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      <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 2022, 9,498 individuals were provided with compassionate healthcare from professional physicians and nurses. Of that number, 8,848 individuals were treated and released, 383 were admitted as inpatients, and 267 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 2022. These numbers do not reflect the families and friends of those patients.</Desc>
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        <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 15,319 men, women, and children in our county and surrounding areas in 2022. 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>
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        <Desc>Braxton County Memorial Hospitals General Surgery/Same Day Surgery area accommodated 482 surgery patients in 2022. 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 1,195 patient visits in the surgical clinic as follow-up of care or to establish surgical needs.</Desc>
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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Medical Solutions LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1010 N 102nd St Suite 300</AddressLine1Txt>
            <CityNm>Omaha</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>681442122</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Staffing Services</ServicesDesc>
        <CompensationAmt>795713</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>US Mobile Imaging LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 808</AddressLine1Txt>
            <CityNm>Cumberland</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>215010808</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Mobile Imaging Services</ServicesDesc>
        <CompensationAmt>238435</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>359108</GovernmentGrantsAmt>
      <TotalContributionsAmt>359108</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service Revenue - Net</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>27757610</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27757610</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Pharmacy Prescription Revenue - Patients</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1718171</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1718171</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COVID Relief Funds</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>144482</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>144482</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>29620263</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>5630</TotalRevenueColumnAmt>
        <ExclusionAmt>5630</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>23588</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>2317</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>21271</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>21271</TotalRevenueColumnAmt>
        <ExclusionAmt>21271</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Cafeteria Income</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>72198</TotalRevenueColumnAmt>
        <ExclusionAmt>72198</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Rebate Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>15171</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15171</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Intercompany Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>12899</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12899</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>10272</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10272</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>110540</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>30116812</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29658605</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>99099</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>483041</TotalAmt>
        <ProgramServicesAmt>286701</ProgramServicesAmt>
        <ManagementAndGeneralAmt>196340</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7096105</TotalAmt>
        <ProgramServicesAmt>6498297</ProgramServicesAmt>
        <ManagementAndGeneralAmt>597808</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>201795</TotalAmt>
        <ProgramServicesAmt>190210</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11585</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1844287</TotalAmt>
        <ProgramServicesAmt>1695751</ProgramServicesAmt>
        <ManagementAndGeneralAmt>148536</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>595915</TotalAmt>
        <ProgramServicesAmt>545712</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50203</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>123</TotalAmt>
        <ProgramServicesAmt>123</ProgramServicesAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>3439</TotalAmt>
        <ProgramServicesAmt>3439</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1780208</TotalAmt>
        <ProgramServicesAmt>1407639</ProgramServicesAmt>
        <ManagementAndGeneralAmt>372569</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>93192</TotalAmt>
        <ProgramServicesAmt>32966</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60226</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>849493</TotalAmt>
        <ProgramServicesAmt>439076</ProgramServicesAmt>
        <ManagementAndGeneralAmt>410417</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>0</TotalAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>374277</TotalAmt>
        <ProgramServicesAmt>310365</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63912</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>45656</TotalAmt>
        <ProgramServicesAmt>33521</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12135</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>6641</TotalAmt>
        <ProgramServicesAmt>5946</ProgramServicesAmt>
        <ManagementAndGeneralAmt>695</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>96138</TotalAmt>
        <ProgramServicesAmt>79231</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16907</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>6287039</TotalAmt>
        <ProgramServicesAmt>3618745</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2668294</ManagementAndGeneralAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>643028</TotalAmt>
        <ProgramServicesAmt>529943</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113085</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>451401</TotalAmt>
        <ProgramServicesAmt>429015</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22386</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>2416546</TotalAmt>
        <ProgramServicesAmt>2416546</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bad Debt Expense</Desc>
