The Health Plan
Legal name: The Health Plan of West Virginia Inc
Nonprofit profile at a glance
- EIN
- 550585592
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Wheeling, WV, USA
- Phone
- 1.800.624.6961
- Rating
- 84
- Verdict
- STRONG
- Rating confidence
- Moderate
Reported finances
- Revenue
- $772,676,162
- Expenses
- $776,295,208
- Assets
- $461,774,997
- Liabilities
- $169,583,887
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
24 people listed
Executive titles in this filing
- JEFFREY KNIGHT (PRESIDENT & CEO)
Highest reported compensation
- JEFFREY KNIGHT (PRESIDENT & CEO): $750,378 total reported compensation
- RYAN RALSTON (CHIEF FINANCIAL OFFICER): $518,269 total reported compensation
- JAMIE LEARY (CHIEF LEGAL COUNSEL): $365,510 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
At The Health Plan, our mission is to deliver innovative, high-quality, and cost-effective healthcare solutions that improve the health and well-being of our members. Guided by clinical expertise and rooted in community values, we partner with our members and providers to ensure compassionate personalized care.
What it reported doing in 2024
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.
Operating model
- Revenue model
- Earned-program. 98% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Member-benefit provider. The nonprofit used 91% of its reported program spending for member benefits.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 88
- Transparency & Controls: 75
- Accountability: 100
- Sustainability: 33
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 99.9%; rating input score 100
- Program expense ratio: 98.1%; rating input score 98
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Scored; rating input score 0
- Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Limited
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -0.5%; rating input score 24; 24th percentile among comparable filings
- Total-asset coverage ratio: 0.59; rating input score 23; 23rd percentile among comparable filings
- Liabilities to assets ratio: 0.37; rating input score 49; 49th percentile among comparable filings
- Officer compensation ratio: 0.7%; rating input score 81; 81st percentile among comparable filings
Growth
- Program expense growth: 6.5% per year; rating input score 100; 53rd percentile among comparable filings
- Revenue growth: 6.3% per year; rating input score 100; 54th percentile among comparable filings
- Asset growth: 5.3% per year; rating input score 100; 39th percentile among comparable filings
Details
- What they do: 2 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 99.9% of revenue deployed · 98.1% of spending went to programs
- Governance: 9 of 9 board members independent · 9 of 9 filing controls reported
- Programs: 3 filed program accomplishments · $761.3M in reported program spending
- Leadership: top reported pay $750K · 24 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $48.9M reported
- Consistency: 39 of 39 current checks pass
- Schedules: 7 filed schedules · includes foreign activity, grants, executive pay, and related organizations
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 38 filed money-flow records
- Related organizations: 16 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Foreign activity oversight scored 0/100.
- High — Sustainability: Operating margin scored 24/100.
- High — Sustainability: Total-asset coverage ratio scored 23/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 49/100.