PENDLETON COMMUNITY CARE: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
PENDLETON COMMUNITY CARE (EIN 31-1041705)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-01-28
IRS object ID
202520289349301752
Schema version
2023v6.0
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)
Return2025-01-28T15:33:13-06:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN540504608PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11909 FINANCIAL DRIVEAddressLine1Txt
CityHARRISONBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311041705EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PENDLETON COMMUNITY CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPENDBusinessNameControlTxt
Phone3043587230PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 100AddressLine1Txt
CityFRANKLINCityNm
State AbbreviationWVStateAbbreviationCd
ZIP268070100ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMIE HUDSONPersonNm
Person TitleCEOPersonTitleTxt
Phone3043582355PhoneNum
Signature2025-01-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES R FRIESPreparerPersonNm
PTINP01320612PTIN
Phone5404346736PhoneNum
Preparation2025-01-23PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMIE HUDSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line182 PINE STREETAddressLine1Txt
CityFRANKLINCityNm
State AbbreviationWVStateAbbreviationCd
ZIP268070100ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,411,813GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PCC-NFC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionOUR MISSION IS TO IMPROVE THE HEALTH OF THE MEMBERS OF THE COMMUNITIES THAT WE SERVE. PENDLETON COMMUNITY CARE HAS IMPLEMENTED THE CARE MODEL AND UTILIZES AN ELECTRONIC HEALTH RECORD (EHR) AT ITS THREE MEDICAL CLINIC SITES AND FOUR SCHOOL-BASED HEALTH CENTERS, OFFERS DISCOUNTED MEDICAL SERVICES, AND PROVIDES DISCOUNTED MEDICINES TO QUALIFYING PATIENTS THROUGH ITS PHARMACIES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee79TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$928TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,385,757PYContributionsGrantsAmt
CY Contributions Grants$2,127,835CYContributionsGrantsAmt
PY Program Service Revenue$2,941,148PYProgramServiceRevenueAmt
CY Program Service Revenue$3,268,633CYProgramServiceRevenueAmt
PY Investment Income$108,286PYInvestmentIncomeAmt
CY Investment Income$222,336CYInvestmentIncomeAmt
PY Other Revenue$1,841,274PYOtherRevenueAmt
CY Other Revenue$1,896,973CYOtherRevenueAmt
PY Total Revenue$7,276,465PYTotalRevenueAmt
CY Total Revenue$7,515,777CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,906,748PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,172,105CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,019,295PYOtherExpensesAmt
CY Other Expenses$2,069,853CYOtherExpensesAmt
PY Total Expenses$6,926,043PYTotalExpensesAmt
CY Total Expenses$7,241,958CYTotalExpensesAmt
PY Revenues Less Expenses$350,422PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$273,819CYRevenuesLessExpensesAmt
Total Assets BOY$11,040,600TotalAssetsBOYAmt
Total Assets EOY$11,451,815TotalAssetsEOYAmt
Total Liabilities BOY$544,995TotalLiabilitiesBOYAmt
Total Liabilities EOY$682,391TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,495,605NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,769,424NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE AND MAINTAIN HEALTH FOR THE RESIDENTS OF PENDLETON COUNTY AND THE LARGER COMMUNITY OF WHICH IT IS A PART.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,050,638ExpenseAmt
Revenue$3,083,198RevenueAmt
DescMEDICAL (FRANKLIN, RIVERTON AND HARMAN HEALTH CENTERS) 19,006 PATIENT ENCOUNTERS IN FISCAL YEAR ENDING JUNE 30, 2024. THE MEDICAL SERVICES PROVIDED INCLUDE MEDICAL OFFICE VISITS, NURSING HOME VISITS, HOME VISITS, INTEGRATED BEHAVIORAL HEALTH, NUTRITION COUNSELING, DIGITAL X-RAY, DIGITAL MAMMOGRAPHY AND BONE DENSITY SCANS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$65,280ExpenseAmt
Revenue$27,351RevenueAmt
DescPCC ALSO OPERATES SCHOOL BASED HEALTH CENTERS AT THE FOUR PUBLIC SCHOOLS IN PENDLETON COUNTY, WV. DURING THE FISCAL YEAR ENDING JUNE 30, 2024, THERE WERE 97 ENCOUNTERS IN THOSE 4 SCHOOLS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$966,650ExpenseAmt
Revenue$1,834,677RevenueAmt
DescIN ADDITION TO THE HEALTH CENTERS, PENDLETON COMMUNITY CARE, INC. ALSO OPERATES TWO PHARMACIES (FRANKLIN AND HARMAN) THAT OFFER A 340B PROGRAM. DURING THE FISCAL YEAR ENDING JUNE 30, 2024, FRANKLIN DISPENSED 30,015 TOTAL PRESCRIPTIONS WITH 14,549 OF THOSE BEING 340B PRESCRIPTIONS. HARMAN DISPENSED 11,489 TOTAL PRESCRIPTIONS 3,732 OF THOSE BEING 340B PRESCRIPTIONS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$42,445ExpenseAmt
