BOONE MEMORIAL HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- BOONE MEMORIAL HOSPITAL INC (EIN 55-0477361)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-15
- IRS object ID
- 202501359349302350
- Schema version
- 2023v6.0
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-15T07:28:35+00:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Ridgefield Court | AddressLine1Txt |
| City | Asheville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550477361 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boone Memorial Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BOON | BusinessNameControlTxt |
| Phone | 3043691230 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 Madison Avenue | AddressLine1Txt |
| City | Madison | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25130 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Virgil Underwood | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3043691230 | PhoneNum |
| Signature | 2025-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amy Bibby | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Preparation | 2025-05-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Virgil Underwood | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 Madison Avenue | AddressLine1Txt |
| City | Madison | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $87,886,362 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BMH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | Boone Memorial Hospital strives to supply a comprehensive range of inpatient and outpatient services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 590 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $641,264 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,949,681 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $69,892,989 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $83,761,046 | CYProgramServiceRevenueAmt |
| PY Investment Income | $738,715 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,765,254 | CYInvestmentIncomeAmt |
| PY Other Revenue | $904,482 | PYOtherRevenueAmt |
| CY Other Revenue | $348,649 | CYOtherRevenueAmt |
| PY Total Revenue | $72,177,450 | PYTotalRevenueAmt |
| CY Total Revenue | $87,824,630 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $119,368 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $174,293 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $37,826,410 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,553,157 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $15,050 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $616,816 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $32,384,997 | PYOtherExpensesAmt |
| CY Other Expenses | $40,150,954 | CYOtherExpensesAmt |
| PY Total Expenses | $70,345,825 | PYTotalExpensesAmt |
| CY Total Expenses | $84,878,404 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,831,625 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,946,226 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $72,082,428 | TotalAssetsBOYAmt |
| Total Assets EOY | $83,979,484 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $50,547,865 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $59,498,695 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,534,563 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,480,789 | NetAssetsOrFundBalancesEOYAmt |
| Mission | See Schedule O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $70,158,729 | ExpenseAmt |
| Grant | $174,293 | GrantAmt |
| Revenue | $82,322,264 | RevenueAmt |
| Desc | IN PERFORMING ITS MISSION, BOONE MEMORIAL HOSPITAL, INC. HAD 705 ACUTE CARE ADMISSIONS, 1,273 OBSERVATION ADMISSIONS, AND 172 SKILLED NURSING CARE ADMISSIONS. THE HOSPITAL ALSO HAD 6 RESPITE CARE PATIENTS, 16,346 EMERGENCY ROOM VISITS, AND 64,716 VISITS IN ITS FOUR RURAL HEALTH CLINICS. | Desc |
| Total Program Service Expenses | $70,158,729 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | 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 | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 | Yes (true) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | 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 | false | 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 |
| IRP Document | 54 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 590 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | Yes (true) | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Douglas Cole Malcolm | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3043691230 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 Madison Avenue | AddressLine1Txt |
| City | Madison | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25130 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Edward Williams | |||||||
| Board Member | 1.1 | Yes (X) | $0 | $0 | $0 | ||
| James Gore | |||||||
| Board Secretary | 1.1 | Yes (X) | $0 | $0 | $0 | ||
| James Hensley | |||||||
| Board Chairman | 1.1 | Yes (X) | $0 | $0 | $0 | ||
| John Reger | |||||||
| Board Member | 1.1 | Yes (X) | $0 | $0 | $0 | ||
| Nada Woodie | |||||||
| Board Member | 1.1 | Yes (X) | $0 | $0 | $0 | ||
| Robert Brown | |||||||
| Board Vice-Chairman | 1.1 | Yes (X) | $0 | $0 | $0 | ||
| Shawn Miller | |||||||
| Board Member | 1.1 | Yes (X) | $0 | $0 | $0 | ||
| Susan McCoy | |||||||
| Board Member | 1.1 | Yes (X) | $0 | $0 | $0 | ||
| Thomas Bias | |||||||
| Board Member | 1.1 | Yes (X) | $0 | $0 | $0 | ||
| Wyatt Scaggs | |||||||
| Board Member | 1.1 | Yes (X) | $0 | $0 | $0 | ||
| Angela Christian | |||||||
| Chief Operating Officer | 50.0 | $263,443 | $0 | $217,413 | Yes (X) | ||
| Douglas Cole Malcolm | |||||||
| Chief Financial Officer | 50.0 | $224,058 | $0 | $121,930 | Yes (X) | ||
| Ray Harrell | |||||||
| CEAO and Secretary | 50.0 | $185,000 | $0 | $28,108 | Yes (X) | ||
| Virgil Underwood | |||||||
| President and Chief Executive Officer | 50.0 | $336,035 | $0 | $384,673 | Yes (X) | ||
| Brian Cortelessi | |||||||
| Doctor | 40.0 | $469,151 | $0 | $34,777 | Yes (X) | ||
| Casey Shaun Hager | |||||||
