2024-05-14T12:53:09+00:00 2023-06-30 440160260 FORVIS LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2022-07-01 550599096 Community Care of West Virginia Inc COMM 3049246262 PO BOX 217 ROCK CAVE WV 26234 PATRICIA COLLETT CEO 3049246262 2024-05-14 true TRISH COLLETT 999009999 KRYSTAL K CREACH P01248198 4178658701 2022 2023-04-26 12:10:37Z TRI-COUNTY HEALTH CLINIC INC Trish Collett PO BOX 217 ROCK CAVE WV 26234 81975347 false X WWW.CCWV.ORG X 1979 WV TO PROVIDE HIGH QUALITY, ACCESSIBLE COMPREHENSIVE AND COST-EFFECTIVE HEALTHCARE SERVICES TO OUR PATIENTS WHILE SERVING AS THEIR MEDICAL HOME. 11 11 642 11 2333 1249 13387185 16672265 59607604 64259312 5784 120597 2017 892589 73002590 81944763 42304 2771832 0 31750952 39650411 0 0 21796841 27695270 53590097 70117513 19412493 11827250 42702802 67642810 10839111 23973094 31863691 43669716 THE MISSION OF CCWV IS TO HELP OUR COMMUNITIES LIVE THE HEALTHIEST LIVES POSSIBLE BY MEETING THEIR IMMEDIATE AND LONG-TERM HEALTHCARE NEEDS. SEE SCHEDULE O. false false 54262817 2771832 64259312 THE ORGANIZATION PROVIDES RURAL MEDICAL, DENTAL AND PHARMACY HEALTHCARE SERVICES TO APPROXIMATELY 56,000 PATIENTS IN BRAXTON, CLAY, HARRISON, LEWIS, POCAHONTAS, RANDOLPH AND UPSHUR COUNTIES IN WEST VIRGINIA. 54262817 true true false false false false false false false true false false true true false true false false false false false false false false false false true true true false false false false false false false false true false false false false false false false false true 34 0 true 642 true false false false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true true false X JEFFREY JENKINS 3049246262 PO BOX 217 ROCK CAVE WV 26234 James Estep Treasurer 1.0 0.0 X X 0 0 0 Katherine Horner Vice President 1.0 0.0 X X 0 0 0 Michelle Samples Secretary 1.0 0.0 X X 0 0 0 Rosemary Thomas President 1.0 0.0 X X 0 0 0 Brent Boggs BOARD MEMBER 1.0 0.0 X 0 0 0 Chad Morrison BOARD MEMBER 1.0 0.0 X 0 0 0 David Malcomb BOARD MEMBER 1.0 0.0 X 0 0 0 David Taylor BOARD MEMBER 1.0 0.0 X 0 0 0 Sarina Smith BOARD MEMBER 1.0 0.0 X 0 0 0 Selah Raines BOARD MEMBER 1.0 0.0 X 0 0 0 Steve Flaughers BOARD MEMBER 1.0 0.0 X 0 0 0 Christina Walker COO 40.0 0.0 X 173865 0 7396 Jeffrey Jenkins CFO 40.0 0.0 X 176744 0 6188 John Meurer CIO 40.0 0.0 X 106249 0 19964 Kevin Junkins CMO - BH 40.0 0.0 X 335273 0 6581 Kimberly Becher CMO 40.0 0.0 X 325465 0 23536 Patricia Collett Deputy CEO 40.0 0.0 X 257161 0 16681 Richard Simon CEO 40.0 0.0 X 298597 0 24150 Aimee Whitehair General Practitioner 40.0 0.0 X 277970 0 12176 Benjamin Hines Psychiatrist 40.0 0.0 X 323649 0 2207 Gregory Peters General Practitioner 40.0 0.0 X 405969 0 25997 Kelly Dunavant General Practitioner 40.0 0.0 X 274880 0 26955 Mark Scott Psychiatrist 40.0 0.0 X 280417 0 7371 3236239 0 179202 78 false true false QUALITY HOME AND OFFICE CLEANING WV LLC 34 BOGGESS ST BUCKHANNON WV 26201 CLEANING 