2022-06-04T12:14:20-07:00 2020-12-31 541283622 Larry D Sturgill CPA PC PO Box 2080 WISE VA 24293 990 2020-01-01 043739083 ST MARYS HEALTH WAGON INC STMA 2763288850 PO BOX 7070 WISE VA 24293 TERESA TYSON President & CEO 2021-05-25 true TERESA TYSON 999009999 LARRY D STURGILL P00381273 2763289593 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z X PO BOX 7070 WISE VA 24293 6042434 false X THEHEALTHWAGON.ORG X 2004 VA The Health Wagon serves as the oldest free mobile clinic in the nation and embraces a mission that "provides compassionate, quality health care to the medically underserved people" in the impoverished mountains of Central Appalachia. The Health Wagon champions the values of inclusiveness, community outreach, collaboration, spirituality, and empowerment. It is a free nurse-managed health clinic consisting of two stationary and four mobile clinics. The Health Wagon serves as the only dedicated safety net for those living in the farthest part of southwest Virginia. The clinics leadership in the healthcare sector has garnered notable recognition including interviews in media that include 60 Minutes, Nightline, CBS Nightly News, Inside Edition, Washington Post and the New York Times along with other extensive media attention regarding efforts to provide access to health care to the poor and marginalized population in the Appalachian region. The Health Wagon is a recognized leader in health 11 11 57 10 0 3993248 5305902 61128 101225 871187 635307 0 4925563 6042434 0 0 2053499 2589094 33600 286612 1069682 1668766 3123181 4291460 1802382 1750974 9588163 11715123 121055 497041 9467108 11218082 The Health Wagon serves as the oldest free mobile clinic in the nation and embraces a mission that "provides compassionate, quality health care to the medically underserved people" in the impoverished mountains of Central Appalachia. The Health Wagon champions the values of inclusiveness, community outreach, collaboration, spirituality, and empowerment. It is a free nurse-managed health clinic consisting of two stationary and four mobile clinics. The Health Wagon serves as the only dedicated safety net for those living in the farthest part of southwest Virginia. The clinics leadership in the healthcare sector has garnered notable recognition including interviews in media that include 60 Minutes, Nightline, CBS Nightly News, Inside Edition, Washington Post and the New York Times along with other extensive media attention regarding efforts to provide access to health care to the poor and marginalized population in the Appalachian region. The Health Wagon is a recognized leader in health false false 3772406 ** See Schedule O ** 3772406 true true false false false true false false false false true false false false true false true false false false false false false true false false false false false true false false false false false false false false true false false false false true false true false true 0 0 false 57 true false false false false false false false 0 false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true true false VA X X TERESA TYSON 2763288850 5626 PATRIOT DRIVE WISE VA 24293 X TERESA TYSON Executive Director 40.00 0.00 267564 0 0 PAULA HILL-COLLINS Clinical Director 40.00 0.00 221697 0 0 RACHEL L HELTON Grant Manager 40.00 0.00 184509 0 0 DR ROSS ISAACS MD Director 0.00 0.00 X 0 0 0 ROGER RAMEY Director 0.00 0.00 X 0 0 0 DR JOSEPH F SMIDDY Chairman 0.00 0.00 X X 0 0 0 VALARIE STEWART Treasurer 0.00 0.00 X X 0 0 0 PATRICIA SONNER Secretary 0.00 0.00 X X 0 0 0 CHARLES KISER Director 0.00 0.00 X 0 0 0 SHIRLEY WOODWARD Director 0.00 0.00 X 0 0 0 KERMIT ANDERSON Vice President 0.00 0.00 X X 0 0 0 JENNIFER HAMMONS Director 0.00 0.00 X 0 0 0 MARY WHITE Director 0.00 0.00 X 0 0 0 GORDON SCOTT Director 0.00 0.00 X 0 0 0 673770 3 false true false 0 1544389 3761513 26881 5305902 MEDICAL FEE'S 101225 101225 101225 635307 635307 0 0 0 0 0 0 0 0 6042434 101225 635307 0 0 0 0 673770 673770 0 1404524 1124691 103915 175918 135640 116650 6782 12208 225990 194352 11299 20339 149170 128253 7459 13458 0 0 58333 55418 2915 0 33600 33600 68501 68501 18350 18350 21936 21936 12295 11680 615 170256 161744 8512 0 0 59204 56288 2916 0 0 0 0 82870 78727 4143 63150 59993 3157 GRANT CAPITAL PURCHASES 502500 502500 PATIENT SERVICE EXPENSE 162851 162851 CONSULTING SERVICES 113564 113564 SUPPLIES 52755 50117 2638 282201 263458 9590 9153 4291460 3772406 232442 286612 2597561 2599792 0 0 210474 225173 0 0 0 0 0 2933597 513531 876119 2420066 5507448 6125508 0 0 0 396561 344584 9588163 11715123 18026 20804 103029 476237 121055 497041 X 7383137 10537191 2083971 680891 9467108 11218082 9588163 11715123 1750974 X true X true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 124000 false false 93000 93000 1714984 103655 1611329 165214 9822 155392 960399 400054 560345 2420066 ACCRUED COMPENSATED ABSENCES 52395 BB&T PPP LOAN 313200 CREDIT CARD PAYABLE 6219 PAYROLL WITHHOLDINGS 2474 Rounding 1 SALARIES PAYABLE 101948 476237 6042434 6042434 6042434 4291460 4291460 4291460 X X X X X X X true DEVELOPMENT SYSTEMS INT PO BOX 1840 LEXINGTON SC 29071 CAMPAIGN FUNDRAISER false 163764 33600 130164 163764 33600 130164 AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY false false false false false false false false false PAULA HILL-COLLINS Clinical Director 221697 221697 RACHEL L HELTON Grant Manager 184509 184509 TERESA TYSON Executive Director 267564 267564 X 4 26881 SALE BASIS false false false Form 990, Part VI, Line 11b: Form 990 Review Process The 990 goes through an extensive review process. Internally, the 990 return is prepared by Larry Sturgill, CPA, an independent accounting firm, and a draft of Form 990 tax return is sent to the President and CEO and senior management for an internal review. The Health Wagon's financial liaison further reviews the 990 tax return after managment and makes changes if needed.The final reviewed copy of the 990 tax return is sent to the President and CEO. The President and CEO distributes the final copy to the Finance Committee for final review and thereafter with the Board of Trustees. Larry Sturgill, CPA presents the 990 tax return to the full Board of Trustees and a vote is tendered to accept the final form. The final 990 tax return is given to the President and CEO for signature and a copy is given to all seated Board of Trustees before filing with the IRS.In addition to the procedures noted above, programs are routinely monitored post-implementation and are reviewed for independently contracted financial audits to ensure the cost incurred and claimed have been properly reported and reasonably stated in compliance with terms of the agreement. Additionally,internal audits are conducted to ensure the quality of completed projects. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The Health Wagon conducts annual board training, including periodic training on The Health Wagons conflict of interest policy, the annual disclosures required, and the process for review and approval of any related party transactions. The Executive committee of the Board of Directors, with the assistance of general counsel, oversees the submission of the annual disclosures by the directors, officers, trustees, and key employees, reviews the disclosures to determine whether there are interests that could give rise to conflicts, and monitors overall compliance with the policy. If any actual or potential conflicts were to arise, the general counsel would work with the Executive Committee, the Board of Trustees, and management, as appropriate, to facilitate the assessment of the fairness of the deliberations or voting regarding the transaction and otherwise monitor compliance with the policy. The Health Wagon has a conflict of interest statement and trustees are asked to sign annually. In connection with any actual or possible conflict of interest, any trustees, officer, key employee or member of a committee with the governing board must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the Board of Trustees and/or members of the committee considering the proposed transactions, initiatives, or arrangements. Each Board of Trustee shall annually sign a statement which affirms such person:a.Has received a copy of the conflict of interest policy,b.Has read and understands the conflict of interest policy, c.Has agreed to comply with the conflict of interest policyInterested persons shall disclose or update their interests that may have conflicting interests, family members or other business dealings. This can include any type of transactions or affiliations with businesses arising from any family members or their dealings.To ensure The Heath Wagon continues to operate in a manner that is consistent with charitable purposes and does not engage in activities that could jeopardize its tax-exempt status, periodic and consistent reviews yearly will be done. It will entail a.Whether compensation arrangement and benefits are reasonable.b.If joint partnerships and ventures are consistent with The Health wagons written policies and procedures. That they are properly recorded, include reasonable investment or payment for goods and services, further charitable purposes and do not result in inurement, impermissible private benefit or in an excess benefit transaction.c.Whether the Board of directors and all of those committed to The Health Wagons cause are properly implementing this conflict interest of interest policy.d.Whether any improvements should be made to this conflict of interest policy.When complying with this conflict of interest policy the Health Wagon may, but not need, use outside counsel and if indeed they are used their use shall not relieve the board of directors of its responsibility under this conflict of interest policy.If the Board of directors determines that there is a conflict of interest it shall adhere to the following proceduresa.The chairperson of the board shall appoint someone that is not of interest to investigate the proposed transaction or arrangement.b.After exercising due diligence, the board of directors shall make a determination whether the health wagon can obtain with reasonable efforts a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest.If a more advantageous transaction or arrangement is not reasonably possible under circumstances not producing a conflict of interest, the board of directors will make a determination by a majority vote of the disinterested board members only whether to continue with said transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The Health Wagons Board of Trustees and/or personnel committee uses appropriate comparability data gathered largely from Guidestars Nonprofit Compensation Report along with professional health care professional data sources and contemporaneous documentation regarding compensation of the President and CEO. Guidestars Nonprofit Compensation Report allows for independent compensation reviews and confirms large scale nonprofit compensation analysis based entirely on IRS data. The President and CEOs salary is supported by grants, typically federal, and does not come from individual donations. The President and CEO serves as the project officer on several grants usually involving health metrics and high-level programmatic implementation for advancing health care for the region. Also, she serves as a nurse practitioner serving in a clinician role. The most recent compensation review occurred in 2020. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The Health Wagon purchases a widely used independent compensation survey published by Guidestars Nonprofit Compensation Guide. The President and CEO and/or Personnel Committee performs an annual evaluation and compensation review of key employees. The most recent compensation review occurred in 2020. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Governing Documents Disclosure Explanation Summary: The Health Wagons governing documents, conflict of interest policy, and form 990s are available to the public upon request by emailing drtysonnp@thhealthwagon.org. The organization's annual reports and annual financial statements are available online at www.thehealthwagon.org. APPALACHIAN CENTER FOR EXECELLENCE INC PO BOX 90 COEBURN VA 24230 833107705 HEALTH CARE/CLINIC VA 501(3)(c) 170 (b)(1)(A) (iii) N/A false false false false false true false false false false false false false false false false false false false false APPALACHIAN CENTER FOR EXECELLENCE INC e 344584 CASH