WEST VIRGINIA HEALTH IMPROVEMENT INSTITUTE: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- WEST VIRGINIA HEALTH IMPROVEMENT INSTITUTE (EIN 26-4059386)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-16
- IRS object ID
- 201513209349306096
- Schema version
- 2014v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-16T10:11:39-08:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WARE AND HALL PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 819 | AddressLine1Txt |
| City | HUNTINGTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25712 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264059386 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST VIRGINIA HEALTH IMPROVEMENT INSTITUTE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 3042041609 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6354 US ROUTE 60 E | AddressLine1Txt |
| City | BARBOURSVILLE | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25504 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID CAMPBELL | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3042041609 | PhoneNum |
| Signature | 2015-11-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DANIEL J WARE CPA | PreparerPersonNm |
| Phone | 3045257202 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROGER CHAUFOURNIER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6701 DEMOCRACY BLVD | AddressLine1Txt |
| City | BETHESDA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20817 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,598,932 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.wvhealthimprovement.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2009 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | THE WVHII IS A STATEWIDE COLLABORATION AMONG MULTIPLE STAKEHOLDERS FOCUSING ON IMPROVING THE HEALTH AND HEALTH CARE OF THE CITIZENS OF WEST VIRGINIA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,656,066 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,183,611 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $375,207 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $415,321 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $3,031,273 | PYTotalRevenueAmt |
| CY Total Revenue | $1,598,932 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $722,958 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $230,691 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,129,457 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $917,634 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $965,066 | PYOtherExpensesAmt |
| CY Other Expenses | $662,424 | CYOtherExpensesAmt |
| PY Total Expenses | $2,817,481 | PYTotalExpensesAmt |
| CY Total Expenses | $1,810,749 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $213,792 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$211,817 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $767,460 | TotalAssetsBOYAmt |
| Total Assets EOY | $410,825 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $544,924 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $400,106 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $222,536 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,719 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE WVHII IS A STATEWIDE COLLABORATION | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $578,281 | ExpenseAmt |
| Grant | $230,691 | GrantAmt |
| Revenue | $107,981 | RevenueAmt |
| Desc | WV HEALTH INFORMATION TECHNOLOGY PROGRAM: TO IDENTIFY AND DISSEMINATE BEST PRACTICES AND PROVIDE TECHNICAL ASSISTANCE SUPPORTING THE ADOPTION AND MEANINGFUL USE OF HEALTH INFORMATION TECHNOLOGY TO IMPROVE CARE QUALITY WHILE PROTECTING PATIENT PRIVACY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $495,958 | ExpenseAmt |
| Desc | TRI-STATE CHILDREN'S HEALTH IMPROVEMENT CONSORTIUM: TO IMPROVE ACCESS TO HIGH QUALITY HEALTH CARE FOR ALL CHILDREN IN WV. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $256,739 | ExpenseAmt |
| Revenue | $306,152 | RevenueAmt |
| Desc | PROVIDE DIRECT TECHNICAL ASSISTANCE SERVICES TO HEALTH CARE PROVIDERS TO CONNECT TO THE WVHIN HEALTH INFORMATION SYSTEM. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $124,923 | ExpenseAmt |
| Revenue | $1,188 | RevenueAmt |
| Desc | MEDICAID ASSISTANCE PROGRAM HEALTH MANAGEMENT SERVICES | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $124,923 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,188 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,455,901 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WV | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDA KELLY | PersonNm |
| Phone | 3042041609 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6354 US ROUTE 60 E SUITE 9 | AddressLine1Txt |
| City | BARBOURSVILLE | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25504 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| DAVID CAMPBELL | ||||||
| CEO/DIRECTOR | 20.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JAMES COMERCI | ||||||
| VICE CHAIRMAM/DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ROGER CHAUFOURNIER | ||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| HELEN MATHENY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| EDWARD DOLLY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SARAH CHOUINARD | ||||||
| CMO/DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KENT TAPPER | ||||||
| CFO | 20.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CSI SOLUTIONS LLC | |||||
| 6701 DEMOCRACY BLVD | BETHESDA | MD | 20817 | MANAGEMENT & PROGRAM SERVICES | $250,153 |
| COMMUNITY HEALTH NETWORK OF WV | |||||
| 6354 US RT 60 E STE 9 | BARBOURSVILLE | WV | 25504 | MANAGEMENT & PROGRAM SERVICES | $155,438 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,183,611 | GovernmentGrantsAmt |
| Total Contributions | $1,183,611 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| MEMBERSHIP FEES | 541511 | $5,700 |
| CONTRACTUAL SERVICES | 541511 | $30,247 |
| MEMBER SERVICES | 541511 | $379,374 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $415,321 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,598,932 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $415,321 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,691 | TotalAmt |
| Program Services | $230,691 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $745,686 | TotalAmt |
| Program Services | $619,883 | ProgramServicesAmt |
| Management And General | $125,803 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,651 | TotalAmt |
| Program Services | $71,562 | ProgramServicesAmt |
