THE HEALTH PLAN OF WEST VIRGINIA INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- THE HEALTH PLAN OF WEST VIRGINIA INC (EIN 55-0585592)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201743199349307274
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T11:40:35-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1747 | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 253261747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | 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 THE UPPER OHIO VALLEY | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 7406953585 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 52160 NATIONAL ROAD EAST | AddressLine1Txt |
| City | ST CLAIRSVILLE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43950 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY M KNIGHT | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7406957585 | PhoneNum |
| Signature | 2017-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SUSAN S DULL | PreparerPersonNm |
| PTIN | P00233523 | PTIN |
| Phone | 3043430168 | PhoneNum |
| Preparation | 2017-11-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 204.15.98.225 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-14 | IPDt |
| IP Tm | 09:20:51 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AC520D3C85A9BD21D1E1D93207495DF6A0480816 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 1273CFB309B422E6C151A23CB76A4D2C55180800 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | 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 | JAMES M PENNINGTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 52160 NATIONAL ROAD EAST | AddressLine1Txt |
| City | ST CLAIRSVILLE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43950 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $576,321,040 | 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 | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 600 | 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 | $419,654,145 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $568,391,606 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,489,913 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,875,025 | CYInvestmentIncomeAmt |
| PY Other Revenue | $67,101 | PYOtherRevenueAmt |
| CY Other Revenue | $54,409 | CYOtherRevenueAmt |
| PY Total Revenue | $434,211,159 | PYTotalRevenueAmt |
| CY Total Revenue | $576,321,040 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $300,624 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $348,356 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $390,266,659 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $548,715,764 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,543,853 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $30,962,655 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,630,200 | PYOtherExpensesAmt |
| CY Other Expenses | $22,289,681 | CYOtherExpensesAmt |
| PY Total Expenses | $433,741,336 | PYTotalExpensesAmt |
| CY Total Expenses | $602,316,456 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $469,823 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$25,995,416 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $273,979,408 | TotalAssetsBOYAmt |
| Total Assets EOY | $265,809,840 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $102,956,822 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $116,069,786 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $171,022,586 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $149,740,054 | 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 | $132,995,884 | ExpenseAmt |
| Grant | $348,356 | GrantAmt |
| Revenue | $125,814,722 | RevenueAmt |
| Desc | THE PRIMARY EXEMPT PURPOSE OF THE HEALTH PLAN OF THE UPPER OHIO VALLEY, INC. IS TO OPERATE A STATE CERTIFIED, FEDERALLY QUALIFIED HEALTH MAINTENANCE ORGANIZATION (HMO) WHICH PROVIDES COMPREHENSIVE HEALTH CARE SERVICES ON A PREPAID BASIS. HEALTH COVERAGE INCLUDES HOSPITAL, PHYSICIAN, PHARMACY, MENTAL HEALTH, AND VISION SERVICES. THE NUMBER OF COMMERCIAL HMO MEMBERS AT DECEMBER 31, 2016 WAS 29,245. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $298,771,898 | ExpenseAmt |
| Revenue | $282,639,597 | RevenueAmt |
| Desc | THE HEALTH PLAN CONTINUES TO OFFER THE MEDICAID PROGRAM SERVICING 73,422 MEMBERS, 33,280 OF WHICH WERE ENROLLED AS MEMBERS OF THE EXPANSION POPULATION AT DECEMBER 31, 2016. HEALTH COVERAGE INCLUDES HOSPITAL, PHYSICIAN, AND VISION SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $168,798,138 | ExpenseAmt |