        <TotalAmt>1016549</TotalAmt>
        <ProgramServicesAmt>1016549</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Taxes, Licenses Fees</Desc>
        <TotalAmt>661216</TotalAmt>
        <ProgramServicesAmt>547725</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113491</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Association Dues</Desc>
        <TotalAmt>31503</TotalAmt>
        <ProgramServicesAmt>2400</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29103</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>15209</TotalAmt>
        <ProgramServicesAmt>10156</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5053</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>24992801</TotalAmt>
        <ProgramServicesAmt>20100056</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4892745</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>496620</BOYAmt>
        <EOYAmt>4245020</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>9390477</BOYAmt>
        <EOYAmt>7210633</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>47303</BOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2467740</BOYAmt>
        <EOYAmt>3653116</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>12151</BOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>470318</BOYAmt>
        <EOYAmt>464307</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>495241</BOYAmt>
        <EOYAmt>263545</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>8236906</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2220360</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5418553</BOYAmt>
        <EOYAmt>6016546</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>215058</BOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>360004</BOYAmt>
        <EOYAmt>320008</EOYAmt>
      </IntangibleAssetsGrp>
      <TotalAssetsGrp>
        <BOYAmt>19373465</BOYAmt>
        <EOYAmt>22173175</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>4677020</BOYAmt>
        <EOYAmt>4524225</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>942598</BOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2946305</BOYAmt>
        <EOYAmt>2384460</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1443242</BOYAmt>
        <EOYAmt>585032</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>10009165</BOYAmt>
        <EOYAmt>7493717</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>8997794</BOYAmt>
        <EOYAmt>14312771</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>366506</BOYAmt>
        <EOYAmt>366687</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>9364300</BOYAmt>
        <EOYAmt>14679458</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>19373465</BOYAmt>
        <EOYAmt>22173175</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>5124011</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>191147</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A" softwareId="22015461" softwareVersionNum="22.0.1.0">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B" softwareId="22015461" softwareVersionNum="22.0.1.0">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="990C" softwareId="22015461" softwareVersionNum="22.0.1.0">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>3439</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>3439</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>II-B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2022, 13.54 of the dues paid should be allocated to lobbying expense. The American Hospital Association estimates that 27.29 of the 2022 dues were allocated to lobbying expense.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D" softwareId="22015461" softwareVersionNum="22.0.1.0">
      <InclEscrowCustodialAcctLiabInd>false</InclEscrowCustodialAcctLiabInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>366506</BeginningYearBalanceAmt>
        <ContributionsAmt>3011</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>109</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>369626</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>366113</BeginningYearBalanceAmt>
        <ContributionsAmt>320</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>73</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>366506</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>366164</BeginningYearBalanceAmt>
        <ContributionsAmt>-265</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>214</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>366113</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>377370</BeginningYearBalanceAmt>
        <ContributionsAmt>565</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>605</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>12376</OtherExpendituresAmt>
        <EndYearBalanceAmt>366164</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>626994</BeginningYearBalanceAmt>
        <ContributionsAmt>16435</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>731</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>266790</OtherExpendituresAmt>
        <EndYearBalanceAmt>377370</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <TermEndowmentBalanceEOYPct>1.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>700000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>700000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2946195</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>614813</DepreciationAmt>
        <BookValueAmt>2331382</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>391514</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>109295</DepreciationAmt>
        <BookValueAmt>282219</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2899999</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1303576</DepreciationAmt>
        <BookValueAmt>1596423</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1299198</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>192676</DepreciationAmt>
        <BookValueAmt>1106522</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>6016546</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Long Term Lease Liability</Desc>
        <Amt>161260</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Capitalized Leases Payable - Non Current</Desc>
        <Amt>423772</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Non-Current Liabilities</Desc>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>585032</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>29107155</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>-1011974</OtherRevenueAmt>
