2025-04-18T09:33:52+00:00 2024-06-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-07-01 550599096 Community Care of West Virginia Inc COMM 3049246262 PO BOX 217 ROCK CAVE WV 26234 PATRICIA COLLETT CEO 3049246262 2025-04-18 true true Krystal Creach P01248198 4178658701 2025-04-18 2023 2025-03-06 01:10:19Z TRI-COUNTY HEALTH CLINIC INC Patricia Collett PO BOX 217 ROCK CAVE WV 26234 87489253 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. 14 14 695 11 1822 769 16672265 17116050 64259312 69177691 120597 1238871 892589 -92829 81944763 87439783 2771832 2113553 0 39650411 44057348 0 0 27695270 33978068 70117513 80148969 11827250 7290814 67642810 72846736 23973094 21869428 43669716 50977308 THE MISSION OF CCWV IS TO HELP OUR COMMUNITIES LIVE THE HEALTHIEST LIVES POSSIBLE BY MEETING THEIR IMMEDIATE AND LONG-TERM HEALTHCARE NEEDS. 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. false false 61517170 2113553 69177691 THE ORGANIZATION PROVIDES RURAL MEDICAL, DENTAL AND PHARMACY HEALTHCARE SERVICES TO APPROXIMATELY 54,000 PATIENTS IN BRAXTON, CLAY, HARRISON, LEWIS, POCAHONTAS, RANDOLPH AND UPSHUR COUNTIES IN WEST VIRGINIA. 61517170 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 46 0 true 695 true true true false false false false false false false false false false false X 14 14 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 Gina Stalnaker BOARD MEMBER, Beginning 02/24 1.0 0.0 X 0 0 0 Jennifer Riggleman BOARD MEMBER, Beginning 02/24 1.0 0.0 X 0 0 0 John Hoffman BOARD MEMBER, Beginning 02/24 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 174046 0 8755 Jeffrey Jenkins CFO 40.0 0.0 X 182447 0 12096 John Meurer CIO 40.0 0.0 X 114102 0 6738 Kevin Junkins CMO - Behavioral Health 40.0 0.0 X 316415 0 20886 Kimberly Becher CMO 40.0 0.0 X 321724 0 16294 Patricia Collett CEO, Beginning 09/23 40.0 0.0 X 319889 0 17261 Richard Simon Director of Strategic Health and Transformation, End CEO 09/23 40.0 0.0 X 352087 0 11236 Benjamin Hines Psychiatrist 40.0 0.0 X 316624 0 2370 Gregory Peters General Practitioner 40.0 0.0 X 399778 0 20292 Iris Trinidad-Carillo Physician 40.0 0.0 X 279291 0 7049 Kelly Dunavant General Practitioner 40.0 0.0 X 279643 0 18188 Shanique Ampiah Psychiatrist 40.0 0.0 X 289600 0 5400 3345646 0 146565 86 false true false High Point Construction Group LLC PO Box 577 Buckhannon WV 26201 Construction 973898 QUALITY HOME AND OFFICE CLEANING WV LLC 34 BOGGESS ST BUCKHANNON WV 26201 CLEANING 777052 FORVIS MAZARS LLP 910 E ST LOUIS ST STE 200 SPRINGFIELD MO 65801 AUDIT/TAX/CONSULTING 248832 3 7333004 9783046 51397 17116050 NET PATIENT SERVICE REVENUE 621300 67088769 67088769 OTHER INCOME 900099 2088922 2088922 0 0 0 0 69177691 1262905 1262905 19160 6989 12171 0 12171 1822 10349 18447 42481 -24034 0 -24034 -24034 SETTLEMENT PAYMENT 900099 -105000 -105000 0 0 0 0 -105000 87439783 69177691 1822 1144220 2031053 2031053 82500 82500 1510653 1510653 34245730 27444948 6800782 601332 442363 158969 5111162 3715617 1395545 2588471 2043966 544505 168198 168198 304657 304657 5525358 1068247 4457111 0 341475 494 340981 2505666 1640483 865183 1460122 1123299 336823 2131661 1556899 574762 297705 39092 258613 194032 86658 107374 237658 182301 55357 1168561 898165 270396 374782 2442 372340 MEDICAL SUPPLIES & DRUGS 