| Revenue | $159,683,819 | RevenueAmt |
| Desc | THE HEALTH PLAN OF THE UPPER OHIO VALLEY, INC. CONTINUES TO OFFER A MEDICARE ADVANTAGE PROGRAM KNOWN AS SECURE CARE. THIS PRODUCT ENABLES THE MEDICARE AGE POPULATION TO SELECT SUPPLEMENTAL MEDICARE COVERAGE AT A MUCH LOWER COST DUE TO THEIR AGREEMENT TO UTILIZE THE HEALTH PLAN NETWORK. THE ENROLLMENT AT DECEMBER 31, 2016 FOR THIS PROGRAM WAS 12,155. HEALTH COVERAGE INCLUDES HOSPITAL, AND PHYSICIAN COVERAGE. PHARMACEUTICAL AND VISION SERVICES ARE OFFERED AS OPTIONS IN ADDITION TO THE STANDARD SERVICES LISTED ABOVE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $600,565,920 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | 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 | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 4139 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 600 | 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 |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | 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 | JEFFREY M KNIGHT CFO | PersonNm |
| Phone | 7406957585 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 52160 NATIONAL ROAD EAST | AddressLine1Txt |
| City | ST CLAIRSVILLE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43950 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOHN HOLLOWAY | |||||||||
| MEMBER | 1.00 | Yes (X) | $10,500 | $0 | $0 | ||||
| JOHN WRIGHT IV | |||||||||
| CHAIRMAN OF THE BOARD | 1.00 | Yes (X) | $11,000 | $0 | $0 | ||||
| ROBERT DUNLEVY | |||||||||
| MEMBER | 1.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| JAMES NEWTON | |||||||||
| MEMBER | 1.00 | Yes (X) | $11,500 | $0 | $0 | ||||
| E PHILLIPS POLACK MD | |||||||||
| MEMBER | 1.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| NICK ZERVOS | |||||||||
| MEMBER | 1.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| MARK LANCELLOTTI | |||||||||
| VICE CHAIR OF THE BOARD | 1.00 | Yes (X) | $8,900 | $0 | $0 | ||||
| JOHN MCDONALD CPA | |||||||||
| SECRETARY | 1.00 | Yes (X) | $7,500 | $0 | $0 | ||||
| SUSAN BUCHANAN CPA | |||||||||
| MEMBER | 1.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| JILL E HALL | |||||||||
| MEMBER | 1.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| JOHN GIANOLA | |||||||||
| MEMBER | 1.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| JAMES PENNINGTON | |||||||||
| PRESIDENT/CEO | 40.00 | $582,417 | $0 | $38,579 | Yes (X) | ||||
| JEFFREY M KNIGHT | |||||||||
| TREASURER/CFO | 40.00 | $218,453 | $0 | $43,056 | Yes (X) | ||||
| PATRICIA M FAST | |||||||||
| VP - GOVERNMENT PROGRAMS/O | 40.00 | $236,936 | $0 | $44,726 | Yes (X) | ||||
| E DAVID MATHIEU | |||||||||
| VP - COMMERCIAL PRODUCTS | 40.00 | $236,156 | $0 | $44,726 | Yes (X) | ||||
| ROBERT J ROSET | |||||||||
| VP - IS/CIO | 40.00 | $230,157 | $0 | $44,156 | Yes (X) | ||||
| THOMAS MINTON | |||||||||
| VP - NETWORK SERVICES | 40.00 | $162,773 | $0 | $37,456 | Yes (X) | ||||
| RICHARD LEGG | |||||||||
| VP - BENEFIT SERVICES | 40.00 | $298,612 | $0 | $21,995 | Yes (X) | ||||
| JOHN FISCHER | |||||||||
| VP - CLINICAL SERVICES | 40.00 | $282,401 | $0 | $43,045 | Yes (X) | ||||
| MARK KENAMOND | |||||||||
| MEDICAL DIRECTOR | 40.00 | $221,061 | $0 | $29,521 | Yes (X) | ||||
| DAVID THOMAS | |||||||||
| DIRECTOR - SALES NATIONAL | 40.00 | $386,486 | $0 | $43,385 | Yes (X) | ||||
| KENTON ROEPKE | |||||||||
| DIRECTOR - ACTUARIAL SERVI | 40.00 | $397,893 | $0 | $31,369 | Yes (X) | ||||
| ROBERT CROSS | |||||||||
| MEDICAL DIRECTOR | 40.00 | $211,714 | $0 | $30,348 | Yes (X) | ||||
| MELISA SHAWN ARMSTRONG | |||||||||
| VP-STRATEGIC INITIATIVES | 40.00 | $166,746 | $0 | $37,671 | Yes (X) | ||||
| PHILIP D WRIGHT | |||||||||
| FORMER CEO | 0.00 | $208,420 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,949,625 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $490,033 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 35 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| TOWERS WATSON INC | |||||
| 2929 CAMPUS DRIVE | SAN MAEO | CA | 94403 | AGENT/BROKER/ENROLLMENT/PROFESSIONAL SER | $2,183,154 |
| AXIOM RE LP (CO BEECHER CARLSON HOLDING | |||||
| 6 CONCOURSE PKY STE 2300 | ATLANTA | GA | 30328 | AUDIT OF PBM | $1,536,677 |
| OPTUMINISIGHT | |||||
| 2771 MOMENTUM PL | CHICAGO | IL | 60689 | MEDICARE CONSULTING | $692,893 |
| MILLS GROUP LLC | |||||
