THE HEALTH PLAN OF WEST VIRGINIA INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
THE HEALTH PLAN OF WEST VIRGINIA INC (EIN 55-0585592)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-25
IRS object ID
202112989349301541
Schema version
2020v4.1
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)
Return2021-10-25T18:01:59-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 S 6TH ST 2300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550585592EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE HEALTH PLAN OF WEST VIRGINIA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone8006246961PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11110 MAIN STREETAddressLine1Txt
CityWHEELINGCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26003ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRYAN RALSTONPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone8006246961PhoneNum
Signature2021-10-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRYANPersonFirstNm
Person LastRALSTONPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAWRENCE H MOHR CPAPreparerPersonNm
PTINP00447603PTIN
Phone6128764500PhoneNum
Preparation2021-10-22PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1THE HEALTH PLANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJEFFREY M KNIGHTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11110 MAIN STREETAddressLine1Txt
CityWHEELINGCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26003ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$806,912,763GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.HEALTHPLAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionESTABLISHED AS A COMMUNITY HEALTH ORGANIZATION, THE HEALTH PLAN DELIVERS A CLINICALLY-DRIVEN, TECHNOLOGY-ENHANCED, CUSTOMER-FOCUSED PLATFORM BY DEVELOPING AND IMPLEMENTING PRODUCTS AND SERVICES THAT MANAGE AND IMPROVE THE HEALTH AND WELL-BEING OF OUR MEMBERS. WE ACHIEVE THESE RESULTS THROUGH A TEAM OF HEALTH CARE PROFESSIONALS AND PARTNERS ACROSS THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee643TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$626,918,840PYProgramServiceRevenueAmt
CY Program Service Revenue$699,149,783CYProgramServiceRevenueAmt
PY Investment Income$7,382,660PYInvestmentIncomeAmt
CY Investment Income$4,392,134CYInvestmentIncomeAmt
PY Other Revenue$135,088PYOtherRevenueAmt
CY Other Revenue$105,497CYOtherRevenueAmt
PY Total Revenue$634,436,588PYTotalRevenueAmt
CY Total Revenue$703,647,414CYTotalRevenueAmt
PY Grants And Similar Paid$444,410PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$637,917CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$590,510,654PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$613,236,624CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$34,889,422PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$30,577,258CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$25,021,317PYOtherExpensesAmt
CY Other Expenses$23,242,508CYOtherExpensesAmt
PY Total Expenses$650,865,803PYTotalExpensesAmt
CY Total Expenses$667,694,307CYTotalExpensesAmt
PY Revenues Less Expenses-$16,429,215PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$35,953,107CYRevenuesLessExpensesAmt
Total Assets BOY$259,859,925TotalAssetsBOYAmt
Total Assets EOY$336,962,051TotalAssetsEOYAmt
Total Liabilities BOY$132,679,108TotalLiabilitiesBOYAmt
Total Liabilities EOY$147,810,637TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$127,180,817NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$189,151,414NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionESTABLISHED AS A COMMUNITY HEALTH ORGANIZATION, THE HEALTH PLAN DELIVERS A CLINICALLY-DRIVEN, TECHNOLOGY-ENHANCED, CUSTOMER-FOCUSED PLATFORM BY DEVELOPING AND IMPLEMENTING PRODUCTS AND SERVICES THAT MANAGE AND IMPROVE THE HEALTH AND WELL-BEING OF OUR MEMBERS. WE ACHIEVE THESE RESULTS THROUGH A TEAM OF HEALTH CARE PROFESSIONALS AND PARTNERS ACROSS THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$114,914,027ExpenseAmt
Grant$637,917GrantAmt
Revenue$123,919,805RevenueAmt
DescTHE PRIMARY EXEMPT PURPOSE OF THE HEALTH PLAN OF WEST VIRGINIA, INC. (THE HEALTH PLAN) IS TO OPERATE A STATE CERTIFIED, FEDERALLY QUALIFIED HEALTH MAINTENANCE ORGANIZATION (HMO) WHICH PROVIDES COMPREHENSIVE HEALTH CARE SERVICES ON A PREPAID BASIS. THE NUMBER OF COMMERCIAL HMO MEMBERS AT DECEMBER 31, 2020 WAS 23,121.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$384,320,687ExpenseAmt
Revenue$403,370,632RevenueAmt
