THE HEALTH PLAN OF WEST VIRGINIA INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- THE HEALTH PLAN OF WEST VIRGINIA INC (EIN 55-0585592)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-10-05
- IRS object ID
- 202022799349300602
- Schema version
- 2019v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-10-05T07:00:27-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 E WISCONSIN AVENUE 32ND FLOOR | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550585592 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HEALTH PLAN OF WEST VIRGINIA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 8006246961 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1110 MAIN STREET | AddressLine1Txt |
| City | WHEELING | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26003 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RYAN RALSTON | PersonNm |
| Person Title | VP OF FINANCE & CFO | PersonTitleTxt |
| Phone | 8006246961 | PhoneNum |
| Signature | 2020-09-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAWRENCE H MOHR CPA | PreparerPersonNm |
| PTIN | P00447603 | PTIN |
| Phone | 4147775500 | PhoneNum |
| Preparation | 2020-09-28 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 65.26.60.15 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-09-28 | IPDt |
| IP Tm | 17:06:42 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 61F2587C9083E5D801196A980749F72D4837C79B | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-04-22 16:20:28Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HEALTH PLAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEFFREY M KNIGHT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1110 MAIN STREET | AddressLine1Txt |
| City | WHEELING | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26003 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $725,672,021 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.HEALTHPLAN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | ESTABLISHED 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 Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 662 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $576,389,128 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $626,918,840 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,125,562 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,382,660 | CYInvestmentIncomeAmt |
| PY Other Revenue | $72,096 | PYOtherRevenueAmt |
| CY Other Revenue | $135,088 | CYOtherRevenueAmt |
| PY Total Revenue | $582,586,786 | PYTotalRevenueAmt |
| CY Total Revenue | $634,436,588 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $445,613 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $444,410 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $538,710,005 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $590,510,654 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $36,536,502 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,889,422 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $21,329,354 | PYOtherExpensesAmt |
| CY Other Expenses | $25,021,317 | CYOtherExpensesAmt |
| PY Total Expenses | $597,021,474 | PYTotalExpensesAmt |
| CY Total Expenses | $650,865,803 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$14,434,688 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$16,429,215 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $232,379,264 | TotalAssetsBOYAmt |
| Total Assets EOY | $259,859,925 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $106,405,745 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $132,679,108 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $125,973,519 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $127,180,817 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ESTABLISHED 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $113,446,599 | ExpenseAmt |
| Grant | $444,410 | GrantAmt |
| Revenue | $111,401,270 | RevenueAmt |
| Desc | THE PRIMARY EXEMPT PURPOSE OF THE HEALTH PLAN OF WEST VIRGINA, 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, 2019 WAS 23,998. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $331,303,782 | ExpenseAmt |
| Revenue | $325,330,707 | RevenueAmt |