Revenue$181,201RevenueAmt
DescHEALTH DEPARTMENT SERVICES, MCD PAAS FEES, ELECTRONIC HEALTH RECORDS INCENTIVE, MISC.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$42,445TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$181,201TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$6,125,013TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
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 Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document25IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee79EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn 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 Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonREBECCA EASON CFOPersonNm
Phone3043582355PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line182 PINE STAddressLine1Txt
CityFRANKLINCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26807ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
NANCY BOWERS
CHAIR1.00Yes (X)Yes (X)$0$0$0
MARY CASSELL
VICE-CHAIR1.00Yes (X)Yes (X)$0$0$0
BOB DAVIS
SECRETARY1.00Yes (X)Yes (X)$0$0$0
LARRY THOMAS
TREASURER1.00Yes (X)Yes (X)$0$0$0
DAN BUCHER
BOARD DIRECTOR0.50Yes (X)$0$0$0
JANICE HEAVNER
BOARD DIRECTOR0.50Yes (X)$0$0$0
PEGGY DAVIS
BOARD DIRECTOR0.50Yes (X)$0$0$0
MELISSA GRYMES
BOARD DIRECTOR0.50Yes (X)$0$0$0
MICHELLE SITES
BOARD DIRECTOR0.50Yes (X)$0$0$0
ISAAC SPONAUGLE
BOARD DIRECTOR0.50Yes (X)$0$0$0
JAMIE HUDSON
CEO40.00Yes (X)$143,568$0$6,258
REBECCA EASON
CFO40.00Yes (X)$90,149$0$6,505
LAURA NULPH MD
PROVIDER/MEDICAL DIRECTOR40.00Yes (X)$273,489$0$24,467
JESSICA BOWERS PHARMD
PHARMACIST35.00$153,518$0$19,808Yes (X)
LAUREN JONES PHARMD
PHARMACIST40.00$172,737$0$12,319Yes (X)
CARMEN REXRODE MD
PROVIDER32.00$188,954$0$20,691Yes (X)
MARY ELLEN WIMER NP
PROVIDER40.00$144,807$0$22,212Yes (X)
SHARON DEEL NP
PROVIDER40.00$111,958$0$18,991Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,279,180TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$131,251TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LANTZ CONSTRUCTION COMPANYBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1539 SOUTH MAIN STREETAddressLine1Txt
CityBROADWAYCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22815ZIPCd
FieldValueIRS element (for citing)
ServicesCONSTRUCTED AN ADDITION TO EXISTING BUILServicesDesc
Compensation$948,879CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$2,127,835GovernmentGrantsAmt
Total Contributions$2,127,835TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES621400$3,083,198$3,083,198
ELECTRONIC HEALTH RECORD REVENUE621400$135,766$135,766
SCHOOL BASED HEALTH CENTERS621400$27,351$27,351
HEALTH DEPARTMENT SERVICES621400$22,318$22,318
FieldValueIRS element (for citing)
Total Program Service Revenue$3,268,633TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$229,101TotalRevenueColumnAmt
Exclusion$229,101ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$38,251RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$38,251RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,251TotalRevenueColumnAmt
Exclusion$38,251ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$6,765OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$6,765OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,765TotalRevenueColumnAmt
Exclusion-$6,765ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$4,724,877GrossSalesOfInventoryAmt
Cost Of Goods Sold$2,889,271CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,835,606TotalRevenueColumnAmt
Related Or Exempt Func Income$1,834,678RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$928UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS INCOME621400$22,116$22,116
HONORARIA621400$1,000$1,000
FieldValueIRS element (for citing)
Other Revenue Total$23,116OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,515,777TotalRevenueColumnAmt
Related Or Exempt Func Income$5,126,427RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$928UnrelatedBusinessRevenueAmt
Exclusion$260,587ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$579,298TotalAmt
Program Services$492,403ProgramServicesAmt
Management And General$86,895ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,700,633TotalAmt
Program Services$3,145,539ProgramServicesAmt
Management And General$555,094ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$106,322TotalAmt
Program Services$90,373ProgramServicesAmt
Management And General$15,949ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$486,314TotalAmt
Program Services$413,367ProgramServicesAmt
Management And General$72,947ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$299,538TotalAmt