| Management And General | $14,089 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,297 | TotalAmt |
| Program Services | $72,101 | ProgramServicesAmt |
| Management And General | $14,196 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,875 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $9,875 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $507,742 | TotalAmt |
| Program Services | $377,918 | ProgramServicesAmt |
| Management And General | $129,824 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7 | TotalAmt |
| Program Services | $7 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,367 | TotalAmt |
| Program Services | $1,677 | ProgramServicesAmt |
| Management And General | $3,690 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,470 | TotalAmt |
| Program Services | $10,904 | ProgramServicesAmt |
| Management And General | $11,566 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,604 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $29,604 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,120 | TotalAmt |
| Program Services | $33,208 | ProgramServicesAmt |
| Management And General | $3,912 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,427 | TotalAmt |
| Program Services | $3,408 | ProgramServicesAmt |
| Management And General | $19 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,426 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $2,426 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| TELECOMMUNICATIONS | $9,683 | $9,683 | $0 | $0 |
| EQUIPMENT RENTAL | $1,141 | $70 | $1,071 | $0 |
| PAYROLL SERVICES | $25,644 | $20,741 | $4,903 | $0 |
| PURCHASED SERVICES | $2,899 | $346 | $2,553 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,019 | TotalAmt |
| Program Services | $3,702 | ProgramServicesAmt |
| Management And General | $1,317 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,810,749 | TotalAmt |
| Program Services | $1,455,901 | ProgramServicesAmt |
| Management And General | $354,848 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $417,776 | BOYAmt |
| EOY | $273,621 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,149 | BOYAmt |
| EOY | $94,938 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,573 | BOYAmt |
| EOY | $29,421 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,962 | BOYAmt |
| EOY | $4,845 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,000 | BOYAmt |
| EOY | $8,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $767,460 | BOYAmt |
| EOY | $410,825 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $331,013 | BOYAmt |
| EOY | $204,075 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $213,911 | BOYAmt |
| EOY | $196,031 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $544,924 | BOYAmt |
| EOY | $400,106 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,536 | BOYAmt |
| EOY | $10,719 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,536 | BOYAmt |
| EOY | $10,719 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $767,460 | BOYAmt |
| EOY | $410,825 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$211,817 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,078,728 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,666,430 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,577,130 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,656,066 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,183,611 | CurrentTaxYearAmt |
| Total | $13,161,965 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,078,728 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,666,430 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,577,130 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,656,066 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,183,611 | CurrentTaxYearAmt |
| Total | $13,161,965 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $13,161,965 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,309 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4 | CurrentTaxYearMinus3YearsAmt |
| Total | $1,313 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $13,163,278 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,557,286 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99990 | PublicSupportCY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Rev Etc Audited Fincl Stmt | $1,599,985 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $1,053 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $1,053 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,598,932 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,598,932 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,811,802 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $1,053 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $1,053 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,810,749 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,810,749 | TotalExpensesPerForm990Amt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH NETWORK | |||||||||
| 6354 US ROUTE 60 E | HUNTINGTON | WV | 25504 | 550777416 | 501(C)(3) | $84,950 | BOOK | N/A | SUB-GRANTEE |
| CSI SOLUTIONS LLC | |||||||||
| 6701 DEMOCRACY BLVD SUITE 300 | BETHESDA | MD | 20817 | 260726375 | FOR PROFIT | $68,050 | BOOK | N/A | SUB-GRANTEE |
| MALONE CONSULTING SERVICES | |||||||||
| 907 HIGHLAND ROAD | CHARLESTON | WV | 25302 | 220487121 | FOR PROFIT | $40,161 | BOOK | N/A | SUB-GRANTEE |
| THE UPPER OHIO VALLEY IPA | |||||||||
| PO BOX 356 | ST CLAIRESVILLE | OH | 43950 | 550591355 | 501(C)(3) | $23,730 | BOOK | N/A | SUB-GRANTEE |
| WV UNITED HEALTH SYSTEM | |||||||||
| 1000 TECHNOLOGY DR SUITE 2320 | FAIRMONT | WV | 26554 | 550492006 | 501(C)(3) | $9,474 | BOOK | N/A | SUB-GRANTEE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| COMMUNITY HEALTH NETWORK OF WV | |||
| OFFICER/DIRECTOR | $113,131 | PROGRAM SERVICES | false |
| COMMUNITY HEALTH NETWORK OF WV | |||
| OFFICER/DIRECTOR | $155,438 | CONTRACTED SERVICES | false |
| COMMUNITY HEALTH NETWORK OF WV | |||
| OFFICER/DIRECTOR | $4,851 | OFFICE RENT | false |
| CSI SOLUTIONS LLC | |||
| OFFICER/DIRECTOR | $250,153 | CONTRACTED SERVICES | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | THE FORM 990 IS SUBMITTED TO THE OFFICERS AND DIRECTORS |
| Pt VI, Line 11b | FOR REVIEW PRIOR TO FILING |
| Pt VI, Line 12c | OFFICERS AND DIRECTORS ANNUALLY SIGN A STATEMENT CONFIRMING COMPLIANCE WITH CONFLICT OF INTEREST POLICY PERIOD COMPLIANCE REVIEWS ARE CONDUCTED. |
| Form 990, Part III, Line 4d | MEDICAID ASSISTANCE PROGRAM 124923. 0. 1188. |
| Form 990, Part IX, Line 24f | DUES & SUBSCRIPTIONS 137. 12. 125. 0. OTHER 4882. 3690. 1192. 0. |