Liabilities / Assets
70th percentile
Higher debt load relative to assets than 70% of similar nonprofits.
EIN 55-0591799 • 501(c)3 • Baker, WV
Profile
The center is providing affordable, high quailty and comprehensive primary care services in an efficient manner to the residents of rural west virginia.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
70th percentile
Higher debt load relative to assets than 70% of similar nonprofits.
Liabilities / Revenue
49th percentile
Higher debt load relative to revenue than 49% of similar nonprofits.
Net Margin
27th percentile
Higher net margin than 27% of similar nonprofits.
Top Officer Pay
78th percentile
Higher top officer pay than 78% of similar nonprofits.
Top officer pay equals 1.1% of source-year revenue.
Asset Growth
13th percentile
Faster asset growth than 13% of similar nonprofits.
Revenue Growth
63rd percentile
Faster revenue growth than 63% of similar nonprofits.
Assets
Down$22,664,337
Down $1,444,323 (-6.0%) from 2024
Liabilities
Down$10,277,008
Down $422,113 (-3.9%) from 2024
Net Assets
Down$12,387,329
Down $1,022,210 (-7.6%) from 2024
Revenue
Up$38,598,258
Up $4,823,361 (+14%) from 2024
Expenses
Up$39,620,468
Up $9,058,097 (+30%) from 2024
Net Income
Down-$1,022,210
Down $4,234,736 (-132%) from 2024
Most recent year
2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
The center is providing affordable, high quailty and comprehensive primary care services in an efficient manner to the residents of rural west virginia.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $5,837,195 | $5,973,363 | ▲ $136,168 |
| Cash and Non-Interest-Bearing Accounts | $8,209,187 | $5,491,716 | ▼ $2,717,471 |
| Accounts Receivable | $3,691,171 | $4,026,242 | ▲ $335,071 |
| Intangible Assets | $2,651,042 | $2,924,292 | ▲ $273,250 |
| Savings and Temporary Cash Investments | $2,206,510 | $2,318,128 | ▲ $111,618 |
| Inventories for Sale or Use | $1,441,445 | $1,857,665 | ▲ $416,220 |
| Prepaid Expenses and Deferred Charges | $72,110 | $72,931 | ▲ $821 |
| Total Assets | $24,108,660 | $22,664,337 | ▼ $1,444,323 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $7,356,500 | $7,031,856 | ▼ $324,644 |
| Accounts Payable and Accrued Expenses | $2,055,054 | $2,222,752 | ▲ $167,698 |
| Deferred Revenue | $1,287,567 | $1,022,400 | ▼ $265,167 |
| Total Liabilities | $10,699,121 | $10,277,008 | ▼ $422,113 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $13,404,130 | $12,381,920 | ▼ $1,022,210 |
| Net Assets With Donor Restrictions | $5,409 | $5,409 | → $0 |
| Total Net Assets Fund Balance | $13,409,539 | $12,387,329 | ▼ $1,022,210 |
| Total Liabilities and Net Assets / Fund Balance | $24,108,660 | $22,664,337 | ▼ $1,444,323 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $3,314,880 | $1,510,429 | $4,825,309 |
| Buildings | $2,291,560 | $1,739,135 | $4,030,695 |
| Land | $366,923 | - | $366,923 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Mark Puffenberger | Physician | FT | $426,369 | $12,291 | $438,660 |
| Michael Riggleman | Physician | FT | $375,334 | $35,035 | $410,369 |
| Melissa Thompson | Chief Executive Officer | FT | $341,601 | $35,035 | $376,636 |
| William Koontz | Cheif Financial Officer | FT | $278,981 | $56,356 | $335,337 |
| Dawn Kitzmiller | Physician | FT | $286,427 | $16,981 | $303,408 |
| Bilal Itani | Physician | FT | $240,366 | $32,003 | $272,369 |
