CEO

2014-05-13T11:13:29-04:00 2013-06-30 550738771 John Burdette & Associates P O Box 418 Buckhannon WV 26201 990 2012-07-01 550599096 COMMUNITY CARE OF WEST VIRGINIA INC COMM P O BOX 217 ROCK CAVE WV 26234 RICK SIMON CEO 3049246262 2014-02-02 true John P Burdette P01348718 3044723600 2014-05-13 X 2012 2015-11-30 17:44:51Z dba TRI-COUNTY HEALTH CLINIC I RICHARD SIMON 16663261 false X X 1979 WV 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. 9 9 232 9 0 0 5784538 5877126 10437719 10785140 10233 995 0 16232490 16663261 0 0 8037478 9666180 0 0 5944623 6156940 13982101 15823120 2250389 840141 6475708 7252130 3328918 3265199 3146790 3986931 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. false false 13234389 10661126 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. 13234389 true false false false false false false false false true false false false false false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false true 20 0 true 232 true false false false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false false WV X RICHARD SIMON 3049246262 P O BOX 217 ROCK CAVE WV 26234 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 X X 129935 0 0 AIMEE WHITEHAIR PHYSICIAN 40.00 X 152233 0 0 CAROL WILLIAMS PHYSICIAN ASSISTANT 40.00 X 103538 0 0 CHRISTINE HAMNER PHARMACIST 40.00 X 103764 0 0 CHRISTINE JONES PHYSICIAN 40.00 X 142880 0 0 DENZIL HAWKINBERRY PHYSICIAN 40.00 X 240059 0 0 NANCY JOSEPH PHYSICIAN 36.00 X 136523 0 0 PATRICIA COLLETT DIRECTOR OF MEDICAL OPERATION 40.00 X 109578 0 0 RAYMOND LEONARD PEDIATRICIAN 40.00 X 129027 0 0 SARAH CHOUINARD MEDICAL DIRECTOR 36.00 X 261292 0 0 TERRY CRAIG PHARMACIST 40.00 X 110611 0 0 WILLIAM DRESSLER PHYSICIAN 40.00 X 139235 0 0 WILLIAM GIVEN PHYSICIAN 40.00 X 183294 0 0 1941969 0 0 13 false true false 4550017 1327109 5877126 HEALTH CARE SERVICES 621300 10785140 10785140 10785140 995 995 16663261 10785140 0 995 129935 129935 7896043 6857154 1038889 103962 42379 61583 957457 767192 190265 578783 498981 79802 22508 22508 8712 4069 4643 21425 21425 754175 449969 304206 55882 7584 48298 187421 55149 132272 308889 264809 44080 133827 79072 54755 54660 44981 9679 101371 8396 92975 263008 225103 37905 89864 38081 51783 REPAIRS AND MAINTENANCE 75724 74728 996 COMMUNICATION AND UTILITIES 411435 204907 206528 SUPPLIES 3526573 3526567 6 DUES AND SUBSCRIPTIONS 27283 15556 11727 114183 47204 66979 15823120 13234389 2588731 0 14979 9694 1667155 1088172 73129 107049 761439 1514470 478095 455731 7200 7200 6517440 2447626 3473711 4069814 6475708 7252130 1258188 1119098 2070730 2146101 3328918 3265199 X 3146790 3986931 3146790 3986931 6475708 7252130 840141 0 X false true X true true true X 2932119 3090326 4200040 5784538 5877126 21884149 2932119 3090326 4200040 5784538 5877126 21884149 21884149 737 632 212 10233 995 12809 21896958 0.99940 0.99920 X 352025 352025 4519992 1473426 3046566 1645423 974200 671223 4069814 16663261 16663261 16663261 15823120 15823120 15823120 X false false false false false false false false false WILLIAM GIVEN PHYSICIAN 183294 183294 AIMEE WHITEHAIR PHYSICIAN 152233 152233 SARAH CHOUINARD MEDICAL DIRECTOR 261292 261292 DENZIL HAWKINBERRY PHYSICIAN 240059 240059 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.