THE HEALTH PLAN OF WEST VIRGINIA INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
THE HEALTH PLAN OF WEST VIRGINIA INC (EIN 55-0585592)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201243209349307824
Schema version
2011v1.3
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

FieldValueIRS element (for citing)
Timestamp2012-11-15T16:20:37-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550585592EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1The Health Plan of the Upper Ohio Valley IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% Jeffrey KnightInCareOfName
Name ControlHEALNameControl
Phone7406953585Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line152160 National Road EastAddressLine1
CitySt ClairsvilleCity
StateOHState
ZIP Code43950ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEFF KNIGHTName
TitleCFOTitle
Date Signed2012-11-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJeffrey M KnightNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line152160 National Rd EastAddressLine1
CitySt ClairsvilleCity
StateOHState
ZIP Code43950ZIPCode
FieldValueIRS element (for citing)
Gross Receipts758734867GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.healthplan.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionTHE HEALTH PLAN OF THE UPPER OHIO VALLEY, INC. PROVIDES HMO SERVICES TO MEMBERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees443TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI3539687TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year383987912ProgramServiceRevenuePriorYear
Program Service Revenue CY386827828ProgramServiceRevenueCY
Investment Income Prior Year16304590InvestmentIncomePriorYear
Investment Income Current Year9665124InvestmentIncomeCurrentYear
Other Revenue Prior Year81958OtherRevenuePriorYear
Other Revenue Current Year5571104OtherRevenueCurrentYear
Total Revenue Prior Year400374460TotalRevenuePriorYear
Total Revenue Current Year402064056TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year92377GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY187820GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year337713404BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY348015397BenefitsPaidToMembersCY
Salaries Etc Prior Year15351362SalariesEtcPriorYear
Salaries Etc Current Year17090680SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12802199OtherExpensePriorYear
Other Expenses Current Year14326047OtherExpensesCurrentYear
Total Expenses Prior Year365959342TotalExpensesPriorYear
Total Expenses Current Year379619944TotalExpensesCurrentYear
Revenues Less Expenses Prior Year34415118RevenuesLessExpensesPriorYear
Revenues Less Expenses CY22444112RevenuesLessExpensesCY
Total Assets BOY226841016TotalAssetsBOY
Total Assets EOY235646427TotalAssetsEOY
Total Liabilities BOY51152688TotalLiabilitiesBOY
Total Liabilities EOY55924258TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY175688328NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY179722169NetAssetsOrFundBalancesEOY
Mission DescriptionTHE HEALTH PLAN OF THE UPPER OHIO VALLEY, INC. PROVIDES HMO SERVICES TO MEMBERS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense176200566Expense
Grants187820Grants
Revenue167980162Revenue
DescriptionTHE PRIMARY EXEMPT PURPOSE OF THE HEALTH PLAN OF THE UPPER OHIO VALLEY IS TO OPERATE A STATE CERTIFIED, FEDERALLY QUALIFIED HEALTH MAINTENANCE ORGANIZATION (HMO) WHICH PROVIDES COMPREHENSIVE HEALTH CARE SERVICES ON A PREPAID BASIS. HEALTH COVERAGE INCLUDED INPATIENT, EMERGENCY ROOM, OUTPATIENT, DOCTOR ORDERED, PHYSICIAN, PHARMACEUTICAL, MENTAL HEALTH AND VISION SERVICES. THE NUMBER OF HMO MEMBERS AT DECEMBER 31, 2011 WAS 40,255Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense50356750Expense
Revenue52647795Revenue
DescriptionTHE HEALTH PLAN CONTINUED TO OFFER THE MEDICAID PROGRAM SERVICING 27,092 MEMBERS AT DECEMBER 31, 2011. HEALTH COVERAGE INCLUDED INPATIENT, EMERGENCY ROOM, DOCTOR ORDERED, PHYSICIAN, AND VISION SERVICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense150891893Expense
Revenue162660184Revenue
DescriptionTHE HEALTH PLAN OF THE UPPER OHIO VALLEY 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 PRICE BECAUSE THEY AGREE TO UTILIZE THE HEALTH PLAN NETWORK. THE ENROLLMENT AT YEAR END WAS 13,922. HEALTH COVERAGE INCLUDES INPATIENT, EMERGENCY ROOM, OUTPATIENT, DOCTOR ORDERED, AND PHYSICIAN. PHARMACEUTICAL AND VISION SERVICES WERE OFFERED AS OPTIONS IN ADDITION TO THE SERVICES LISTED ABOVE.Description
FieldValueIRS element (for citing)
Total Program Service Expense377449209TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109611172NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees443NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJeffrey KnightNamePerson
Telephone Number7406957585TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line152160 National Road EastAddressLine1
CitySt ClairsvilleCity
StateOHState
ZIP Code43950ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Philip D Wright
President / CEO40.0XX420635024500
Robert Dunlevy
Director1.0X600000
JERRY FISHER
Director1.0X540000
Roland Hobbs
Director1.0X540000
John Holloway
Director1.0X540000
Frank Joanou
Director1.0X540000
Kiki Mehallis
Director1.0X495000
Charles Monfradi
