BRAXTON COUNTY MEMORIAL HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- BRAXTON COUNTY MEMORIAL HOSPITAL INC (EIN 55-0611919)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-11
- IRS object ID
- 202403169349302470
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-11T06:54:18-00:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550611919 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Braxton County Memorial Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRAX | BusinessNameControlTxt |
| Phone | 6813421608 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Hoylman Drive | AddressLine1Txt |
| City | Gassaway | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26624 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kimber Knight | PersonNm |
| Person Title | Director of AccountingController | PersonTitleTxt |
| Phone | 3043645156 | PhoneNum |
| Signature | 2024-05-09 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | John Forester | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 327 Medical Park Drive | AddressLine1Txt |
| City | Bridgeport | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26330 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,702,998 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.wvumedicine.org/braxton | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | The Hospitals most significant activities are services provided by the hospital including inpatient, outpatient, emergency room services, and clinical care to residents of Braxton County, WV | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 184 | TotalEmployeeCnt |
| Total Volunteers | 40 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $359,108 | PYContributionsGrantsAmt |
| CY Contributions Grants | $46,079 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $29,620,263 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $28,489,662 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,630 | PYInvestmentIncomeAmt |
| CY Investment Income | $33,491 | CYInvestmentIncomeAmt |
| PY Other Revenue | $131,811 | PYOtherRevenueAmt |
| CY Other Revenue | $131,582 | CYOtherRevenueAmt |
| PY Total Revenue | $30,116,812 | PYTotalRevenueAmt |
| CY Total Revenue | $28,700,814 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,221,143 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,694,952 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,771,658 | PYOtherExpensesAmt |
| CY Other Expenses | $15,778,637 | CYOtherExpensesAmt |
| PY Total Expenses | $24,992,801 | PYTotalExpensesAmt |
| CY Total Expenses | $27,473,589 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,124,011 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,227,225 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,173,175 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,113,862 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,493,717 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,986,270 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,679,458 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,127,592 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Braxton County Memorial Hospital serves as the gateway for the healthcare needs of the citizens of Braxton County and the surrounding areas. Its mission is Caring for You Close to Home. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,632,219 | ExpenseAmt |
| Revenue | $9,722,197 | RevenueAmt |
| Desc | The Emergency Department of Braxton County Memorial Hospital provides 24-hour medical care to area residents as well as travelers. With its close proximity to I-79, BCMH has served as the gateway for many strangers in need of emergency healthcare. In 2023, 9,550 individuals were provided with compassionate healthcare from professional physicians and nurses. Of that number, 8,951 individuals were treated and released, 344 were admitted as inpatients, and 255 were placed in observation. BCMH continues to comply with medical criteria and resource requirements necessary for designation as a level IV trauma center, thereby serving the community in a very unique way. By maintaining this designation. BCMH is involved with a state-wide trauma system which enables good communication and work relationships with emergency medical services and other healthcare facilities. The statistics noted above represent individual lives touched at Braxton County Memorial Hospital in 2023. These numbers do not reflect the families and friends of those patients. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,281,132 | ExpenseAmt |
| Revenue | $9,762,198 | RevenueAmt |
| Desc | Braxton County Memorial Hospital also offers primary care services from qualified physicians located in our rural health clinic. Our convenient location enabled us to provide and service the healthcare needs of 15,062 men, women, and children in our county and surrounding areas in 2023. Primary Care Service assists in keeping patients up to date on preventive care but also if specialists are needed then BCMH offers many services that allow the patient to stay within the community. This is often a plus for a rural community with limited public transportation. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,441,876 | ExpenseAmt |
| Revenue | $1,745,711 | RevenueAmt |
| Desc | Braxton County Memorial Hospitals General Surgery/Same Day Surgery area accommodated 463 surgery patients in 2023. Most of these individuals returned home hours after their procedure, though some were admitted to the hospital. This is a vital service for our area as it once again allows patients to receive needed care while remaining in their community. Also surgeons were able to see 1,251 patient visits in the surgical clinic as follow-up of care or to establish surgical needs. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $5,196,376 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $7,286,043 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $21,551,603 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 186 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WV | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kimber Knight | PersonNm |
| Phone | 3043645156 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Hoylman Drive | AddressLine1Txt |
| City | Gassaway | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26624 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| David Hess | ||||||||||
| Director, CEO of UHC | 001.00 | 043.00 | Yes (X) | $0 | $700,010 | $129,652 | ||||
| Karen Bowling | ||||||||||
| Former CEO Braxton - Current President Princeton Community Health Association | 040.00 | $0 | $774,664 | $26,104 | Yes (X) | |||||
| Stephanie Frame DO | ||||||||||
| Director, Physician | 040.00 | Yes (X) | $276,329 | $0 | $21,444 | |||||
| Louis Roe | ||||||||||
| President/CEO | 012.00 | 028.00 | $79,055 | $184,461 | $28,315 | Yes (X) | ||||
| John Tim Lewis | ||||||||||
| VP, Patient Care Services | 006.00 | 034.00 | $39,130 | $221,734 | $9,886 | Yes (X) | ||||
| Robin Eckhart | ||||||||||
