STRATEGY STUDIO / PUBLIC DATA EXPLORER

WEST VIRGINIA HEALTH INFORMATION NETWORK: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
WEST VIRGINIA HEALTH INFORMATION NETWORK (EIN 82-3386945)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-13
IRS object ID
202521339349303022
Schema version
2023v6.0
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)
Return2025-05-13T09:54:53-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1950 NORTH GLEBE ROAD SUITE 1200AddressLine1Txt
CityARLINGTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22203ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN823386945EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WEST VIRGINIA HEALTH INFORMATIONBusinessNameLine1Txt
Business Name Line2NETWORK INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlWESTBusinessNameControlTxt
Phone3045584503PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 9TH STREET SUITE CAddressLine1Txt
CityHUNTINGTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSONIA CHAMBERSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3045584503PhoneNum
Signature2025-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT WILLIAMSPreparerPersonNm
PTINP01345960PTIN
Phone5712279500PhoneNum
Preparation2025-05-07PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSONIA CHAMBERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 9TH STREET SUITE CAddressLine1Txt
CityHUNTINGTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,360,906GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WVHIN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2017FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionTO PROVIDE THE HEALTH CARE COMMUNITY WITH AN ELECTRONIC STRUCTURE FOR MEDICAL DATA EXCHANGE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers31TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,322,801PYContributionsGrantsAmt
CY Contributions Grants$2,404,864CYContributionsGrantsAmt
PY Program Service Revenue$2,063,946PYProgramServiceRevenueAmt
CY Program Service Revenue$1,896,289CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$59,753CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$4,386,747PYTotalRevenueAmt
CY Total Revenue$4,360,906CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$806,999PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,149,300CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,143,631PYOtherExpensesAmt
CY Other Expenses$3,043,190CYOtherExpensesAmt
PY Total Expenses$3,950,630PYTotalExpensesAmt
CY Total Expenses$4,192,490CYTotalExpensesAmt
PY Revenues Less Expenses$436,117PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$168,416CYRevenuesLessExpensesAmt
Total Assets BOY$4,015,058TotalAssetsBOYAmt
Total Assets EOY$4,004,874TotalAssetsEOYAmt
Total Liabilities BOY$1,128,376TotalLiabilitiesBOYAmt
Total Liabilities EOY$949,776TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,886,682NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,055,098NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE THE HEALTH CARE COMMUNITY WITH A TRUSTED, INTEGRATED AND SEAMLESS ELECTRONIC STRUCTURE ENABLING MEDICAL DATA EXCHANGE NECESSARY FOR HIGH-QUALITY, PATIENT-CENTERED CARE.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,594,064ExpenseAmt
Grant$0GrantAmt
Revenue$1,896,289RevenueAmt
DescHEALTH INFORMATION EXCHANGE (HIE): AS THE VAST MAJORITY OF PROVIDERS IN WEST VIRGINIA SEE MEDICAID PATIENTS, THE WORK FUNDED BY PARTICIPANT FEES WAS ESSENTIALLY THE SAME AS OUTLINED ABOVE. MEDICAID PAYS ITS FAIR SHARE BASED ON THE NUMBER OF MEDICAID PARTICIPANTS AND THEIR UTILIZATION WHILE PARTICIPANT FEES SUPPORT THE REMAINDER OF OPERATIONS. WORK WITH PAYERS FOR NON-MEDICAID LINES OF BUSINESS INCLUDED ON-BOARDING STAFF, DISCUSSION AROUND STRATEGIES FOR INCORPORATING DATA RELATED TO SOCIAL DETERMINANTS OF HEALTH AND REFERRALS, AS WELL AS, QUALITY AND HEDIS MEASURES. WVHIN CONTINUES INGESTING AND DISPLAYING SDOH ASSESSMENTS FROM ONE PROVIDER, AND CONTINUES TO WORK WITH OTHER PROVIDERS TO INGEST AND DISPLAY SDOH ASSESSMENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,396,342ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescHEALTH INFORMATION TECHNOLOGY (HIT) ADVANCED PLANNING DOCUMENT (APD): WITH THE ASSISTANCE OF APD