| Desc | THE HEALTH PLAN CONTINUES TO OFFER THE MEDICAID PROGRAM SERVICING 94,039 MEMBERS, 39,594 OF WHICH WERE ENROLLED AS MEMBERS OF THE EXPANSION POPULATION, 42,289 OF WHICH WERE ENROLLED AS MEMBERS OF THE TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) POPULATION, AND 12,156 OF WHICH WERE ENROLLED AS MEMBERS OF THE SUPPLEMENTAL SECURITY INCOME (SSI) POPULATION AT DECEMBER 31, 2019. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $193,525,486 | ExpenseAmt |
| Revenue | $190,036,415 | RevenueAmt |
| Desc | THE 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, 2019 FOR THIS PROGRAM WAS 14,471. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $638,275,867 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| 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 | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 4759 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 662 | 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 |
| 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 | Yes (1) | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RYAN RALSTON CFO | PersonNm |
| Phone | 7406996236 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1110 MAIN STREET | AddressLine1Txt |
| City | WHEELING | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26003 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOHN HOLLOWAY | |||||||||
| MEMBER | 1.00 | 1.00 | Yes (X) | $14,000 | $0 | $0 | |||
| JOHN WRIGHT IV | |||||||||
| CHAIRMAN OF THE BOARD | 1.00 | 1.00 | Yes (X) | $16,000 | $0 | $0 | Yes (X) | ||
| E PHILLIPS POLACK MD | |||||||||
| MEMBER | 1.00 | 1.00 | Yes (X) | $12,000 | $0 | $0 | |||
| MARK LANCELLOTTI | |||||||||
| MEMBER | 1.00 | 1.00 | Yes (X) | $12,000 | $0 | $0 | Yes (X) | ||
| JOHN MCDONALD CPA | |||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | $7,200 | $0 | $0 | Yes (X) | ||
| SUSAN BUCHANAN CPA | |||||||||
| MEMBER | 1.00 | 1.00 | Yes (X) | $12,000 | $0 | $0 | |||
| JILL E HALL | |||||||||
| VICE CHAIR OF THE BOARD | 1.00 | 1.00 | Yes (X) | $11,800 | $0 | $0 | |||
| JOHN GIANOLA | |||||||||
| MEMBER | 1.00 | 1.00 | Yes (X) | $12,000 | $0 | $0 | |||
| JAMES PENNINGTON | |||||||||
| PRESIDENT/CEO | 40.00 | 1.00 | Yes (X) | $579,396 | $0 | $29,385 | Yes (X) | ||
| JEFFREY KNIGHT - SVP - PAYMENT | |||||||||
| INTEGRITY & POPULATION HEALTH MGMT | 40.00 | 1.00 | $239,371 | $0 | $24,196 | Yes (X) | |||
| RYAN RALSTON | |||||||||
| VP - CFO | 40.00 | 1.00 | $201,675 | $0 | $29,278 | Yes (X) | |||
| PATRICIA M FAST | |||||||||
| SVP- GOVERNMENT PROGRAMS | 40.00 | 1.00 | $221,523 | $0 | $18,385 | Yes (X) | |||
| E DAVID MATHIEU - VP | |||||||||
| UNDERWRITING & REGULATORY SERVICES | 40.00 | 1.00 | $220,047 | $0 | $31,425 | Yes (X) | |||
| ROBERT J ROSET | |||||||||
| SVP - IS/CIO | 40.00 | 1.00 | $210,445 | $0 | $17,861 | Yes (X) | |||
| RICHARD LEGG | |||||||||
| SVP - SALES & ACCOUNT MANAGEMENT | 40.00 | 1.00 | $266,179 | $0 | $16,455 | Yes (X) | |||
| JOHN FISCHER THRU 10182019 | |||||||||
| SVP - CLINICAL SERVICES | 40.00 | 1.00 | $203,561 | $0 | $20,698 | Yes (X) | |||
| JASON LANDERS | |||||||||
| SVP-PROVIDER DELIVERY SERVICES | 40.00 | 1.00 | $205,253 | $0 | $24,676 | Yes (X) | |||
| JAMES MILLER | |||||||||
| SVP-ADMINISTRATIVE SERVICES | 40.00 | 1.00 | $181,698 | $0 | $24,490 | Yes (X) | |||
| MARK KENAMOND THRU 10162019 | |||||||||
| MEDICAL DIRECTOR | 40.00 | 1.00 | $196,751 | $0 | $14,481 | Yes (X) | |||
| DAVID THOMAS | |||||||||
| DIRECTOR - SALES NATIONAL | 40.00 | 1.00 | $336,331 | $0 | $35,868 | Yes (X) | |||
| KENTON ROEPKE | |||||||||
| DIRECTOR - ACTUARIAL SERVICES | 40.00 | 1.00 | $397,189 | $0 | $32,511 | Yes (X) | |||
| ROBERT CROSS | |||||||||
| MEDICAL DIRECTOR | 40.00 | 1.00 | $211,802 | $0 | $24,529 | Yes (X) | |||
| KATIE STANICH | |||||||||
| VP INTERNAL AUDIT & QUALITY | 40.00 | 1.00 | $171,284 | $0 | $29,489 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,939,505 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $373,727 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 41 | 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 |
|---|---|---|---|---|---|
| SCION DENTAL OF WEST VIRGINIA LLC | |||||
| 10201 NORTH PORT WASHINGTON RD | MEQUON | WI | 53092 | DENTAL CLAIMS PROCESSING AND ADMINISTRAT | $10,209,284 |
| SUPERIOR VISION | |||||
| 939 ELKRIDGE LANDING RD SUITE 200 | LINTHICUM | MD | 21090 | MANAGED EYE HEALTH AND VISION PLAN FOR M | $1,403,954 |
| LIBERTY DENTAL PLAN CORPORATION | |||||
| 340 COMMERCE SUITE 100 | IRVINE | CA | 92602 | MANAGED DENTAL PLAN FOR MEMBERS | $1,380,569 |