Program Services$254,607ProgramServicesAmt
Management And General$44,931ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$45,077TotalAmt
Management And General$45,077ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$67,231TotalAmt
Program Services$57,146ProgramServicesAmt
Management And General$10,085ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$35,920TotalAmt
Management And General$35,920ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$105,753TotalAmt
Program Services$92,867ProgramServicesAmt
Management And General$12,886ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$31,059TotalAmt
Program Services$4,659ProgramServicesAmt
Management And General$26,400ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$232,252TotalAmt
Program Services$205,470ProgramServicesAmt
Management And General$26,782ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$482,326TotalAmt
Program Services$410,928ProgramServicesAmt
Management And General$71,398ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$305,638TotalAmt
Program Services$259,792ProgramServicesAmt
Management And General$45,846ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$18,047TotalAmt
Program Services$13,047ProgramServicesAmt
Management And General$5,000ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$12,505TotalAmt
Program Services$10,629ProgramServicesAmt
Management And General$1,876ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$223,900TotalAmt
Program Services$191,182ProgramServicesAmt
Management And General$32,718ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$40,676TotalAmt
Program Services$34,574ProgramServicesAmt
Management And General$6,102ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$251,645$251,645
LAB SUPPLIES$58,300$58,300
MISCELLANEOUS$42,697$36,295$6,402
DUES AND MEMBERSHIPS$40,625$34,532$6,093

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$76,202TotalAmt
Program Services$67,658ProgramServicesAmt
Management And General$8,544ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,241,958TotalAmt
Program Services$6,125,013ProgramServicesAmt
Management And General$1,116,945ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,074,070BOYAmt
EOY$1,979,258EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,985,489BOYAmt
EOY$4,157,958EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,980,846BOYAmt
EOY$1,396,698EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$452,135BOYAmt
EOY$577,522EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$411,286BOYAmt
EOY$356,574EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$113,756BOYAmt
EOY$72,949EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,798,519LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,887,669LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,017,233BOYAmt
EOY$2,910,850EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$5,785BOYAmt
EOY$6EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,040,600BOYAmt
EOY$11,451,815EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$544,995BOYAmt
EOY$682,391EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$544,995BOYAmt
EOY$682,391EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,418,125BOYAmt
EOY$9,277,392EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,077,480BOYAmt
EOY$1,492,032EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,495,605BOYAmt
EOY$10,769,424EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,040,600BOYAmt
EOY$11,451,815EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$273,819ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$605,018OtherCostOrOtherBasisAmt
Book Value$605,018BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,828,013OtherCostOrOtherBasisAmt
Depreciation$2,679,525DepreciationAmt
Book Value$1,148,488BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,365,488OtherCostOrOtherBasisAmt
Depreciation$1,208,144DepreciationAmt
Book Value$1,157,344BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,910,850TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$10,405,049TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$10,405,049RevenueSubtotalAmt
Other Revenues Not Included-$2,889,272OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$2,889,272RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,515,777TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,131,230TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$2,889,272OtherExpensesIncludedAmt
Expenses Not Reported$2,889,272ExpensesNotReportedAmt
Expenses Subtotal$7,241,958ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,241,958TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 4B - OTHER ADJUSTMENTS:PHARMACY COST OF GOODS SOLD -2,889,272.