FUNDS WVHIN HAS ACCOMPLISHED THE FOLLOWING: -CONTINUED TO ROLL OUT CLINICAL DATA ACCESS VIA THE WVHIN PORTAL AND AN APPLICATION WITHIN CERTAIN ELECTRONIC HEALTH RECORDS (EHRS) TO MORE THAN 4,000 USERS, INCLUDING ALL MEDICAID MANAGED CARE ORGANIZATIONS (MCOS), AND MANY DISEASE INVESTIGATORS. - SENT OVER 42 MILLION ENCOUNTER NOTIFICATIONS TO PARTICIPATING ORGANIZATIONS IN THE PAST FISCAL YEAR.CONTINUED ON SCHEDULE O - CONTINUED TO SUPPORT NUMEROUS TOOLS TO ASSIST PARTICIPANTS AND PUBLIC HEALTH OFFICIALS WITH THE RESPONSE TO INFECTIOUS DISEASE INCLUDING: VARIOUS MEANS OF ELECTRONICALLY REPORTING LAB RESULTS, PROVIDING LAB RESULTS TO TREATING PROVIDERS, AND SOPHISTICATED BREAKTHROUGH AND REINFECTION REPORTS AND HOSPITALIZATION REPORTS FOR RESPIRATORY DISEASES. - RECEIVED ADMIT, DISCHARGE, AND TRANSFER (ADT) DATA DIRECTLY FROM 48 HOSPITALS, 8 POST-ACUTE CARE ORGANIZATIONS, THE LARGEST URGENT CARE ORGANIZATION IN WEST VIRGINIA, AND 24 FQHCS OR LARGE AMBULATORY PRACTICES. - RECEIVED CLINICAL DATA FROM 47 HOSPITALS, 4 POST-ACUTE CARE ORGANIZATIONS, THE LARGEST URGENT CARE ORGANIZATION IN WEST VIRGINIA AND 21 FQHCS OR LARGE AMBULATORY PRACTICES, WITH ADDITIONAL PROJECTS UNDERWAY. - ADDED 1 NEW PUBLIC HEALTH FEED AND UPGRADED 4 WITH ADDITIONAL PROJECTS UNDERWAY. - SUPPORTED HUB MODELS TO EASE IN THE DELIVERY OF ADTS AND CONTINUITY OF CARE DOCUMENTS (CCDS) FROM AMBULATORY ELECTRONIC HEALTH RECORD VENDORS. - CONTINUED SUPPORTING ROLES FOR PARTICIPANTS TO VIEW HIE DATA IN-CONTEXT (DIRECTLY IN WORKFLOW) FOR CABELL-HUNTINGTON HOSPITAL, CHARLESTON AREA MEDICAL CENTER, COMMUNITY CARE OF WEST VIRGINIA, WVU MEDICINE, COALFIELD HEALTH CENTER, MINNIE HAMILTON HEALTHCARE CENTER, AND ROBERT C. BYRD CLINIC. ADDED SOUTHERN WV HEALTH SYSTEMS, MOUNTAIN LAUREL, WILLIAMSON HEALTH AND WELLNESS, COPLIN HEALTH, VALLEY HEALTH SYSTEMS, CHANGE INC, FAMILY HEALTH ASSOCIATES AND CABIN CREEK HEALTH SYSTEMS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$424,851ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescCDC VACCINE EQUITY: THE WVHIN RECEIVED ADDITIONAL FUNDING TO ENCHANCED THE QUALITY OF DATA IN THE WEST VIRGINIA STATEWIDE IMMUNIZATION INFORMATION SERVICE (WVSIIS). THIS INCLUDED: HYDRATING WVSIIS WITH RACE AND ETHNICITY DATA FOR MORE COMPLETE RECORDS, DEDUPLICATE RECORDS RESULTING FROM COVID VACCINE EVENT STAFF USING THE EVENT ADDRESS AS THE PATIENT'S HOME ADDRESS, THUS CREATING A NEW RECORD.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$274,701ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescINCLUDES: RMOMS, IDEAS, BENEDUM FOUNDATION AND TRAIN.TRAINING RESPONDERS TO ASSESS, INITIATE, AND NAVIGATE (TRAIN): CREATED AN ONLINE CONSENT TOOL FOR 42 CFR PART 2 RECORDS (SUBSTANCE USE DISORDER RECORDS) AND REFERRAL TOOL FOR USE WITH PATIENTS WHO HAVE OVERDOSED AND CONSENT TO ENTER TREATMENT.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$274,701TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$3,689,958TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWVStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CRISP SHARED SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4437414902PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110480 LITTLE PATUXENT PKWY SUITEAddressLine1Txt
CityCOLUMBIACityNm
State AbbreviationMDStateAbbreviationCd
ZIP21044ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
JEFF SANDENE
CHAIR (AS OF 07/23)1.00Yes (X)Yes (X)$0$0$0
DENNIS LEE
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
LISA ZAPPIA
SECRETARY/TREASURER (AS OF 07/23)1.00Yes (X)Yes (X)$0$0$0
JIM FAWCETT
DIRECTOR0.50Yes (X)$0$0$0
DAVID RICH
DIRECTOR0.50Yes (X)$0$0$0
AMY ADKINS
DIRECTOR0.50Yes (X)$0$0$0
DONOVAN BECKETT
DIRECTOR0.50Yes (X)$0$0$0
MARK COMBS
DIRECTOR0.50Yes (X)$0$0$0
MICHELLE COON
DIRECTOR0.50Yes (X)$0$0$0
SHERRI FERRELL
DIRECTOR0.50Yes (X)$0$0$0
BRANDON LEWIS
DIRECTOR0.50Yes (X)$0$0$0
MICHAEL MCCARTHY
DIRECTOR0.50Yes (X)$0$0$0
ILO ROMERO
DIRECTOR0.50Yes (X)$0$0$0
JUSTIN DAVIS
DIRECTOR UNTIL 12/20230.50Yes (X)$0$0$0
KIMBERLY CLARK
PAST CHAIR UNTIL 7/20230.50Yes (X)$0$0$0
SONIA CHAMBERS
EXECUTIVE DIRECTOR40.00Yes (X)$171,645$0$11,084
SHANA PHARES
DEPUTY DIRECTOR40.00Yes (X)$146,637$0$9,489
KATHY MOORE
