COMMUNITY CARE OF WEST VIRGINIA INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY CARE OF WEST VIRGINIA INC (EIN 55-0599096)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-13
IRS object ID: 201411339349302126
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-13T11:13:29-04:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	550738771	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	John Burdette & Associates	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	P O Box 418	AddressLine1
City	Buckhannon	City
State	WV	State
ZIP Code	26201	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	550599096	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY CARE OF WEST VIRGINIA INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COMM	NameControl

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 217	AddressLine1
City	ROCK CAVE	City
State	WV	State
ZIP Code	26234	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RICK SIMON	Name
Title	CEO	Title
Phone	3049246262	Phone
Date Signed	2014-02-02	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	John P Burdette	Name
PTIN	P01348718	PTIN
Phone	3044723600	Phone
Date Prepared	2014-05-13	DatePrepared
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	dba TRI-COUNTY HEALTH CLINIC I	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	RICHARD SIMON	NameOfPrincipalOfficerPerson
Gross Receipts	16663261	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1979	YearFormation
State Legal Domicile	WV	StateLegalDomicile
Activity Or Mission Description	THE CLINIC WAS DEVELOPED TO PROVIDE PRIMARY CARE HEALTH SERVCIES TO THE UNDERSERVED AREAS OF UPSHUR, LEWIS AND WEBSTER COUNTIES OF WEST VIRGINIA. THE CLINIC HAS CONTINUALLY ASSESSED COMMUNITY NEEDS AND RESPONDED WITH EXPANSION AND DEVELOPMENT OF APPROPRIATE SERVICES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	232	TotalNbrEmployees
Total Nbr Volunteers	9	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	5784538	ContributionsGrantsPriorYear
Contributions Grants Current Year	5877126	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	10437719	ProgramServiceRevenuePriorYear
Program Service Revenue CY	10785140	ProgramServiceRevenueCY
Investment Income Prior Year	10233	InvestmentIncomePriorYear
Investment Income Current Year	995	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	16232490	TotalRevenuePriorYear
Total Revenue Current Year	16663261	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	8037478	SalariesEtcPriorYear
Salaries Etc Current Year	9666180	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	5944623	OtherExpensePriorYear
Other Expenses Current Year	6156940	OtherExpensesCurrentYear
Total Expenses Prior Year	13982101	TotalExpensesPriorYear
Total Expenses Current Year	15823120	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2250389	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	840141	RevenuesLessExpensesCY
Total Assets BOY	6475708	TotalAssetsBOY
Total Assets EOY	7252130	TotalAssetsEOY
Total Liabilities BOY	3328918	TotalLiabilitiesBOY
Total Liabilities EOY	3265199	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3146790	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3986931	NetAssetsOrFundBalancesEOY
Mission Description	THE CLINIC WAS DEVELOPED TO PROVIDE PRIMARY CARE HEALTH SERVCIES TO THE UNDERSERVED AREAS OF UPSHUR, LEWIS AND WEBSTER COUNTIES OF WEST VIRGINIA. THE CLINIC HAS CONTINUALLY ASSESSED COMMUNITY NEEDS AND RESPONDED WITH EXPANSION AND DEVELOPMENT OF APPROPRIATE SERVICES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	13234389	Expense
Revenue	10661126	Revenue
Description	PROVIDING RURAL HEALTH CARE SERVICES TO LOW INCOME FAMILIES OF UPSHUR, WEBSTER, LEWIS, CLAY, POCAHONTAS AND HARRISON COUNTIES OF WEST VIRGINIA. THE ORGANIZATION HAD 68,943 PATIENT VISITS FOR THE YEAR ENDED JUNE 30, 2013.	Description
Total Program Service Expense	13234389	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	20	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	232	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	WV	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	RICHARD SIMON	NamePerson
Telephone Number	3049246262	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	P O BOX 217	AddressLine1
City	ROCK CAVE	City
State	WV	State
