Nonprofit · EIN 55-0585592
THE HEALTH PLAN OF WEST VIRGINIA INC
Tax-exempt · WHEELING, WV 26003
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 990 | $772,676,162 | $776,295,208 | -$3,619,046 | $461,774,997 | $169,583,887 | $292,191,110 |
| December 31, 2023 | 990 | $793,217,524 | $780,774,378 | $12,443,146 | $452,146,751 | $145,077,868 | $307,068,883 |
Financial details: 990 for the year ended December 31, 2024
Revenue
- Contributions, gifts and grants
- $0
- Program service revenue
- $747,972,277
- Investment income
- $22,964,459
- Net rental income
- $57,560
- Net gain from sales of assets
- $10,734,440
- Other revenue
- $1,739,426
Expenses
- Grants and similar amounts paid
- $532,522
- Benefits paid to members
- $693,128,171
- Compensation of officers, directors and key employees
- $3,585,158
- Other salaries and wages
- $17,606,830
- Salaries, compensation and benefits (total)
- $41,327,747
- Professional fundraising fees
- $0
- Legal fees
- $1,029,357
- Accounting fees
- $3,479,703
- Occupancy
- $1,139,693
- Travel
- $314,677
- Depreciation
- $1,807,520
- Program services (functional)
- $761,347,273
- Management and general (functional)
- $14,947,935
Balance sheet and other
- Total assets, start of year
- $452,146,751
- Total assets, end of year
- $461,774,997
- Total liabilities, end of year
- $169,583,887
- Net assets, end of year
- $292,191,110
- Land, buildings and equipment
- $7,515,112
- Publicly traded securities
- $294,015,739
- Gross receipts
- $1,071,182,420
- Employees
- 623
- Volunteers
- 0
- Year formed
- 1979
- State of legal domicile
- WV
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended December 31, 2024, highest compensation first.
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| JEFFREY KNIGHT | PRESIDENT & CEO Officer | 40 | $690,739 | $59,639 |
| RYAN RALSTON | CHIEF FINANCIAL OFFICER Officer | 40 | $438,346 | $79,923 |
| JAMIE LEARY | CHIEF LEGAL COUNSEL Key employee | 40 | $339,859 | $25,651 |
| RYAN JEWELL | SVP SALES & ACCOUNT MGMT Key employee | 40 | $291,573 | $52,228 |
| MUMTAZ IBRAHIM MD | CHIEF MEDICAL OFFICER Key employee | 40 | $296,176 | $47,117 |
| KENNETH BRYAN | CHIEF INFORMATION OFFICER Key employee | 40 | $282,353 | $58,804 |
| E DAVID MATHIEU SVP - | UNDERWRITING & REGULATORY SERVICES Key employee | 40 | $255,891 | $57,752 |
| CHRISTINA DONOHUE | SVP MHT Key employee | 40 | $265,513 | $39,033 |
| ROBERT CROSS | MEDICAL DIRECTOR Highest-paid employee | 40 | $248,483 | $55,348 |
| ROBERT J ROSET | SVP - IT OPERATIONS & QUALITY Highest-paid employee | 40 | $247,602 | $52,212 |
| LARRY WELLING | DIRECTOR - IT SOFTWARE Highest-paid employee | 40 | $241,296 | $49,709 |
| CHARLES F LUCAS | VP, IT SOFTWARE DEVELOPMENT Highest-paid employee | 40 | $241,888 | $17,347 |
| ANTOINETTE GEYER SVP PROVIDER | DELIVERY SERVICES (THRU 09/2024) Key employee | 40 | $219,362 | $26,698 |
| EMILY KEANE DIRECTOR | AUDIT & ADVISORY (THRU 04/2024) Highest-paid employee | 40 | $224,093 | $2,664 |
| DENISE D PENTINO | CHAIR OF THE BOARD Trustee or director, Officer | 1 | $21,000 | $0 |
9 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| WESLEY NICKELL | VICE CHAIR OF THE BOARD Trustee or director, Officer | 1 | $20,000 |
| MARK LANCELLOTTI | MEMBER Trustee or director | 1 | $20,000 |