DIRECTOR OF TECHNOLOGY40.00$177,644$0$11,284Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$495,926TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$31,857TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CSS
10480 LITTLE PATUXENT PKWY SUITE 8COLUMBIAMD21044TECHNICAL INFRASTRUCTURE$2,387,513
MARSHALL HEALTH
1600 MEDICAL CENTER DRIVE SUITE 85HUNTINGTONWV25701LEASED EMPLOYEES$931,810
JACKSON KELLY PLLC
PO BOX 45705BALTIMOREMD21297LEGAL SERVICES$145,900
CASTLEMARK CONSULTING LLC
2406 OAKLAND DRBONHAMTX75418IT CONSULTING$144,500
MARY CATHERINE GLENZ
817 RIVERSIDE DRIVEBEAVERPA15009CONSULTING SERVICES$140,077
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$2,345,854GovernmentGrantsAmt
All Other Contributions$59,010AllOtherContributionsAmt
Total Contributions$2,404,864TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescUSER FEESDesc
Business900099BusinessCd
Total Revenue Column$1,896,289TotalRevenueColumnAmt
Related Or Exempt Func Income$1,896,289RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,896,289TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$59,753TotalRevenueColumnAmt
Exclusion$59,753ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,360,906TotalRevenueColumnAmt
Related Or Exempt Func Income$1,896,289RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$59,753ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$547,256TotalAmt
Program Services$486,620ProgramServicesAmt
Management And General$60,636ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$404,556TotalAmt
Program Services$359,768ProgramServicesAmt
Management And General$44,788ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$22,185TotalAmt
Program Services$19,729ProgramServicesAmt
Management And General$2,456ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$108,870TotalAmt
Program Services$96,811ProgramServicesAmt
Management And General$12,059ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$66,433TotalAmt
Program Services$59,075ProgramServicesAmt
Management And General$7,358ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$128,265TotalAmt
Management And General$128,265ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$32,027TotalAmt
Management And General$32,027ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,752,455TotalAmt
Program Services$2,648,091ProgramServicesAmt
Management And General$104,364ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$17,816TotalAmt
Management And General$17,816ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,504TotalAmt
Management And General$9,504ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$15,592TotalAmt
Program Services$9,598ProgramServicesAmt
Management And General$5,994ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,340TotalAmt
Management And General$6,340ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$39,467TotalAmt
Program Services$2,066ProgramServicesAmt
Management And General$37,401ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$28,831TotalAmt
Management And General$28,831ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMEMBERSHIPS & DUESDesc
Total$12,893TotalAmt
Program Services$8,200ProgramServicesAmt
Management And General$4,693ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,192,490TotalAmt
Program Services$3,689,958ProgramServicesAmt
Management And General$502,532ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,887,852BOYAmt
EOY$2,179,899EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$910,691BOYAmt
EOY$1,524,310EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$194,305BOYAmt
EOY$280,399EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,210BOYAmt
EOY$20,266EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,015,058BOYAmt
EOY$4,004,874EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$680,370BOYAmt
EOY$673,538EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$448,006BOYAmt
EOY$276,238EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,128,376BOYAmt
EOY$949,776EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,886,682BOYAmt
EOY$3,055,098EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,886,682BOYAmt
EOY$3,055,098EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,015,058BOYAmt