| VP, Finance | 012.00 | 028.00 | $71,816 | $167,570 | $27,283 | Yes (X) | ||||
| Brandon Williams | ||||||||||
| VP, Operations | 012.00 | 028.00 | $53,568 | $124,991 | $25,075 | Yes (X) | ||||
| Rex Tremmel | ||||||||||
| Lead Pharmacist | 040.00 | $162,645 | $0 | $28,940 | Yes (X) | |||||
| Richard Campbell | ||||||||||
| Director Pharmacy | 040.00 | $152,766 | $0 | $35,965 | Yes (X) | |||||
| Sarah Aliff | ||||||||||
| House Supervisor | 040.00 | $144,139 | $0 | $13,802 | Yes (X) | |||||
| Kimberly Knight | ||||||||||
| Director of Accounting - Controller | 040.00 | $115,509 | $0 | $18,193 | Yes (X) | |||||
| Sarah Schimming | ||||||||||
| Physician | 040.00 | $120,033 | $0 | $632 | Yes (X) | |||||
| Melissa Marshall | ||||||||||
| Director - Assistant Secretary | 040.00 | 001.00 | Yes (X) | $39,257 | $0 | $10,483 | Yes (X) | |||
| Barbara Adams | ||||||||||
| Director, President | 001.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| Sally Howard | ||||||||||
| Director, Secretary/Treasurer | 001.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| Brent Boggs | ||||||||||
| Director | 001.00 | Yes (X) | $0 | $0 | $0 | |||||
| Tim Sodaro | ||||||||||
| Director, Vice President | 001.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| Tyler Long | ||||||||||
| Director | 001.00 | Yes (X) | $0 | $0 | $0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,254,247 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,173,430 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $375,774 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| US Mobile Imaging LLC | |||||
| PO Box 808 | Cumberland | MD | 215010808 | Mobile Imaging Services | $196,720 |
| Medical Solutions LLC | |||||
| 1010 N 102nd St Suite 300 | Omaha | NE | 681142122 | Staffing Services | $181,497 |
| Mansa LLC | |||||
| 11699 Brookpark Road | Cleveland | OH | 441301135 | Contracted Labor | $135,320 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $46,079 | AllOtherContributionsAmt |
| Total Contributions | $46,079 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue - Net | 621110 | $25,574,670 | $25,574,670 |
| Pharmacy Prescription Revenue - Patients | 621110 | $2,642,321 | $2,642,321 |
| Provider Relief Funds Reserve | 900099 | $152,303 | $152,303 |
| Patient Care Quality Incentives | 900099 | $93,193 | $93,193 |
| COVID Relief Funds | 900099 | $27,175 | $27,175 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $28,489,662 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,491 | TotalRevenueColumnAmt |
| Exclusion | $33,491 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $23,030 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,184 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $20,846 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,846 | TotalRevenueColumnAmt |
| Exclusion | $20,846 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria Income | 624200 | $75,184 | $75,184 | |
| Intercompany Revenue | 900099 | $17,382 | $17,382 | |
| Rebate Revenue | 900099 | $9,065 | $9,065 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,105 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,105 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $110,736 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,700,814 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,516,149 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $138,586 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $616,787 | TotalAmt |
| Program Services | $338,407 | ProgramServicesAmt |
| Management And General | $278,380 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,101,729 | TotalAmt |
| Program Services | $7,327,329 | ProgramServicesAmt |
| Management And General | $774,400 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,816 | TotalAmt |
| Program Services | $261,742 | ProgramServicesAmt |
| Management And General | $20,074 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,048,034 | TotalAmt |
| Program Services | $1,874,587 | ProgramServicesAmt |
| Management And General | $173,447 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $646,586 | TotalAmt |
| Program Services | $584,782 | ProgramServicesAmt |
| Management And General | $61,804 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,000 | TotalAmt |
| Management And General | $2,000 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,441 | TotalAmt |
| Program Services | $3,441 | ProgramServicesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,134,682 | TotalAmt |
| Program Services | $4,711,902 | ProgramServicesAmt |
| Management And General | $422,780 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,132 | TotalAmt |
| Program Services | $810 | ProgramServicesAmt |
| Management And General | $76,322 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $655,338 | TotalAmt |
| Program Services | $351,656 | ProgramServicesAmt |
| Management And General | $303,682 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,000 | TotalAmt |
| Management And General | $2,000 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,406 | TotalAmt |
| Program Services | $297,999 | ProgramServicesAmt |
| Management And General | $61,407 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,159 | TotalAmt |
| Program Services | $174,763 | ProgramServicesAmt |
| Management And General | $19,396 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,507 | TotalAmt |
| Program Services | $2,682 | ProgramServicesAmt |
| Management And General | $825 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,170 | TotalAmt |
| Program Services | $79,257 | ProgramServicesAmt |
| Management And General | $16,913 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,381,064 | TotalAmt |
| Program Services | $39,052 | ProgramServicesAmt |
| Management And General | $3,342,012 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $783,159 | TotalAmt |
| Program Services | $645,430 | ProgramServicesAmt |
| Management And General | $137,729 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,257 | TotalAmt |
| Program Services | $282,374 | ProgramServicesAmt |
| Management And General | $81,883 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $2,719,660 | $2,719,660 | |
| Bad Debt Expense | $1,252,783 | $1,252,783 | |
| Taxes, Licenses Fees | $682,659 | $577,013 | $105,646 |
| Association Dues | $41,499 | $6,745 | $34,754 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,721 | TotalAmt |
| Program Services | $19,189 | ProgramServicesAmt |
| Management And General | $6,532 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,473,589 | TotalAmt |
| Program Services | $21,551,603 | ProgramServicesAmt |
| Management And General | $5,921,986 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,245,020 | BOYAmt |
| EOY | $226,297 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,210,633 | BOYAmt |
| EOY | $9,590,249 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,653,116 | BOYAmt |
| EOY | $3,581,257 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $464,307 | BOYAmt |