ZIP Code	26234	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
EDDIE WILLIAMS
BOARD MEMBER	1.00	X	0	0	0
JOYCE GIBSON
VICE PRESIDENT	1.00	X	0	0	0
KAREN GRANT
SECRETARY	1.00	X	0	0	0
RAY KNOTTS
TREASURER	1.00	X	0	0	0
RENEE HOFER
BOARD MEMBER	1.00	X	0	0	0
THELMA SAMPLES
BOARD MEMBER	1.00	X	0	0	0
TOM HEFNER
BOARD MEMBER	1.00	X	0	0	0
TOM LYNCH
PRESIDENT	1.00	X	0	0	0
TRAVIS M MILLER
BOARD MEMBER	1.00	X	0	0	0
RICHARD SIMON
CEO	40.00		129935	0	0	X	X
AIMEE WHITEHAIR
PHYSICIAN	40.00		152233	0	0			X
CAROL WILLIAMS
PHYSICIAN ASSISTANT	40.00		103538	0	0			X
CHRISTINE HAMNER
PHARMACIST	40.00		103764	0	0			X
CHRISTINE JONES
PHYSICIAN	40.00		142880	0	0			X
DENZIL HAWKINBERRY
PHYSICIAN	40.00		240059	0	0			X
NANCY JOSEPH
PHYSICIAN	36.00		136523	0	0			X
PATRICIA COLLETT
DIRECTOR OF MEDICAL OPERATION	40.00		109578	0	0			X
RAYMOND LEONARD
PEDIATRICIAN	40.00		129027	0	0			X
SARAH CHOUINARD
MEDICAL DIRECTOR	36.00		261292	0	0			X
TERRY CRAIG
PHARMACIST	40.00		110611	0	0			X
WILLIAM DRESSLER
PHYSICIAN	40.00		139235	0	0			X
WILLIAM GIVEN
PHYSICIAN	40.00		183294	0	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1941969	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	13	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	4550017	GovernmentGrants
All Other Contributions	1327109	AllOtherContributions
Total Contributions	5877126	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	HEALTH CARE SERVICES	Description
Business Code	621300	BusinessCode
Total Revenue Column	10785140	TotalRevenueColumn
Related Or Exempt Function Income	10785140	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	10785140	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	995	TotalRevenueColumn
Exclusion	$995	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	16663261	TotalRevenueColumn
Related Or Exempt Function Income	10785140	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$995	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	129935	Total
Management And General	129935	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	7896043	Total
Program Services	6857154	ProgramServices
Management And General	1038889	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	103962	Total
Program Services	42379	ProgramServices
Management And General	61583	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	957457	Total
Program Services	767192	ProgramServices
Management And General	190265	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	578783	Total
Program Services	498981	ProgramServices
Management And General	79802	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	22508	Total
Program Services	22508	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	8712	Total
Program Services	4069	ProgramServices
Management And General	4643	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	21425	Total
Management And General	21425	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	754175	Total
Program Services	449969	ProgramServices
Management And General	304206	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	55882	Total
Program Services	7584	ProgramServices
Management And General	48298	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	187421	Total
Program Services	55149	ProgramServices
Management And General	132272	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	308889	Total
Program Services	264809	ProgramServices
Management And General	44080	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	133827	Total
Program Services	79072	ProgramServices
Management And General	54755	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	54660	Total
Program Services	44981	ProgramServices
Management And General	9679	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	101371	Total
Program Services	8396	ProgramServices
Management And General	92975	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	263008	Total
Program Services	225103	ProgramServices
Management And General	37905	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	89864	Total
Program Services	38081	ProgramServices
Management And General	51783	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
REPAIRS AND MAINTENANCE	75724	74728	996
COMMUNICATION AND UTILITIES	411435	204907	206528
SUPPLIES	3526573	3526567	6
DUES AND SUBSCRIPTIONS	27283	15556	11727