DescTHE HEALTH PLAN CONTINUES TO OFFER THE MEDICAID PROGRAM SERVICING 106,657 MEMBERS, 47,703 OF WHICH WERE ENROLLED AS MEMBERS OF THE EXPANSION POPULATION, 47,293 OF WHICH WERE ENROLLED AS MEMBERS OF THE TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) POPULATION, AND 11,661 OF WHICH WERE ENROLLED AS MEMBERS OF THE SUPPLEMENTAL SECURITY INCOME (SSI) POPULATION AT DECEMBER 31, 2020.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$156,909,034ExpenseAmt
Revenue$171,714,980RevenueAmt
DescTHE HEALTH PLAN CONTINUES TO OFFER A MEDICARE ADVANTAGE PROGRAM KNOWN AS SECURE CARE, WHICH ALSO INCLUDES A MEDICARE DUAL SPECIAL NEEDS PLAN (DSNP). THIS PRODUCT ENABLES THE MEDICARE ELIGIBLE POPULATION TO SELECT MEDICARE COVERAGE AT A MUCH LOWER COST DUE TO THEIR AGREEMENT TO UTILIZE THE HEALTH PLAN NETWORK. THE ENROLLMENT AT DECEMBER 31, 2020 FOR THIS PROGRAM WAS 12,411.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$656,143,748TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
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 SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
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 IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
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 MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4351IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee643EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRYAN RALSTON CFOPersonNm
Phone7406996236PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11110 MAIN STREETAddressLine1Txt
CityWHEELINGCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26003ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndOfficerOfficerIndKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JAMES PENNINGTON
PRESIDENT/CEO (FORMER)0.000.00Yes (X)$576,760$0$28,221
DAVID THOMAS
DIRECTOR - SALES NATIONAL40.001.00$492,290$0$49,479Yes (X)
KENTON ROEPKE
DIRECTOR - ACTUARIAL SERVICES40.001.00$403,689$0$46,999Yes (X)
JEFFREY KNIGHT
PRESIDENT & COO40.001.00$346,341$0$34,769Yes (X)
RICHARD LEGG
SVP - SALES & ACCOUNT MANAGEMENT40.001.00$271,192$0$24,943Yes (X)
E DAVID MATHIEU SVP-
UNDERWRITING & REGULATORY SERVICES40.001.00$226,387$0$45,379Yes (X)
JAMES MILLER
SVP-ADMINISTRATIVE SERVICES40.001.00$224,138$0$43,964Yes (X)
RYAN RALSTON
CHIEF FINANCIAL OFFICER40.001.00$213,809$0$44,040Yes (X)
ROBERT CROSS
MEDICAL DIRECTOR40.001.00$219,569$0$34,312Yes (X)
JASON LANDERS
SVP-PROVIDER DELIVERY SERVICES40.001.00$216,864$0$34,875Yes (X)
ED KAIRIS MD MMM
CHIEF MEDICAL OFFICER40.001.00$230,727$0$13,267Yes (X)
ROBERT J ROSET
SVP - IT OPERATIONS & QUALITY40.001.00$217,825$0$22,524Yes (X)
KATIE STANICH
VP INTERNAL AUDIT & QUALITY40.001.00$178,881$0$34,749Yes (X)
JOHN WRIGHT IV
CHAIRMAN OF THE BOARD/INTERIM CEO3.001.00$159,333$0$0Yes (X)Yes (X)
JOHN HOLLOWAY
MEMBER1.001.00$14,900$0$0Yes (X)
E PHILLIPS POLACK MD
MEMBER1.001.00$14,100$0$0Yes (X)
JOHN GIANOLA
VICE CHAIRMAN OF THE BOARD1.001.00$14,000$0$0Yes (X)Yes (X)
MARK LANCELLOTTI
MEMBER1.001.00$12,000$0$0Yes (X)
SUSAN BUCHANAN CPA
MEMBER1.001.00$12,000$0$0Yes (X)
DENISE D PENTINO
SECRETARY1.001.00$12,000$0$0Yes (X)Yes (X)
WESLEY NICKELL
MEMBER1.001.00$10,200$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,067,005TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$457,521TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K49IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SCION DENTAL LLC
10201 NORTH PORT WASHINGTON RDMEQUONWI53092DENTAL CLAIMS PROCESSING AND ADMINISTRAT$10,404,661
EVICORE HEALTHCARE MSI LLC
400 BUCKWALTER PLACE BLVDBLUFFTONSC29910MEDICAL BENEFIT MANAGEMENT SERVICES$4,458,027
OPTUMINSIGHT
2771 MOMENTUM PLACECHICAGOIL60689CARE MANAGEMENT AND POPULATION HEALTH, U$4,305,976
BEECHER EVERGREEN MANAGED CARE
BEECHER CARLSON/MASTER TRUST PO BOATLANTAGA303686531REINSURANCE BROKER$1,606,742
CHANGE HEALTHCARE DBA CHANGE HEALTHCARE
5995 WINDWARD PARKWAYALPHARETTAGA30005SOFTWARE APPLICATION SERVICES$1,565,395
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K55CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID524114$403,370,632$403,370,632
MEDICARE524114$171,714,980$171,714,980
COMMERCIAL HMO524114$123,919,805$123,919,805
CLAIM PROCESSING524292$144,366$144,366
FieldValueIRS element (for citing)
Total Program Service Revenue$699,149,783TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,293,099TotalRevenueColumnAmt
Exclusion$4,293,099ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$46,420RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$46,420RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,420TotalRevenueColumnAmt