| EOY | $467,622 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,545 | BOYAmt |
| EOY | $560,702 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,367,524 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,959,801 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,016,546 | BOYAmt |
| EOY | $6,407,723 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,008 | BOYAmt |
| EOY | $280,012 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,173,175 | BOYAmt |
| EOY | $21,113,862 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,524,225 | BOYAmt |
| EOY | $3,548,382 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,384,460 | BOYAmt |
| EOY | $1,813,834 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $585,032 | BOYAmt |
| EOY | $624,054 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,493,717 | BOYAmt |
| EOY | $5,986,270 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,312,771 | BOYAmt |
| EOY | $14,760,805 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $366,687 | BOYAmt |
| EOY | $366,787 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,679,458 | BOYAmt |
| EOY | $15,127,592 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,173,175 | BOYAmt |
| EOY | $21,113,862 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,227,225 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$779,091 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $3,441 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,441 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | II-B i | FormAndLineReferenceDesc |
| Explanation | These amounts are calculated based on information provided by the West Virginia Hospital Association and the American Hospital Association. The West Virginia Hospital Association estimates that during 2023, 12.04 of the dues paid should be allocated to lobbying expense. The American Hospital Association estimates that 32 of the 2023 dues were allocated to lobbying expense. Braxton County Memorial Hospital, Inc. does not participate in or intervene in including publishing or distributing of statements any political campaign on behalf of or in opposition to any candidate for public office. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $369,626 | BeginningYearBalanceAmt |
| Contributions | $100 | ContributionsAmt |
| Investment Earnings Or Losses | $108 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $369,834 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $366,506 | BeginningYearBalanceAmt |
| Contributions | $3,011 | ContributionsAmt |
| Investment Earnings Or Losses | $109 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $369,626 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $366,113 | BeginningYearBalanceAmt |
| Contributions | $320 | ContributionsAmt |
| Investment Earnings Or Losses | $73 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $366,506 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $366,164 | BeginningYearBalanceAmt |
| Contributions | -$265 | ContributionsAmt |
| Investment Earnings Or Losses | $214 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $366,113 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $377,370 | BeginningYearBalanceAmt |
| Contributions | $565 | ContributionsAmt |
| Investment Earnings Or Losses | $605 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $12,376 | OtherExpendituresAmt |
| End Year Balance | $366,164 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $700,000 | OtherCostOrOtherBasisAmt |
| Book Value | $700,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,955,209 | OtherCostOrOtherBasisAmt |
| Depreciation | $769,563 | DepreciationAmt |
| Book Value | $2,185,646 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $758,939 | OtherCostOrOtherBasisAmt |
| Depreciation | $165,449 | DepreciationAmt |
| Book Value | $593,490 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,409,775 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,665,928 | DepreciationAmt |
| Book Value | $1,743,847 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,543,601 | OtherCostOrOtherBasisAmt |
| Depreciation | $358,861 | DepreciationAmt |
| Book Value | $1,184,740 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,407,723 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Long Term Lease Liability | $82,252 |
| Capitalized Leases Payable - Non Current | $541,802 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $624,054 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $27,450,215 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$1,252,783 | OtherRevenueAmt |
| Revenue Not Reported | -$1,252,783 | RevenueNotReportedAmt |
| Revenue Subtotal | $28,702,998 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$2,184 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$2,184 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $28,700,814 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $26,222,990 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,184 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,184 | ExpensesNotReportedAmt |
| Expenses Subtotal | $26,220,806 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,252,783 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,252,783 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $27,473,589 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| X 2 | Most of the entities that comprise the System are tax-exempt organizations and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code. On such basis, they will not incur any liability for income taxes, except for possible unrelated business income. AHS, BCHS, PHIC, HPN, and TMHS are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2023 and 2022. |
| XI 2d | This line consists of 1,252,783 provision for doubtful accounts which is an offset to revenue on the financial statements and an expense for Form 990 purposes. |
| XI 4b | The amount on line 4b consists of 2,184 of rental expenses that is recorded as an offset to revenue on the Form 990. |
| XII 2d | The amount shown on line 2d consists of 2,184 of rental expenses that is recorded as an offset to revenue on the Form 990. |
| XII 4b | This line consists of 1,252,783 provision for doubtful accounts which is an offset to revenue on the financial statements and an expense for Form 990 purposes. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $196,478 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,007 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $158,471 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,166,397 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,166,397 | DirectOffsettingRevenueAmt |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,194 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,194 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,409,069 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,250,598 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $158,471 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,623 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,391 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,232 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,623 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,391 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,232 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,464,692 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,276,989 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $187,703 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00710 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $598,705 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,526 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $12,685,178 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $18,320,347 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,635,169 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Braxton County Memorial Hospital Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Hoylman Drive | AddressLine1Txt |