Director1.0X600000
Charles Newmeyer
Director1.0X550000
James Newton
Director1.0X540000
E Phillip Polack MD
Director1.0X495000
John Schellhase
Director1.0X600000
John Wright IV
Director1.0X540000
Nick Zervos
Director1.0X660000
Jeffrey M Knight
Treasurer / CFO40.0X190500019173
Patricia M Fast
Vice President / Operations40.0246110024021X
E David Mathieu
Vice President / Marketing40.0241222024021X
Robert C Kota
General Counsel40.0236855022661X
Robert Roset
Chief Information Officer40.0239215023978X
Kenneth Allen
Medical Director40.0252346024500X
Mark Kenamond
Medical Director40.0214724021530X
Stephen Neal
Director of Pharmacy Services40.0133182013335X
John Strah
Director of Finance40.0129082013110X
Steven Halverson
Director of Underwriting40.0128115012253X
Thomas Samol
DIRECTOR OF GOV'T PROGRAMS40.0121385011802X
Denise Knight
DIRECTOR OF FINANCE40.0117349012043X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2743120TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation246927TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
HMO Program524114167980162167980162
Medicaid Program5241145264779552647795
Medicare Program524114162660184162660184
CLAIMS PROCESSING52429235396873539687
FieldValueIRS element (for citing)
Total Program Service Revenue386827828TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5740942TotalRevenueColumn
Exclusion$5,740,942ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real54999Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real54999Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column54999TotalRevenueColumn
Related Or Exempt Function Income54999RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities360597287Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities356670811Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3926476Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3924182TotalRevenueColumn
Exclusion$3,924,182ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column5516105TotalRevenueColumn
Related Or Exempt Function Income5516105RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue5516105TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column402064056TotalRevenueColumn
Related Or Exempt Function Income388859245RelatedOrExemptFunctionIncome
Unrelated Business Revenue3539687UnrelatedBusinessRevenue
Exclusion$9,665,124ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total187820Total
Program Services187820ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total348015397Total
Program Services348015397ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2041607Total
Program Services2041607ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8280330Total
Program Services6291361ProgramServices
Management And General1988969ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1479048Total
Program Services1479048ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4087626Total
Program Services4087626ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1202069Total
Program Services1202069ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total338345Total
Program Services323613ProgramServices
Management And General14732ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total723206Total
Program Services723206ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total21130Total
Program Services21130ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2049924Total
Program Services1930181ProgramServices
Management And General119743ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2435255Total
Program Services2435255ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2115877Total
Program Services2106979ProgramServices
Management And General8898ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1904499Total
Program Services1873865ProgramServices
Management And General30634ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total855786Total
Program Services855786ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total301476Total
Program Services301476ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total144340Total
Program Services139965ProgramServices
Management And General4375ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total697098Total
Program Services697098ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total123210Total
Program Services118930ProgramServices
Management And General4280ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total346083Total
Program Services346083ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Broker Expense15909511590951
Premium Tax Expense688057688057
Loss Adjustment Expense-9190-8294-896
All other expenses

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total379619944Total
Program Services377449209ProgramServices
Management And General2170735ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY35065989BOY
EOY11935577EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7300813BOY
EOY5975181EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9904065LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3529505LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6555938BOY
EOY6374560EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY176166556BOY
EOY209782606EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1751720BOY