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	114183	Total
Program Services	47204	ProgramServices
Management And General	66979	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	15823120	Total
Program Services	13234389	ProgramServices
Management And General	2588731	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	14979	BOY
EOY	9694	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1667155	BOY
EOY	1088172	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	73129	BOY
EOY	107049	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	761439	BOY
EOY	1514470	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	478095	BOY
EOY	455731	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7200	BOY
EOY	7200	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	6517440	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2447626	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3473711	BOY
EOY	4069814	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	6475708	BOY
EOY	7252130	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1258188	BOY
EOY	1119098	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2070730	BOY
EOY	2146101	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3328918	BOY
EOY	3265199	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3146790	BOY
EOY	3986931	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3146790	BOY
EOY	3986931	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	6475708	BOY
EOY	7252130	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	840141	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2932119	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3090326	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4200040	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5784538	CurrentTaxYearMinus1Year
Current Tax Year	5877126	CurrentTaxYear
Total	21884149	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2932119	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3090326	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4200040	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5784538	CurrentTaxYearMinus1Year
Current Tax Year	5877126	CurrentTaxYear
Total	21884149	Total

Field	Value	IRS element (for citing)
Public Support Total170	21884149	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	737	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	632	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	212	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10233	CurrentTaxYearMinus1Year
Current Tax Year	995	CurrentTaxYear
Total	12809	Total

Field	Value	IRS element (for citing)
Total Support	21896958	TotalSupport
Public Support Pertcentage170	0.99940	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99920	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	352025	OtherCostOrOtherBasis
Book Value	352025	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4519992	OtherCostOrOtherBasis
Depreciation	1473426	Depreciation
Book Value	3046566	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1645423	OtherCostOrOtherBasis
Depreciation	974200	Depreciation
Book Value	671223	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	4069814	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	16663261	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	16663261	RevenueSubtotal
Total Revenue Per Form990	16663261	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	15823120	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	15823120	ExpensesSubtotal
Total Expenses Per Form990	15823120	TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
WILLIAM GIVEN
PHYSICIAN	183294	183294
AIMEE WHITEHAIR
PHYSICIAN	152233	152233
SARAH CHOUINARD
MEDICAL DIRECTOR	261292	261292
DENZIL HAWKINBERRY
PHYSICIAN	240059	240059

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
O01	Form 990 governing body review Part VI line 11	THE 990 IS PRESENTED TO THE GOVERNING BOARD OF DIRECTORS ALONG WITH THE ANNUAL AUDIT REPORT FOR REVIEW AND APPOROVAL.
O02	Conflict of interest policy compliance Part VI line 12c	CONFLICT OF INTEREST POLICY IS IN PLACE. POSSIBLE ISSUES ARE REPORTED TO SENIOR MANAGEMENT AND TO GOVERNING BOARD IF APPICABLE. GOVERNING BOARD AND SENIOR MANAGEMENT ADDRESS ANY ISSUES AND MONITOR.
O03	CEO executive director top management comp Part VI line 15a	DETERMINED BY THE GOVERNING BOARD OF DIRECTORS.
O04	Other officer or key employee compensation Part VI line 15b	DETERMINED BY THE GOVERNING BOARD OF DIRECTORS.
O05	Governing documents etc available to public Part VI line 19	DOCUMENTS ARE ON FILE AND AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.

COMMUNITY CARE OF WEST VIRGINIA INC: Form 990, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

Doing Business As DoingBusinessAs

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

Program Service Revenue ProgramServiceRevenue

Investment Income InvestmentIncome

Total Revenue TotalRevenue

Comp Current Officers Directors CompCurrentOfficersDirectors

Other Salaries And Wages OtherSalariesAndWages

Pension Plan Contributions PensionPlanContributions

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Management FeesForServicesManagement

Fees For Services Legal FeesForServicesLegal

Fees For Services Accounting FeesForServicesAccounting

Fees For Services Other FeesForServicesOther

Advertising Advertising

Office Expenses OfficeExpenses

Occupancy Occupancy

Travel Travel

Conferences Meetings ConferencesMeetings

Interest Interest

Depreciation Depletion DepreciationDepletion

Insurance Insurance

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Cash Non Interest Bearing CashNonInterestBearing

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Pledges And Grants Receivable PledgesAndGrantsReceivable

Accounts Receivable AccountsReceivable

Inventories For Sale Or Use InventoriesForSaleOrUse

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FS Audited Basis FSAuditedBasis

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Total170 Total170

Gross Investment Income170 GrossInvestmentIncome170

Schedule D IRS990ScheduleD

Land Land

Buildings Buildings

Equipment Equipment

Schedule J IRS990ScheduleJ

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

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