EOY$4,004,874EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$168,416ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,353,968CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,233,686CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,998,188CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,322,801CurrentTaxYearMinus1YearAmt
Current Tax Year$2,404,864CurrentTaxYearAmt
Total$12,313,507TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,353,968CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,233,686CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,998,188CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,322,801CurrentTaxYearMinus1YearAmt
Current Tax Year$2,404,864CurrentTaxYearAmt
Total$12,313,507TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$12,313,507PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,153CurrentTaxYearMinus4YearsAmt
Current Tax Year$59,753CurrentTaxYearAmt
Total$69,906TotalAmt
FieldValueIRS element (for citing)
Total Support$12,383,413TotalSupportAmt
Gross Receipts Rltd Activities$8,597,620GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99440PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$4,360,906TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$4,360,906RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,360,906TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,192,490TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$4,192,490ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$4,192,490TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KATHY MOORE
DIRECTOR OF TECHNOLOGY$169,511$0$6,540$0$1,593$0$10,171$0$1,113$0$188,928$0$0$0
SONIA CHAMBERS
EXECUTIVE DIRECTOR$165,342$0$5,540$0$763$0$9,920$0$1,164$0$182,729$0$0$0
SHANA PHARES
DEPUTY DIRECTOR$140,385$0$5,540$0$712$0$8,423$0$1,066$0$156,126$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2THE ORGANIZATION RECEIVED FEDERAL PASS-THROUGH FUNDING FROM THE STATE TO PROVIDE ONGOING ENHANCEMENT AND MAXIMIZATION OF THE STATE'S MATERNAL AND CHILD HEALTH SURVEILLANCE SYSTEM (MCHSS)
FORM 990, PART VI, SECTION A, LINE 1ATHE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF FIVE (5) MEMBERS CONSISTING OF THE CHAIR, VICE CHAIR, SECRETARY-TREASURER, THE IMMEDIATE PAST CHAIR, AND ONE (1) ADDITIONAL DIRECTOR APPOINTED BY THE CHAIR AND APPROVED BY THE BOARD. THE EXECUTIVE COMMITTEE SHALL MEET IN ACCORDANCE WITH ANY STANDING RESOLUTION OF THE COMMITTEE, OR WHEN CALLED BY THE CHAIR. THE EXECUTIVE COMMITTEE SHALL PERFORM THE DUTIES DELEGATED TO IT BY THESE BYLAWS, SHALL TRANSACT ALL BUSINESS REFERRED TO IT BY THE BOARD, SHALL PERFORM WHEN NECESSARY, THE DUTIES OF THE BOARD BETWEEN REGULAR MEETINGS OF THE BOARD, SHALL MAKE A REPORT FOR APPROVAL OF ALL TRANSACTIONS TO THE BOARD, AND SHALL ACT IN EMERGENCIES ON BEHALF OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PRESENTED TO THE EXECUTIVE/FINANCE COMMITTEE FOR REVIEW PRIOR TO FILING, AND PRESENTED TO THE FULL BOARD AT THE NEXT MEETING BUT NOT PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CANY DIRECTOR, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST IS AN INTERESTED PERSON. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL ABSTAIN FROM MAKING MOTIONS, VOTING, EXECUTING AGREEMENTS, OR TAKING ANY OTHER SIMILAR ACTION ON BEHALF OF THE CORPORATION TO WHICH THE CONFLICT MIGHT PERTAIN. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE INTERESTED PERSON SHALL NOT TAKE PART IN ANY DISCUSSIONS OF THE PROPOSED ARRANGEMENT OR TRANSACTION, AND SHALL ABSENT HIMSELF OR HERSELF FROM ANY MEETINGS, VOTES, OR OTHER DELIBERATIONS THEREON. UPON RECEIPT OF A DISCLOSURE NOTICE FROM AN INTERESTED PERSON REGARDING A TRANSACTION, THAT TRANSACTION SHALL NOT BE ENTERED INTO BY THE CORPORATION WITHOUT THE AUTHORIZATION OF THE BOARD OF DIRECTORS BASED UPON THE DETERMINATION OF THE MAJORITY OF DISINTERESTED VOTING DIRECTORS THAT THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AT THE TIME IT IS AUTHORIZED.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE OF THE GOVERNING BODY MADE UP OF INDEPENDENT PERSONS REVIEW COMPARABILITY DATA AND MAKE A RECOMMENDATION REGARDING OFFICER COMPENSATION TO THE GOVERNING BODY FOR APPROVAL. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 2,648,091. MANAGEMENT AND GENERAL EXPENSES 104,364. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,752,455.