) | ||
| MERCEDES WEIKLE | |||||||
| FAMILY NURSE PRACTITIONER | 40.00 | $124,742 | $0 | $10,580 | Yes (X) | ||
| EDWARD BEZ | |||||||
| PHYSICIAN | 40.00 | $278,238 | $0 | $15,714 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $879,205 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $89,507 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GENOA TELEPSYCHIATRY | |||||
| 9900 BREN RD E | MINNETONKA | MN | 55343 | CONTRACTED MEDICAL PROVIDER | $298,180 |
| JARRETT CONSTRUCTION SERVICES INC | |||||
| 1605 VIRGINIA STREET EAST | CHARLESTON | WV | 25311 | CONTRACTOR FOR SENECA'S RYAN BROWN PROJE | $243,068 |
| APPALACHIAN PSYCHIATRIC SERVICES PLLC | |||||
| PO BOX 1128 | BECKLEY | WV | 25802 | CONTRACTED PHYSICIAN SERVICES | $242,244 |
| QUALIFACTS INC | |||||
| PO BOX 4577 | CAROL STREAM | IL | 60197 | CLINICAL SOFTWARE AND SUPPORT | $212,379 |
| CURTISS DILLON CONSTRUCTION | |||||
| 452 LOCKWOOD RD | ROCK | WV | 24747 | CONTRACTOR FOR SENECA'S RYAN BROWN PROJE | $169,600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $9,462,988 | GovernmentGrantsAmt |
| Total Contributions | $9,462,988 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE FEES, NET | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $5,384,708 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,384,708 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,384,708 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,675 | TotalRevenueColumnAmt |
| Exclusion | $19,675 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,800 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$3,800 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,800 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$3,800 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $125,800 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $125,800 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $125,800 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,989,371 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,506,708 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $19,675 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,769 | TotalAmt |
| Program Services | $234,027 | ProgramServicesAmt |
| Management And General | $166,742 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,172,816 | TotalAmt |
| Program Services | $6,466,836 | ProgramServicesAmt |
| Management And General | $1,705,980 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $367,700 | TotalAmt |
| Program Services | $288,273 | ProgramServicesAmt |
| Management And General | $79,427 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,015,476 | TotalAmt |
| Program Services | $790,837 | ProgramServicesAmt |
| Management And General | $224,639 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $702,996 | TotalAmt |
| Program Services | $542,632 | ProgramServicesAmt |
| Management And General | $160,364 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,001 | TotalAmt |
| Management And General | $40,001 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,675 | TotalAmt |
| Management And General | $55,675 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,104,930 | TotalAmt |
| Program Services | $1,041,812 | ProgramServicesAmt |
| Management And General | $63,118 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $409,218 | TotalAmt |
| Program Services | $57,073 | ProgramServicesAmt |
| Management And General | $352,145 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $774,315 | TotalAmt |
| Program Services | $436,683 | ProgramServicesAmt |
| Management And General | $337,632 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,799 | TotalAmt |
| Program Services | $54,763 | ProgramServicesAmt |
| Management And General | $3,036 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,495 | TotalAmt |
| Program Services | $517 | ProgramServicesAmt |
| Management And General | $978 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,333 | TotalAmt |
| Program Services | $108,102 | ProgramServicesAmt |
| Management And General | $85,231 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,193 | TotalAmt |
| Program Services | $157,221 | ProgramServicesAmt |
| Management And General | $60,972 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER EXPENSES | $627,095 | $553,393 | $73,702 |
| FURNITURE & FIXTURES | $174,108 | $70,478 | $103,630 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,315,919 | TotalAmt |
| Program Services | $10,802,647 | ProgramServicesAmt |
| Management And General | $3,513,272 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $744,826 | BOYAmt |
| EOY | $872,068 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,991,800 | BOYAmt |
| EOY | $8,567,196 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,556,776 | BOYAmt |
| EOY | $1,956,102 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $914,087 | BOYAmt |
| EOY | $515,033 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,689 | BOYAmt |
| EOY | $178,977 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,172,314 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,448,736 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $903,849 | BOYAmt |
| EOY | $1,723,578 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,117 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,241,144 | BOYAmt |
| EOY | $13,812,954 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,646,088 | BOYAmt |
| EOY | $1,802,022 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,149,783 | BOYAmt |
| EOY | $910,734 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,528 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,814,399 | BOYAmt |
| EOY | $2,712,756 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,426,745 | BOYAmt |
| EOY | $11,100,198 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,426,745 | BOYAmt |
| EOY | $11,100,198 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,241,144 | BOYAmt |
| EOY | $13,812,954 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $673,452 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,692,731 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,120,233 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,395,983 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,499,055 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,779,463 | CurrentTaxYearAmt |
| Total | $34,487,465 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $335,556 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $335,556 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $335,556 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $335,556 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $335,556 | CurrentTaxYearAmt |
| Total | $1,677,780 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,028,287 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,455,789 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,731,539 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,834,611 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,115,019 | CurrentTaxYearAmt |
| Total | $36,165,245 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $36,165,245 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,852 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $48,270 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $81,330 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $96,032 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,675 | CurrentTaxYearAmt |
| Total | $248,159 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $436,314 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $117,374 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $136,945 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $121,835 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $125,800 | CurrentTaxYearAmt |
| Total | $938,268 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $37,351,672 | TotalSupportAmt |
| Public Support CY170 | 0.96820 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96660 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $115,410 | OtherCostOrOtherBasisAmt |
| Book Value | $115,410 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,065,063 | OtherCostOrOtherBasisAmt |
| Depreciation | $981,350 | DepreciationAmt |
| Book Value | $1,083,713 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,525,516 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,238,208 | DepreciationAmt |
| Book Value | $287,308 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $611,064 | OtherCostOrOtherBasisAmt |
| Depreciation | $560,390 | DepreciationAmt |
| Book Value | $50,674 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $855,261 | OtherCostOrOtherBasisAmt |
| Depreciation | $668,788 | DepreciationAmt |
| Book Value | $186,473 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,723,578 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $15,329,181 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $339,809 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $339,809 | RevenueNotReportedAmt |
| Revenue Subtotal | $14,989,372 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $14,989,372 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,655,728 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $339,809 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $339,809 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,315,919 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,315,919 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EDWARD BEZ | ||||||||||||||
| PHYSICIAN | $278,238 | $0 | $0 | $0 | $0 | $0 | $11,130 | $0 | $4,584 | $0 | $293,952 | $0 | $0 | $0 |
| MICHAEL E MAYS | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $165,306 | $0 | $0 | $0 | $0 | $0 | $11,571 | $0 | $7,840 | $0 | $184,717 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | COPY REVIEWED BY FINANCE COMMITTEE BEFORE FILED WHEN PRACTICAL, OTHERWISE REVIEWED SUBSEQUENT TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | REVIEWED REGULARLY AND HANDLED ACCORDINGLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | 15A: COMPENSATION DICTATED BY CONTRACT ESTABLISHED BY BOARD BASED ON MARKET VALUE AND REVIEWED ANNUALLY. 15B: REVIEWED ANNUALLY BASED ON MARKET VALUE OF POSITION. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST |
| FORM 990, PART XII, LINE 2C | NO CHANGE FROM PRIOR YEAR |
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