2020-10-23T08:41:17-07:00 2019-12-31 541283622 Larry D Sturgill CPA PC PO Box 2080 WISE VA 24293 990 2019-01-01 043739083 ST MARYS HEALTH WAGON INC STMA 2763288850 PO BOX 7070 WISE VA 24293 TERESA TYSON Executive Director 2020-07-30 true LARRY D STURGILL P00381273 2763289593 2019 2021-01-29 14:40:06Z PO BOX 7070 WISE VA 24293 4925563 false X THEHEALTHWAGON.ORG X 2004 VA The Health Wagon serves as the oldest free mobile clinic in the nation and embraces a mission that "provides compassionate, quality health care to the medically underserved people" in the impoverished mountains of Central Appalachia. The Health Wagon champions the values of inclusiveness, community outreach, collaboration, spirituality, and empowerment. It is a free nurse-managed health clinic consisting of two stationary and four mobile clinics. The Health Wagon serves as the only dedicated safety net for those living in the farthest part of southwest Virginia. The clinics leadership in the healthcare sector has garnered notable recognition including interviews in media that include 60 Minutes, Nightline, CBS Nightly News, Inside Edition, Washington Post and the New York Times along with other extensive media attention regarding efforts to provide access to health care to the poor and marginalized population in the Appalachian region. The Health Wagon is a recognized leader in health 12 12 42 13 0 2945661 3993248 62465 61128 -473399 871187 0 2534727 4925563 0 0 1669038 2053499 0 169552 767825 1069682 2436863 3123181 97864 1802382 7761580 9588163 96854 121055 7664726 9467108 The Health Wagon serves as the oldest free mobile clinic in the nation and embraces a mission that "provides compassionate, quality health care to the medically underserved people" in the impoverished mountains of Central Appalachia. The Health Wagon champions the values of inclusiveness, community outreach, collaboration, spirituality, and empowerment. It is a free nurse-managed health clinic consisting of two stationary and four mobile clinics. The Health Wagon serves as the only dedicated safety net for those living in the farthest part of southwest Virginia. The clinics leadership in the healthcare sector has garnered notable recognition including interviews in media that include 60 Minutes, Nightline, CBS Nightly News, Inside Edition, Washington Post and the New York Times along with other extensive media attention regarding efforts to provide access to health care to the poor and marginalized population in the Appalachian region. The Health Wagon is a recognized leader in health false false 2745381 ** See Schedule O ** 2745381 true true false false false true false false false false true false false false true false true false false false false false false false false false false false false false false false false false false false false false true false false false false false false false false true 0 0 false 42 true false false false false false false false 0 false false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true true false VA X X TERESA TYSON 2763288850 5626 PATRIOT DRIVE WISE VA 24293 X DR ROSS ISAACS MD Director 0.00 0.00 X X 0 0 0 ROGER RAMEY Director 0.00 0.00 X 0 0 0 VALARIE STEWART Treasurer 0.00 0.00 X X 0 0 0 PATRICIA SONNER Secretary 0.00 0.00 X X 0 0 0 CHARLES KISER Director 0.00 0.00 X 0 0 0 SHIRLEY WOODWARD Director 0.00 0.00 X 0 0 0 KERMIT ANDERSON Vice President 0.00 0.00 X 0 0 0 NANCY LAWSON Director 0.00 0.00 X 0 0 0 DR JOSEPH SMIDDY President 0.00 0.00 X X 0 0 0 JENNIFER HAMMONS Director 0.00 0.00 X 0 0 0 MARY WHITE Director 0.00 0.00 X 0 0 0 GORDON SCOTT Director 0.00 0.00 X 0 0 0 0 false false false 0 825575 3167673 80827 3993248 MEDICAL FEE'S 61128 61128 61128 871187 871187 0 0 0 0 0 0 0 0 4925563 932315 0 0 0 0 0 0 1608852 1406478 80443 121931 115354 95586 16393 3375 212497 212497 116796 101309 5840 9647 0 0 68575 65131 3444 0 0 73968 73968 0 5793 5793 0 0 0 0 62534 59407 3127 0 0 0 0 52972 50323 2649 54898 52153 2745 IT EXPENSE 124605 118375 6230 PATIENT SERVICE EXPENSE 120477 120477 SUPPLIES 113327 107661 5666 RAM EXPENSE 104982 104982 287551 251002 7743 28806 3123181 2745381 208248 169552 2258149 2597561 0 0 122204 210474 0 0 0 0 0 1306776 430657 676959 876119 4693364 5507448 0 0 0 10904 396561 7761580 9588163 10648 18026 86206 103029 96854 121055 X 6433848 7383137 1230878 2083971 7664726 9467108 7761580 9588163 1802382 X true X true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 124000 false false 93000 93000 574468 92928 481540 40213 1553 38660 599095 336176 262919 876119 ACCRUED COMPENSATED ABSENCES 57794 CREDIT CARD PAYABLE 5584 PAYROLL WITHHOLDINGS 1748 SALARIES PAYABLE 37903 103029 4925563 4925563 4925563 3123181 3123181 3123181 X 3 15827 X 1 65000 false false false Form 990, Part VI, Line 11b: Form 990 Review Process The 990 goes through an extensive review process. Internally, the 990 is prepared by Larry Sturgill, CPA, an independent accounting firm, and a draft of Form 990 is sent to the Executive Director and senior management for an internal review. The Health Wagon's financial liaison further reviews the document after management and makes any changes if needed. The final reviewed copy of the 990 tax return is sent to the Executive Director. The Executive Director distributes the final copy of the 990 tax return to the Finance Committee for final review and thereafter with the Board of Trustees. Larry Sturgill, CPA presents the 990 to the full Board of Trustees and a vote is tendered to accept the final form. The final 990 is given to the Executive Director for signature and a copy is given to all seated Board of Trustees before filing with the IRS.In addition to the procedures noted above, programs are routinely monitored post-implementation and are reviewed for independently contracted financial audits to ensure the cost incurred and claimed have been properly reported and reasonably stated in compliance with terms of the agreement. Additionally, audits are conducted to ensure the quality of completed projects. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The Health Wagon conducts annual board training, including periodic training on The Health Wagons conflict of interest policy, the annual disclosures required, and the process for review and approval of any related party transactions. The Executive committee of the Board of Directors, with the assistance of general counsel, oversees the submission of the annual disclosures by the directors, officers, trustees, and key employees, reviews the disclosures to determine whether there are interests that could give rise to conflicts, and monitors overall compliance with the policy. If any actual or potential conflicts were to arise, the general counsel would work with the Executive Committee, the Board of Trustees, and management, as appropriate, to facilitate the assessment of the fairness of the deliberations or voting regarding the transaction and otherwise monitor compliance with the policy. The Health Wagon has a conflict of interest statement and trustees are asked to sign annually. In connection with any actual or possible conflict of interest, any trustees, officer, key employee or member of a committee with the governing board must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the Board of Trustees and/or members of the committee considering the proposed transactions, initiatives, or arrangements. Each Board of Trustee shall annually sign a statement which affirms such person:a.Has received a copy of the conflict of interest policy,b.Has read and understands the conflict of interest policy, c.Has agreed to comply with the conflict of interest policyInterested persons shall disclose or update their interests that may have conflicting interests, family members or other business dealings. This can include any type of transactions or affiliations with businesses arising from any family members or their dealings.To ensure The Heath Wagon continues to operate in a manner that is consistent with charitable purposes and does not engage in activities that could jeopardize its tax-exempt status, periodic and consistent reviews yearly will be done. It will entail a.Whether compensation arrangement and benefits are reasonable.b.If joint partnerships and ventures are consistent with The Health wagons written policies and procedures. That they are properly recorded, include reasonable investment or payment for goods and services, further charitable purposes and do not result in inurement, impermissible private benefit or in an excess benefit transaction.c.Whether the Board of directors and all of those committed to The Health Wagons cause are properly implementing this conflict interest of interest policy.d.Whether any improvements should be made to this conflict of interest policy.When complying with this conflict of interest policy the Health Wagon may, but not need, use outside counsel and if indeed they are used their use shall not relieve the board of directors of its responsibility under this conflict of interest policy.If the Board of directors determines that there is a conflict of interest it shall adhere to the following proceduresa.The chairperson of the board shall appoint someone that is not of interest to investigate the proposed transaction or arrangement.b.After exercising due diligence, the board of directors shall make a determination whether the health wagon can obtain with reasonable efforts a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest.If a more advantageous transaction or arrangement is not reasonably possible under circumstances not producing a conflict of interest, the board of directors will make a determination by a majority vote of the disinterested board members only whether to continue with said transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The Health Wagons Board of Trustees and/or personnel committee uses appropriate comparability data gathered largely from Guidestars Nonprofit Compensation Report along with professional health care professional data sources and contemporaneous documentation regarding compensation of the Executive Director. Guidestars Nonprofit Compensation Report allows for independent compensation reviews and confirms large scale nonprofit compensation analysis based entirely on IRS data. The Executive Director's salary is supported by grants, typically federal, and does not come from individual donations. The Executive Director serves as the project officer on several grants usually involving health metrics and high-level programmatic implementation for advancing health care for the region. Also, she serves as a nurse practitioner serving in a clinician role. The most recent compensation review occurred in 2018. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The Health Wagon purchases a widely used independent compensation survey published by Guidestars Nonprofit Compensation Guide. The Executive Director and/or Personnel Committee performs an annual evaluation and compensation review of key employees. The most recent compensation review occurred in 2019. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The Health Wagons governing documents, conflict of interest policy, and form 990s are available to the public upon request by emailing drtysonnp@thhealthwagon.org. The organization's annual reports and annual financial statements are available online at www.thehealthwagon.org.