| 63 WHARF STREET | MORANTOWN | WV | 26501 | ARCHITECTURE/DESIGN/CONSTRUCTION ADMIN | $600,816 |
| SCHWENDEMAN AGENCY INC | |||||
| 109 PUTNAM ST | MARIETTA | OH | 45750 | BROKER AGENCY | $586,451 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 524114 | $282,639,597 | $282,639,597 |
| MEDICARE | 524114 | $159,683,821 | $159,683,821 |
| HMO | 524114 | $125,814,722 | $125,814,722 |
| CLAIMS PROCESSING | 524292 | $253,466 | $253,466 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $568,391,606 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,214,968 | TotalRevenueColumnAmt |
| Exclusion | $4,214,968 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $42,713 | 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 | $42,713 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,713 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,713 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,660,057 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,660,057 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,660,057 | TotalRevenueColumnAmt |
| Exclusion | $3,660,057 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $11,696 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,696 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,696 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $576,321,040 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $568,446,015 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,875,025 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,000 | TotalAmt |
| Program Services | $58,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,356 | TotalAmt |
| Program Services | $290,356 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $548,715,764 | TotalAmt |
| Program Services | $548,715,764 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,459,592 | TotalAmt |
| Program Services | $1,729,796 | ProgramServicesAmt |
| Management And General | $1,729,796 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,981,052 | TotalAmt |
| Program Services | $18,963,892 | ProgramServicesAmt |
| Management And General | $17,160 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,024,097 | TotalAmt |
| Program Services | $2,024,097 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,600,396 | TotalAmt |
| Program Services | $4,600,396 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,897,518 | TotalAmt |
| Program Services | $1,897,518 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $407,670 | TotalAmt |
| Program Services | $407,126 | ProgramServicesAmt |
| Management And General | $544 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $590,962 | TotalAmt |
| Program Services | $590,962 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,333 | TotalAmt |
| Program Services | $48,333 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $454,567 | TotalAmt |
| Program Services | $454,567 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,404,489 | TotalAmt |
| Program Services | $3,400,674 | ProgramServicesAmt |
| Management And General | $3,815 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,266,464 | TotalAmt |
| Program Services | $1,266,464 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,383,049 | TotalAmt |
| Program Services | $3,383,650 | ProgramServicesAmt |
| Management And General | -$601 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,049,138 | TotalAmt |
| Program Services | $2,049,138 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $854,085 | TotalAmt |
| Program Services | $854,085 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $710,830 | TotalAmt |
| Program Services | $710,830 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,413 | TotalAmt |
| Program Services | $183,413 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,663 | TotalAmt |
| Program Services | $58,663 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $850,503 | TotalAmt |
| Program Services | $850,681 | ProgramServicesAmt |
| Management And General | -$178 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,028 | TotalAmt |
| Program Services | $473,028 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| ACA HEALTH INSURANCE FE | $4,655,325 | $4,655,325 |
| BROKER EXPENSE | $1,989,565 | $1,989,565 |
| PREMIUM TAX EXPENSE | $512,152 | $512,152 |
| LOSS ADJUSTMENT EXPENSE | $394,951 | $394,951 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,494 | TotalAmt |
| Program Services | $2,494 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,316,456 | TotalAmt |