Exclusion$46,420ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$103,364,384SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$103,265,349SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$99,035SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$99,035TotalRevenueColumnAmt
Exclusion$99,035ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$59,077TotalRevenueColumnAmt
Exclusion$59,077ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$59,077OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$703,647,414TotalRevenueColumnAmt
Related Or Exempt Func Income$699,149,783RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,497,631ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$362,513TotalAmt
Program Services$362,513ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$275,404TotalAmt
Program Services$275,404ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$613,236,624TotalAmt
Program Services$613,236,624ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,673,205TotalAmt
Program Services$1,336,603ProgramServicesAmt
Management And General$1,336,602ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,144,017TotalAmt
Program Services$12,429,480ProgramServicesAmt
Management And General$4,714,537ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,818,724TotalAmt
Program Services$1,465,544ProgramServicesAmt
Management And General$353,180ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,522,515TotalAmt
Program Services$5,197,350ProgramServicesAmt
Management And General$1,325,165ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,418,797TotalAmt
Program Services$1,973,291ProgramServicesAmt
Management And General$445,506ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$455,919TotalAmt
Program Services$353,189ProgramServicesAmt
Management And General$102,730ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$502,477TotalAmt
Program Services$502,477ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$50,036TotalAmt
Program Services$50,036ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$457,285TotalAmt
Management And General$457,285ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,947,090TotalAmt
Program Services$8,388,110ProgramServicesAmt
Management And General$558,980ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,180,684TotalAmt
Program Services$1,180,071ProgramServicesAmt
Management And General$613ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,823,521TotalAmt
Program Services$1,437,270ProgramServicesAmt
Management And General$386,251ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,736,056TotalAmt
Program Services$2,179,605ProgramServicesAmt
Management And General$556,451ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,228,609TotalAmt
Program Services$782,394ProgramServicesAmt
Management And General$446,215ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$180,413TotalAmt
Program Services$145,035ProgramServicesAmt
Management And General$35,378ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$196,056TotalAmt
Program Services$112,810ProgramServicesAmt
Management And General$83,246ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$414,917TotalAmt
Program Services$311,188ProgramServicesAmt
Management And General$103,729ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,138,568TotalAmt
Program Services$853,926ProgramServicesAmt
Management And General$284,642ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$830,472TotalAmt
Program Services$571,750ProgramServicesAmt
Management And General$258,722ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BROKER EXPENSE$2,932,225$2,932,225
MISCELLANEOUS EXPENSES$651,136$549,809$101,327
PREMIUM TAX EXPENSE$184,385$184,385
NET REINSURANCE EXPENSE-$667,341-$667,341

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$667,694,307TotalAmt
Program Services$656,143,748ProgramServicesAmt
Management And General$11,550,559ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,854,411BOYAmt
EOY$24,292,265EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,443,235BOYAmt
EOY$27,875,447EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,940,437LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,683,952LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,700,418BOYAmt
EOY$7,256,485EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$174,027,569BOYAmt
EOY$227,723,350EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$31,936,310BOYAmt
EOY$45,286,712EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,897,982BOYAmt
