Liabilities / Assets
22nd percentile
Higher debt load relative to assets than 22% of similar nonprofits.
EIN 31-0889458 • 501(c)3 • Gary, WV
Profile
The provision of primary care services, including preventive care, wellness, dental and diagnostic services to the rural population of southern west virginia, and to additionally to provide quality health care to patients that have a limited ability to pay.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
22nd percentile
Higher debt load relative to assets than 22% of similar nonprofits.
Liabilities / Revenue
18th percentile
Higher debt load relative to revenue than 18% of similar nonprofits.
Net Margin
61st percentile
Higher net margin than 61% of similar nonprofits.
Top Officer Pay
77th percentile
Higher top officer pay than 77% of similar nonprofits.
Top officer pay equals 2.5% of source-year revenue.
Asset Growth
52nd percentile
Faster asset growth than 52% of similar nonprofits.
Revenue Growth
71st percentile
Faster revenue growth than 71% of similar nonprofits.
Assets
Up$22,485,089
Up $1,036,337 (+4.8%) from 2024
Liabilities
Down$502,590
Down $964,693 (-66%) from 2024
Net Assets
Up$21,982,499
Up $2,001,030 (+10%) from 2024
Revenue
Up$12,124,455
Up $2,091,739 (+21%) from 2024
Expenses
Up$10,955,698
Up $2,505,666 (+30%) from 2024
Net Income
Down$1,168,757
Down $413,927 (-26%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
The provision of primary care services, including preventive care, wellness, dental and diagnostic services to the rural population of southern west virginia, and to additionally to provide quality health care to patients that have a limited ability to pay.
To assure the availability of affordable, quality health care services and continual education and social service interventions to the residents of mcdowell and wyoming counties and their contiguous areas in southern, wv. The organization is also dedicated to establishing teaching health centers for the training of primary care medical residents
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Other Securities | $9,906,203 | $11,154,536 | ▲ $1,248,333 |
| Savings and Temporary Cash Investments | $6,087,782 | $5,677,849 | ▼ $409,933 |
| Land, Buildings, and Equipment, Net | $2,133,058 | $2,106,497 | ▼ $26,561 |
| Investments in Publicly Traded Securities | $1,536,085 | $1,647,462 | ▲ $111,377 |
| Accounts Receivable | $567,631 | $712,740 | ▲ $145,109 |
| Inventories for Sale or Use | $345,836 | $392,835 | ▲ $46,999 |
| Pledges and Grants Receivable | $116,766 | $118,934 | ▲ $2,168 |
| Receivables From Officers Etc | $52,881 | $51,716 | ▼ $1,165 |
| Cash and Non-Interest-Bearing Accounts | $3,050 | $3,050 | → $0 |
| Total Assets | $21,448,752 | $22,485,089 | ▲ $1,036,337 |
| Other Assets Total | $699,460 | $619,470 | ▼ $79,990 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $490,505 | $294,675 | ▼ $195,830 |
| Deferred Revenue | $976,778 | $207,915 | ▼ $768,863 |
| Total Liabilities | $1,467,283 | $502,590 | ▼ $964,693 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $19,981,469 | $21,982,499 | ▲ $2,001,030 |
| Total Net Assets Fund Balance | $19,981,469 | $21,982,499 | ▲ $2,001,030 |
| Total Liabilities and Net Assets / Fund Balance | $21,448,752 | $22,485,089 | ▲ $1,036,337 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $1,560,662 | $1,563,392 | $3,124,054 |
| Equipment | $334,619 | $731,299 | $1,065,918 |
| Land | $211,216 | - | $211,216 |
