THE HEALTH PLAN OF WEST VIRGINIA INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: THE HEALTH PLAN OF WEST VIRGINIA INC (EIN 55-0585592)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-15
IRS object ID: 201123199349307232
Schema version: 2010v3.4
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 D
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-15T15:25:15-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 2600	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	550585592	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	The Health Plan of the Upper Ohio Valley Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	HEAL	NameControl
Phone	7406953585	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	52160 National Road East	AddressLine1
City	St Clairsville	City
State	OH	State
ZIP Code	43950	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JEFFREY KNIGHT	Name
Title	CFO	Title
Date Signed	2011-11-15	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Jeffrey M Knight	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	52160 National Rd East	AddressLine1
City	St Clairsville	City
State	OH	State
ZIP Code	43950	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	771389538	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.healthplan.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1979	YearFormation
State Legal Domicile	WV	StateLegalDomicile
Activity Or Mission Description	THE HEALTH PLAN OF THE UPPER OHIO VALLEY, INC. PROVIDES HMO SERVICES TO MEMBERS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	444	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	3469945	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	399764451	ProgramServiceRevenuePriorYear
Program Service Revenue CY	383987912	ProgramServiceRevenueCY
Investment Income Prior Year	-2125620	InvestmentIncomePriorYear
Investment Income Current Year	16304590	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3345126	OtherRevenuePriorYear
Other Revenue Current Year	81958	OtherRevenueCurrentYear
Total Revenue Prior Year	400983957	TotalRevenuePriorYear
Total Revenue Current Year	400374460	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	92377	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	362768097	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	337713404	BenefitsPaidToMembersCY
Salaries Etc Prior Year	14712802	SalariesEtcPriorYear
Salaries Etc Current Year	15351362	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	14116686	OtherExpensePriorYear
Other Expenses Current Year	12802199	OtherExpensesCurrentYear
Total Expenses Prior Year	391597585	TotalExpensesPriorYear
Total Expenses Current Year	365959342	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	9386372	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	34415118	RevenuesLessExpensesCY
Total Assets BOY	198053454	TotalAssetsBOY
Total Assets EOY	226841016	TotalAssetsEOY
Total Liabilities BOY	49951598	TotalLiabilitiesBOY
Total Liabilities EOY	51152688	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	148101856	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	175688328	NetAssetsOrFundBalancesEOY
Mission Description	THE HEALTH PLAN OF THE UPPER OHIO VALLEY, INC. PROVIDES HMO SERVICES TO MEMBERS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	161039217	Expense
Grants	92377	Grants
Revenue	158458855	Revenue
Description	THE 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, 2010 WAS 40,517.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	47311716	Expense
Grants	0	Grants
Revenue	53962082	Revenue
Description	THE HEALTH PLAN CONTINUED TO OFFER THE MEDICAID PROGRAM SERVICING 27,564 MEMBERS AT DECEMBER 31, 2010. HEALTH COVERAGE INCLUDED INPATIENT, EMERGENCY ROOM, DOCTOR ORDERED, PHYSICIAN, AND VISION SERVICES.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	155565570	Expense
Grants	0	Grants
Revenue	168178989	Revenue
Description	THE 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 14,651. 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

