2025-01-28T15:33:13-06:00 2024-06-30 540504608 BROWN EDWARDS & COMPANY LLP 1909 FINANCIAL DRIVE HARRISONBURG VA 22801 990 2023-07-01 311041705 PENDLETON COMMUNITY CARE INC PEND 3043587230 PO BOX 100 FRANKLIN WV 268070100 JAMIE HUDSON CEO 3043582355 2025-01-23 1 1 JAMES R FRIES P01320612 5404346736 2025-01-23 2023 2025-03-06 01:10:19Z JAMIE HUDSON 82 PINE STREET FRANKLIN WV 268070100 10411813 0 X WWW.PCC-NFC.ORG X 1983 WV OUR MISSION IS TO IMPROVE THE HEALTH OF THE MEMBERS OF THE COMMUNITIES THAT WE SERVE. PENDLETON COMMUNITY CARE HAS IMPLEMENTED THE CARE MODEL AND UTILIZES AN ELECTRONIC HEALTH RECORD (EHR) AT ITS THREE MEDICAL CLINIC SITES AND FOUR SCHOOL-BASED HEALTH CENTERS, OFFERS DISCOUNTED MEDICAL SERVICES, AND PROVIDES DISCOUNTED MEDICINES TO QUALIFYING PATIENTS THROUGH ITS PHARMACIES. 10 10 79 0 928 0 2385757 2127835 2941148 3268633 108286 222336 1841274 1896973 7276465 7515777 0 0 0 0 4906748 5172105 0 0 0 2019295 2069853 6926043 7241958 350422 273819 11040600 11451815 544995 682391 10495605 10769424 X TO IMPROVE AND MAINTAIN HEALTH FOR THE RESIDENTS OF PENDLETON COUNTY AND THE LARGER COMMUNITY OF WHICH IT IS A PART. 0 0 5050638 3083198 MEDICAL (FRANKLIN, RIVERTON AND HARMAN HEALTH CENTERS) 19,006 PATIENT ENCOUNTERS IN FISCAL YEAR ENDING JUNE 30, 2024. THE MEDICAL SERVICES PROVIDED INCLUDE MEDICAL OFFICE VISITS, NURSING HOME VISITS, HOME VISITS, INTEGRATED BEHAVIORAL HEALTH, NUTRITION COUNSELING, DIGITAL X-RAY, DIGITAL MAMMOGRAPHY AND BONE DENSITY SCANS. 65280 27351 PCC ALSO OPERATES SCHOOL BASED HEALTH CENTERS AT THE FOUR PUBLIC SCHOOLS IN PENDLETON COUNTY, WV. DURING THE FISCAL YEAR ENDING JUNE 30, 2024, THERE WERE 97 ENCOUNTERS IN THOSE 4 SCHOOLS. 966650 1834677 IN ADDITION TO THE HEALTH CENTERS, PENDLETON COMMUNITY CARE, INC. ALSO OPERATES TWO PHARMACIES (FRANKLIN AND HARMAN) THAT OFFER A 340B PROGRAM. DURING THE FISCAL YEAR ENDING JUNE 30, 2024, FRANKLIN DISPENSED 30,015 TOTAL PRESCRIPTIONS WITH 14,549 OF THOSE BEING 340B PRESCRIPTIONS. HARMAN DISPENSED 11,489 TOTAL PRESCRIPTIONS 3,732 OF THOSE BEING 340B PRESCRIPTIONS. 42445 181201 HEALTH DEPARTMENT SERVICES, MCD PAAS FEES, ELECTRONIC HEALTH RECORDS INCENTIVE, MISC. 42445 181201 6125013 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 25 0 1 79 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X REBECCA EASON CFO 3043582355 82 PINE ST FRANKLIN WV 26807 NANCY BOWERS CHAIR 1.00 X X 0 0 0 MARY CASSELL VICE-CHAIR 1.00 X X 0 0 0 BOB DAVIS SECRETARY 1.00 X X 0 0 0 LARRY THOMAS TREASURER 1.00 X X 0 0 0 DAN BUCHER BOARD DIRECTOR 0.50 X 0 0 0 JANICE HEAVNER BOARD DIRECTOR 0.50 X 0 0 0 PEGGY DAVIS BOARD DIRECTOR 0.50 X 0 0 0 MELISSA GRYMES BOARD DIRECTOR 0.50 X 0 0 0 MICHELLE SITES BOARD DIRECTOR 0.50 X 0 0 0 ISAAC SPONAUGLE BOARD DIRECTOR 0.50 X 0 0 0 JAMIE HUDSON CEO 40.00 X 143568 0 6258 REBECCA EASON CFO 40.00 X 90149 0 6505 LAURA NULPH MD PROVIDER/MEDICAL DIRECTOR 40.00 X 273489 0 24467 JESSICA BOWERS PHARMD PHARMACIST 35.00 X 153518 0 19808 LAUREN JONES PHARMD PHARMACIST 40.00 X 172737 0 12319 CARMEN REXRODE MD PROVIDER 32.00 X 188954 0 20691 MARY ELLEN WIMER NP PROVIDER 40.00 X 144807 0 22212 SHARON DEEL NP PROVIDER 40.00 X 111958 0 18991 1279180 0 131251 11 0 1 0 LANTZ CONSTRUCTION COMPANY 539 SOUTH MAIN STREET