| SUSAN BUCHANAN CPA | SECRETARY Trustee or director, Officer | 1 | $17,500 |
| LEA RIDENHOUR | MEMBER Trustee or director | 1 | $17,500 |
| DAVID COOK | MEMBER Trustee or director | 1 | $17,500 |
| JOSEPH G DONZELLA DO | MEMBER Trustee or director | 1 | $17,500 |
| WILLIAM D CRONIN | MEMBER Trustee or director | 1 | $17,500 |
| MANINDER SINGH BEDI MD | MEMBER (THRU 11/2024) Trustee or director | 1 | $2,500 |
| MARK VOELLINGER MD | MEMBER Trustee or director | 1 | $2,500 |
990 for the year ended December 31, 2023: 24 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| JEFFREY KNIGHT | PRESIDENT & CEO Officer | 40 | $686,899 | $46,276 |
| RYAN RALSTON | VP - CFO Officer | 40 | $412,620 | $62,279 |
| ED KAIRIS MD MMM | CHIEF MEDICAL OFFICER (THRU 09/23) Key employee | 40 | $402,896 | $33,384 |
| JAMIE LEARY | CHIEF LEGAL COUNCIL Key employee | 40 | $332,288 | $24,674 |
| RICHARD LEGG SVP - SALES | & ACCOUNT MANAGEMENT (THRU 06/23) Key employee | 40 | $331,527 | $17,137 |
| KENNETH BRYAN | CHIEF INFORMATION OFFICER Key employee | 40 | $289,873 | $47,682 |
| ANTOINETTE GEYER | SVP PROVIDER DELIVERY SERVICES Key employee | 40 | $285,042 | $32,405 |
| E DAVID MATHIEU SVP - | UNDERWRITING & REGULATORY SERVICES Key employee | 40 | $258,833 | $45,998 |
| ROBERT CROSS | MEDICAL DIRECTOR Highest-paid employee | 40 | $251,373 | $44,783 |
| ROBERT J ROSET | SVP - IT OPERATIONS & QUALITY Highest-paid employee | 40 | $247,235 | $32,038 |
| CHRISTINA DONOHUE | SVP MHT Key employee | 40 | $240,051 | $34,652 |
| DAVID THOMAS DIRECTOR - | SALES NATIONAL (THRU 06/23) Highest-paid employee | 40 | $238,363 | $31,249 |
| LARRY WELLING | DIRECTOR - IT SOFTWARE Highest-paid employee | 40 | $221,126 | $39,005 |
| RYAN JEWELL | SVP SALES & ACCOUNT MGMT Key employee | 40 | $225,283 | $33,502 |
| CHARLES F LUCAS | VP, IT SOFTWARE DEVELOPMENT Highest-paid employee | 40 | $216,820 | $28,412 |
| JOHN WRIGHT IV | MEMBER Trustee or director | 1 | $23,000 | $0 |
| DENISE D PENTINO | CHAIR OF THE BOARD Trustee or director, Officer | 1 | $21,000 | $0 |
| WESLEY NICKELL | VICE CHAIR OF THE BOARD Trustee or director, Officer | 1 | $20,000 | $0 |
| SUSAN BUCHANAN CPA | SECRETARY Trustee or director, Officer | 1 | $17,500 | $0 |
| LEA RIDENHOUR | MEMBER Trustee or director | 1 | $17,500 | $0 |
| MARK LANCELLOTTI | MEMBER Trustee or director | 1 | $17,500 | $0 |
| JOSEPH G DONZELLA DO | MEMBER Trustee or director | 1 | $17,500 | $0 |
| MANINDER SINGH BEDI MD | MEMBER Trustee or director | 1 | $12,500 | $0 |
| WILLIAM D CRONIN | MEMBER Trustee or director | 1 | $10,000 | $0 |
Address and contacts
- Address (IRS master file)
- 1110 MAIN ST, WHEELING, WV 26003-2704
- In care of
- % JEFFREY M KNIGHT
- Principal officer (990 for 2024)
- JEFFREY M KNIGHT, 1110 MAIN STREET, WHEELING, WV 26003
- Signed the 990
- RYAN RALSTON, CHIEF FINANCIAL OFFICER
- Phone
- (800) 624-6961
- Website
- WWW.HEALTHPLAN.ORG
- Return prepared by
- BAKER TILLY ADVISORY GROUP LP
Mission
ESTABLISHED AS A COMMUNITY HEALTH ORGANIZATION, THE HEALTH PLAN DELIVERS A CLINICALLY-DRIVEN, TECHNOLOGY-ENHANCED, CUSTOMER-FOCUSED PLATFORM BY DEVELOPING AND IMPLEMENTING PRODUCTS AND SERVICES THAT MANAGE AND IMPROVE THE HEALTH AND WELL-BEING OF OUR MEMBERS. WE ACHIEVE THESE RESULTS THROUGH A TEAM OF HEALTHCARE PROFESSIONALS AND PARTNERS ACROSS OUR COMMUNITY.