| Solomon Mutetwa | Physician | FT | $245,779 | - | $245,779 |
| Name | Title |
|---|---|
| Ralph Fitzwater | President |
| Regena Whetzel | Vice President |
| Imogen L Helsley | Board Member |
| Joanna Kuhn | Board Member |
| John H Treadway Jr | Board Member |
| Kristopher Kerr | Board Member |
| Michael Funckhouser | Board Member |
| Stacey Heavner | Board Member |
| Tracey Ratliff | Board Member |
| Celesta Miller | Secretary |
| David Mayfield | Treasurer |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Drugs and Medical Supplies | 20 | $304,207 | Donated Pharmaceuticals |
| Total Noncash Contributions | 20 | $304,207 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $20,821,852 |
| Other Expenses | $18,798,616 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $12,983,069 | $3,612,825 | - | $16,595,894 |
| Fees for Services Other | $14,495,883 | $230,464 | - | $14,726,347 |
| Other Employee Benefits | $2,238,389 | $622,882 | - | $2,861,271 |
| Occupancy | $1,046,906 | $182,700 | - | $1,229,606 |
| Payroll Taxes | $938,332 | $261,111 | - | $1,199,443 |
| Depreciation Depletion | $812,083 | $101,469 | - | $913,552 |
| Office Expenses | $66,967 | $444,581 | - | $511,548 |
| Fees for Services Accounting | $312,355 | $128,117 | - | $440,472 |
| Advertising | $247,486 | $43,088 | - | $290,574 |
| Travel | $249,827 | $16,166 | - | $265,993 |
| Pension Plan Contributions | $129,271 | $35,973 | - | $165,244 |
| Other Expenses | $145,505 | $14,193 | - | $159,698 |
| Interest | $119,031 | $14,873 | - | $133,904 |
| Insurance | $91,801 | $11,471 | - | $103,272 |
| Fees for Services Legal | - | $23,650 | - | $23,650 |
| Total Functional Expenses | $33,876,905 | $5,743,563 | $0 | $39,620,468 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $39,620,468 |
| Total Expenses per Audited Statements | $39,620,468 |
| Total Expenses per Form 990 | $39,620,468 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Most non-profits hire cpa firms or other tax professionals to prepare forms 990 and board members generally feel this is the appropriate fiduciary process. The board or audit committee's role then is to evaluate the competency of the person(s) or firm hired to prepare the return and to determine it is appropriately filed. We have taken these steps with our board.”
“Annually the board is asked to complete a conflict of interest survey.”
“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.”
“The organization makes its governing documents, conflict of interest policy, and tax returns available to the public upon request. All financial statements are available from the west virginia health care authority in charleston, wv. Beginning with the may 31, 2010 fiscal year end, the financial statements will be available on the census bureau's website.”
“Medical supplies: program service expenses 13,361,696. Management and general expenses 0. Fundraising expenses 0. Total expenses 13,361,696. Contract services: program service expenses 856,067. Management and general expenses 230,464. Fundraising expenses 0. Total expenses 1,086,531. Other professional fees: program service expenses 278,120. Management and general expenses 0. Fundraising expenses 0. Total expenses 278,120.”
“There are no current year changes.”
“The organization does not believe its financial statements include (or reflect) any uncertain tax positions.”