537703 FORVIS LLP 910 E ST LOUIS ST STE 200 SPRINGFIELD MO 65801 AUDIT/TAX/CONSULTING 263225 2 12214916 4457349 42500 16672265 NET PATIENT SERVICE REVENUE 621300 62566291 62566291 OTHER INCOME 900099 1693021 1693021 0 0 0 0 64259312 131174 131174 9000 6411 2589 0 2589 2333 256 13596 24173 -10577 0 -10577 -10577 SETTLEMENT PAYMENT 900099 890000 890000 0 0 0 0 890000 81944763 64259312 2333 1010853 2771832 2771832 1777850 273842 1504008 30662921 25135366 5527555 491714 390493 101221 4369380 4014013 355367 2348546 1852562 495984 92095 92095 223667 223667 5006801 353780 4653021 0 709927 709927 1925790 1110738 815052 733768 576202 157566 1763823 1307758 456065 273220 132346 140874 232982 122978 110004 199990 156970 43020 809950 635251 174699 217853 217853 MEDICAL SUPPLIES & DRUGS 15347332 15347332 LICENSES, DUES, SUBSCRIPTION 158072 81354 76718 0 0 0 0 70117513 54262817 15854696 0 3627500 17810028 5734467 4164374 784278 2502344 4890805 8005416 0 0 0 0 1792133 2137775 433708 506460 21686649 7503858 10066608 14182791 3468245 0 24850 26492 133500 111250 15214953 14727635 42702802 67642810 4889834 5626858 122794 129936 0 0 5627277 5745358 199206 12470942 10839111 23973094 X 31288691 41642123 575000 2027593 31863691 43669716 42702802 67642810 11827250 -21225 0 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1652625 1652625 9488721 2464883 7023838 4696195 2481682 2214513 3581338 2557293 1024045 2267770 2267770 14182791 DUE FROM THIRD PARTY 778000 DEPOSITS 28901 OTHER RECEIVABLE 1582248 RIGHT-OF-USE ASSET 12338486 14727635 LESSOR FINANCED DEBT 162106 LEASE LIABILITY 12308836 12470942 80837379 -21225 360023 0 338798 80498581 1446182 1446182 81944763 70483947 360023 6411 366434 70117513 0 0 70117513 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements RENTAL EXPENSE - -6411 TRNA CONTRIBUTIONS - 1452593 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENTAL EXPENSE - 6411 true West Virginia Wesleyan College 59 College Avenue Buckhannon WV 26201 550357056 501(c)(3) 1200000 GENERAL SUPPORT Mountaineer Food Bank 484 Enterprise Dr Gassaway WV 26624 550611100 501(c)(3) 1500000 GENERAL SUPPORT 2 0 Patient Assistance Program 85 24425 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. MONITORING USE OF GRANT FUNDS: THE PATIENT MUST BE ELIGIBLE FOR SLIDING FEE IN ORDER TO BE ELIGIBLE FOR KV GRANT ASSSISTANCE. THE PATIENT REQUESTS ASSISTANCE THROUGH THEIR MEDICAL PROVIDER, WHO REFERS THE PATIENT FOR ELIGIBILITY REVIEW FOR THE PROGRAM ASSISTANCE. THE FUNDS ARE AVAILABLE ON A FIRST COME, FIRST SERVE BASIS. FOR UTILITY ASSISTANCE, A COPY OF THE PATIENT'S APPROVED SLIDING FEE APPLICATION AND COPY OF THE UTILITY BILL ARE FORWARDED TO THE ACCOUNTING DEPARTMENT WHERE A CHECK IS CUT DIRECTLY TO THE UTILITY COMPANY. FOR PRESCRIPTION ASSISTANCE, THE MEDICAL PROVIDER SENDS A COPY OF THE PATIENT'S APPROVED SLIDING FEE PROGRAM APPROVAL FORM THAT INCLUDES BEGINNING AND