| City | Gassaway | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26624 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | wvumedicine.org/braxton/ | WebsiteAddressTxt |
| State License | 3 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Rural Health Clinic, Surgical Clinc Home Health | OtherDesc |
| Facility Reporting Group | A | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https//wvumedicine.org/wp-content/uploads/2022/08/BCMH-SRMC-2021-Community-Health-Needs-Assessment.p | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https//wvumedicine.org/wp-content/uploads/2022/08/BCMH-SRMC-Community-Health-Implementation-Plan2022 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 0000000200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https//wvumedicine.org/bill-pay/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https//wvumedicine.org/wp-content/uploads/2022/10/WVUHFAP-Financial-Application1020202.pdf | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https//wvumedicine.org/bill-pay/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | Yes (true) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Group Braxton County Memorial Hospital, Inc Line Part V, Section B, Line 5 | The 2021 CHNA process began with a thorough review of the previous cycles needs assessment reports, and included review of publicly available secondary data related to counties within the combined service area. These data included census data and County Health Rankings Data. Using these reports as a springboard, the leadership team started the initial discussion around critical health needs, changes in the community demographics over the previous few years, and lessons learned from the last CHNA cycles health topic prioritization and development of implementation activities. Primary data collection was comprised of surveying community members to gather perceptions of health issues, quality of life, and other related topics. Survey data was analyzed and presented back to the BCMH/SRMC CHNA leadership team for prioritization of topics to be addressed through implementation planning. |
| Group Braxton County Memorial Hospital, Inc Line Part V, Section B, Line 5 | The primary source of data utilized to inform the CHNA was a public input survey. This survey was developed by WVU OHA with the BCMH/SRMC CHNA leadership team following an iterative process. Survey topics included questions about specific health issues, thoughts on overall health of the community, quality of life, access to health care and medical needs including specialist care, risky behaviors and personal choices, and demographic information including geographic location and income. Data was collected anonymously from residents age 18 and older. The survey was disseminated via a web-based platform. Collection efforts included hospital social media pages, staff list e-mail invitation, postcards with QR code for survey were placed at hospital registration points, postcards were placed at the Summersville Arena Convention Center and were distributed during community events. A total of 202 surveys were completed by community members from the area. Noteworthy limitations included disproportionately low representation from males, from the lower-income population of these counties, from non-white community members, from households with children, and low or no response from a few of the counties in the PSA. The CHNA can be found online here https//wvumedicine.org/wp-content/uploads/2022/08/BCMH-SRMC-2021-Community-Health-Needs-Assessment.pdf. |
| Group Braxton County Memorial Hospital, Inc Line Part V, Section B, Line 6a | For the first time, Braxton County Memorial Hospital BCMH and Summersville Regional Medical Center SRMC have chosen to complete the 2021 CHNA portion of this process in tandem. Adjacent service areas and shared hospital administration informed the decision to complete the needs assessment portion of this requirement as a single joint effort. Each hospitals Board of Directors conducted independent reviews of the CHNA. In addition to the requirement to conduct a CHNA, leadership of both hospitals continually expressed the desire to go beyond regulatory requirements in serving patients and the community at large. To facilitate this goal, the pair partnered with West Virginia Universitys Office of Health Affairs WVU OHA to complete this CHNA using a robust community based process designed to engage a broad representation of community members. The WVU team was led by Dr. Tom Bias. A CHNA leadership team including hospital and community representation was convened by BCMH SRMC to inform and guide the process. |
| Group Braxton County Memorial Hospital, Inc Line Part V, Section B, Line 11 | The 2021 CHNA and Implementation Plan adopted in 2022 identified Health Living Obesity, Chronic Disease, Physical Activity, and Nutrition as the greatest need. BCMH participated in the following during 2022 in an effort to continue addressing these issues. Chronic Disease BCMH participated in several nation campaigns that bring awareness to health issues such as National Wear Red Day bringing awareness to heart health, Donate Life WV Hospital Challenge - achieving a level of Titanium and hosting a Flag Raising Ceremony in honor of National Donate Life Month, and to raise awareness about organ donation, as well as, a Pink it Out event to raise awareness about Breast Cancer and encourage regular screenings. Obesity, Physical Activity, and Nutrition BCMH participate in the grand opening of a miniature golf course at the Braxton County Senior Center, promoting physical activity, visited Braxton County High School to teach a Stop The Bleed Course to local students who are enrolled in a healthcare cluster, set up a blood pressure station at the Braxton County Fair and provided free bottled water and information on safety, participated in a food drive, donating the items to Mountaineer Food Bank to combat hunger and improve nutrition, participated in the Veterans Day parade, promoting physical activity, and partnered with the local Rotary to distribute Dictionaries to a local elementary school . Monthly ads are circulating in each local newspaper in each county, often featuring current wellness related dates Breast Cancer Awareness, Diabetes Awareness etc.. BCMH also includes a slide in our weekly communication, that is displayed on screens throughout the hospital facilities, dedicated to health and wellness information. The Implementation Plan can be found here https//wvumedicine.org/wp-content/uploads/2022/08/BCMH-SRMC-Community-Health-Implementation-Plan2022.pdf. |