| Program Services | $600,565,920 | ProgramServicesAmt |
| Management And General | $1,750,536 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,081,887 | BOYAmt |
| EOY | $1,617,838 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,170,759 | BOYAmt |
| EOY | $92,566,848 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,318,912 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,967,309 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,826,413 | BOYAmt |
| EOY | $8,351,603 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,308,965 | BOYAmt |
| EOY | $162,214,739 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,591,384 | BOYAmt |
| EOY | $1,058,812 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,979,408 | BOYAmt |
| EOY | $265,809,840 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,232,761 | BOYAmt |
| EOY | $112,615,257 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,317,035 | BOYAmt |
| EOY | $2,221,200 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,407,026 | BOYAmt |
| EOY | $1,233,329 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,956,822 | BOYAmt |
| EOY | $116,069,786 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,209,052 | BOYAmt |
| EOY | $159,785,751 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,736,466 | BOYAmt |
| EOY | -$10,545,697 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $550,000 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,022,586 | BOYAmt |
| EOY | $149,740,054 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,979,408 | BOYAmt |
| EOY | $265,809,840 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$25,995,416 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,568,278 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $3,144,606 | 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 | $800,000 | OtherCostOrOtherBasisAmt |
| Book Value | $800,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,710,431 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,014,881 | DepreciationAmt |
| Book Value | $6,695,550 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,808,481 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,952,428 | DepreciationAmt |
| Book Value | $856,053 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,351,603 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | POST RETIREMENT BENEFIT OBLIGATION | Desc |
| Amt | $1,233,329 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,233,329 | TotalLiabilityAmt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)
| RegionRegionTxt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|
| CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, | BOND INVESTMENT SECURITIES | $330,324 |
| EAST ASIA AND THE PACIFIC | BOND INVESTMENT SECURITIES | $2,343,361 |
| EUROPE (INCLUDING ICELAND & GREENLAND) | BOND INVESTMENT SECURITIES | $3,001,178 |
| NORTH AMERICA | BOND INVESTMENT SECURITIES | $143,775 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $5,818,638 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $5,818,638 | 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 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| MOUNTAINEER ATHLETIC CLUB | |||||||
| PO BOX 877 | MORGANTOWN | WV | 265070877 | 556017181 | 501C(3) | $13,000 | STUDENT ATHLETE PROGRAM SUPPORT. |
| UNITED HEALTH FOUNDATION CAMP CATCH YOUR BREATH | |||||||
| 3 HOSPITAL PLAZA | CLARKSBURG | WV | 263021680 | 550621706 | 501C(3) | $15,000 | CAMPER SCHOLARSHIPS, EQUIPMENT/SUPPLIES, EDUCATIONAL MATERIALS. |
| 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | MEDICAL STUDENT SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 16 | RecipientCnt |
| Cash Grant | $290,356 | CashGrantAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Non Cash Assistance | TUITION PAID | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HPUOV MEDICAL STUDENT (DOCTORS/NURSES) SCHOLARSHIP PROGRAM BEGAN IN THE FALL OF 2009. MEDICAL STUDENTS SUBMIT SCHOLARSHIP APPLICATIONS 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) |
|---|---|---|
| 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 | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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 | $425,000 | $0 | $119,000 | $0 | $38,417 | $0 | $26,500 | $0 | $12,079 | $0 | $620,996 | $0 | $0 | $0 |
| JEFFREY M KNIGHT | ||||||||||||||
| TREASURER/CFO | $200,000 | $0 | $20,000 | $0 | -$1,547 | $0 | $22,000 | $0 | $21,056 | $0 | $261,509 | $0 | $0 | $0 |