19131547 19131547 LICENSES, DUES, SUBSCRIPTION 136646 27096 109550 0 0 0 0 80148969 61517170 18631799 0 17810028 3578192 4164374 22621902 2502344 836733 8005416 6549583 0 0 0 0 2137775 2419475 506460 113394 30671714 8565391 14182791 22106323 3468245 2494440 0 26492 28519 111250 89000 14727635 12009175 67642810 72846736 5626858 5760057 129936 7096 0 0 5745358 5114550 12470942 10987725 23973094 21869428 X 41642123 49396600 2027593 1580708 43669716 50977308 67642810 72846736 7290814 16778 0 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1652625 1652625 16259682 2875841 13383841 8606611 2908259 5698352 3538684 2781291 757393 614112 614112 22106323 DUE FROM THIRD PARTY 710000 DEPOSITS 28901 OTHER RECEIVABLE 366714 RIGHT-OF-USE ASSET 10903560 12009175 LESSOR FINANCED DEBT 125006 LEASE LIABILITY 10862719 10987725 88270358 16778 359923 446885 823586 87446772 -6989 -6989 87439783 80515881 359923 6989 366912 80148969 0 0 80148969 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 2(d) Other revenues in audited financial statements not in form 990 Net Assets Released From Restriction - 446885 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Rental Expenses Reclass - -6989 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Rental Expense Reclass - 6989 true West Virginia Primary Care Association 1700 MacCorkle Avenue SE Charleston WV 25314 550656229 501(c)(3) 2000000 General Support 1 0 Patient Assistance Program 167 82500 Schedule I, Part I, Line 2 Procedures for 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. 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 - Behavioral Health 316415 0 0 0 0 0 12301 0 8585 0 337301 0 0 0 Kimberly Becher CMO 321724 0 0 0 0 0 13018 0 3276 0 338018 0 0 0 Richard Simon Director of Strategic Health and Transformation, End CEO 09/23 352087 0 0 0 0 0 10834 0 402 0 363323 0 0 0 Patricia Collett CEO, Beginning 09/23 319889 0 0 0 0 0 7150 0 10111 0 337150 0 0 0 Jeffrey Jenkins CFO 182447 0 0 0 0 0 5361 0 6735 0 194543 0 0 0 Christina Walker COO 174046 0 0 0 0 0 6955 0 1800 0 182801 0 0 0 Gregory Peters General Practitioner 399778 0 0 0 0 0 13243 0 7049 0 420070 0 0 0 Benjamin Hines Psychiatrist 316624 0 0 0 0 0 0 0 2370 0 318994 0 0 0 Kelly Dunavant General Practitioner 279643 0 0 0 0 0 11139 0 7049 0 297831 0 0 0 Shanique Ampiah Psychiatrist 289600 0 0 0 0 0 0 0 5400 0 295000 0 0 0 Iris Trinidad-Carillo Physician 279291 0 0 0 0 0 0 0 7049 0 286340 0 0 0 X 100 51397 Market value 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Drugs and medical supplies - THE NUMBER REPORTED IN COLUMN B REPRESENTS THE NUMBER OF ITEMS CONTRIBUTED. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 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 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 990 OF SIMILAR SIZED FEDERAL QUALIFIED COMMUNITY HEALTH CENTERS. THE COMMITTEE DOCUMENTS THE DELIBERATIONS. 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. THE CEO AND BOARD PRESIDENT REVIEWS COMPENSATION OF KEY EMPLOYEES AND OTHER OFFICERS DURING CONTRACT RENEWAL USING COMPARABILITY DATA PULLED FORMS 990 OF SIMILAR SIZED FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS. All positions have had this completed in either 2023 or 2024. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.