| Other Securities | $459,688 | - | - |
| Name | Title | Full / Part Time | Base | Total |
|---|---|---|---|---|
| John Forehand | Md | FT | $298,379 | $298,379 |
| Joanna Bailey | Md | FT | $253,014 | $253,014 |
| Mohammad Ashir | Md | FT | $200,206 | $200,206 |
| David Dunson | Treasurer | FT | $180,650 | $180,650 |
| Keisha Saunders | Nurse Practitioner | FT | $135,891 | $135,891 |
| Robin Riddle | Nurse Practitioner | FT | $131,173 | $131,173 |
| Andrea Thornton | CEO | FT | $122,119 | $122,119 |
| Cheryl Mitchem | Secretary | FT | $107,654 | $107,654 |
| Jenny Cole | CFO | FT | $105,738 | $105,738 |
| Name | Title |
|---|---|
| Michael Lushbaugh | President |
| James Matthews | Vice President |
| Clara Thompson | Board Member |
| Deborah Curry | Board Member |
| Gail Davidson | Board Member |
| John J Sidote | Board Member |
| Lana Kibbey | Board Member |
| Michael Evans | Board Member |
| Rhonda Sue Rose | Board Member |
| Veronica Cummings | Board Member |
| William Spencer | Board Member |
| Line Item | Amount |
|---|---|
| Other Expenses | $5,969,130 |
| Salaries, Compensation, and Employee Benefits | $4,986,568 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $1,887,623 | $637,108 | - | $2,524,731 |
| Current Officers, Directors, Trustees, and Key Employees | $1,147,588 | $387,236 | - | $1,534,824 |
| Other Employee Benefits | $457,414 | $154,371 | - | $611,785 |
| Payroll Taxes | $235,687 | $79,541 | - | $315,228 |
| Office Expenses | - | $287,456 | - | $287,456 |
| Other Expenses | $77,403 | $176,994 | - | $254,397 |
| Depreciation Depletion | - | $208,336 | - | $208,336 |
| All Other Expenses | $46,865 | $110,860 | - | $157,725 |
| Occupancy | $92,664 | $33,600 | - | $126,264 |
| Travel | $71,307 | $37,178 | - | $108,485 |
| Fees for Services Other | $17,426 | $78,112 | - | $95,538 |
| Insurance | $2,933 | $72,054 | - | $74,987 |
| Interest | $12,628 | - | - | $12,628 |
| Total Functional Expenses | $8,302,476 | $2,653,222 | $0 | $10,955,698 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $10,955,698 |
| Total Expenses per Audited Statements | $10,955,698 |
| Total Expenses per Form 990 | $10,955,698 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Officers, Directors, Trustees, and Key Employees | $52,881 | $51,716 | ▼ $1,165 |
“Members of the board of directors have business relationships with other board members in the normal course of their job and its functions.”
“Board members conducted a teleconference prior to the issuance of the return to discuss the form 990 and the various items listed on the return before it was filed.”
“The organization on a regular basis encourages the board to disclose any conflicts of interest and discusses at meetings new business relationships in order for disclosure to be allowed.”
“The ceo's salary was discussed and approved by the board of directors prior to employment and is considered on an annual basis.”
“The form 990 is available for review at its main office location upon request.”
“Change in cash surrender value of annuities 8,868.”
“The board of directors assumes responsibility for oversight of the audit.”
“As of january 31, 2025, the tax years that remain subject to examination by taxing authorities begin with 2023. Tax returns for 2023, 2024 and 2025 remain open to examination by taxing authorities. Management believes that all positions taken in those returns would be sustained if examined by taxing authorities.”
