2024-05-10T10:16:37-05:00 2023-06-30 550538163 SUTTLE & STALNAKER PLLC 200 STAR AVENUE STE 220 PARKERSBURG WV 26101 990 2022-07-01 310942184 WIRT COUNTY HEALTH SERVICES ASSOCIATION INC WIRT 3042753301 1301 ELIZABETH PIKE ELIZABETH WV 26143 DOUG FULL PRESIDENT 3042753301 2024-05-09 1 DOUG FULL 999009999 1 STEVEN M MORGAN CPA P01499372 3044856584 2024-05-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DOUG FULL 1301 ELIZABETH PIKE ELIZABETH WV 26143 20344216 0 X COPLINHEALTH.COM X 1978 WV PROVISION OF PRIMARY AND PREVENTIVE CARE SERVICES TO THE RURAL POPULATION OF WIRT AND JACKSON COUNTIES IN WEST VIRGINIA. 12 12 217 12 0 0 5446451 3822861 12537809 15750211 183760 309514 419176 461630 18587196 20344216 0 0 0 0 13137814 12732016 0 0 0 5830202 7406849 18968016 20138865 -380820 205351 26984105 25651466 7443463 5905473 19540642 19745993 PROVISION OF PRIMARY AND PREVENTIVE CARE SERVICES TO THE RURAL POPULATION OF WIRT, JACKSON, AND WOOD COUNTIES IN WEST VIRGINIA AND THE SURROUNDING AREAS. 0 0 16493147 16211841 PROVIDING A VARIETY OF HEALTHCARE SERVICES TO RESIDENTS OF WIRT, JACKSON AND WOOD COUNTIES IN WV AND THE SURROUNDING AREA REGARDLESS OF ABILITY TO PAY. ADDITIONALLY, HEALTH EDUCATION AND AWARENESS ACTIVITIES ARE PROVIDED. TOTAL PATIENT ENCOUNTERS PROVIDED WERE 62,731. 16493147 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 17 0 1 217 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WV X X THE ORGANIZATION 3042753301 1301 ELIZABETH PIKE ELIZABETH WV 26143 X GREG REED TREASURER 1.00 X X 0 0 0 MELISSA WEEKLEY BOARD MEMBER 1.00 X 0 0 0 DOUGLAS FULL PRESIDENT 1.00 X X 0 0 0 JUDY CLINE AT-LARGE 1.00 X X 0 0 0 JIM FRAZIER BOARD MEMBER 1.00 X 0 0 0 KATHY TAYLOR BOARD MEMBER 1.00 X 0 0 0 BERKELEY SIMMONS VICE PRESIDENT 1.00 X X 0 0 0 GWEN CRUM SECRETARY 1.00 X X 0 0 0 BRUCE DEWEES BOARD MEMBER 1.00 X 0 0 0 CHARLES HASSE BOARD MEMBER 1.00 X 0 0 0 CHRIS SHOOP BOARD MEMBER 1.00 X 0 0 0 DOUG RITCHIE BOARD MEMBER 1.00 X 0 0 0 ROB DUDLEY CHIEF EXECUTIVE OFFICER 40.00 X 204530 0 50822 SIREESHA DASARI DOCTOR 40.00 X 277655 0 11106 RICHARD WATSON DOCTOR 40.00 X 275670 0 35704 CATHY DAILEY DOCTOR 40.00 X 318715 0 31849 KELLY MCLAIN DOCTOR 40.00 X 262550 0 9262 DARRIN NICHOLS DOCTOR 40.00 X 286272 0 22398 SHIRIN MORAD DOCTOR 40.00 X 267152 0 18962 1892544 0 180103 29 0 1 0 0 3425320 397541 397541 3822861 NET PATIENT SERVICE REVENUE 621110 15750211 15750211 15750211 309514 309514 461630 0 461630 461630 461630 20344216 16211841 0 309514 10673216 9072234 1600982 244577 207890 36687 1045681 888829 156852 768542 653261 115281 52937 26468 26469 160281 80141 80140 319332 159666 159666 198452 178607 19845 566110 452888 113222 690404 411743 278661 105700 89845 15855 92105 78289 13816 184114 92057 92057 722760 433656 289104 PHARMACEUTICALS 2282161 2282161 MEDICAL AND OTHER SUPPL 1625780 1102238 523542 MISCELLANEOUS 164770 82385 82385 DUES & SUBSCRIPTIONS 100031 85026 15005 141912 115763 26149 20138865 16493147 3645718 0 2654954 3270081 663358 635584 4956718 3424978 1781250 1148692 79098 71426 197262 69483 16827584 4879526 11924458 11948058 4561123 4865502 165884 217662 26984105 25651466 2526375 1331274 35897 50632 4881191 4448376 0 75191 7443463 5905473 X 14583924 16444037 4956718 3301956 19540642 19745993 26984105 25651466 205351 0 X X 0 1 X 1 1 1 X 2988359 3236378 6885745 5446451 3822861 22379794 2988359 3236378 6885745 5446451 3822861 22379794 22379794 312700 259993 1107081 1120756 771144 3571674 25951468 0.86240 0.87460 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 828760 828760 13140760 3376415 9764345 2147384 1503111 644273 710680 710680 11948058 OPERATING LEASE OBLIGATION 75191 75191 X 20344216 0 20344216 0 20344216 20138865 0 20138865 0 20138865 PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND HAS BEEN RECOGNIZED AS TAX EXEMPT UNDER SECTION 509(A) OF THE CODE. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION UNDER 509(A)(1). THE ORGANIZATION HAD NO UNRELATED BUSINESS INCOME DURING THE YEARS ENDED JUNE 30,2023 AND 2022. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. GENERALLY, TAX RETURNS FOR YEARS ENDED JUNE 30, 2020, AND THEREAFTER, REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. X X 0 0 0 0 0 0 0 0 0 CATHY DAILEY DOCTOR 318715 0 0 0 0 0 3042 0 28807 0 350564 0 0 0 RICHARD WATSON DOCTOR 275670 0 0 0 0 0 11027 0 24677 0 311374 0 0 0 DARRIN NICHOLS DOCTOR 286272 0 0 0 0 0 11451 0 10947 0 308670 0 0 0 SIREESHA DASARI DOCTOR 277655 0 0 0 0 0 11106 0 0 0 288761 0 0 0 SHIRIN MORAD DOCTOR 267152 0 0 0 0 0 8015 0 10947 0 286114 0 0 0 KELLY MCLAIN DOCTOR 262550 0 0 0 0 0 9262 0 0 0 271812 0 0 0 ROB DUDLEY CHIEF EXECUTIVE OFFICER 204530 0 0 0 0 0 31058 0 19764 0 255352 0 0 0 X 50 397541 AVERAGE WHOLESALE PRICES 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PROVIDES THE 990 TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT ANNUALLY. 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. 990 AND SIMLILAR INFORMATION IS ALSO SUBMITTED AND IS AVAILABLE VIA THE SECRETARY OF STATES OFFICE FOR CHARITABLE ORGANIZATIONS. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR PROCESSES