PART XII, LINE 2D - OTHER ADJUSTMENTS:PHARMACY COST OF GOODS SOLD 2,889,272.
PART XII, LINE 4B - OTHER ADJUSTMENTS:GOODWILL AMORTIZATION IN KIND MEDICINES

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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
LAURA NULPH MD
PROVIDER/MEDICAL DIRECTOR$273,489$0$0$0$0$0$8,372$0$16,095$0$297,956$0$0$0
JESSICA BOWERS PHARMD
PHARMACIST$153,518$0$0$0$0$0$4,742$0$15,066$0$173,326$0$0$0
LAUREN JONES PHARMD
PHARMACIST$172,737$0$0$0$0$0$5,186$0$7,133$0$185,056$0$0$0
CARMEN REXRODE MD
PROVIDER$188,954$0$0$0$0$0$5,799$0$14,892$0$209,645$0$0$0
MARY ELLEN WIMER NP
PROVIDER$144,807$0$0$0$0$0$4,558$0$17,654$0$167,019$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FINANCE COMMITTEE REVIEWS FORM 990 AND PRESENTS IT TO THE BOARD OF DIRECTORS FOR APPROVAL BEFORE THE RETURN IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS LOCATED IN THE CODE OF CONDUCT WHICH IS DISTRIBUTED TO ALL NEW EMPLOYEES AND REVIEWED ANNUALLY WITH ALL EMPLOYEES AT A STAFF MEETING. THE CONFLICT OF INTEREST STATEMENT IS ALSO INCLUDED IN PENDLETON COMMUNITY CARE'S BYLAWS WHICH ARE DISTRIBUTED TO ALL NEW BOARD MEMBERS AND REVIEWED ANNUALLY AT A BOARD MEETING. ADDITIONALLY, ON AN ANNUAL BASIS, ALL BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT.
FORM 990, PART VI, SECTION B, LINE 15APENDLETON COMMUNITY CARE'S BOARD OF DIRECTORS' EXECUTIVE COMMITTEE REVIEWED OTHER COMPARABLE ORGANIZATION'S FORMS 990 FOR COMPENSATION DATA, PROPOSED AN EMPLOYMENT AGREEMENT FOR THE CURRENT CEO, AND THE GOVERNING BODY APPROVED THE EMPLOYMENT AGREEMENT IN 2016.
FORM 990, PART VI, SECTION C, LINE 19PENDLETON COMMUNITY CARE DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PCC PROFESSIONAL BUILDINGS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 100AddressLine1Txt
CityFRANKLINCityNm
State AbbreviationWVStateAbbreviationCd
ZIP268070100ZIPCd
FieldValueIRS element (for citing)
EIN311041705EIN
Primary ActivitiesMANAGE AND HOLD REAL ESTATE FOR PENDLETON COMMUNITY CARE, INC.PrimaryActivitiesTxt
Legal Domicile StateWVLegalDomicileStateCd
Total Income$38,251TotalIncomeAmt
End Of Year Assets$990,659EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PENDLETON COMMUNITY CARE INCBusinessNameLine1Txt

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