“Change in cash surrender value of annuities 8,868.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 490505 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 294675 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 567631 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 712740 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO ASSURE THE AVAILABILITY OF AFFORDABLE, QUALITY HEALTH CARE SERVICES AND CONTINUAL EDUCATION AND SOCIAL SERVICE INTERVENTIONS TO THE RESIDENTS OF MCDOWELL AND WYOMING COUNTIES AND THEIR CONTIGUOUS AREAS IN SOUTHERN, WV. THE ORGANIZATION IS ALSO DEDICATED TO ESTABLISHING TEACHING HEALTH CENTERS FOR THE TRAINING OF PRIMARY CARE MEDICAL RESIDENTS |
| IRS990/AllOtherContributionsAmt | 0 | 225001 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 110860 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 46865 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 157725 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JENNY COLE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3044482101 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | WV ROUTE 103 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | GARY |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WV |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 24836 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 3050 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 3050 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 387236 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1147588 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1534824 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2757563 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 583686 |
| IRS990/CYOtherExpensesAmt | 0 | 5969130 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 8783206 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 1168757 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 4986568 |
| IRS990/CYTotalExpensesAmt | 0 | 10955698 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 12124455 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 976778 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 207915 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 208336 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 208336 |
| IRS990/Desc | 0 | PROVIDE COMPREHENSIVE HEALTH CARE FOR THE TOTAL PERSON THROUGH THE MEDIUM OF MANAGING AND OPERATING A COORDINATED HEALTH SYSTEM AND RELATED PROGRAMS. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 84 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 8302476 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 78112 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 17426 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 95538 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | MICHAEL LUSHBAUGH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | WILLIAM SPENCER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DAVID DUNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | RHONDA SUE ROSE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | LANA KIBBEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JOHN J SIDOTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | CLARA THOMPSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JAMES MATTHEWS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MICHAEL EVANS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | GAIL DAVIDSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ANDREA THORNTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JENNY COLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | CHERYL MITCHEM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | VERONICA CUMMINGS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DEBORAH CURRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | KEISHA SAUNDERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JOHN FOREHAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | JOANNA BAILEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | MOHAMMAD ASHIR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | ROBIN RIDDLE |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 180650 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 122119 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 105738 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 107654 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 135891 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 298379 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 253014 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 200206 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 131173 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | NURSE PRACTITIONER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | MD |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | MD |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | MD |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | NURSE PRACTITIONER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1976 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 20957 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 13 |
| IRS990/GovernmentGrantsAmt | 0 | 2532562 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 325688 |
| IRS990/GrossReceiptsAmt | 0 | 12429186 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 11 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 72054 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 2933 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 74987 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 12628 |
| IRS990/InterestGrp/TotalAmt | 0 | 12628 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 345836 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 392835 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 562729 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 562729 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 9906203 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 11154536 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 1536085 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 1647462 |
| IRS990/IRPDocumentCnt | 0 | 9 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 2294691 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 2133058 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 2106497 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 4401188 |
| IRS990/LegalDomicileStateCd | 0 | WV |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 304731 |
| IRS990/LoanOutstandingInd | 0 | 1 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | THE PROVISION OF PRIMARY CARE SERVICES, INCLUDING PREVENTIVE CARE, WELLNESS, DENTAL AND DIAGNOSTIC SERVICES TO THE RURAL POPULATION OF SOUTHERN WEST VIRGINIA, AND TO ADDITIONALLY TO PROVIDE QUALITY HEALTH CARE TO PATIENTS THAT HAVE A LIMITED ABILITY TO PAY. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 19981469 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 21982499 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 20957 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 20957 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -11011 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 19981469 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 21982499 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 33600 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 92664 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 126264 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 287456 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 287456 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 699460 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 619470 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 8868 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 154371 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 457414 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 611785 |
| IRS990/OtherExpensesGrp/Desc | 0 | 340B DRUG PRICING PROGR |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL SUPPLIES AND PH |
| IRS990/OtherExpensesGrp/Desc | 2 | REPAIRS AND MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 3 | TELEPHONE AND UTILITIES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 390376 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 176994 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 2083164 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 2039104 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 130670 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 77403 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 2083164 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 2039104 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 521046 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 254397 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 637108 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 1887623 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 2524731 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 79541 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 235687 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 315228 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 116766 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 118934 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | ANDREA THORNTON |
| IRS990/PriorPeriodAdjustmentsAmt | 0 | 834416 |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 456110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE REVENUES |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | 340B DRUG PRICING PROGRAM |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 5198315 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 3584891 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 5198315 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 3584891 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 3337681 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 278496 |
| IRS990/PYOtherExpensesAmt | 0 | 4289478 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 6416539 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 1582684 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 4160554 |
| IRS990/PYTotalExpensesAmt | 0 | 8450032 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 10032716 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt | 0 | 52881 |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 51716 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 1168757 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 1 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 8783206 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 6087782 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 5677849 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 2757563 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 3337610 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 4048493 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 3769532 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 4008308 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 17921506 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 562729 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 278496 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 147409 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 20449 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 102769 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 1111852 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 18981813 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt | 0 | 3584891 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 2518464 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 1903367 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1770089 |
| IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 1748552 |
| IRS990ScheduleA/OtherIncome170Grp/TotalAmt | 0 | 11525363 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.58650 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.63250 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 17921506 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 2757563 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 3337610 |
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