| Group Braxton County Memorial Hospital, Inc Line Part V, Section B, Line 11 | Health Topic Obesity, Chronic Disease, Physical Activity, and Nutrition. During the 2020-2022 CHNA cycle, BCMH and SRMC reviewed data surrounding a grouping of health topics that they commonly see among the communitys top concerns, and that are often interconnected. Leadership made the decision to prioritize them as a single broad topic area. This will allow for development or continuation of community benefit program that may touch on several of these health facets obesity and nutrition, physical activity, and chronic disease. Strategy 1 Sponsorship of Community Physical Activity Events. Sponsorship of existing community physical activity events, such as the Spud Run, is a strategy that has been implemented in the past and will continue. Strategy 2 Blood Screenings. Free community blood screenings provided by local Rotaries is something that these hospitals have supported in the past and will continue to do for their communities. Health Topic Substance Use and Abuse. Throughout this 2020-2022 CHNAs cycles process, leadership saw issues surrounding substance use rise to the top of the communitys concerns. Clinical information, state and regional secondary data, and knowledge or other efforts within these communities support the need to continue to address these issues through community benefit provisions. Details of the strategies TBD. Health Topic Poverty. These hospitals community data collection showed a high level of concern for issues surrounding cost of care, availability of jobs with good wages and benefits, food security, and more. Leadership knows that they cannot broadly affect this large systemic issue, but have chosen to prioritize it and implement strategies where they see places they can offer assistance, such as nutrition assistance, free screenings, and transportation assistance. Details of these programs TBD. |
| Group Braxton County Memorial Hospital, Inc Line Part V, Section B, Line 13b | Braxton County Memorial Hospital BCMH offers discounted care only to individuals who qualify for free care. BCMH offers a Prompt-Pay Discount Program - patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either prompt pay discount, the patient/guarantor must meet certain requirements. |
| Group Braxton County Memorial Hospital, Inc Line Part V, Section B, Line 24 | All patients are charged an amount equal to gross charges regardless of payment method. Once FAP eligibility is confirmed, charge amounts are moved to Charity Care and no longer charged to the patient. |
Supplemental Information Detail SupplementalInformationDetail (24 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 3c | Braxton County Memorial Hospital BCMH uses the 200 Federal Poverty Guideline to determine free care eligibility. BCMH offers a Prompt - Pay Discount Program - patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either discount the patient/guarantor must meet certain requirements. |
| Part I Line 6a | Braxton County Memorial Hospital community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The most recent report can be found at the following web address http//wvumedicine.org/about/leadership-and-more/community-benefit/. |
| Part I Line 7 | Column f - Net community benefit expense for 2023 is 187,703 and is 0.71 of total net expenses. To calculate net expense, patient bad debt of 1,252,783 was deducted from total expenses of 27,473,589 as shown in Part IX line 25 of the core Form 990. |
| Part I Line 7 | Worksheet 2 from the IRS Schedule H instructions was used to derive the cost-to-charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost. To calculate the Medicare allowable cost shown in Part III line 6, we used the allowable costs from the Medicare Cost report. |
| Part II | No Community Building Activies were tracked for 2023. |
| Part III Line 2 | Bad Debt Expense at Cost on Line 2 was calculated by multiplying bad debt expense of 1,252,783 by our cost-to-charge ratio of 47.79 for a total of 598,705. |
| Part III Line 3 | Estimated bad debt attributable to patients eligible for charity care on Line 3 was calculated by pulling all outstanding patient balances of 5,000 or greater from our patient accounting system. That report totaled 11,563, which was then multiplied by the cost-to-charge ratio of 47.79 for a total of 5,526. |
| Part III Line 3 | We feel that at a minimum, the estimated bad debt attributable to patients eligible for charity care of 5,526 should be considered community benefit due to the fact that anyone with outstanding balances of 5,000 or greater in our demographic usually qualifies as catastrophic if the patient completes the application process. In our Charity Care Policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year and would have qualified for charity care if paperwork was completed. |
| Part III Line 4 | Patient accounts receivables are primarily paid by federal and state governmental authorities under the Medicare and Medicaid programs, managed health plans, commercial insurance companies, workers compensation programs, employers and patients. Patient accounts receivable are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions. The System does not believe there are any significant concentrations of revenues from any particular payor that would subject the System to any significant credit risks in the collection of patient accounts receivable. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. Changes in general economic conditions, patient accounting service center operations, payor mix, payor claim processing could affect collections of accounts receivable, cash flows and results of operations. |
| Part III Line 4 | The System performs periodic assessments to determine if an allowance for expected credit losses is necessary. The System considers its incurred loss experience and adjusts for known and expected events and other circumstances. In estimating its expected credit losses, the System may consider changes in the length of time its receivables have been outstanding, changes in credit ratings for payors, requests from payors to alter payment terms due to financial difficulty, and notices of payor bankruptcies or payors entering receivership. Because the Systems accounts receivable is typically paid for by highly solvent, creditworthy payors, such as Medicare, Medicaid, other governmental programs, and highly regulated commercial insurers on behalf of the patient, the Systems credit losses are immaterial to the consolidated financial statements. |