      <RevenueNotReportedAmt>-1011974</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>30119129</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-2317</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-2317</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>30116812</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>23983144</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>2317</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>2317</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>23980827</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>1011974</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1011974</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>24992801</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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, WVUIS and GHC are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2022 and 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>This line consists of 1,011,974 provision for doubtful accounts which is an offset to revenue on the financial statements and an expense for Form 990 purposes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount on line 4b consists of 2,317 of rental expenses that is recorded as an offset to revenue on the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount shown on line 2d consists of 2,317 of rental expenses that is recorded as an offset to revenue on the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 4b</FormAndLineReferenceDesc>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Braxton County Memorial Hospital, Inc Line Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Braxton County Memorial Hospital, Inc Line Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Braxton County Memorial Hospital, Inc Line Part V, Section B, Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Braxton County Memorial Hospital, Inc Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Braxton County Memorial Hospital, Inc Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Braxton County Memorial Hospital, Inc Line Part V, Section B, Line 13b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Braxton County Memorial Hospital, Inc Line Part V, Section B, Line 24</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>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/.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Column f - Total community benefit expense for 2022 is 5,925,675 and is 24.71 of total net expenses. To calculate net expense, patient bad debt of 1,011,974 was deducted from total expenses of 24,992,801 as shown in Part IX line 25 of the core Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt Expense at Cost on Line 2 was calculated by multiplying bad debt expense of 1,011,978 by our cost-to-charge ratio of 47.27 for a total of 478,362.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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 22,821, which was then multiplied by the cost-to-charge ratio of 47.27 for a total of 10,787.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>We feel that at a minimum, the estimated bad debt attributable to patients eligible for charity care of 10,787 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The System grants credit without collateral to its patients, most of whom are local residents, and are insured under third-party payor agreements, primarily with Medicare, Medicaid and various commercial insurance companies. The System records accounts receivable net of estimated prince concessions and such amounts have historically been within managements expectations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The mix of accounts receivable at December 31, 2022 and 2021, from patients and third-party payors is as follows For the year-end December 31, 2022 Medicare - 27, Medicaid - 16, Blue Cross - 19, Commercial, managed care and other - 35, Patients - 3, totaling 100. For the year-end December 31, 2021 Medicare - 31, Medicaid - 16, Blue Cross - 21, Commercial, managed care and other - 28, Patients - 4, totaling 100.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount reported in Part III Line 6 13,034,029 was calculated using the total Medicare allowable cost from the Medicare cost report.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Braxton County Memorial Hospital is reimbursed 100 by Medicare reimbursement includes DSH and IME for services provided to Medicare patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Braxton County is in the central part of West Virginia and is approximately 62 miles from the nearest level I trauma center in Charleston, WV. In 2022, Braxton County had a total population of 12,185, a median household income of 42,519 an employment rate of 45.6 and 9.6 of residents reported they were without healthcare coverage. BCMH also serves parts of Clay, Gilmer, Lewis, Nicholas and Webster counties. In 2022, Clay County had a total population of 7,814, median household income of 37,197, an employment rate of 39.5 and 9.0 of residents reported they were without healthcare coverage. Gilmer County had a total 2022 population of 7,325, median household income of 45,870, an employment rate of 43 and 9.4 of residents reported they were without healthcare coverage. Lewis County had a total 2022 population of 16,767, median household income of 45,345, an employment rate of 51.7 and 8.9 of residents reported they were without healthcare coverage. Nicholas County had a total 2022 population of 24,335, median household income of 42,946, an employment rate of 47.9 and 8.5 of residents reported they were without healthcare coverage. Webster County had a total 2022 population of 8,167 median household income of 37,720, an employment rate of 42.4 and 8.1 of residents reported they were without healthcare coverage. Population and demographic information was obtained from the United States Census Bureau https//data.census.gov/cedsci/.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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, and GRMC, Inc. in Oakland, MD was acquired July 1, 2022..</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Per the WVUHS Incentive Plan incentives are contingent on meeting a net earning target.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>David Hess received CAA contributions of 78,254 in 2022 from related parties. This amount was appropriately reported as compensation on Form W-2 for 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 1,726,873, Grants and allocations 0, Revenue 3,896,194 Other Services provided by BCMH include but are not limited to Obstetrics/Gynecology, Hematology Oncology, Gastroenterology, Neurology, Cardiology, etc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2021 for 2022 compensation amounts.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organizations governing documents, Form 990, financial statements, and conflict of interest policy are available upon request at the hospitals office.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets include 180 change in temporarily restricted net assets, 190,962 of related organization capitalization, and 5 rounding.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Other fees on line 11g consist of the following Consulting Professional fees of 8,909 of which 7,609 is considered program service expense and 1,300 management and general expense Contracted Labor of 1,771,784 of which 1,400,515 is considered program service expense and 371,269 management and general expense and Lab fees of 485 all of which is considered program service expense.</ExplanationTxt>
