2020-06-15T13:01:23-05:00 2019-06-30 550486667 ARNETT CARBIS TOOTHMAN LLP PO BOX 908 BRIDGEPORT WV 26330 990 2018-07-01 311118673 MILAN PUSKAR HEALTH RIGHT INC MILA 3042925702 341 SPRUCE STREET MORGANTOWN WV 265071519 LAURA JONES EXECUTIVE DIRECTOR 3042925702 2020-02-12 1 WILLIAM J BEHRENS CPA P00089711 3046245471 2020-02-12 216.12.119.47 2020-02-12 12:06:22 ES P 508C27678298BEC07BACAA7EA6F7163AD28A767C 62BEE5D18CBBDF26EB8B63812B5ECD49B4E5F191 2018 2020-11-19 02:30:22Z LAURA JONES 341 SPRUCE STREET MORGANTOWN WV 265071519 3031638 0 X WWW.MPHEALTHRIGHT.ORG X 1984 WV TO PROVIDE PRIMARY CARE SERVICES AT NO COST TO UNISURED AND UNDERINSURED LOW INCOME RESIDENTS OF WEST VIRGINIA. 18 18 30 150 0 0 2995298 2990360 54002 39709 6056 1569 0 0 3055356 3031638 0 0 0 0 924045 971320 0 0 7490 2203417 2189467 3127462 3160787 -72106 -129149 1624587 1496045 71660 84992 1552927 1411053 TO PROVIDE PRIMARY CARE SERVICES AT NO COST TO UNISURED AND UNDERINSURED LOW INCOME RESIDENTS OF WEST VIRGINIA. 0 0 2908433 39709 THE ORGANIZATION PROVIDES MEDICAL CARE TO THE PATIENTS IN NORTH CENTRAL WEST VIRGINIA. THE ORGANIZATION ALSO PROVIDES PRESCRIPTION, MEDICAL SUPPLIES AND SOCIAL SERVICES FREE OF CHARGE. HOWEVER THE ORGANIZATION DOES SEND BILLINGS TO THE STATE OF WEST VIRGINIA FOR CERTAIN SERVICES. ALL PATIENTS ARE INDIGENT. 2908433 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 9 0 1 30 1 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WV X THE ORGANIZATION 3042925702 341 SPRUCE STREET MORGANTOWN WV 265071519 UZER KHAN MD BOARD MEMBER 1.00 X 0 0 0 STEVE TANCIN BOARD MEMBER 1.00 X 0 0 0 MIKE MORRIS BOARD MEMBER 1.00 X 0 0 0 REBECCA BURTON BOARD MEMBER 1.00 X 0 0 0 JOHN CAMPBELL BOARD MEMBER 1.00 X 0 0 0 LYN DOTSON BOARD MEMBER 1.00 X 0 0 0 SHELLY DUNCAN BOARD MEMBER 1.00 X 0 0 0 MELANIE FISHER MD BOARD MEMBER 1.00 X 0 0 0 BARBARA FLEISCHAUER BOARD MEMBER 1.00 X 0 0 0 CYNTHIA HEISKELL RN BOARD MEMBER 1.00 X 0 0 0 NOSRAT MOTABARZADEH BOARD MEMBER 1.00 X 0 0 0 JUDE MILLER BOARD MEMBER 1.00 X 0 0 0 DARIS ROSENCRANCE BOARD MEMBER 1.00 X 0 0 0 JERRY YOHO BOARD MEMBER 1.00 X 0 0 0 SUSAN MORGAN DDS BOARD MEMBER 1.00 X 0 0 0 LAURA JONES EXECUTIVE DIRECTOR 40.00 X 77180 0 7916 BRUCE MCCLYMONDS PRESIDENT 4.00 X 0 0 0 JUSTIN GIBSON CPA TREASURER 4.00 X 0 0 0 DAVID THOMAS SECRETARY 4.00 X 0 0 0 77180 0 7916 0 0 0 0 0 182628 710828 2096904 1851954 2990360 PATIENT SERVICES 621110 39709 39709 39709 1569 1569 3031638 39709 0 1569 X 836463 648726 187737 62684 48392 14292 72173 56250 15923 4500 4500 2017291 2016491 800 29211 18039 4537 6635 8928 7134 1794 88365 77053 11312 12346 12346 12111 10561 1550 12034 9615 2419 MISCELLANEOUS 4681 3826 855 3160787 2908433 244864 7490 182087 143126 450704 381907 274095 265361 11780 11840 1201098 507287 705921 693811 1624587 1496045 71660 84992 71660 84992 X 1210421 1081273 180000 163640 162506 166140 1552927 1411053 1624587 1496045 X -129149 -12725 X 0 1 X 1 0 X 3997806 2885927 2995329 2995298 2990360 15864720 20116 39216 70853 59260 39709 229154 4017922 2925143 3066182 3054558 3030069 16093874 0 0 0 16093874 1051 1117 836 797 1569 5370 1051 1117 836 797 1569 5370 4018973 2926260 3067018 3055355 3031638 16099244 0.99970 0.99980 0.00030 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 60000 60000 939910 336388 603522 201188 170899 30289 693811 X 3031639 1 1 3031638 0 3031638 3160787 0 3160787 0 3160787 PART X, LINE 2: THE COMPANY DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE ANY UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 1. X 13 1851953 AWP AND MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B MOST NON-PROFITS HIRE CPA FIRMS OR OTHER TAX PROFESSIONALS TO PREPARE FORMS 990 AND BOARD MEMBERS GENERALLY FEEL THIS IS THE APPROPRIATE FIDUCIARY PROCESS. THE BOARD OR AUDIT COMMITTEE'S ROLE THEN IS TO EVALUATE THE COMPETENCY OF THE PERSON(S) OR FIRM HIRED TO PREPARE THE RETURN AND TO DETERMINE IT IS APPROPRIATELY FILED. THE BOARD HAS THE 990 AVAILABLE FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE BOARD IS ASKED TO COMPLETE A CONFLICT OF INTEREST SURVEY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND ALL THE KEY EMPLOYEES WHEN THE CONTRACTS FOR THESE POSITIONS ARE NEGOTIATED. THE COMPENSATION RATES ARE COMPARED TO OTHER SIMILAR FACILITIES IN THE STATE, AND TO NATIONALLY PUBLICALLY AVAILABLE DATA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND TAX RETURNS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 76950. MANAGEMENT AND GENERAL EXPENSES 800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 77750. DONATED SERVICES AND SUPPLIES: PROGRAM SERVICE EXPENSES 1939541. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1939541. FORM 990, PART XI, LINE 9: INCREASE IN PERMANENTLY RESTRICTED NET ASSETS -12725.