| BEECHER EVERGREEN MANAGED CARE | |||||
| BEECHER CARLSON/MASTER TRUST PO BO | ATLANTA | GA | 303686531 | REINSURANCE BROKER | $1,168,375 |
| EPISOURCE LLC | |||||
| 500 WEST 190TH ST 4TH FL | GARDENA | CA | 90248 | PAYER HEALTHCARE ANALYTICS & TECHNOLOGY | $1,164,137 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 55 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 524114 | $325,330,707 | $325,330,707 |
| MEDICARE | 524114 | $190,036,415 | $190,036,415 |
| COMMERCIAL HMO | 524114 | $111,401,270 | $111,401,270 |
| CLAIM PROCESSING | 524292 | $150,448 | $150,448 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $626,918,840 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,127,212 | TotalRevenueColumnAmt |
| Exclusion | $5,127,212 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $47,250 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $47,250 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,250 | TotalRevenueColumnAmt |
| Exclusion | $47,250 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $93,490,881 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $91,235,433 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,255,448 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,255,448 | TotalRevenueColumnAmt |
| Exclusion | $2,255,448 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $87,838 | TotalRevenueColumnAmt |
| Exclusion | $87,838 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $87,838 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $634,436,588 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $626,918,840 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,517,748 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,000 | TotalAmt |
| Program Services | $161,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,410 | TotalAmt |
| Program Services | $283,410 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $590,510,654 | TotalAmt |
| Program Services | $590,510,654 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,012,176 | TotalAmt |
| Program Services | $1,506,088 | ProgramServicesAmt |
| Management And General | $1,506,088 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,478,909 | TotalAmt |
| Program Services | $16,695,283 | ProgramServicesAmt |
| Management And General | $4,783,626 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,651,543 | TotalAmt |
| Program Services | $1,359,600 | ProgramServicesAmt |
| Management And General | $291,943 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,412,173 | TotalAmt |
| Program Services | $4,951,197 | ProgramServicesAmt |
| Management And General | $1,460,976 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,334,621 | TotalAmt |
| Program Services | $1,916,049 | ProgramServicesAmt |
| Management And General | $418,572 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,170,749 | TotalAmt |
| Program Services | $594,416 | ProgramServicesAmt |
| Management And General | $576,333 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,899 | TotalAmt |
| Program Services | $487,899 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,000 | TotalAmt |
| Program Services | $44,000 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $403,532 | TotalAmt |
| Management And General | $403,532 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,501,917 | TotalAmt |
| Program Services | $5,769,477 | ProgramServicesAmt |
| Management And General | $732,440 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,973,342 | TotalAmt |
| Program Services | $1,972,529 | ProgramServicesAmt |
| Management And General | $813 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,091,413 | TotalAmt |
| Program Services | $1,702,915 | ProgramServicesAmt |
| Management And General | $388,498 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,692,994 | TotalAmt |
| Program Services | $2,252,611 | ProgramServicesAmt |
| Management And General | $440,383 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,310,986 | TotalAmt |
| Program Services | $819,476 | ProgramServicesAmt |
| Management And General | $491,510 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $540,142 | TotalAmt |
| Program Services | $428,509 | ProgramServicesAmt |
| Management And General | $111,633 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $401,913 | TotalAmt |