| PATRICIA M FAST | ||||||||||||||
| VP - GOVERNMENT PROGRAMS/O | $215,183 | $0 | $21,518 | $0 | $235 | $0 | $23,670 | $0 | $21,056 | $0 | $281,662 | $0 | $0 | $0 |
| E DAVID MATHIEU | ||||||||||||||
| VP - COMMERCIAL PRODUCTS | $215,183 | $0 | $21,518 | $0 | -$545 | $0 | $23,670 | $0 | $21,056 | $0 | $280,882 | $0 | $0 | $0 |
| ROBERT J ROSET | ||||||||||||||
| VP - IS/CIO | $210,002 | $0 | $21,000 | $0 | -$845 | $0 | $23,100 | $0 | $21,056 | $0 | $274,313 | $0 | $0 | $0 |
| THOMAS MINTON | ||||||||||||||
| VP - NETWORK SERVICES | $150,000 | $0 | $14,000 | $0 | -$1,227 | $0 | $16,400 | $0 | $21,056 | $0 | $200,229 | $0 | $0 | $0 |
| RICHARD LEGG | ||||||||||||||
| VP - BENEFIT SERVICES | $270,048 | $0 | $25,000 | $0 | $3,564 | $0 | $21,995 | $0 | $0 | $0 | $320,607 | $0 | $0 | $0 |
| JOHN FISCHER | ||||||||||||||
| VP - CLINICAL SERVICES | $259,246 | $0 | $24,000 | $0 | -$845 | $0 | $22,175 | $0 | $20,870 | $0 | $325,446 | $0 | $0 | $0 |
| MARK KENAMOND | ||||||||||||||
| MEDICAL DIRECTOR | $220,000 | $0 | $0 | $0 | $1,061 | $0 | $22,000 | $0 | $7,521 | $0 | $250,582 | $0 | $0 | $0 |
| DAVID THOMAS | ||||||||||||||
| DIRECTOR - SALES NATIONAL | $363,153 | $0 | $25,000 | $0 | -$1,667 | $0 | $22,516 | $0 | $20,869 | $0 | $429,871 | $0 | $0 | $0 |
| KENTON ROEPKE | ||||||||||||||
| DIRECTOR - ACTUARIAL SERVI | $240,000 | $0 | $160,000 | $0 | -$2,107 | $0 | $10,500 | $0 | $20,869 | $0 | $429,262 | $0 | $0 | $0 |
| ROBERT CROSS | ||||||||||||||
| MEDICAL DIRECTOR | $210,000 | $0 | $0 | $0 | $1,714 | $0 | $15,346 | $0 | $15,002 | $0 | $242,062 | $0 | $0 | $0 |
| MELISA SHAWN ARMSTRONG | ||||||||||||||
| VP-STRATEGIC INITIATIVES | $152,748 | $0 | $15,275 | $0 | -$1,277 | $0 | $16,802 | $0 | $20,869 | $0 | $204,417 | $0 | $0 | $0 |
| PHILIP D WRIGHT | ||||||||||||||
| FORMER CEO | $208,420 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $208,420 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | PHILIP WRIGHT - $208,420 SEVERANCE PAY UPON RETIREMENT | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| RICHARD LEGG | |||
| IN-LAW WITH JAMES PENNINGTON | $295,048 | EMPLOYED BY ORGANIZATION. | 0 |
| JESSICA LEGG | |||
| DAUGHTER OF RICHARD LEGG | $45,767 | EMPLOYED BY ORGANIZATION. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | 1. FAMILY MEMBER: JESSICA LEGG RELATED OFFICER: RICHARD LEGG TITLE: PROVIDER RELATIONS REP COMPENSATION: 45,767 2. FAMILY MEMBER: RICHARD LEGG RELATED OFFICER: JAMES M. PENNINGTON TITLE: VP - BENEFIT SERVICES COMPENSATION: 295,048 |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CFO AND THE 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 QUESTIONAIRRE 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 CONFLICT ARISES AMONG EMPLOYEE(S) THE MATTER IS REVIEWED WITH HR AND 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, THE CEO APPROVES ALL OTHERS' COMPENSATION. OUTSIDE SURVEY TOOLS HAVE BEEN REFERENCED TO AID IN COMPENSATION DETERMINATION. |
| 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 -3,505,686. EXAMINATION ADJUSTMENT -1,168,863. CHANGE IN RESERVES 7,977,975. AMORTIZATION OF GOODWILL -158,820. |
| 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 | HOMETOWN HEALTH PLAN | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 LILLIAN GISH BLVD | AddressLine1Txt |
| City | MASSILLON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44647 | 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 | HPUOV | 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 | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THP INSURANCE COMPANY | |||||||||||
| 1137 VANVOORHIS RD CHELSEA SQUARE S | MORGANTOWN | WV | 26505 | 550765726 | INSURANCE | WV | N/A | C | $43,029,402 | 1.00000 | Yes (1) |
| HP AGENCY INC | |||||||||||
| 52160 NATIONAL ROAD EAST | ST CLAIRSVILLE | OH | 43950 | 341764520 | SVC TO SELF-INS | OH | N/A | C | $142,572 | 1.00000 | Yes (1) |
| HOMETOWN HHP SERVICES CORP | |||||||||||
| 100 LILLIAN GISH BLVD | MASSILLON | OH | 44647 | 341588625 | SVC TO SELF-INS | OH | N/A | C | $233,708 | 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 | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | 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 | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| THP INSURANCE COMPANY | ||
| O | $2,045,852 | ADMIN ALLOCATION |
| HP AGENCY | ||
| O | $1,229,446 | ADMIN ALLOCATION |
| THP INSURANCE COMPANY | ||
| Q | $11,217,987 | EXPENSE REIMBURSEMENT |
Comments