| Part III Line 4 | The mix of accounts receivable at December 31, 2023 and 2022, from patients and third-party payors is as follows For the year-end December 31, 2023 Medicare - 25, Medicaid - 13, Blue Cross - 21, Commercial, managed care and other - 39, Patients - 2, totaling 100. For the year-end December 31, 2022 Medicare - 27, Medicaid - 16, Blue Cross - 19, Commercial, managed care and other - 35, Patients - 3, totaling 100. |
| Part III Line 8 | The amount reported in Part III Line 6 18,320,347 was calculated using the total Medicare allowable cost from the Medicare cost report. |
| Part III Line 8 | Braxton County Memorial Hospital is reimbursed 100 by Medicare reimbursement includes DSH and IME for services provided to Medicare patients. |
| Part III Line 9b | Braxton County Memorial Hospital does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity care, the patient will not be sent to a bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy. |
| Part VI Line 2 | Braxton County Memorial Hospital considers several components in assessing how the organization determines the need of the communities it serves. Through feedback from stakeholders, outside consultants and collaborating with various departments, a needs assessment takes into account several factors including physicians to population ratios, physician availability in the entire service area, and general health risks that are perceived to be the highest priority by the stakeholders and hospital leadership. The service area for BCMH includes Braxton, Clay, Gilmer, Lewis, Nicholas, and Webster counties. |
| Part VI Line 3 | The West Virginia United Health System employs financial analysts to meet with patients at its hospitals to discuss financial eligibility for our charity care program. Braxton County Memorial Hospital has qualification requirements, as well as, applications for charity care available at registration areas. Patients that do not qualify for state or federally funded programs can apply for the charity care program at Braxton County Memorial Hospital. |
| Part VI Line 4 | BCMH is a non-profit, critical access, 25 bed hospital that has extensive outpatient capabilities as well as inpatient services. The CHNA explains that the hospital offers 24-hour emergency care and is recognized as a designated level IV trauma center, as well as offering quality inpatient acute care, skilled nursing beds, respite care, and inpatient and outpatient surgery. The hospital has an extensive outpatient facility which includes outpatient nursing and lab services, in addition to EKG, pulmonary function and stress testing through cardio-pulmonary services. Radiological services include 16-slice CT scans, open MRIs, x-rays, enhanced nuclear medicine, digital mammography, and bone density testing. |
| Part VI Line 4 | Braxton County is in the central part of West Virginia and is approximately 62 miles from the nearest level I trauma center located in Charleston, WV. In 2023, Braxton County had an estimated population of 12,162, a median household income of 42,245 an employment rate of 42.5 and 8.2 of residents reported they were without healthcare coverage. BCMH also serves parts of Clay, Gilmer, Lewis, Nicholas and Webster counties. In 2023, Clay County had an estimated population of 7,783, median household income of 41,530, an employment rate of 44.6 and 7.2 of residents reported they were without healthcare coverage. Gilmer County had an estimated 2023 population of 7,254, median household income of 51,552, an employment rate of 39.9 and 9.1 of residents reported they were without healthcare coverage. Lewis County had an estimated 2023 population of 16,500, median household income of 50,552, an employment rate of 52.5 and 7.2 of residents reported they were without healthcare coverage. Nicholas County had an estimated 2023 population of 24,169, median household income of 48,826, an employment rate of 48.2 and 7.9 of residents reported they were without healthcare coverage. Webster County had an estimated 2023 population of 8,045, median household income of 43,409, an employment rate of 43.3 and 7.4 of residents reported they were without healthcare coverage. Population and demographic information was obtained from the United States Census Bureau https//www.census.gov/quickfacts/ |
| Part VI Line 5 | BCMH serves as an educational site for students in various levels of education, including nursing, medical school, high school and students who are in college and majoring in other healthcare related studies. |
| Part VI Line 5 | BCMH continued to serve as a local designated site in the community for the American Red Cross as well as a meeting facility, provided at no cost for non-profit, civic and healthcare related organizations including Alcoholics Anonymous, the WV Chapter of the Association of Professionals in Infection Control APIC, and the Braxton County Local Emergency Planning Council LEPC. |
| Part VI Line 5 | BCMH nurses participate in Stop the Bleed training in Braxton County public schools. BCMH employees also participate in various career and health fairs throughout the local community. |
| Part VI Line 6 | Braxton County Memorial Hospital is a part of the WV United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery system. WVUHS serves as the parent corporation to an affiliated group of healthcare providing enities. The strategic plan of the System states intent to build a regional health care delivery system in its service areas, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. |
| Part VI Line 6 | System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. Other hospitals in the System include West Virginia University Hospitals, Inc. in Morgantown, WV, United Hospital Center in Bridgeport, WV, City Hospital, Inc. in Martinsburg, WV, Camden-Clark Memorial Hospital in Parkersburg, WV, Jefferson Memorial Hospital in Ranson, WV, Potomac Valley Hospital in Keyser, WV, Reynolds Memorial Hospital, in Glen Dale, WV, West Virginia Health Care Cooperative, doing business as, Summersville Regional Medical Center in Summersville, WV, Community Health Association, doing business as, Jackson General Hospital in Ripley, WV, St. Josephs Hospital of Buckhannon in Buckhannon, WV, Wetzel County Hospital, Inc. in New Martinsville, WV, Barnesville Hospital Assocation in Barnesville, OH, Uniontown Hospital in Uniontown, PA, Wheeling Hospital, Inc. in Wheeling, WV, Harrison Community Hospital, Inc. in Cadiz, OH, GRMC, Inc. in Oakland, MD, Princeton Community Hospital Association, Inc. in Princeton, WV, Thomas Health System, Inc. in South Charleston, WV, and Grant Memorial Hospital, Inc. in Petersburg, WV. |