| Program Services | $217,978 | ProgramServicesAmt |
| Management And General | $183,935 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,596 | TotalAmt |
| Program Services | $382,197 | ProgramServicesAmt |
| Management And General | $127,399 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,074,847 | TotalAmt |
| Program Services | $806,135 | ProgramServicesAmt |
| Management And General | $268,712 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $628,402 | TotalAmt |
| Program Services | $464,862 | ProgramServicesAmt |
| Management And General | $163,540 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BROKER EXPENSE | $3,187,383 | $3,187,383 |
| NET REINSURANCE EXPENSE | $734,904 | $734,904 |
| PREMIUM TAX EXPENSE | $223,519 | $223,519 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,043,779 | TotalAmt |
| Program Services | $803,776 | ProgramServicesAmt |
| Management And General | $240,003 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $650,865,803 | TotalAmt |
| Program Services | $638,275,867 | ProgramServicesAmt |
| Management And General | $12,589,936 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,477,998 | BOYAmt |
| EOY | $17,854,411 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,906,770 | BOYAmt |
| EOY | $30,443,235 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,784,414 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,083,996 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,801,921 | BOYAmt |
| EOY | $3,700,418 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,502,144 | BOYAmt |
| EOY | $174,027,569 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,364,136 | BOYAmt |
| EOY | $31,936,310 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,326,295 | BOYAmt |
| EOY | $1,897,982 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,379,264 | BOYAmt |
| EOY | $259,859,925 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,922,513 | BOYAmt |
| EOY | $119,648,705 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,012,099 | BOYAmt |
| EOY | $2,526,966 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,471,133 | BOYAmt |
| EOY | $10,503,437 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,405,745 | BOYAmt |
| EOY | $132,679,108 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,473,519 | BOYAmt |
| EOY | $126,680,817 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,000 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,973,519 | BOYAmt |
| EOY | $127,180,817 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,379,264 | BOYAmt |
| EOY | $259,859,925 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$16,429,215 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $22,115,056 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$4,478,543 | 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 | 0 | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $600,000 | OtherCostOrOtherBasisAmt |
| Book Value | $600,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,331,305 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,431,313 | DepreciationAmt |
| Book Value | $2,899,992 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,853,109 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,652,683 | DepreciationAmt |
| Book Value | $200,426 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,700,418 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN SUBSIDIARIES | Desc |
| Book Value | $31,936,310 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $31,936,310 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| POST RETIREMENT BENEFIT OBLIGATION | $1,730,394 |
| INTERCOMPANY PAYABLE | $5,991,846 |
| OTHER LIABILITIES | $2,781,197 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,503,437 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $632,095,576 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$1,937,480 | OtherRevenueAmt |
| Revenue Not Reported | -$1,937,480 | RevenueNotReportedAmt |
