COMMUNITY CARE OF WEST VIRGINIA INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY CARE OF WEST VIRGINIA INC (EIN 55-0599096)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-02-15
- IRS object ID
- 201340469349302079
- Schema version
- 2011v1.2
- 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) |
|---|---|---|
| Timestamp | 2013-02-15T15:13:10-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2011-07-01 | 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 | 2013-02-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John P Burdette | Name |
| Phone | 3044723600 | Phone |
| Date Prepared | 2013-02-14 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICK SIMON | NameOfPrincipalOfficerPerson |
| Gross Receipts | 16232490 | 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 | 269 | TotalNbrEmployees |
| Total Nbr Volunteers | 9 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4200040 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5784538 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 8016193 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 10437719 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 212 | InvestmentIncomePriorYear |
| Investment Income Current Year | 10233 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12216445 | TotalRevenuePriorYear |
| Total Revenue Current Year | 16232490 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6648333 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8037478 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5115785 | OtherExpensePriorYear |
| Other Expenses Current Year | 5944623 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11764118 | TotalExpensesPriorYear |
| Total Expenses Current Year | 13982101 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 452327 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2250389 | RevenuesLessExpensesCY |
| Total Assets BOY | 5081827 | TotalAssetsBOY |
| Total Assets EOY | 6475708 | TotalAssetsEOY |
| Total Liabilities BOY | 3655524 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3328918 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1426303 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3146790 | 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 | 11594136 | Expense |
| Revenue | 10142274 | 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 75228 PATIENT VISITS FOR THE YEAR ENDED JUNE 30 2012 | Description |
| Total Program Service Expense | 11594136 | 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 | 41 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 269 | 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 | true | 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 | ROBERT ROGERS | NamePerson |
| Telephone Number | 3044726262 | 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 (19 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 | |||
| RICK SIMON | ||||||||
| CEO | 40.00 | 107192 | 0 | 0 | X | X | ||
| AIMEE WHITEHAIR | ||||||||
| PHYSICIAN | 40.00 | 161773 | 0 | 0 | X | |||
| CHRISTINE JONES | ||||||||
| PHYSICIAN | 36.00 | 121410 | 0 | 0 | X | |||
| DENZIL HAWKINBERRY | ||||||||
| PHYSICIAN | 40.00 | 147356 | 0 | 0 | X | |||
| NANCY JOSEPH | ||||||||
| PHYSICIAN | 36.00 | 136100 | 0 | 0 | X | |||
| RAYMOND LEONARD | ||||||||
| PHYSICIAN | 40.00 | 126835 | 0 | 0 | X | |||
| SARAH CHOUINARD | ||||||||
| PHYSICIAN | 36.00 | 256323 | 0 | 0 | X | |||
| TERRY CRAIG | ||||||||
| PHYSICIAN | 40.00 | 118273 | 0 | 0 | X | |||
| WILLIAM DRESSLER | ||||||||
| PHYSICIAN | 42.00 | 162061 | 0 | 0 | X | |||
| WILLIAM GIVEN | ||||||||
| PHYSICIAN | 40.00 | 184279 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1521602 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 10 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Government Grants | 3770042 | GovernmentGrants |
| All Other Contributions | 2014496 | AllOtherContributions |
| Total Contributions | 5784538 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | HEALTH CARE SERVICES | Description |
| Business Code | 621300 | BusinessCode |
| Total Revenue Column | 10437719 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10437719 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 10437719 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10233 | TotalRevenueColumn |
| Exclusion | $10,233 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16232490 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10437719 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $10,233 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107192 | Total |
| Management And General | 107192 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6494015 | Total |
| Program Services | 5638873 | ProgramServices |
| Management And General | 855142 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183747 | Total |
| Program Services | 113825 | ProgramServices |
| Management And General | 69922 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 749741 | Total |
| Program Services | 606313 | ProgramServices |
| Management And General | 143428 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 502783 | Total |
| Program Services | 431704 | ProgramServices |
| Management And General | 71079 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 471799 | Total |
| Program Services | 54299 | ProgramServices |
| Management And General | 417500 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49490 | Total |
| Program Services | 6997 | ProgramServices |
| Management And General | 42493 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121254 | Total |
| Program Services | 35538 | ProgramServices |
| Management And General | 85716 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 345240 | Total |
| Program Services | 291502 | ProgramServices |
| Management And General | 53738 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130238 | Total |
| Program Services | 55266 | ProgramServices |
| Management And General | 74972 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29484 | Total |
| Program Services | 26688 | ProgramServices |