| Doctor | 40.0 | $656,744 | $0 | $31,438 | Yes (X) | ||
| Kenneth Chadwick Adkins | |||||||
| Doctor | 40.0 | $406,749 | $0 | $32,403 | Yes (X) | ||
| Melissa Moody | |||||||
| Doctor | 40.0 | $469,520 | $0 | $14,503 | Yes (X) | ||
| Philip Todd Berry | |||||||
| Doctor | 40.0 | $428,685 | $0 | $33,165 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,439,385 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $898,410 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 57 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CPSI | |||||
| PO Box 11407 | Birmingham | AL | 35246 | System Software | $2,312,530 |
| BBL Carlton | |||||
| 600 Kanawha Blvd E Suite 200 | Charleston | WV | 25301 | Construction | $1,306,610 |
| Bytes Computer & Network Solutions | |||||
| 1620 Broadway Suite D | Scottsbluff | NE | 69361 | IT/Computer | $1,018,425 |
| Dr Bassam Haffar | |||||
| 17 Quarry Ridge | Charleston | WV | 25304 | Surgeon | $813,708 |
| University Physicians & Surg | |||||
| PO Box 1896 | Huntington | WV | 25719 | Healthcare | $723,752 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 40 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $147,193 | FundraisingAmt |
| Government Grants | $1,565,609 | GovernmentGrantsAmt |
| All Other Contributions | $236,879 | AllOtherContributionsAmt |
| Total Contributions | $1,949,681 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 623000 | $71,043,518 | $71,043,518 |
| Retail Pharmacy | 900099 | $11,283,638 | $11,283,638 |
| 340B Contract Pharmacy Revenue | 900099 | $1,148,728 | $1,148,728 |
| Dietary Sales | 900099 | $285,162 | $285,162 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $83,761,046 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,765,254 | TotalRevenueColumnAmt |
| Exclusion | $1,765,254 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,000 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,000 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,000 | TotalRevenueColumnAmt |
| Exclusion | $6,000 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $61,732 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $147,193 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $61,732 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $342,649 | TotalRevenueColumnAmt |
| Exclusion | $342,649 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $342,649 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,824,630 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $83,761,046 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,113,903 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,293 | TotalAmt |
| Program Services | $174,293 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $823,536 | TotalAmt |
| Management And General | $823,536 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,594,108 | TotalAmt |
| Program Services | $30,720,148 | ProgramServicesAmt |
| Management And General | $4,687,553 | ManagementAndGeneralAmt |
| Fundraising | $186,407 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,227,658 | TotalAmt |
| Program Services | $1,879,144 | ProgramServicesAmt |
| Management And General | $337,112 | ManagementAndGeneralAmt |
| Fundraising | $11,402 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,651,521 | TotalAmt |
| Program Services | $3,075,759 | ProgramServicesAmt |
| Management And General | $556,925 | ManagementAndGeneralAmt |
| Fundraising | $18,837 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,256,334 | TotalAmt |
| Program Services | $1,907,820 | ProgramServicesAmt |
| Management And General | $337,112 | ManagementAndGeneralAmt |
| Fundraising | $11,402 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,142 | TotalAmt |
| Management And General | $94,142 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,813 | TotalAmt |
| Management And General | $303,813 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,442,942 | TotalAmt |
| Program Services | $3,251,202 | ProgramServicesAmt |
| Management And General | $4,875,431 | ManagementAndGeneralAmt |
| Fundraising | $316,309 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,243 | TotalAmt |
| Program Services | $214,243 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,327,547 | TotalAmt |
| Program Services | $945,173 | ProgramServicesAmt |
| Management And General | $382,374 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $892,695 | TotalAmt |
| Program Services | $891,152 | ProgramServicesAmt |
| Management And General | $1,543 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,729,673 | TotalAmt |
| Program Services | $1,919,029 | ProgramServicesAmt |
| Management And General | $786,314 | ManagementAndGeneralAmt |
| Fundraising | $24,330 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,981 | TotalAmt |
| Program Services | $155,354 | ProgramServicesAmt |
| Management And General | $180,627 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,153,126 | TotalAmt |
| Program Services | $964,772 | ProgramServicesAmt |
| Management And General | $181,729 | ManagementAndGeneralAmt |
| Fundraising | $6,625 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,119,739 | TotalAmt |
| Program Services | $2,864,273 | ProgramServicesAmt |
| Management And General | $250,213 | ManagementAndGeneralAmt |
| Fundraising | $5,253 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $876,439 | TotalAmt |
| Program Services | $733,280 | ProgramServicesAmt |
| Management And General | $138,124 | ManagementAndGeneralAmt |
| Fundraising | $5,035 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medical Supplies | $15,702,611 | $15,702,611 |
| Provider Tax | $1,275,027 | $1,275,027 |
| Food & Dietary | $476,225 | $476,225 |
| Bad Debt Expense | $1,438,782 | $1,438,782 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,767,969 | TotalAmt |
| Program Services | $1,570,442 | ProgramServicesAmt |
| Management And General | $166,311 | ManagementAndGeneralAmt |
| Fundraising | $31,216 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,878,404 | TotalAmt |