| Revenue Subtotal | $634,033,056 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $403,532 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $403,532 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $634,436,588 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $653,109,131 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $653,109,131 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $403,532 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | -$2,646,860 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$2,243,328 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $650,865,803 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | REINSURANCE EXPENSE -1,434,229. DEPRECIATION -503,251. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | REINSURANCE EXPENSE 1,434,229. CHANGE IN PREMIUM DEFICIENCY RESERVE -4,584,340. DEPRECIATION 503,251. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|
| CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, | 0 | 0 | EQUITY AND BOND INVESTMENTS | $1,860,792 |
| EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, | 0 | 0 | EQUITY AND BOND INVESTMENTS | $2,594,463 |
| EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM | 0 | 0 | EQUITY AND BOND INVESTMENTS | $5,377,290 |
| NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES | 0 | 0 | EQUITY AND BOND INVESTMENTS | $2,495,457 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $12,328,002 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $12,328,002 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III ACCOUNTING METHOD: | FormAndLineReferenceDesc |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| DIABETES CAMP OF WV - CAMP KNO KOMA | |||||||
| 735 GREEN VALLEY DRIVE | ST ALBANS | WV | 25177 | 550738182 | 501C(3) | $25,000 | CAMPER TRANSPORTATION, STAFFING/SUPPORT OF CAMP. |
| UNITED HEALTH FOUNDATION CAMP CATCH YOUR BREATH | |||||||
| NO 3 HOSPITAL PLAZA | CLARKSBURG | WV | 26302 | 550621706 | 501C(3) | $15,000 | CAMPER SCHOLARSHIPS, EQUIPMENT/SUPPLIES, EDUCATIONAL MATERIALS. |
| DISCOVER THE REAL WEST VIRGINIA FOUNDATION INC | |||||||
| 405 CAPITOL STREET SUITE 512 | CHARLESTON | WV | 25301 | 550725474 | 501C(3) | $10,000 | CORPORATE SPONSOR TO SUPPORT THE MISSION OF FOUNDATION. |
| WVU FOUNDATION | |||||||
| PO BOX 877 | MORGANTOWN | WV | 265070877 | 556017181 | 501C(3) | $96,000 | STUDENT ATHLETE AND ACADEMIC PROGRAM SUPPORT. |
| NEW LIFE CLINIC INC | |||||||
| 3471 OHIO RIVER RD | POINT PLEASANT | WV | 25550 | 464852367 | 501C(3) | $10,000 | BREAKING THE CHAINS ADDICTION AWARENESS EVENT |
| AMERICAN HEART ASSOCIATION | |||||||
| PO BOX 4002907 | DES MOINES | IA | 503402907 | 135613797 | 501C(3) | $5,000 | DONATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | MEDICAL AND NURSING STUDENT SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 15 | RecipientCnt |
| Cash Grant | $283,410 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | Yes (1) | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES PENNINGTON | ||||||||||||||
| PRESIDENT/CEO | $497,642 | $0 | $41,563 | $0 | $40,191 | $0 | $14,000 | $0 | $15,385 | $0 | $608,781 | $0 | $0 | $0 |
| JEFFREY KNIGHT - SVP - PAYMENT | ||||||||||||||
| INTEGRITY & POPULATION HEALTH MGMT | $238,561 | $0 | $0 | $0 | $810 | $0 | $12,000 | $0 | $12,196 | $0 | $263,567 | $0 | $0 | $0 |
| RYAN RALSTON | ||||||||||||||
| VP - CFO | $186,268 | $0 | $15,000 | $0 | $407 | $0 | $9,462 | $0 | $19,816 | $0 | $230,953 | $0 | $0 | $0 |
| PATRICIA M FAST | ||||||||||||||
| SVP- GOVERNMENT PROGRAMS | $219,201 | $0 | $0 | $0 | $2,322 | $0 | $11,000 | $0 | $7,385 | $0 | $239,908 | $0 | $0 | $0 |
| E DAVID MATHIEU - VP | ||||||||||||||
| UNDERWRITING & REGULATORY SERVICES | $216,483 | $0 | $0 | $0 | $3,564 | $0 | $11,000 | $0 | $20,425 | $0 | $251,472 | $0 | $0 | $0 |
| ROBERT J ROSET | ||||||||||||||
| SVP - IS/CIO | $209,203 | $0 | $0 | $0 | $1,242 | $0 | $10,500 | $0 | $7,361 | $0 | $228,306 | $0 | $0 | $0 |
| RICHARD LEGG | ||||||||||||||
| SVP - SALES & ACCOUNT MANAGEMENT | $259,834 | $0 | $0 | $0 | $6,345 | $0 | $13,000 | $0 | $3,455 | $0 | $282,634 | $0 | $0 | $0 |
| JOHN FISCHER THRU 10182019 | ||||||||||||||
| SVP - CLINICAL SERVICES | $196,997 | $0 | $0 | $0 | $6,564 | $0 | $9,923 | $0 | $10,775 | $0 | $224,259 | $0 | $0 | $0 |
| JASON LANDERS | ||||||||||||||
| SVP-PROVIDER DELIVERY SERVICES | $204,011 | $0 | $0 | $0 | $1,242 | $0 | $10,289 | $0 | $14,387 | $0 | $229,929 | $0 | $0 | $0 |
| JAMES MILLER | ||||||||||||||
| SVP-ADMINISTRATIVE SERVICES | $179,753 | $0 | $0 | $0 | $1,945 | $0 | $5,086 | $0 | $19,404 | $0 | $206,188 | $0 | $0 | $0 |
| MARK KENAMOND THRU 10162019 | ||||||||||||||
| MEDICAL DIRECTOR | $179,860 | $0 | $0 | $0 | $16,891 | $0 | $9,026 | $0 | $5,455 | $0 | $211,232 | $0 | $0 | $0 |