| Management And General | 2796 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116926 | Total |
| Management And General | 116926 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 290051 | Total |
| Program Services | 246528 | ProgramServices |
| Management And General | 43523 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105897 | Total |
| Program Services | 58332 | ProgramServices |
| Management And General | 47565 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| REPAIRS AND MAINTENANCE | 53494 | 51058 | 2436 |
| COMMUNICATION AND UTILITIES | 330057 | 176385 | 153672 |
| SUPPLIES | 3693540 | 3693540 | |
| DUES AND SUBSCRIPTIONS | 28194 | 18311 | 9883 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 178959 | Total |
| Program Services | 88977 | ProgramServices |
| Management And General | 89982 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13982101 | Total |
| Program Services | 11594136 | ProgramServices |
| Management And General | 2387965 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119620 | BOY |
| EOY | 14979 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 496927 | BOY |
| EOY | 1667155 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 299379 | BOY |
| EOY | 73129 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2077796 | BOY |
| EOY | 761439 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 397580 | BOY |
| EOY | 478095 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 7200 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5658330 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2184619 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1690525 | BOY |
| EOY | 3473711 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5081827 | BOY |
| EOY | 6475708 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1547564 | BOY |
| EOY | 1258188 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500554 | BOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1607406 | BOY |
| EOY | 2070730 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3655524 | BOY |
| EOY | 3328918 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1426303 | BOY |
| EOY | 3146790 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1426303 | BOY |
| EOY | 3146790 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5081827 | BOY |
| EOY | 6475708 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2250389 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -529902 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 | 2039197 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2932119 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3090326 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4200040 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5784538 | CurrentTaxYear |
| Total | 18046220 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2039197 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2932119 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3090326 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4200040 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5784538 | CurrentTaxYear |
| Total | 18046220 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 18046220 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1737 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 737 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 632 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 212 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10233 | CurrentTaxYear |
| Total | 13551 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 18059771 | TotalSupport |
| Public Support Pertcentage170 | 0.99920 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99980 | 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 | 4158061 | OtherCostOrOtherBasis |
| Depreciation | 1364445 | Depreciation |
| Book Value | 2793616 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1148244 | OtherCostOrOtherBasis |
| Depreciation | 820174 | Depreciation |
| Book Value | 328070 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3473711 | TotalOfBookValueLandBuildings |
| Total Revenue | 16232490 | TotalRevenue |
| Total Expenses | 13982101 | TotalExpenses |
| Excess Or Deficit For Year | 2250389 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 2250389 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 16232490 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 16232490 | RevenueSubtotal |
| Total Revenue Per Form990 | 16232490 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 13982101 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 13982101 | ExpensesSubtotal |
| Total Expenses Per Form990 | 13982101 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM GIVEN | |||||||||||||
| 184279 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 184279 | 0 | 0 | 0 |
| AIMEE WHITEHAIR | |||||||||||||
| 161773 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 161773 | 0 | 0 | 0 |
| SARAH CHOUINARD | |||||||||||||
| 256323 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 256323 | 0 | 0 | 0 |
| WILLIAM DRESSLER | |||||||||||||
| 162061 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 162061 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 01. Organizational document changes (Part VI, line 4) | THE ORGANIZATION CHANGED ITS NAME FROM TRI-COUNTY HEALTH CLINIC INC TO COMMUNITY CARE OF WEST VIRGINIA INC |
| 02. 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 |
| 03. 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 |
| 04. CEO, executive director, top management comp (Part VI, line 15a) | DETERMINED BY THE GOVERNING BOARD OF DIRECTORS |
| 05. Other officer or key employee compensation (Part VI, line 15b | DETERMINED BY THE GOVERNING BOARD OF DIRECTORS |
| 06. Governing documents, etc, available to public (Part VI, line 19) | DOCUMENTS ARE ON FILE AND AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST |
| 07. Explanation of other changes in net assets or fund balances (Part XI, line 5) | ACQUISITION OF PRIMARY CARE SYSTEMS INCANOTHER NON-PROFIT ORGANIZATION WHICH HAD DEFICIT NET ASSETS OF 529902 |
Comments