EOY$4,527,792EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$259,859,925BOYAmt
EOY$336,962,051EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$119,648,705BOYAmt
EOY$129,512,064EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,526,966BOYAmt
EOY$2,483,571EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,503,437BOYAmt
EOY$15,815,002EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$132,679,108BOYAmt
EOY$147,810,637EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$126,680,817BOYAmt
EOY$188,651,414EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$500,000BOYAmt
EOY$500,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$127,180,817BOYAmt
EOY$189,151,414EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$259,859,925BOYAmt
EOY$336,962,051EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$35,953,107ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$23,745,965NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,271,525OtherChangesInNetAssetsAmt
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 Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$600,000OtherCostOrOtherBasisAmt
Book Value$600,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,223,720OtherCostOrOtherBasisAmt
Depreciation$2,914,862DepreciationAmt
Book Value$6,308,858BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,116,717OtherCostOrOtherBasisAmt
Depreciation$1,769,090DepreciationAmt
Book Value$347,627BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,256,485TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN SUBSIDIARIESDesc
Book Value$45,286,712BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$45,286,712TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
POST RETIREMENT BENEFIT OBLIGATION$1,798,099
DUE TO THP INSURANCE COMPANY$11,988,602
OTHER LIABILITIES$2,028,301
FieldValueIRS element (for citing)
Total Liability$15,815,002TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$701,080,268TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$2,109,861OtherRevenueAmt
Revenue Not Reported-$2,109,861RevenueNotReportedAmt
Revenue Subtotal$703,190,129RevenueSubtotalAmt
Investment Expenses Not Incld$457,285InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$457,285RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$703,647,414TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$660,079,327TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$660,079,327ExpensesSubtotalAmt
Investment Expenses Not Incld2$457,285InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$7,157,695OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$7,614,980ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$667,694,307TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:REINSURANCE EXPENSE -1,606,744. DEPRECIATION -503,117.
PART XII, LINE 4B - OTHER ADJUSTMENTS:REINSURANCE EXPENSE 1,606,744. CHANGE IN PREMIUM DEFICIENCY RESERVE 5,047,834. DEPRECIATION 503,117.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (5 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,00EQUITY AND BOND INVESTMENTS$8,714,412
EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA,00EQUITY AND BOND INVESTMENTS$2,259,830
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM00EQUITY AND BOND INVESTMENTS$6,189,555
NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES00EQUITY AND BOND INVESTMENTS$2,591,938
SOUTH AMERICA00EQUITY AND BOND INVESTMENTS$100,312
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$19,856,047SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$19,856,047TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
WHEELING HOSPITAL
ONE MEDICAL PARKWHEELINGWV26003550357057501C(3)$12,500SPONSORSHIP OF EVENT IN SUPPORT OF CANCER RESEARCH
CAMC FOUNDATION
3414 STAUNTON AVENUECHARLESTONWV25304310887133501C(3)$100,000SUPPORT FOR THE CAMC CENTER FOR INNOVATION AND SIMULATION LEARNING PROVIDING LIFE SUPPORT TRAINING, SIMULATION AND VIRTUAL PATIENT EXPERIENCES TO CAMC PROGRAMS.
CAMC FOUNDATION
3414 STAUNTON AVENUECHARLESTONWV25304310887133501C(3)$5,000FUNDRAISER GALA TO BENEFIT THE WOMEN AND CHILDREN'S HOSPITAL
WVU FOUNDATION
P O BOX 9800MORGANTOWNWV26506556017181501C(3)$6,000FUNDRAISING GALA TO BENEFIT WVU CANCER INSTITUTE
UNIVERSITY PHYSICIANS AND SURGEONS INC
P O BOX 1896HUNTINGTONWV257191896550564945501C(3)$25,000PROJECT HOPE FOR WOMEN & CHILDREN
RURAL EMERGENCY TRAUMA INSTITUTE
2265 MARKET STREETWHEELINGWV26003743071038501C(3)$22,513THIS PROGRAM SUPPORTS FREE CONTINUING MEDICAL EDUCATION TO HEALTHCARE PROFESSIONALS TO DISCUSS ETHICAL ISSUES IN THE HEALTHCARE SETTING.
YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF WHEELING WV INC
1100 CHAPLINE STREETWHEELINGWV26003550357063501C(3)$20,000HEALTH AND WELLNESS PROGRAM
CATHOLIC CHARITIES WEST VIRGINIA INC
125 18TH STREETWHEELINGWV26003556000712501C(3)$15,000FOOD PANTRY
ST MATTHEWS EPISCOPAL CHURCH
P O BOX 508WHEELINGWV26003550397070501C(3)$15,000FOOD PANTRY
SOUP KITCHEN OF GREATER WHEELING INC
P O BOX 546WHEELINGWV26003550639285501C(3)$15,000FOOD PANTRY
CHRISTIAN HELP INC
219 WALNUT STREETMORGANTOWNWV26505550568989501C(3)$15,000FOOD PANTRY
ST LUKES EPISCOPAL CHURCH
200 SOUTH PENN STREETWHEELINGWV26003556000712501C(3)$15,000FOOD PANTRY
HUNTINGTON CITY MISSION
624 10TH ST P O BOX 3HUNTINGTONWV25701550356991501C(3)$15,000FOOD PANTRY
CAMPBELLS CREEK CHURCH OF THE NAZARENE
543 CAMPBELLS CREEK DRIVECHARLESTONWV25306556066229501C(3)$15,000FOOD PANTRY
UNION MISSION MINISTRIES INC
P O BOX 112CHARLESTONWV25321556000896501C(3)$15,000FOOD PANTRY
OLD MAN RIVERS MISSION
703 PIKE STREETPARKERSBURGWV26101550727794501C(3)$15,000FOOD PANTRY
ST JAMES EVANGELICAL LUTHERAN CHURCH
1409 CHAPLINE STREETWHEELINGWV26003550361021501C(3)$11,500FOOD PANTRY
THE UNDERPRIVILEGED CHILDREN FOUNDATION INC
716 LEE ST EAST SUITE 201CHARLESTONWV25301814436479501C(3)$10,000FOOD PANTRY
HOUSE OF THE CARPENTER LLC
200 SOUTH FRONT STREETWHEELINGWV26003550751892501C(3)$15,000FOOD PANTRY
FieldValueIRS element (for citing)
Total501c3 Org19Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeMEDICAL AND NURSING STUDENT SCHOLARSHIPSGrantTypeTxt
Recipient19RecipientCnt
Cash Grant$275,404CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE HPWV MEDICAL STUDENT (DOCTORS/NURSES) SCHOLARSHIP PROGRAM BEGAN IN THE FALL OF 2009. MEDICAL STUDENTS SUBMIT SCHOLARSHIP APPLICATION TO A SUB-COMMITTEE OF THE BOARD. THESE APPLICATIONS ARE REVIEWED BY THE SUB-COMMITTEE BASED ON THE STUDENT'S FINANCIAL NEED. THE TUITION PAYMENTS ARE MADE DIRECTLY TO THE SCHOOL AND BOOK EXPENSES ARE REIMBURSED DIRECTLY TO THE STUDENTS. THE GRANT TERM IS OPEN UNTIL THE STUDENT GRADUATES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (1)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES PENNINGTON
PRESIDENT/CEO (FORMER)$497,937$0$70,000$0$8,823$0$4,856$0$23,365$0$604,981$0$0$0
DAVID THOMAS
DIRECTOR - SALES NATIONAL$491,660$0$0$0$630$0$14,250$0$35,229$0$541,769$0$0$0
KENTON ROEPKE
DIRECTOR - ACTUARIAL SERVICES$242,723$0$160,000$0$966$0$12,360$0$34,639$0$450,688$0$0$0
JEFFREY KNIGHT
PRESIDENT & COO$345,531$0$0$0$810$0$14,250$0$20,519$0$381,110$0$0$0
RICHARD LEGG
SVP - SALES & ACCOUNT MANAGEMENT$267,001$0$0$0$4,191$0$13,390$0$11,553$0$296,135$0$0$0
E DAVID MATHIEU SVP-
UNDERWRITING & REGULATORY SERVICES$222,823$0$0$0$3,564$0$11,330$0$34,049$0$271,766$0$0$0
JAMES MILLER
SVP-ADMINISTRATIVE SERVICES$221,816$0$0$0$2,322$0$11,215$0$32,749$0$268,102$0$0$0
RYAN RALSTON
CHIEF FINANCIAL OFFICER$213,323$0$0$0$486$0$10,815$0$33,225$0$257,849$0$0$0
ROBERT CROSS
MEDICAL DIRECTOR$214,948$0$0$0$4,621$0$10,833$0$23,479$0$253,881$0$0$0
JASON LANDERS
SVP-PROVIDER DELIVERY SERVICES$214,542$0$0$0$2,322$0$10,815$0$24,060$0$251,739$0$0$0
ED KAIRIS MD MMM
CHIEF MEDICAL OFFICER$222,721$0$0$0$8,006$0$744$0$12,523$0$243,994$0$0$0
ROBERT J ROSET
SVP - IT OPERATIONS & QUALITY$215,503$0$0$0$2,322$0$10,815$0$11,709$0$240,349$0$0$0
KATIE STANICH
VP INTERNAL AUDIT & QUALITY$178,461$0$0$0$420$0$9,270$0$25,479$0$213,630$0$0$0
JOHN WRIGHT IV
CHAIRMAN OF THE BOARD/INTERIM CEO$159,333$0$0$0$0$0$0$0$0$0$159,333$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ADR. KAIRIS HAS A MONTHLY RELOCATION STIPEND PAID THROUGH THE NORMAL PAYROLL PROCESS.
