Civic Intelligence

Tug River Health Association Inc

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.

PO Box 507Gary, WV 24836

www.tugrivermedical.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

22nd percentile

0.02x

Higher debt load relative to assets than 22% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Liabilities / Revenue

18th percentile

0.04x

Higher debt load relative to revenue than 18% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Net Margin

61st percentile

9.6%

Higher net margin than 61% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Top Officer Pay

77th percentile

$298,379

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 2.5% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Asset Growth

52nd percentile

4.8%

Faster asset growth than 52% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Revenue Growth

71st percentile

21%

Faster revenue growth than 71% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

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

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2012: $2,631,299Liabilities 2012: $340,548Net Assets 2012: $2,290,7512012Assets 2017: $5,021,050Liabilities 2017: $220,726Net Assets 2017: $4,800,3242017Assets 2018: $6,440,838Liabilities 2018: $248,277Net Assets 2018: $6,192,5612018Assets 2019: $8,414,715Liabilities 2019: $373,592Net Assets 2019: $8,041,1232019Assets 2020: $10,964,814Liabilities 2020: $535,290Net Assets 2020: $10,429,5242020Assets 2021: $14,290,262Liabilities 2021: $1,323,805Net Assets 2021: $12,966,4572021Assets 2022: $16,253,589Liabilities 2022: $497,904Net Assets 2022: $15,755,6852022Assets 2023: $18,783,627Liabilities 2023: $542,574Net Assets 2023: $18,241,0532023Assets 2024: $21,448,752Liabilities 2024: $1,467,283Net Assets 2024: $19,981,4692024Assets 2025: $22,485,089Liabilities 2025: $502,590Net Assets 2025: $21,982,4992025

Highlighted filing

2025

Assets$22,485,089
Liabilities$502,590
Net Assets$21,982,499

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0Expenses 2012: $4,126,1722012Revenue 2017: $5,412,830Expenses 2017: $4,189,225Net Income 2017: $1,223,6052017Revenue 2018: $5,939,230Expenses 2018: $4,546,993Net Income 2018: $1,392,2372018Revenue 2019: $6,626,601Expenses 2019: $4,778,039Net Income 2019: $1,848,5622019Revenue 2020: $7,848,624Expenses 2020: $5,460,223Net Income 2020: $2,388,4012020Revenue 2021: $9,277,426Expenses 2021: $6,761,419Net Income 2021: $2,516,0072021Revenue 2022: $8,715,812Expenses 2022: $6,279,546Net Income 2022: $2,436,2662022Revenue 2023: $9,411,153Expenses 2023: $6,783,107Net Income 2023: $2,628,0462023Revenue 2024: $10,032,716Expenses 2024: $8,450,032Net Income 2024: $1,582,6842024Revenue 2025: $12,124,455Expenses 2025: $10,955,698Net Income 2025: $1,168,7572025

Highlighted filing

2025

Revenue$12,124,455
Expenses$10,955,698
Net Income$1,168,757

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Feb 1, 2024 to Jan 31, 2025
Signed
Dec 10, 2025
Return Version
2024v5.2
Gross Receipts
$12,429,186
Mission and Program Overview

Mission

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

Balance Sheet Detail
LineBeginningEndChange
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 Categories

AssetBook ValueDepreciationBasis
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--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
John ForehandMdFT$298,379$298,379
Joanna BaileyMdFT$253,014$253,014
Mohammad AshirMdFT$200,206$200,206
David DunsonTreasurerFT$180,650$180,650
Keisha SaundersNurse PractitionerFT$135,891$135,891
Robin RiddleNurse PractitionerFT$131,173$131,173
Andrea ThorntonCEOFT$122,119$122,119
Cheryl MitchemSecretaryFT$107,654$107,654
Jenny ColeCFOFT$105,738$105,738

Board Members and Trustees

NameTitle
Michael LushbaughPresident
James MatthewsVice President
Clara ThompsonBoard Member
Deborah CurryBoard Member
Gail DavidsonBoard Member
John J SidoteBoard Member
Lana KibbeyBoard Member
Michael EvansBoard Member
Rhonda Sue RoseBoard Member
Veronica CummingsBoard Member
William SpencerBoard Member
Revenue and Support

Revenue Composition

Contributions and Grants
$2,757,563
Program Service Revenue
$8,783,206
Investment Income
$583,686
Other Revenue
$0
All Other Contributions
$225,001
Change in Net Assets
$1,168,757

Audited Revenue Reconciliation

Revenue per Audited Statements
$12,124,455
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-2,143
Total Revenue per Audited Statements
$12,122,312
Total Revenue per Form 990
$12,124,455
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
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

Audited Expense Reconciliation

Line ItemAmount
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
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$52,881$51,716▼ $1,165
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Members of the board of directors have business relationships with other board members in the normal course of their job and its functions.

Form 990, Part VI, Section B, Line 11B

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.

Form 990, Part VI, Section B, Line 12C

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.

Form 990, Part VI, Section B, Line 15B

The ceo's salary was discussed and approved by the board of directors prior to employment and is considered on an annual basis.

Form 990, Part VI, Section C, Line 19

The form 990 is available for review at its main office location upon request.

Filing and Contact Details

Filer

Filer Name
Tug River Health Association Inc
EIN
31-0889458
Phone
3044482101
Address
PO BOX 507, GARY, WV 24836

Signing Officer

Name
Andrea Thornton
Title
CEO
Phone
3044482101
Signed
2025-12-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Andrea Thornton
Formed
1976
Legal Domicile
Wv
Voting Board Members
13
Independent Board Members
11
Employees
84
Volunteers
0

Preparer

Firm
Herman & Cormany CPA
Address
812 QUARRIER STREET SUITE 100, CHARLESTON, WV 25301
Preparer
Cristopher P Somerville
Phone
3043452320
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Change in cash surrender value of annuities 8,868.

FORM 990, PART XII, LINE 2C:

The board of directors assumes responsibility for oversight of the audit.

Financial Statement Notes

PART X, LINE 2:

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.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Change in cash surrender value of annuities 8,868.

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