BROADWAY VA 22815 CONSTRUCTED AN ADDITION TO EXISTING BUIL 948879 1 2127835 2127835 PATIENT SERVICES 621400 3083198 3083198 ELECTRONIC HEALTH RECORD REVENUE 621400 135766 135766 SCHOOL BASED HEALTH CENTERS 621400 27351 27351 HEALTH DEPARTMENT SERVICES 621400 22318 22318 3268633 229101 229101 38251 0 38251 38251 38251 6765 -6765 -6765 -6765 4724877 2889271 1835606 1834678 928 MISCELLANEOUS INCOME 621400 22116 22116 HONORARIA 621400 1000 1000 23116 7515777 5126427 928 260587 579298 492403 86895 3700633 3145539 555094 106322 90373 15949 486314 413367 72947 299538 254607 44931 45077 45077 67231 57146 10085 35920 35920 105753 92867 12886 31059 4659 26400 232252 205470 26782 482326 410928 71398 305638 259792 45846 18047 13047 5000 12505 10629 1876 223900 191182 32718 40676 34574 6102 MEDICAL SUPPLIES 251645 251645 LAB SUPPLIES 58300 58300 MISCELLANEOUS 42697 36295 6402 DUES AND MEMBERSHIPS 40625 34532 6093 76202 67658 8544 7241958 6125013 1116945 0 2074070 1979258 3985489 4157958 1980846 1396698 452135 577522 411286 356574 113756 72949 6798519 3887669 2017233 2910850 5785 6 11040600 11451815 544995 682391 544995 682391 X 8418125 9277392 2077480 1492032 10495605 10769424 11040600 11451815 273819 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 605018 605018 3828013 2679525 1148488 2365488 1208144 1157344 2910850 10405049 0 10405049 -2889272 -2889272 7515777 10131230 2889272 2889272 7241958 0 7241958 PART XI, LINE 4B - OTHER ADJUSTMENTS: PHARMACY COST OF GOODS SOLD -2,889,272. PART XII, LINE 2D - OTHER ADJUSTMENTS: PHARMACY COST OF GOODS SOLD 2,889,272. PART XII, LINE 4B - OTHER ADJUSTMENTS: GOODWILL AMORTIZATION IN KIND MEDICINES X X X 0 0 0 0 0 0 0 0 0 LAURA NULPH MD PROVIDER/MEDICAL DIRECTOR 273489 0 0 0 0 0 8372 0 16095 0 297956 0 0 0 JESSICA BOWERS PHARMD PHARMACIST 153518 0 0 0 0 0 4742 0 15066 0 173326 0 0 0 LAUREN JONES PHARMD PHARMACIST 172737 0 0 0 0 0 5186 0 7133 0 185056 0 0 0 CARMEN REXRODE MD PROVIDER 188954 0 0 0 0 0 5799 0 14892 0 209645 0 0 0 MARY ELLEN WIMER NP PROVIDER 144807 0 0 0 0 0 4558 0 17654 0 167019 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWS FORM 990 AND PRESENTS IT TO THE BOARD OF DIRECTORS FOR APPROVAL BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS LOCATED IN THE CODE OF CONDUCT WHICH IS DISTRIBUTED TO ALL NEW EMPLOYEES AND REVIEWED ANNUALLY WITH ALL EMPLOYEES AT A STAFF MEETING. THE CONFLICT OF INTEREST STATEMENT IS ALSO INCLUDED IN PENDLETON COMMUNITY CARE'S BYLAWS WHICH ARE DISTRIBUTED TO ALL NEW BOARD MEMBERS AND REVIEWED ANNUALLY AT A BOARD MEETING. ADDITIONALLY, ON AN ANNUAL BASIS, ALL BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. FORM 990, PART VI, SECTION B, LINE 15A PENDLETON COMMUNITY CARE'S BOARD OF DIRECTORS' EXECUTIVE COMMITTEE REVIEWED OTHER COMPARABLE ORGANIZATION'S FORMS 990 FOR COMPENSATION DATA, PROPOSED AN EMPLOYMENT AGREEMENT FOR THE CURRENT CEO, AND THE GOVERNING BODY APPROVED THE EMPLOYMENT AGREEMENT IN 2016. FORM 990, PART VI, SECTION C, LINE 19 PENDLETON COMMUNITY CARE DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PCC PROFESSIONAL BUILDINGS LLC PO BOX 100 FRANKLIN WV 268070100 311041705 MANAGE AND HOLD REAL ESTATE FOR PENDLETON COMMUNITY CARE, INC. WV 38251 990659 PENDLETON COMMUNITY CARE INC