EOY1578503EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY226841016BOY
EOY235646427EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY47007338BOY
EOY52004927EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3570444BOY
EOY3108358EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY574906BOY
EOY810973EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY51152688BOY
EOY55924258EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY175138328BOY
EOY179172169EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY550000BOY
EOY550000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY175688328BOY
EOY179722169EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY226841016BOY
EOY235646427EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses22444112ReconcilationRevenueExpenses
Reconcilation Other Changes-18410271ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis800000OtherCostOrOtherBasis
Book Value800000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7466192OtherCostOrOtherBasis
Depreciation1627265Depreciation
Book Value5115060BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1790426OtherCostOrOtherBasis
Depreciation1482278Depreciation
Book Value459500BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings6374560TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPOST RETIREMENT BENEFIT OBLIGATIONDescription
Amount$810,973Amount
FieldValueIRS element (for citing)
Total Of Amounts810973TotalOfAmounts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantMEDICAL STUDENT SCHOLARSHIPSTypeOfGrant
Number Of Recipients14NumberOfRecipients
Amount Of Cash Grant17163AmountOfCashGrant
Amount Of Non Cash Assistance170657AmountOfNonCashAssistance
Method Of Valuationactual costMethodOfValuation
Description Of Non Cash Assistancetuition paidDescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule IIdentifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationThe 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 needs. The preferred applicants are recommended to the full board, which then approves any scholarship awards. The tuition payments are made directly to the school and book expense reimbursements are made directly to the student. The grant term is open until the student graduates.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Philip D Wright
33467808125004707000245000445135000
Jeffrey M Knight
1591220310000378000191730209673000
Patricia M Fast
19972203888407504000240210270131000
E David Mathieu
19767603888404662000240210265243000
Robert C Kota
188774036685011396000226610259516000
Robert Roset
19836003881302042000239780263193000
Kenneth Allen
20956804080001978000245000276846000
Mark Kenamond
19572401900000000215300236254000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Describe the Process used by Management &/or Governing Body to Review 990Form 990, Part VI, Question 11The CFO and Controller will review the 990 for reasonableness compared to the internal financial statements. The CFO will provide copies to the Finance Committee which is a subset of the Board of Directors prior to filing the return.
Description of Process to Monitor Transactions for Conflicts of InterestForm 990, Part VI, Question 12cConflict of interest statements are signed on an annual basis and maintained by the Human Resources Department.
Offices & Positions for Which Process was Used, & Year Process was BegunForm 990, Part VI, Question 15aCompensation is reviewed annually by the President. He utilizes the Warren Survey information by position for executive and senior management and makes recommendations to the personnel committee. The compensation committe then presents the preferred compensation changes to the Board of Directors for approval.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen PublicForm 990, Part VI, Question 19These documents are available upon request to the CFO.
Other changes in net assets or fund balances (explain in Schedule O)Form 990, Part X, Balance Sheet (Part XI - Recon of Net Assets)Change in non-admitted assets: (2,935,654) and change in net unrealized capital gains/loses (15,474,617).

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Hometown HealthPlanBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 Lillian Gish BlvdAddressLine1
CityMassillonCity
StateOHState
ZIP Code44647ZIPCode
FieldValueIRS element (for citing)
EIN341523541EIN
Primary ActivitiesINSURANCEPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(C)(4)ExemptCodeSection
Public Charity StatusN/APublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HPUOVBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgtrueControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
THP Insurance Company
1137 VanVoorhis Rd Chelsea Square SMorgantownWV26505550765726InsuranceWVNAC CORP-10394308310833681.00000
HP Agency Inc
52160 National Road EastSt ClairsvilleOH43950341764520SVC TO SELF-INSOHNAC CORP-591621061221.00000
HomeTown HHP Services Corp
100 Lillian Gish BlvdMassillonOH44647341588625SVC TO SELF-INSOHNAC CORP2314110523511.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
THP Insurance Company
M / N4147391ADMIN ALLOC.
HP Agency Inc
M / N3382904ADMIN ALLOC.
HomeTown HHP Services Corp
M / N208473ADMIN ALLOC.

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