ENDING DATES TO THE PHARMACY. THE PHARMACY SCANS THE INFORMATION INTO THE PATIENT'S ELECTRONIC PHARMACY RECORD. FOR RENT AND MORTGAGE ASSISTANCE, THE PATIENT MUST MEET INCOME LIMITS, COMPLETE A SLIDING FEE APPLICATION, AND BE A PATIENT OF COMMUNITY CARE OF WEST VIRGINIA. CLAY AWARE GRANT FUNDING FOR PATIENTS RECEIVING SCHOOL BASED BEHAVIORAL SERVICES IN CLAY COUNTY. CCWV has an executed MOU with each entity outlining expectations of performance and reporting for the funding dispersed. CCWV's designated project director tracks quarterly reporting and engages in collaborative meetings with each entity to discuss and analyze progress. CCWV exercises an executive level of financial oversight for distributing and tracking the funds for the purpose of providing quarterly reporting back to Aetna Better Health of West Virginia Partner Provider Investment Program. X X X X false false false false false false false false false Kevin Junkins CMO - BH 335273 0 0 0 0 0 0 0 6581 0 341854 0 0 0 Kimberly Becher CMO 325465 0 0 0 0 0 20500 0 3036 0 349001 0 0 0 Richard Simon CEO 298597 0 0 0 0 0 20500 0 3650 0 322747 0 0 0 Patricia Collett Deputy CEO 257161 0 0 0 0 0 7150 0 9531 0 273842 0 0 0 Jeffrey Jenkins CFO 176744 0 0 0 0 0 0 0 6188 0 182932 0 0 0 Christina Walker COO 173865 0 0 0 0 0 7396 0 0 0 181261 0 0 0 Gregory Peters General Practitioner 405969 0 0 0 0 0 19416 0 6581 0 431966 0 0 0 Benjamin Hines Psychiatrist 323649 0 0 0 0 0 0 0 2207 0 325856 0 0 0 Mark Scott Psychiatrist 280417 0 0 0 0 0 0 0 7371 0 287788 0 0 0 Kelly Dunavant General Practitioner 274880 0 0 0 0 0 20374 0 6581 0 301835 0 0 0 Aimee Whitehair General Practitioner 277970 0 0 0 0 0 12176 0 0 0 290146 0 0 0 X 162 42500 Market value false false false Schedule M, Part I Column B NUMBER OF CONTRIBUTORS: THE NUMBER REPORTED IN COLUMN B REPRESENTS THE NUMBER OF ITEMS CONTRIBUTED. Form 990, Part III, Line 1 ORGANIZATION MISSION THIS MISSION IS ACCOMPLISHED BY PROVIDING HIGH QUALITY, ACCESSIBLE, COMPREHENSIVE, CULTURALLY APPROPRIATE, COST-EFFECTIVE HEALTHCARE SERVICES, BY SERVING AS A TRUE COMPREHENSIVE MED HOME FOR OUR PATIENTS AND CUSTOMERS, AND BY STRIVING TO FULFILL THE OBJECTIVES OF THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S TRIPLE AIM. THE TRIPLE AIM SIMULTANEOUSLY SEEKS TO ACCOMPLISH THESE THREE (3) OBJECTIVES: (1) IMPROVING THE HEALTH OF POPULATIONS; (2) IMPROVING THE PATIENT EXPERIENCE OF CARE (INCLUDING QUALITY AND SATISFACTION); AND (3) REDUCING THE PER CAPITA COST OF HEALTHCARE SERVICES. Form 990, Part VI, Line 11b Review of form 990 by governing body 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. ONCE THE FORM 990 IS PREPARED BY THE ACCOUNTING FIRM AND REVIEWED BY MANAGEMENT, THE FORM IS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. ANY QUESTIONS AND COMMENTS RAISED REGARDING THE FINAL FORM 990 ARE ADDRESSED AT THE FULL BOARD MEETING. Form 990, Part VI, Line 