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        <ExplanationTxt>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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The organizations articles and bylaws were updated during 2022 to reflect that West Virginia United Health System, Inc., a 501c3 charitable organization WVUHS, is the sole member of the organization, streamline the reserved powers of WVUHS reflected in the organizations articles of incorporation and bylaws, and update the organizations rules and regulations to be consistent with the governance processes followed by the other tax-exempt hospitals of which WVUHS is the sole member.</ExplanationTxt>
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          <AddressLine1Txt>800 Garfield Ave</AddressLine1Txt>
          <CityNm>Parkersburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Camden-Clark Physician Corp</BusinessNameLine1Txt>
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          <AddressLine1Txt>604 Ann Street</AddressLine1Txt>
          <CityNm>Parkersburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26101</ZIPCd>
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          <CityNm>Morgantown</CityNm>
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          <ZIPCd>26506</ZIPCd>
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        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>City Hospital Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>2500 Foundation Way</AddressLine1Txt>
          <CityNm>Martinsburg</CityNm>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Jefferson Memorial Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>300 S Preston St</AddressLine1Txt>
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          <BusinessNameLine1Txt>United Hospital Center Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>327 Medical Park Drive</AddressLine1Txt>
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          <ZIPCd>26330</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>West Virginia Health Care Cooperative</BusinessNameLine1Txt>
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        <USAddress>
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          <CityNm>Summersville</CityNm>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Camden-Clark Memorial Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>800 Garfield Ave</AddressLine1Txt>
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        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>Camden- Clark Health Services</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Potomac Valley Hospital of W Va Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 Pin Oak Lane</AddressLine1Txt>
          <CityNm>Keyser</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26726</ZIPCd>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Joseph's Hospital of Buckhannon Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>1 Amalia Drive</AddressLine1Txt>
          <CityNm>Buckhannon</CityNm>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Joseph's Foundation of Buckhannon Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>1 Amalia Drive</AddressLine1Txt>
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          <StateAbbreviationCd>WV</StateAbbreviationCd>
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        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>St Joseph's Hospital of Buckhannon Inc</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Reynolds Memorial Hospital Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 Wheeling Ave</AddressLine1Txt>
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          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26038</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Community Health Association</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Wetzel County Hospital Inc</BusinessNameLine1Txt>
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          <StateAbbreviationCd>WV</StateAbbreviationCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <StateAbbreviationCd>WV</StateAbbreviationCd>
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        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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          <ZIPCd>15401</ZIPCd>
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        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Harrison Community Hospital</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Self Insurance Trust Agreement of Wheeling Hospital Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>1 Medical Park</AddressLine1Txt>
          <CityNm>Wheeling</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
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          <BusinessNameLine1Txt>GRMC Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>251 North Fourth Street</AddressLine1Txt>
          <CityNm>Oakland</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
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          <AddressLine1Txt>PO Box 8034</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
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          <BusinessNameLine1Txt>WVU Innovation Corporation</BusinessNameLine1Txt>
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          <AddressLine1Txt>1085 Van Voorhis Drive Suite 500</AddressLine1Txt>
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        </RelatedOrganizationName>
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          <AddressLine1Txt>PO Box 8034</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26506</ZIPCd>
        </USAddress>
        <EIN>842403526</EIN>
        <PrimaryActivitiesTxt>Supply Chain Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Allied Health Services Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO Box 782</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26507</ZIPCd>
        </USAddress>
        <EIN>550652017</EIN>
        <PrimaryActivitiesTxt>Medical Lab</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>West Virginia United Insurance Services</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3040 University Avenue Suite 3200</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26506</ZIPCd>
        </USAddress>
        <EIN>550756055</EIN>
        <PrimaryActivitiesTxt>Provider Network</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