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 | 2055054 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2222752 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 3691171 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 4026242 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | THE CENTER IS PROVIDING AFFORDABLE, HIGH QUAILTY AND COMPREHENSIVE PRIMARY CARE SERVICES IN AN EFFICIENT MANNER TO THE RESIDENTS OF RURAL WEST VIRGINIA. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 43088 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 247486 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 290574 |
| IRS990/AllOtherContributionsAmt | 0 | 465730 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | MELISSA THOMPSON |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3048975915 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | P O BOX 97 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | BAKER |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WV |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 26801 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 8209187 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 5491716 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| 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 | 2297699 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 274306 |
| IRS990/CYOtherExpensesAmt | 0 | 18798616 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 36026253 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -1022210 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 20821852 |
| IRS990/CYTotalExpensesAmt | 0 | 39620468 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 38598258 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 1 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 1287567 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 1022400 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 101469 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 812083 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 913552 |
| IRS990/Desc | 0 | THE CENTER PROVIDED MEDICAL, DENTAL, PHARMACY AND BEHAVIORAL HEALTH SERVICES TO RESIDENTS OF HARDY, GRANT AND HAMPSHIRE COUNTIES IN WEST VIRGINIA. THE CENTER ALSO PROVIDED $560,000 WORTH OF FREE SERVICES AND MEDICATIONS. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 5409 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 5409 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 257 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 33876905 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 128117 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 312355 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 440472 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 23650 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 23650 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 230464 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 14495883 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 14726347 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| 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 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 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/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 |
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| 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 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 35035 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 32003 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 16981 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 12291 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 35035 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DAVID MAYFIELD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | KRISTOPHER KERR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | TRACEY RATLIFF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | STACEY HEAVNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MICHAEL FUNCKHOUSER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JOANNA KUHN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | REGENA WHETZEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | IMOGEN L HELSLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JOHN H TREADWAY JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | WILLIAM KOONTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MELISSA THOMPSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | BILAL ITANI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DAWN KITZMILLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | MARK PUFFENBERGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | MICHAEL RIGGLEMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | SOLOMON MUTETWA |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 341601 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 240366 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 286427 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 426369 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 375334 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 245779 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
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| 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/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | SECRETARY |
| 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 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CHEIF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1979 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 1831969 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 38598258 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 44 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 11471 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 91801 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 103272 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 2651042 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 2924292 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 14873 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 119031 |
| IRS990/InterestGrp/TotalAmt | 0 | 133904 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1441445 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1857665 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 274306 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 274306 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 27 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 3249564 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 5837195 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 5973363 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 9222927 |
| IRS990/LegalDomicileStateCd | 0 | WV |
| IRS990/LoanOutstandingInd | 0 | 0 |
| 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 CENTER IS PROVIDING AFFORDABLE, HIGH QUAILTY AND COMPREHENSIVE PRIMARY CARE SERVICES IN AN EFFICIENT MANNER TO THE RESIDENTS OF RURAL WEST VIRGINIA. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 7356500 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 7031856 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 13409539 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 12387329 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 13404130 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 12381920 |
| IRS990/NoncashContributionsAmt | 0 | 304207 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 182700 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1046906 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1229606 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 444581 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 66967 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 511548 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 622882 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2238389 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 2861271 |
| IRS990/OtherExpensesGrp/Desc | 0 | MINOR EQUIPMENT |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 14193 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 145505 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 159698 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 3612825 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 12983069 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 16595894 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 261111 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 938332 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1199443 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 35973 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 129271 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 165244 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 72110 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 72931 |
| IRS990/PrincipalOfficerNm | 0 | MELISSA THOMPSON |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PROGRAM SERVICE REVENUE - RELATED |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 36026253 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 36026253 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 6566299 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 215795 |
| IRS990/PYOtherExpensesAmt | 0 | 13331965 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 26992803 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 3212526 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 17230406 |
| IRS990/PYTotalExpensesAmt | 0 | 30562371 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 33774897 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -1022210 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 36026253 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 2206510 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 2318128 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 2297699 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 11044772 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 3351834 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 3070854 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 2695197 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 22460356 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 274306 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 215795 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 45647 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 3068 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 39070 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 577886 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 120274914 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.97490 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.96320 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 22460356 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 2297699 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 11044772 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 3351834 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 3070854 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 2695197 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 22460356 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 23038242 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 2291560 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 1739135 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 4030695 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 39620468 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 366923 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 366923 |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 3314880 |
| IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt | 0 | 1510429 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 4825309 |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 38598258 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | THE ORGANIZATION DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE (OR REFLECT) ANY UNCERTAIN TAX POSITIONS. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 5973363 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 39620468 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 38598258 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 38598258 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 39620468 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | 0 |
| IRS990ScheduleJ/BoardOrCommitteeApprovalInd | 0 | X |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | 0 |
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