12c Conflict of interest policy CONFLICT OF INTEREST POLICY: NO MEMBER OF THE BOARD OF DIRECTORS SHALL VOTE ON ANY QUESTION IN WHICH HE/SHE IS INTERESTED OTHERWISE THAN AS A BOARD MEMBER, EXCEPT WITH REGARD TO THE ELECTION OF A PRESIDENT OR OTHER OFFICER OR EMPLOYEE, OR BE PRESENT AT THE MEETING OF THE BOARD OF DIRECTORS WHILE THE SAME IS BEING CONSIDERED; BUT IF HIS/HER RETIREMENT FROM THE BOARD IN SUCH CASES REDUCES THE NUMBER PRESENT TO LESS THAN A QUORUM, THE QUESTION MAY NEVERTHELESS BE DECIDED BY THOSE WHO REMAIN. ON ANY QUESTION, THE NAMES OF THOSE VOTING EACH WAY SHALL BE ENTERED IN THE MINUTES OF THE PROCEDINGS, IF ANY DIRECTOR AY THE TIME REQUIRES IT. EACH BOARD MEMBER IS REQUIRED TO DISCLOSE ANY PROSPECTIVE CONFLICT OF INTEREST AND TO REFRAIN FROM ATTEMPTING TO INFLUENCE ANY CONSIDERATION OF ANY MATTER THAT WOULD CREATE A CONFLICT OF INTEREST FOR THE BOARD OF CORPORATION. EACH BOARD MEMBER IS ALSO REQUIRED TO REVIEW AND ACCEPT, AS A CONDITION OF ELECTION TO THE BOARD OF DIRECTORS, THE TERMS OF THE COMMUNITY CARE OF WEST VIRGINIA BOARD OF DIRECTORS CODE OF CONDUCT, AS ADOPTED BY THE CORPORATION, AND TO DISCLOSE ANY CONDITION OR SITUATION THAT EITHER WOULD CONSTITUTE A VIOLATION OF OR COULD CAUSE A VIOLATION OF ANY POLICY, PROCEDURE, RESTRICTION, OR PROHIBITION CONTAINED IN SAID CODE OF CONDUCT. CONFLICT OF INTEREST ISSUES ARE REPORTED TO THE SENIOR MANAGEMENT TEAM AND BOARD OF DIRECTORS, IF APPLICABLE. THE GOVERNING BOARD AND SENIOR MANAGEMENT ADDRESS AND MONITOR ANY ISSUES. CONFLICT OF INTEREST ISSUES ARE REPORTED TO THE SENIOR MANAGEMENT TEAM. Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION REVIEW: THE CEO'S COMPENSATION IS REVIEWED BY KEY MANAGEMENT PERSONNEL, THE BOARD PERSONNEL COMMITTEE, AND THE FULL BOARD OF DIRECTORS DURING CONTRACT REWNEWAL USING COMPARIBILITY DATA PULLED FROM FORMS 990S OF SIMILAR SIZED FEDERAL QUALIFIED COMMUNITY HEALTH CENTERS. THE COMMITTEE DOCUMENTS THE DELIBERATIONS. THE LAST REVIEW WAS CONDUCTED IN 2023. THE CEO AND BOARD PRESIDENT REVIEWS COMPENSATION OF KEY EMPLOYEES AND OTHER OFFICERS DURING CONTRACT RENEWAL USING COMPARABILITY DATA PULLED FORM 990S OF SIMILAR SIZED FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS. THE LAST REVIEW WAS CONDUCTED IN 2023. Form 990, Part VI, Line 15b Process to establish compensation of other employees The Director of Human Resources compiles data from O*net online, Salary.com and Mineral HR Platform and creates ranges based on education and experience for all contracted positions. This information is given to the management team to use as a guide. Hourly positions are based on a tier system that was created using the same data sources. All positions have had this completed in either 2022 or 2023. Form 990, Part VI, Line 19 Required documents available to the public DOCUMENT DISCLOSURE: THE ORGANIZATION MAKES DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.