| Part VI Line 6 | In addition to the above mentioned hospitals, the System includes physician practices of United Physicians Care, Inc., Camden-Clark Physician Corp, and Fayette Physician Network dba WVUHS Medical Group that operate in conjunction with the System hospitals along with United Summit Center, Inc. a behavioral health center located in Clarksburg, WV. The System also includes, WVUH-East, Inc. and Camden-Clark Health Services, Inc. which operate as management companies for their respective hospitals. University Healthcare Foundation, Inc. in Martinsburg, WV, United Health Foundation, Inc. in Bridgeport, WV, Camden-Clark Foundation, Inc. in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, Reynolds Memorial Foundation, Inc. in Glen Dale, WV, Barnesville Hospital Foundation in Barnesville, OH, and Harrison Community Hospital Foundation in Cadiz, OH which perform various fundraising activities for their respective hospitals. In 2020, the System formed WVUHS Home Care, LLC to provide Home Health and Hospice services to our service areas, supporting System hospitals by providing continuous care to our patients. Wheeling Hospital Ambulatory Surgical Center, LLC a surgical center located in Bridgeport, OH was acquired in 2021. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stephanie Frame DO | ||||||||||||
| Director, Physician | $223,921 | $48,019 | $4,389 | $10,125 | $11,319 | $297,773 | ||||||
| David Hess | ||||||||||||
| Director, CEO of UHC | $468,258 | $221,375 | $10,377 | $97,980 | $31,672 | $829,662 | ||||||
| Rex Tremmel | ||||||||||||
| Lead Pharmacist | $159,630 | $1,500 | $1,515 | $7,141 | $21,799 | $191,585 | ||||||
| Sarah Aliff | ||||||||||||
| House Supervisor | $141,267 | $1,500 | $1,372 | $2,993 | $10,809 | $157,941 | ||||||
| Richard Campbell | ||||||||||||
| Director Pharmacy | $151,058 | $1,500 | $208 | $7,252 | $28,713 | $188,731 | ||||||
| Robin Eckhart | ||||||||||||
| VP, Finance | $57,742 | $13,188 | $886 | $2,661 | $5,524 | $80,001 | $134,731 | $30,771 | $2,068 | $6,209 | $12,889 | $186,668 |
| John Tim Lewis | ||||||||||||
| VP, Patient Care Services | $30,601 | $7,099 | $1,430 | $1,377 | $127 | $40,634 | $173,405 | $40,230 | $8,099 | $7,803 | $579 | $230,116 |
| Louis Roe | ||||||||||||
| President/CEO | $63,802 | $14,822 | $431 | $2,948 | $5,546 | $87,549 | $148,871 | $34,585 | $1,005 | $6,880 | $12,941 | $204,282 |
| Brandon Williams | ||||||||||||
| VP, Operations | $44,013 | $9,497 | $58 | $2,045 | $5,477 | $61,090 | $102,697 | $22,159 | $135 | $4,772 | $12,781 | $142,544 |
| Karen Bowling | ||||||||||||
| Former CEO Braxton - Current President Princeton Community Health Association | $496,756 | $173,181 | $104,727 | $14,850 | $11,254 | $800,768 | ||||||
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 6a | Per the WVUHS Incentive Plan incentives are contingent on meeting a net earning target. |
| Part I Line 4b | David Hess received CAA contributions of 83,130 in 2023 from a related party. This amount was appropriately reported as compensation on Form W-2 for 2023. |
| Part I Line 3 | The compensation of the CEO is determined by the West Virginia United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compenstion package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. Full compensation surveys are completed annually. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d | Program Service Expenses 5,196,376, Grants and allocations 0, Revenue 7,286,043 Other Services provided by BCMH include but are not limited to Obstetrics/Gynecology, Hematology Oncology, Gastroenterology, Neurology, Cardiology, etc. |
| Form 990, Part I, Line 1 | and surrounding communities. The Hospital provides charity care to patients who meet certain criteria under its charity care policy, without charge or at amounts less than established rates. |
| Form 990, Part VI, Section B, Line 11b | Draft copies of the Form 990 are sent to the board members for review. Questions and discussion are then asked or held during the board meeting. If no errors are found, the board approves the filing of Form 990. |
| Form 990, Part VI, Section B, Line 12c | Monitoring and enforcing compliance with conflict of interest policy on an annual basis. Officers, directors, trustees, and key employees are required to disclose potential conflicts of interest by completing the hospitals conflict of interest form. If potential conflicts exist, the person would then contact their manager or the compliance officer for the conflict to be investigated and action taken if necessary. The corporate compliance committee oversees the conflict of interest policy and monitors and enforces this policy. |
| Form 990, Part VI, Section B, Line 15a | The compensation of the CEO is determined by the WV United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. A full compensation survey was completed in 2022 for 2023 compensation amounts. |
| Form 990, Part VI, Section C, Line 19 | The organizations governing documents, Form 990, financial statements, and conflict of interest policy are available upon request at the hospitals office. |
| Form 990, Part XI, Line 9 | Other changes in net assets include 100 change in temporarily restricted net assets, 707,004 of related organization capitalization, 72,182 JOA Contribution to SOM, and 5 rounding. |
| Form 990, Part IX, Line 11g | Other fees on line 11g consist of the following Consulting Professional Fees of 4,486 all of which is considered program service expense Contracted Labor of 1,291,949 of which 869,169 is considered program service expense and 422,780 management and general expense Contracted Physician Expense of 3,838,150 all of which is considered program service expense and Contract and Professional Medical Staff of 97 all of which is considered program service expense. |
| Form 990, Part VI, Section B, Line 15b | The compensation of all officers at the Vice President level and below is determined based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This data is then interpreted and provided to an independent compensation committee. The independent compensation committee then uses this data to determine a fair and reasonable compensation package. All relevant data as well as minutes from each meeting are retained. |
| Form 990, Part V, Line 1a | In 2023, West Virginia United Health System WVUHS, EIN 55-0754713, transitioned to a centralized accounts payable process in which WVUHS made the majority of vendor payments and then issued the required 1099s. WVUHS is reimbursed by the entities for their portion of payments made, vendor payments that meet the Top 5 Independent Contractor reporting requirements are reported in Part VII, Section B of the reporting entity. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (42 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| West Virginia United Health System | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550754713 | Healthcare Access | WV | 501c3 | 12 Type I | N/A | false | |
| University Healthcare Foundation Inc | |||||||||||
| 121 Administrative Drive | Martinsburg | WV | 25401 | 311118075 | Hospital Support | WV | 501c3 | 12 Type I | false | West Virginia University Hospitals - East Inc | |
| United Physicians Care Inc | |||||||||||
| 686 South Pike Street | Shinnston | WV | 26431 | 550638563 | Patient Care | WV | 501c3 | 3 | false | United Hospital Center Inc | |