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	363916503	TotalProgramServiceExpense
Described In501 C3	false	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Subject To Proxy Tax	false	SubjectToProxyTax
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	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	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	true	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	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	11104	NumberFormsTransmittedWith1096
Number W2 G Included	538	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	444	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	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	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Jeffrey Knight	NamePerson
Telephone Number	7406957585	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	52160 National Road East	AddressLine1
City	St Clairsville	City
State	OH	State
ZIP Code	43950	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Philip D Wright
President / CEO	40.0	X	X	354638	0	24500
Robert Dunlevy
Director	1.0	X		6000	0	0
Jerry Fisher
Director	1.0	X		5400	0	0
Roland Hobbs
Director	1.0	X		5400	0	0
John D Holloway
Director	1.0	X		4950	0	0
Frank Joanou
Director	1.0	X		5400	0	0
Joseph Kurey
Director	1.0	X		4400	0	0
Kiki Mehallis
Director	1.0	X		4950	0	0
Charles Monfradi
Director	1.0	X		6000	0	0
Charles Newmeyer
Director	1.0	X		5450	0	0
James Newton
Director	1.0	X		4950	0	0
Edward Polack
Director	1.0	X		5400	0	0
John Schellhase
Director	1.0	X		6000	0	0
John Wright IV
Director	1.0	X		5400	0	0
Nick Zervos
Director	1.0	X		6100	0	0
Jeffrey M Knight
Treasurer / CFO	40.0		X	165036	0	16623
Patricia M Fast
Vice President / Operations	40.0			212835	0	20834	X
E David Mathieu
Vice President / Marketing	40.0			208818	0	20834	X
Robert C Kota
General Counsel	40.0			206139	0	19614	X
Robert Roset
Chief Information Officer	40.0			207322	0	20796	X
Kenneth Allen
Medical Director	40.0			208961	0	20810	X
Carl Kite
Medical Director	40.0			126593	0	12659		X
Stephen Neal
Director of Pharmacy Services	40.0			118701	0	11987		X
John Strah
Director of Finance	40.0			117892	0	10920		X
Steven Halverson
Director of Underwriting	40.0			115256	0	10566		X
Norma Rodenbaugh
Director of Marketing	40.0			110639	0	10518		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2228630	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	200661	TotalOtherCompensation
Number Individuals GT100 K	16	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Medicare Program	524114	168178988	168178988
HMO Program	524114	158376898	158376898
Medicaid Program	524114	53962081	53962081
Claims Processing	524292	3469945		3469945

Field	Value	IRS element (for citing)
Total Program Service Revenue	383987912	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5052891	TotalRevenueColumn
Exclusion	$5,052,891	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	54999	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	54999	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	54999	TotalRevenueColumn
Exclusion	$54,999	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	382266777	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	371015078	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	11251699	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	11251699	TotalRevenueColumn
Exclusion	$11,251,699	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Miscellaneous Revenue	Description
Business Code	900099	BusinessCode
Total Revenue Column	26959	TotalRevenueColumn
Related Or Exempt Function Income	26959	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	26959	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	400374460	TotalRevenueColumn
Related Or Exempt Function Income	380544926	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3469945	UnrelatedBusinessRevenue
Exclusion	$16,359,589	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	92377	Total
Program Services	92377	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	337713404	Total
Program Services	337713404	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1783560	Total
Program Services	1783560	ProgramServices

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	6889908	Total
Program Services	4981025	ProgramServices
Management And General	1908883	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1510377	Total
Program Services	1510377	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	3928729	Total
Program Services	3928729	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1238788	Total
Program Services	1238788	ProgramServices

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	219797	Total
Program Services	203966	ProgramServices
Management And General	15831	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	549274	Total
Program Services	549274	ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	20651	Total
Program Services	20651	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1682620	Total
Program Services	1611691	ProgramServices
Management And General	70929	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1884598	Total
Program Services	1884598	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2050821	Total
Program Services	2035278	ProgramServices
Management And General	15543	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1800058	Total
Program Services	1774932	ProgramServices
Management And General	25126	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	785502	Total
Program Services	785502	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	334855	Total
Program Services	334855	ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	139043	Total
Program Services	137866	ProgramServices
Management And General	1177	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	735769	Total
Program Services	735769	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	112950	Total
Program Services	107600	ProgramServices
Management And General	5350	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	362206	Total
Program Services	362206	ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
Broker Commissions	1315013	1315013
Premium Tax	630221	630221
Loss Adjustment	178821	178821

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	365959342	Total
Program Services	363916503	ProgramServices
Management And General	2042839	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	36328396	BOY
EOY	35065989	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	5842261	BOY
EOY	7300813	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	10362890	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3806952	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	6651418	BOY
EOY	6555938	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	148572167	BOY
EOY	176166556	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	659212	BOY
EOY	1751720	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	198053454	BOY
EOY	226841016	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	46469146	BOY
EOY	47007338	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	3023293	BOY
EOY	3570444	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	459159	BOY
EOY	574906	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	49951598	BOY
EOY	51152688	EOY

Field	Value	IRS element (for citing)
Do Not Follow SFAS117	X	DoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

Field	Value	IRS element (for citing)
BOY	147551856	BOY
EOY	175138328	EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

Field	Value	IRS element (for citing)
BOY	550000	BOY
EOY	550000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	148101856	BOY
EOY	175688328	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	198053454	BOY
EOY	226841016	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	34415118	ReconcilationRevenueExpenses
Reconcilation Other Changes	-6828646	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	false	FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	800000	OtherCostOrOtherBasis
Book Value	800000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7582694	OtherCostOrOtherBasis
Depreciation	2183034	Depreciation
Book Value	5399660	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1980196	OtherCostOrOtherBasis
Depreciation	1623918	Depreciation
Book Value	356278	BookValue

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildings
Total Of Book Value Land Buildings	6555938	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	POST RETIREMENT BENEFIT OBLIGATION	Description
Amount	$574,906	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	574906	TotalOfAmounts

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	Medical Student Scholarships	TypeOfGrant
Number Of Recipients	8	NumberOfRecipients
Amount Of Cash Grant	92377	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Description of Organization's Procedures for Monitoring the Use of Grants	Identifier
Return Reference	Schedule I, Part I, Line 2	ReturnReference
Explanation	The HPUOV medical student (doctors/nurses) scholarship program began in the fall of 2009. Medical students submit scholarship applications to a sub-committee of the board. These applications are reviewed by the sub-committee based on the student's financial needs. The preferred applicants are recommended to the full board, which approves then 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

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Compensation Survey	X	CompensationSurvey
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 (7 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
Philip D Wright
324964	0	26256	0	3418	0	0	0	24500	0	379138	0	0	0
Jeffrey M Knight
154508	0	10150	0	378	0	0	0	16623	0	181659	0	0	0
Patricia M Fast
193926	0	12839	0	6070	0	0	0	20834	0	233669	0	0	0
E David Mathieu
191431	0	12839	0	4548	0	0	0	20834	0	229652	0	0	0
Robert C Kota
182907	0	12113	0	11119	0	0	0	19614	0	225753	0	0	0
Robert Roset
192574	0	12816	0	1932	0	0	0	20796	0	228118	0	0	0
Kenneth Allen
203483	0	3500	0	1978	0	0	0	20810	0	229771	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Describe the Process used by Management &/or Governing Body to Review 990	Form 990, Part VI, Question 11b	THE 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 Interest	Form 990, Part VI, Question 12c	Conflict 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 Begun	Form 990, Part VI, Question 15a & 15b	Compensation 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 committee 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 Public	Form 990, Part VI, Question 19	These documents are available upon request to the CFO.
Other Changes in Net Assets or Fund Balances	Form 990, Part XI, Line 5	Change in non-admitted assets: $(465,356) Unrealized loss on investments: $(6,363,290) Total: $(6,828,646)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Hometown HealthPlan	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	100 Lillian Gish Blvd	AddressLine1
City	Massillon	City
State	OH	State
ZIP Code	44647	ZIPCode

Field	Value	IRS element (for citing)
EIN	341523541	EIN
Primary Activities	INSURANCE	PrimaryActivities
Legal Domicile State	OH	LegalDomicileState
Exempt Code Section	501(C)(4)	ExemptCodeSection
Public Charity Status	N/A	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
THP Insurance Company
1137 VanVoorhis Rd Chelsea Square S	Morgantown	WV	26505	550765726	Insurance	WV	NA	C CORP	-3850748	25915096	1.00000
HP Agency Inc
52160 National Road East	St Clairsville	OH	43950	341764520	SVC TO SELF-INS	OH	NA	C CORP	120051	398776	1.00000
HomeTown HHP Services Corp
100 Lillian Gish Blvd	Massillon	OH	44647	341588625	SVC TO SELF-INS	OH	NA	C CORP	166008	962318	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
THP Insurance Company
M / N	4330941
HP Agency Inc
M / N	3177399
HomeTown HHP Services Corp
M / N	182403