PART I, LINE 4AJAMES PENNINGTON RECEIVED SEVERANCE OF $604,890.69 IN 2020 WHICH INCLUDES ALL RELATED BENEFIT AMOUNTS.
PART I, LINE 5SALES TEAM MEMBERS RECEIVE SALES COMMISSIONS BASED ON NEW BUSINESS SALES AND CLIENT RETENTION.
PART I, LINE 6BONUS PAYMENTS ARE BASED ON THE ACHIEVEMENT OF INDIVIDUAL AND STRATEGIC PLAN GOALS AND THE COMPANY'S (CONSOLIDATED) OVERALL FINANCIAL GOALS. THE AMOUNTS ARE DISCRETIONARY AND ARE NOT FIXED.
PART I, LINE 7BONUS PAYMENTS ARE BASED ON THE ACHIEVEMENT OF INDIVIDUAL AND STRATEGIC PLAN GOALS AND THE COMPANY'S (CONSOLIDATED) OVERALL FINANCIAL GOALS. THE AMOUNTS ARE DISCRETIONARY AND ARE NOT FIXED.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JESSICA LEGG
DAUGHTER OF RICHARD LEGG, SVP SALES AND ACCOUNT MANAGEMENT$64,978EMPLOYED BY ORGANIZATION0
PATRICK BUCHANAN
SON OF SUSAN BUCHANAN, BOARD MEMBER$21,232EMPLOYED BY ORGANIZATION0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE FINANCE AND INVESTMENT COMMITTEE IS COMPRISED OF THREE OR MORE DIRECTORS AS DETERMINED BY THE BOARD OF DIRECTORS BASED ON NOMINATIONS BY THE BOARD CHAIRPERSON, A MAJORITY OF WHOM CANNOT BE EMPLOYEES OF THE COMPANY. THE CEO IS AN EX-OFFICIO VOTING MEMBER OF THE COMMITTEE. THE CFO, WHO IS NOT A BOARD MEMBER, IS ALSO A VOTING MEMBER OF THE COMMITTEE. THE OPERATION OF THE COMMITTEE IS SUBJECT TO THE BYLAWS OF THE COMPANY. THE PRIMARY PURPOSE OF THE COMMITTEE IS TO ASSIST THE BOARD OF DIRECTORS IN FULFILLING ITS OVERSIGHT RESPONSIBILITIES FOR BUDGETING, CAPITAL EXPENDITURES, THE INVESTMENT PORTFOLIO, AND SIGNIFICANT DEBT AND CAPITAL TRANSACTIONS. THE COMMITTEE HAS THE POWER TO RETAIN, COMPENSATE, DIRECT AND OVERSEE AND TERMINATE THE WORK OF ANY OUTSIDE FINANCIAL ADVISOR TO CARRY OUT ITS DUTIES AND TO MEET WITH COMPANY OFFICERS, EMPLOYEES, INDEPENDENT AUDITORS, EXTERNAL FINANCIAL ADVISORS OR OUTSIDE COUNSEL. THE COMMITTEE'S ROLE IS TO OVERSEE FINANCING AND INVESTMENT POLICIES AND TO OVERSEE THE INVESTMENT PORTFOLIO AND TRANSACTIONAL ACTIVITY AS MORE FULLY DESCRIBED IN ITS CHARTER.
FORM 990, PART VI, SECTION A, LINE 2FAMILY MEMBER: JESSICA LEGG RELATED FAMILY MEMBER: RICHARD LEGG, SVP SALES AND ACCOUNT MANAGEMENT TITLE: PRACTICE MANAGEMENT CONSULTANT COMPENSATION INCLUDING ALL RELATED BENEFITS: $64,978 FAMLY MEMBER: PATRICK BUCHANAN RELATED FAMILY MEMBER: SUSAN BUCHANAN, BOARD MEMBER TITLE: CLINICAL DATA ANALYST COMPENSATION INCLUDING ALL RELATED BENEFITS: $21,232
FORM 990, PART VI, SECTION B, LINE 11BTHE CFO AND CONTROLLER REVIEW THE FORM 990 FOR REASONABLENESS COMPARED TO THE INTERNAL FINANCIAL STATEMENTS. THE CFO PROVIDES COPIES TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED COMPANYWIDE AND TO THE BOARD OF DIRECTORS BY THE COMPLIANCE DEPARTMENT. ANY POTENTIAL CONFLICT WITH A BOARD MEMBER MIGHT RESULT IN THE BOARD MEMBER RECUSING IF THE CONFLICT IS RELATED TO A VOTING MATTER. IF THE CONFLICT ARISES AMONG EMPLOYEE(S), THE MATTER IS REVIEWED WITH HR AND THE EMPLOYEE COULD BE REASSIGNED OR OTHER CORRECTIVE ACTION MAY BE REQUIRED TO RESOLVE THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS AND/OR IMMEDIATE SUPERVISOR REVIEWS PERFORMANCE. THE BOARD APPROVES COMPENSATION FOR THE CEO, AND THE CEO APPROVES ALL OTHERS' COMPENSATION. OUTSIDE COMPENSATION SURVEY TOOLS AND CONSULTATION WITH OUTSIDE COUNSEL (WHERE NEEDED) ARE USED TO ESTABLISH APPROPRIATE COMPENSATION LEVELS WITHIN THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE FILED WITH THE DEPARTMENT OF INSURANCE AND ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN NONADMITTED ASSETS -2,776,309. CHANGE IN RESERVES 5,047,834.
FORM 990, PART XII, LINE 2C:NO CHANGE TO THE OVERSIGHT PROCESS.
PART IX, LINE 11D:$44,000 WAS PAID TO LARRY SWANN FOR PROFESSIONAL SERVICES RELATED TO GOVERNMENT RELATIONS AND LOBBYING DURING 2020. THE FILING ORGANIZATION REPORTED THIS AMOUNT ON FORM 990, PART IX, LINE 11D.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1THE HEALTH PLAN OF OHIOBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11110 MAIN STREETAddressLine1Txt
CityWHEELINGCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26003ZIPCd
FieldValueIRS element (for citing)
EIN341523541EIN
Primary ActivitiesINSURANCE, DISSOLVED IN 2020PrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd
Exempt Code Section501(C)(4)ExemptCodeSectionTxt
Public Charity StatusN/APublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1THE HEALTH PLAN OF WEST VIRGINIA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
THP INSURANCE COMPANY
1110 MAIN STREETWHEELINGWV26003550765726INSURANCEWVTHE HEALTH PLAN OF WEST VIRGINIA INCC$71,871,655$74,171,2311.00000Yes (1)
HOMETOWN HHP SERVICES CORPORATION
1110 MAIN STREETWHEELINGWV26003341588625THIRD-PARTY ADMINISTRATOROHTHE HEALTH PLAN OF WEST VIRGINIA INCC$811,393$2,671,4661.00000Yes (1)
HP AGENCY INC
1110 MAIN STREETWHEELINGWV26003341764520THIRD-PARTY ADMINISTRATOR, DISSOLVED IN 2020OHTHE HEALTH PLAN OF WEST VIRGINIA INCC1.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
THP INSURANCE COMPANY
L$10,640,232ACTUAL ALLOC. - ADMIN. AGREEMENT
THP INSURANCE COMPANY
E$11,988,602ACTUAL AMOUNT
THP INSURANCE COMPANY
D$4,527,792ACTUAL AMOUNT
THE HEALTH PLAN OF OHIO
S$2,871,197ACTIVE MARKETS OR CASH

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