| United Health Foundation Inc | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550621706 | Hospital Support | WV | 501c3 | 12 Type I | false | United Hospital Center Inc | |
| United Summit Center | |||||||||||
| 6 Hospital Plaza | Clarksburg | WV | 26301 | 550752788 | Behavioral Health | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| Camden-Clark Health Services Inc | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 550769602 | Healthcare Access | WV | 501c3 | 12 Type I | false | WV United Health System | |
| Camden-Clark Foundation | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 550667789 | Hospital Support | WV | 501c3 | 7 | false | Camden-Clark Health Services | |
| Camden-Clark Physician Corp | |||||||||||
| 604 Ann Street | Parkersburg | WV | 26101 | 264058719 | Patient Care | WV | 501c3 | 3 | false | Camden-Clark Health Services | |
| West Virginia University Hospitals Inc | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550643304 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| West Virginia University Hospitals East | |||||||||||
| 121 Administrative Drive | Martinsburg | WV | 25401 | 202337985 | Healthcare Access | WV | 501c3 | 12a | false | WV United Health System | |
| City Hospital Inc | |||||||||||
| 2500 Hospital Drive | Martinsburg | WV | 25401 | 550383321 | Patient Care | WV | 501c3 | 12 Type I | false | West Virginia University Hospitals - East Inc | |
| Jefferson Memorial Hospital | |||||||||||
| 300 S Preston St | Ranson | WV | 25438 | 550359755 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals - East Inc | |
| United Hospital Center Inc | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550525724 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| West Virginia Health Care Cooperative Inc | |||||||||||
| 400 Fairview Heights Rd | Summersville | WV | 26651 | 550650441 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| Camden-Clark Memorial Hospital | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 311524546 | Patient Care | WV | 501c3 | 3 | false | Camden- Clark Health Services | |
| Potomac Valley Hospital of W Va Inc | |||||||||||
| 100 Pin Oak Lane | Keyser | WV | 26726 | 550420956 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| St Joseph's Hospital of Buckhannon Inc | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550356996 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| St Joseph's Foundation of Buckhannon Inc | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550727650 | Hospital Support | WV | 501c3 | 12 Type II | false | St Joseph's Hospital of Buckhannon Inc | |
| Reynolds Memorial Hospital Inc | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550357045 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| Reynolds Memorial Foundation | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550710402 | Hospital Support | WV | 501c3 | 12 Type I | false | Reynolds Memorial Hospital Inc | |
| Community Health Association | |||||||||||
| 122 Pinnell Street | Ripley | WV | 25271 | 550462730 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| Wetzel County Hospital Inc | |||||||||||
| 3 East Benjamin Drive | New Martinsville | WV | 26155 | 843480493 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| WVUHS Home Care LLC | |||||||||||
| PO Box 8059 | Morgantown | WV | 26506 | 852915642 | Home Health and Hospice | WV | 509a2 | false | WV United Health System | ||
| Uniontown Hospital | |||||||||||
| 500 West Berkeley Street | Uniontown | PA | 15401 | 250965588 | Patient Care | PA | 501c3 | 3 | false | WV United Health System | |
| Fayette Physician Network Inc | |||||||||||
| 500 West Berkeley Street | Uniontown | PA | 15401 | 455440305 | Patient Care | PA | 501c3 | 3 | false | WV United Health System | |
| Wheeling Hospital Inc | |||||||||||
| 1 Medical Park | Wheeling | WV | 26003 | 550357057 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| Harrison Community Hospital | |||||||||||
| 951 E Market Street | Cadiz | OH | 43907 | 341571750 | Patient Care | OH | 501c3 | 3 | false | WV United Health System | |
| Barnesville Hospital Association | |||||||||||
| 639 W Main Street | Barnesville | OH | 43713 | 340719172 | Patient Care | OH | 501c3 | 3 | false | WV United Health System | |
| Belmont Community Hospital | |||||||||||
| 4697 Harrison Street | Bellaire | OH | 43906 | 340714643 | Patient Care | OH | 501c3 | 3 | false | Wheeling Hospital Inc | |
| Medical Park Foundation | |||||||||||
| 1 Medical Park | Wheeling | WV | 26003 | 550744690 | Church | WV | 501c3 | 1 | false | Wheeling Hospital Inc | |
| Self Insurance Trust Agreement of Wheeling Hospital Inc | |||||||||||
| 1 Medical Park | Wheeling | WV | 26003 | 550676674 | Insurance | WV | 501c3 | 12 Type I | N/A | false | |
| GRMC Inc | |||||||||||
| 251 North Fourth Street | Oakland | MD | 21550 | 871846814 | Patient Care | MD | 501c3 | 3 | false | WV United Health System | |
| Grant Memorial Hospital Inc | |||||||||||
| 117 Hospital Drive | Petersburg | WV | 26847 | 881740605 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| Herbert J Thomas Memorial Hospital Association | |||||||||||
| 4605 MacCorkle Ave SW | South Charleston | WV | 25309 | 550404900 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| Charleston Hospital Inc | |||||||||||
| 333 Laidley St | Charleston | WV | 25301 | 611272692 | Patient Care | WV | 501c3 | 3 | false | Thomas Health System Inc | |
| Princeton Community Hospital Association | |||||||||||
| 122 Twelfth Street | Princeton | WV | 24740 | 550483245 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| Princeton Community Hospital Foundation Inc | |||||||||||
| PO Box 1369 | Princeton | WV | 24740 | 550694209 | Support | WV | 501c3 | 12 A Type I | false | Princeton Community Hospital Association | |
| Thomas Health System Inc | |||||||||||
| 4605 MacCorkle Ave SW | South Charleston | WV | 25309 | 260440674 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| THS Physician Partners Inc | |||||||||||
| 4605 MacCorkle Ave SW | South Charleston | WV | 25309 | 454395947 | Patient Care | WV | 501c3 | 3 | false | Thomas Health System Inc | |
| Welch Medical Center Inc | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 921990757 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| WVUHS Specialty Pharmacy Services Inc | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 872740836 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| Ohio Valley Health Corporation | |||||||||||
| 222 Nicolette Rd | Parkersburg | WV | 26104 | 922553803 | Patient Care | WV | 501c3 | 3 | false | Camden-Clark Health Services | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Allied Health Services Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 782 | AddressLine1Txt |
| City | Morgantown | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26507 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550652017 | EIN |
| Primary Activities | Linen Services | PrimaryActivitiesTxt |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C Corp | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |