2022-05-16T09:24:26-05:00 2021-06-30 410746749 CLIFTONLARSONALLEN LLP 2523 US HIGHWAY 27 S SEBRING FL 338704926 990 2020-07-01 823386945 WEST VIRGINIA HEALTH INFORMATION NETWORK INC WEST 3045584503 101 WASHINGTON STREET EAST NO 124 CHARLESTON WV 25301 SONIA CHAMBERS EXECUTIVE DIRECTOR 3045584503 2022-05-13 1 SONIA CHAMBERS 999009999 KRISTINA HIMROD CPA P01544190 8633851577 2022-05-09 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SONIA CHAMBERS 101 WASHINGTON STREET EAST NO 124 CHARLESTON WV 25301 4713889 0 X WWW.WVHIN.ORG X 2017 WV PROVIDE THE HEALTH CARE COMMUNITY WITH AN ELECTRONIC STRUCTURE FOR MEDICAL DATA EXCHANGE. 13 13 0 17 0 0 2353968 3233686 1300914 1480203 10153 0 0 0 3665035 4713889 0 0 0 0 561666 626263 0 0 0 2707192 3676774 3268858 4303037 396177 410852 2605784 3243560 1038074 1264998 1567710 1978562 X PROVIDE THE HEALTH CARE COMMUNITY WITH A TRUSTED, INTEGRATED AND SEAMLESS ELECTRONIC STRUCTURE ENABLING MEDICAL DATA EXCHANGE NECESSARY FOR HIGH-QUALITY, PATIENT-CENTERED CARE 0 0 3878830 1480203 HEALTH INFORMATION TECHNOLOGY (HIT) IMPLEMENTATION ADVANCED PLANNING DOCUMENT (IAPD): WITH THE ASSISTANCE OF IAPD FUNDS WVHIN HAS ACCOMPLISHED THE FOLLOWING:- ROLLED OUT CLINICAL DATA ACCESS VIA THE UNIFIED LANDING PAGE (ULP) TO OVER 3,500 USERS, INCLUDING ALL MEDICAID MANAGED CARE ORGANIZATIONS (MCOS), DISEASE INVESTIGATORS AND FIRST RESPONDERS- SENT OVER 19.7 MILLION ENCOUNTER NOTIFICATIONS TO PARTICIPATING ORGANIZATIONS IN THE PAST YEAR- BEGAN DISPLAYING FEE-FOR-SERVICE MEDICAID CLAIMS AND MANAGED CARE ENCOUNTER DATA IN ULPCONTINUED ON SCHEDULE O- REESTABLISHED CONNECTION TO THE WEST VIRGINIA END-OF-LIFE REGISTRY AND MADE ADVANCE DIRECTIVES AND MEDICAL ORDERS ACCESSIBLE VIA THE ULP- IMPLEMENTED NUMEROUS TOOLS TO ASSIST PARTICIPANTS AND PUBLIC HEALTH OFFICIALS WITH THE STATE COVID -19 RESPONSE INCLUDING: VARIOUS MEANS OF ELECTRONICALLY REPORTING COVID LAB RESULTS, PROVIDING LAB RESULTS TO TREATING PROVIDERS, TOOLS TO ASSIST WITH VACCINE STATUS AND OUTREACH, ENHANCING THE RACE AND ETHNICITY IDENTIFICATION OF COVID LAB RESULTS, SOPHISTICATED BREAKTHROUGH AND REINFECTION REPORTS. - RECEIVING ADMIT, DISCHARGE, AND TRANSFER (ADT) DATA DIRECTLY FROM 45 HOSPITALS, 8 POST-ACUTE CARE ORGANIZATIONS, THE LARGEST URGENT CARE ORGANIZATION IN WEST VIRGINIA, AND A FEW INDEPENDENT AMBULATORY PRACTICES- RECEIVING CLINICAL DATA FROM 31 HOSPITALS, WITH ADDITIONAL PROJECTS UNDERWAY TO INCREASE THE NUMBER OF HOSPITALS TRANSMITTING CLINICAL DATA AND ENHANCING THE CURRENT DATA- DEVELOPED SEVERAL HUB MODELS TO EASE IN THE DELIVERY OF ADTS AND CCDS FROM AMBULATORY ELECTRONIC HEALTH RECORD VENDORS. - ENABLED ROLES FOR PARTICIPANTS TO VIEW HIE DATA IN-CONTEXT (DIRECTLY IN WORKFLOW) 3878830 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 WV X CRISP 4437414902 7160 COLUMBIA GATEWAY DR COLUMBIA MD 21046 X KIMBERLY CLARKE CHAIR 1.00 X X 0 0 0 JEFF SANDENE VICE CHAIR 1.00 X X 0 0 0 JAMES FAWCETT SECRETARY/TREASURER 1.00 X X 0 0 0 TONY ATKINS DIRECTOR UNTIL 10/2020 0.50 X 0 0 0 R THOMAS BOWDEN DIRECTOR 0.50 X 0 0 0 MICHELLE COON DIRECTOR 0.50 X 0 0 0 JUSTIN DAVIS DIRECTOR 0.50 X 0 0 0 CINDY FARLEY DIRECTOR 0.50 X 0 0 0 SHERRI FERRELL DIRECTOR 0.50 X 0 0 0 KAREN FITZPATRICK DIRECTOR 0.50 X 0 0 0 MICHAEL MCCARTHY DIRECTOR 0.50 X 0 0 0 AARON SPURLOCK DIRECTOR 0.50 X 0 0 0 KAREN YOST DIRECTOR UNTIL 6/2021 0.50 X 0 0 0 BECKY MANNING DIRECTOR 0.50 X 0 0 0 BJ EVANS DIRECTOR 0.50 X 0 0 0 SONIA CHAMBERS EXECUTIVE DIRECTOR 40.00 X 0 0 0 DENISE HERSHEY CHIEF OPERATING OFFICER 40.00 X 0 0 0 0 0 0 0 0 0 0 CRISP 7160 COLUMBIA GATEWAY DRIVE COLUMBIA MD 21046 TECHNICAL INFRASTRUCTURE 3153920 MARSHALL HEALTH 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 LEASED EMPLOYEES 643248 WV HEALTH CARE AUTHORITY ONE DAVIS SQUARE SUITE 403 CHARLESTON WV 25301 GOVERNMENT AGENCY 371521 GREEN ROSE 223 MAPLEWOOD ESTS SCOTT DEPOT WV 25560 CONSULTING SERVICES 242878 JACKSON KELLY PLLC PO BOX 45705 BALTIMORE MD 21297 LEGAL SERVICES 113635 5 3233686 3233686 USER FEES 900099 1480203 1480203 1480203 4713889 1480203 0 0 X 237775 191781 45994 286186 222178 64008 9650 9337 313 92652 81826 10826 75426 75426 25300 25300 3465031 3354954 110077 5758 449 5309 23047 23047 3502 3502 29700 29700 1547 229 1318 27904 27904 MEMBERSHIPS & DUES 17759 17674 85 TRAINING 1690 402 1288 LICENSES & REGISTRATION 110 110 4303037 3878830 424207 0 1297193 1278799 1106016 1698364 189150 248823 13425 17574 2605784 3243560 1038074 1264998 1038074 1264998 X 1567710 1978562 1567710 1978562 2605784 3243560 410852 0 X 0 1 X 1 1 1 X 2124690 2033764 2353968 3233686 9746108 2124690 2033764 2353968 3233686 9746108 9746108 10946 10153 0 21099 9767207 4087165 X PART II, SHORT YEAR EXPLANATION THE ORGANIZATION WAS INCORPORATED ON NOVEMBER 9, 2017 AND HAS ELECTED A FISCAL YEAR END OF JUNE 30TH. THEREFORE, AN INITIAL SHORT YEAR RETURN WAS FILED. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 4713889 0 4713889 0 4713889 4303037 0 4303037 0 4303037 FORM 990, PART VI, SECTION A, LINE 1 THE 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 11B THE 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 12C ANY 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 15A THE 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. THIS PROCESS WAS LAST COMPLETED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G DEAP: PROGRAM SERVICE EXPENSES 112,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,500. CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 3,242,454. MANAGEMENT AND GENERAL EXPENSES 110,077. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,352,531.