HEALTH PLAN OF WEST VIRGINIA INC
1110 MAIN STREET, WHEELING, WV 26003 www.healthplan.org

Total Revenue
$634,436,588
Total Expenses
$650,865,803
Net Assets
$127,180,817

Organizations Filed Purposes: 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 HEALTH CARE PROFESSIONALS AND PARTNERS ACROSS THE COMMUNITY.

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, 2019 WAS 23,998.

THE HEALTH PLAN CONTINUES TO OFFER THE MEDICAID PROGRAM SERVICING 94,039 MEMBERS, 39,594 OF WHICH WERE ENROLLED AS MEMBERS OF THE EXPANSION POPULATION, 42,289 OF WHICH WERE ENROLLED AS MEMBERS OF THE TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) POPULATION, AND 12,156 OF WHICH WERE ENROLLED AS MEMBERS OF THE SUPPLEMENTAL SECURITY INCOME (SSI) POPULATION AT DECEMBER 31, 2019.

THE HEALTH PLAN CONTINUES TO OFFER A MEDICARE ADVANTAGE PROGRAM KNOWN AS SECURE CARE, WHICH ALSO INCLUDES A MEDICARE DUAL SPECIAL NEEDS PLAN (DSNP). THIS PRODUCT ENABLES THE MEDICARE ELIGIBLE POPULATION TO SELECT MEDICARE COVERAGE AT A MUCH LOWER COST DUE TO THEIR AGREEMENT TO UTILIZE THE HEALTH PLAN NETWORK. THE ENROLLMENT AT DECEMBER 31, 2019 FOR THIS PROGRAM WAS 14,471.

Executives Listed on Filing

Total Salary includes financial earnings, benefits, and all related organization earnings listed on tax filing

NameTitleHours Per WeekTotal Salary
James PenningtonPRESIDENT/CEO40$579,396
Kenton RoepkeDIRECTOR - ACTUARIAL SERVICES40$397,189
David ThomasDIRECTOR - SALES NATIONAL40$336,331
Richard LeggSVP - SALES & ACCOUNT MANAGEMENT40$266,179
Jeffrey Knight - Svp - PaymentINTEGRITY & POPULATION HEALTH MGMT40$239,371
Patricia M FastSVP- GOVERNMENT PROGRAMS40$221,523
E David Mathieu - VpUNDERWRITING & REGULATORY SERVICES40$220,047
Robert CrossMEDICAL DIRECTOR40$211,802
Robert J RosetSVP - IS/CIO40$210,445
Jason LandersSVP-PROVIDER DELIVERY SERVICES40$205,253
John Fischer Thru 10182019SVP - CLINICAL SERVICES40$203,561
Ryan RalstonVP - CFO40$201,675
Mark Kenamond Thru 10162019MEDICAL DIRECTOR40$196,751
James MillerSVP-ADMINISTRATIVE SERVICES40$181,698
Katie StanichVP INTERNAL AUDIT & QUALITY40$171,284
John Wright IvCHAIRMAN OF THE BOARD1$16,000
John HollowayMEMBER1$14,000
John GianolaMEMBER1$12,000
Susan Buchanan CpaMEMBER1$12,000
Mark LancellottiMEMBER1$12,000
E Phillips Polack MdMEMBER1$12,000
Jill E HallVICE CHAIR OF THE BOARD1$11,800
John Mcdonald CpaSECRETARY1$7,200

Data for this page was sourced from XML published by IRS (public 990 form dataset) from: https://s3.amazonaws.com/irs-form-990/202022799349300602_public.xml