| DAVID THOMAS | ||||||||||||||
| DIRECTOR - SALES NATIONAL | $335,701 | $0 | $0 | $0 | $630 | $0 | $14,000 | $0 | $21,868 | $0 | $372,199 | $0 | $0 | $0 |
| KENTON ROEPKE | ||||||||||||||
| DIRECTOR - ACTUARIAL SERVICES | $236,223 | $0 | $160,000 | $0 | $966 | $0 | $12,000 | $0 | $20,511 | $0 | $429,700 | $0 | $0 | $0 |
| ROBERT CROSS | ||||||||||||||
| MEDICAL DIRECTOR | $208,602 | $0 | $0 | $0 | $3,200 | $0 | $10,518 | $0 | $14,011 | $0 | $236,331 | $0 | $0 | $0 |
| KATIE STANICH | ||||||||||||||
| VP INTERNAL AUDIT & QUALITY | $170,864 | $0 | $0 | $0 | $420 | $0 | $8,148 | $0 | $21,341 | $0 | $200,773 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | JAMES PENNINGTON, PRESIDENT / CEO, HAS AN ANNUAL STIPEND PER HIS EMPLOYEE AGREEMENT TO SPEND AT HIS DISCRETION. THE STIPEND IS PAID THROUGH THE NORMAL PAYROLL PROCESS. |
| PART I, LINE 4A | THOMAS MINTON RECEIVED SEVERANCE $3692.34 IN 2019. |
| PART I, LINE 5 | SALES TEAM MEMBERS RECEIVE SALES COMMISSIONS BASED ON NEW BUSINESS SALES AND CLIENT RETENTION. |
| PART I, LINE 6 | BONUS 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 7 | BONUS 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 DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| RICHARD LEGG | |||
| IN-LAW OF JAMES PENNINGTON | $282,467 | EMPLOYED BY ORGANIZATION | 0 |
| JESSICA LEGG | |||
| DAUGHTER OF RICHARD LEGG | $57,208 | EMPLOYED BY ORGANIZATION | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE 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 SUJECT 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 ADVISORES 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 2 | FAMILY MEMBER: JESSICA LEGG RELATED OFFICER: RICHARD LEGG TITLE: PROVIDER RELATIONS REP COMPENSATION: $57,208 FAMILY MEMBER: RICHARD LEGG RELATED OFFICER: JAMES M. PENNINGTON TITLE: VP - BENEFIT SERVICES COMPENSATION: $282,467 |
| FORM 990, PART VI, SECTION A, LINE 4 | THE APPROVAL TO AMEND THE ORGANIZATION'S BYLAWS OCCURRED IN DECEMBER 2019. THE BYLAWS WERE AMENDED TO LOWER THE AMOUNT OF BOARD MEMBERS REQUIRED. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 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 12C | ANNUAL 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 15 | THE 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 ARE USED TO ESTABLISH APPROPRIATE COMPENSATION LEVELS WITHIN THE ORGANIZATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THESE DOCUMENTS ARE FILED WITH THE DEPARTMENT OF INSURANCE AND ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN NONADMITTED ASSETS 105,797. CHANGE IN RESERVES -4,584,340. |
| FORM 990, PART XII, LINE 2C: | NO CHANGE TO THE OVERSIGHT PROCESS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HEALTH PLAN OF OHIO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1110 MAIN STREET | AddressLine1Txt |
| City | WHEELING | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26003 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341523541 | EIN |
| Primary Activities | INSURANCE | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(4) | ExemptCodeSectionTxt |
| Public Charity Status | N/A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HEALTH PLAN OF WEST VIRGINIA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THP INSURANCE COMPANY | ||||||||||||
| 1110 MAIN STREET | WHEELING | WV | 26003 | 550765726 | INSURANCE | WV | THE HEALTH PLAN OF WEST VIRGINIA INC | C | $109,113,738 | $62,004,102 | 1.00000 | Yes (1) |
| HOMETOWN HHP SERVICES CORPORATION | ||||||||||||
| 1110 MAIN STREET | WHEELING | WV | 26003 | 341588625 | THIRD-PARTY ADMINISTRATOR | OH | THE HEALTH PLAN OF WEST VIRGINIA INC | C | $805,314 | $1,885,315 | 1.00000 | Yes (1) |
| HP AGENCY INC | ||||||||||||
| 1110 MAIN STREET | WHEELING | WV | 26003 | 341764520 | THIRD-PARTY ADMINISTRATOR | OH | THE HEALTH PLAN OF WEST VIRGINIA INC | C | $485,699 | 1.00000 | Yes (1) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| THP INSURANCE COMPANY | ||
| L | $5,886,823 | ACTUAL ALLOC. - ADMIN. AGREEMENT |
| THP INSURANCE COMPANY | ||
| P | $103,130,233 | ACTUAL AMOUNT |
| THP INSURANCE COMPANY | ||
| Q | $19,098,891 | ACTUAL AMOUNT |
| THP INSURANCE COMPANY | ||
| E | $5,991,846 | ACTUAL AMOUNT |
| THP INSURANCE COMPANY | ||
| D | $1,897,982 | ACTUAL AMOUNT |
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