Tug River Health Association Inc

Nonprofit profile at a glance

EIN
310889458
IRS 990 coverage
2011–2024
Forms available
Form 990 2024
Location
Gary, WV, USA
Phone
3044482101
Rating
71
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Ambulatory Health Center, Community Clinic

Official website

Reported finances

Revenue
$12,124,455
Expenses
$10,955,698
Assets
$22,485,089
Liabilities
$502,590

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

20 people listed

Executive titles in this filing

  • MICHAEL LUSHBAUGH (PRESIDENT)
  • JAMES MATTHEWS (VICE PRESIDENT)
  • ANDREA THORNTON (CEO)

Highest reported compensation

  • JOHN FOREHAND (MD): $298,379 total reported compensation
  • JOANNA BAILEY (MD): $253,014 total reported compensation
  • MOHAMMAD ASHIR (MD): $200,206 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

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.

What it reported doing in 2024

Provide comprehensive health care for the total person through the medium of managing and operating a coordinated health system and related programs.

Operating model

Revenue model
Earned-program. 73% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and reported officer compensation is a large share of total spending, which may reflect staffing concentration.

Rating breakdown

  • Financial Efficiency: 61
  • Transparency & Controls: 70
  • Accountability: 87
  • Sustainability: 61
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 65.4%; rating input score 65
  • Program expense ratio: 75.8%; rating input score 76
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 84.6%; rating input score 85; 18th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • 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: 9.6%; rating input score 67; 67th percentile among comparable filings
  • Total-asset coverage ratio: 2.05; rating input score 62; 62nd percentile among comparable filings
  • Liabilities to assets ratio: 0.02; rating input score 89; 89th percentile among comparable filings
  • Officer compensation ratio: 14%; rating input score 10; 10th percentile among comparable filings

Growth

  • Program expense growth: 12.3% per year; rating input score 100; 78th percentile among comparable filings
  • Revenue growth: 7.7% per year; rating input score 100; 63rd percentile among comparable filings
  • Asset growth: 14.1% per year; rating input score 100; 79th percentile among comparable filings

Details

  • Where the money goes: 65.4% of revenue deployed · 75.8% of spending went to programs
  • Governance: 11 of 13 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $8.3M in reported program spending
  • Leadership: top reported pay $298K · 20 people listed · 1 of 6 pay-setting controls reported
  • Consistency: 28 of 28 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 9 filing years from 2011 to 2024
  • Contacts: How to reach this organization
  • Money network: 9 filed money-flow records
  • 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.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Accountability: Governance controls: CEO compensation review process not reported.
  • High — Sustainability: Officer compensation ratio scored 10/100.