Program accomplishments
- THE PRIMARY EXEMPT PURPOSE OF THE HEALTH PLAN OF WEST VIRGINA, INC. (THE HEALTH PLAN) IS TO OPERATE A STATE CERTIFIED, FEDERALLY QUALIFIED HEALTH MAINTENANCE ORGANIZATION (HMO) WHICH PROVIDES COMPREHENSIVE HEALTH CARE SERVICES ON A PREPAID BASIS. THE NUMBER OF COMMERCIAL HMO MEMBERS AT DECEMBER 31, 2024 WAS 18,696.Expenses $124,279,965 · grants $532,522 · revenue $123,811,581
- THE HEALTH PLAN OFFERS A MANAGED CARE PROGRAM FOR MOUNTAIN HEALTH TRUST (MHT), WEST VIRGINIA'S MEDICAID PROGRAM. AT DECEMBER 31, 2024, THE HEALTH PLAN'S MHT PLAN SERVICED 100,002 MEMBERS WITH 42,679 MEMBERS ENROLLED FROM THE EXPANSION POPULATION, 41,915 MEMBERS ENROLLED FOR THE TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) POPULATION, 9,911 MEMBERS ENROLLED FROM THE SUPPLEMENTAL SECURITY INCOME (SSI) POPULATION, AND 5,497 MEMBERS ENROLLED FROM THE WV CHILDREN'S HEALTH INSURANCE PROGRAM (WVCHIP).Expenses $501,019,957 · revenue $492,163,592
- THE HEALTH PLAN OFFERS A MEDICARE ADVANTAGE PROGRAM KNOWN AS SECURE CARE AND A PROGRAM FOR MEMBERS ELIGIBLE FOR BOTH MEDICARE AND MEDICAID KNOWN AS A MEDICARE DUAL SPECIAL NEEDS PLAN (DSNP). SECURE CARE ENABLES THE MEDICARE ELIGIBLE POPULATION TO SELECT MEDICARE COVERAGE AT A MUCH LOWER COST DUE TO THEIR AGREEMENT TO UTILIZE THE HEALTH PLAN NETWORK AND WITH PLAN OPTIONS FOR EXPANDED BENEFITS SUCH AS DENTAL, VISION, HEARING, TELEHEALTH, GYM MEMBERSHIPS, COVERAGE FOR "OVER-THE-COUNTER" ITEMS, IN-HOME MEAL DELIVERY AFTER HOSPITAL STAYS, AND ROUTINE TRANSPORTATION TO HEALTH-RELATED LOCATIONS. ENROLLMENT AT DECEMBER 31, 2024 FOR THESE PROGRAMS INCLUDED 8,218 MEMBERS.Expenses $136,047,351 · revenue $133,642,487
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | Check at the IRS |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 55-0585592
- Tax-exempt status
- 501(c)(4): Social welfare organization
- Donations deductible
- No
- Exempt since
- 1979
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Assets (IRS master file)
- $543,294,977
- Income (IRS master file)
- $919,054,919
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2024 | $772,676,162 | $776,295,208 | $461,774,997 | XML |
| 990 | December 2023 | $793,217,524 | $780,774,378 | $452,146,751 | XML |
| 990 | December 2022 | $818,781,263 | $793,131,867 | $409,672,896 | IRS |
| 990 | December 2021 | – | – | – | IRS |
| 990 | December 2020 | – | – | – | IRS |
| 990 | December 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 55-0585592).
Questions about THE HEALTH PLAN OF WEST VIRGINIA INC
- What is the EIN of THE HEALTH PLAN OF WEST VIRGINIA INC?
- The employer identification number (EIN) of THE HEALTH PLAN OF WEST VIRGINIA INC is 55-0585592.
- Is THE HEALTH PLAN OF WEST VIRGINIA INC tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(4) since 1979.
- Are donations to THE HEALTH PLAN OF WEST VIRGINIA INC tax-deductible?
- No. The IRS master file says contributions to it are not deductible.
- Which annual return does THE HEALTH PLAN OF WEST VIRGINIA INC file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of THE HEALTH PLAN OF WEST VIRGINIA INC due?
- The return for tax year 2026 (the year ending December 31, 2026) is due May 17, 2027. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did THE HEALTH PLAN OF WEST VIRGINIA INC last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2024.
- Who is the principal officer of THE HEALTH PLAN OF WEST VIRGINIA INC?
- The 990 for the year ended December 31, 2024 names JEFFREY M KNIGHT.
- Who are the officers and directors of THE HEALTH PLAN OF WEST VIRGINIA INC?
- The 990 for the year ended December 31, 2024 lists 24 people; 24 received compensation from the organization, the highest $690,739 (JEFFREY KNIGHT, PRESIDENT & CEO).
- How much revenue does THE HEALTH PLAN OF WEST VIRGINIA INC have?
- On its 990 for the year ended December 31, 2024 it reported revenue of $772,676,162, expenses of $776,295,208 and total assets of $461,774,997 at year end.
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