| Program Services | $70,158,729 | ProgramServicesAmt |
| Management And General | $14,102,859 | ManagementAndGeneralAmt |
| Fundraising | $616,816 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,523,521 | BOYAmt |
| EOY | $1,304,613 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,164,226 | BOYAmt |
| EOY | $36,571,997 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,854 | BOYAmt |
| EOY | $1,279,820 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,490,373 | BOYAmt |
| EOY | $7,548,078 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,048,468 | BOYAmt |
| EOY | $1,598,955 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $750,998 | BOYAmt |
| EOY | $501,979 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $55,636,103 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $23,355,027 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,205,443 | BOYAmt |
| EOY | $32,281,076 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $869,906 | BOYAmt |
| EOY | $921,701 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $943,252 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $967,639 | BOYAmt |
| EOY | $1,028,013 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,082,428 | BOYAmt |
| EOY | $83,979,484 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,114,921 | BOYAmt |
| EOY | $7,804,216 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $855,545 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,285,360 | BOYAmt |
| EOY | $31,622,219 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,147,584 | BOYAmt |
| EOY | $19,216,715 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,547,865 | BOYAmt |
| EOY | $59,498,695 | 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 | $21,434,563 | BOYAmt |
| EOY | $24,375,789 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,000 | BOYAmt |
| EOY | $105,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,534,563 | BOYAmt |
| EOY | $24,480,789 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,082,428 | BOYAmt |
| EOY | $83,979,484 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,946,226 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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) |
|---|---|---|
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $3,689 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,689 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | A portion of the Organization's dues to the West Virginia Hospital Association were utilized for lobbying purposes. The estimated portion for FY 2024 was $3,689. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $354,961 | OtherCostOrOtherBasisAmt |
| Book Value | $354,961 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,197,180 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,124,635 | DepreciationAmt |
| Book Value | $24,072,545 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,652,386 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,768,805 | DepreciationAmt |
| Book Value | $2,883,581 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,431,576 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,461,587 | DepreciationAmt |
| Book Value | $4,969,989 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $32,281,076 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Other liabilities | $1,664,304 |
| Estimated DSH Settlements | $14,587,705 |
| Estimated Medicaid and MEdicare Settlements - | $2,621,609 |
| Estimated Malpractice Obligation | $343,097 |
| Estimated Third-Party Settlements - Medicaid and Medicare |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,216,715 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $86,447,580 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $86,447,580 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,377,050 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,377,050 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $87,824,630 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $83,501,354 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $83,501,354 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,377,050 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,377,050 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $84,878,404 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | The hospital is exempt from federal and state income taxes under section 501(c)(3) of the internal revenue code and therefore is not subject to federal income tax under current income tax regulations. Current accounting standards define the threshold for recognizing uncertain income tax return positions in the financial statements as "more likely than not" that the position is sustainable, based on its technical merits, and also provide guidance on the measurement, classification and disclosure of tax return positions in the financial statements. Management believes there is no impact on the accompanying financial statements related to uncertain income tax positions. The hospital is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. |
| Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements | Bad Debt Expense - 1438782 Special Events Expense - -61732 |
| Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements | Bad Debt Expense - 1438782 Special Events Expense - -61732 |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
| Total Gross Receipts | $0 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $0 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $0 | TotalNetToOrganizationAmt |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Gala 60 | Event1Nm |
| Gross Receipts Event1 | $208,925 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $147,193 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $61,732 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $8,313 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $31,723 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $7,235 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $14,461 | OtherDirectExpensesEvent1Amt |
| Gross Revenue Event2 | $0 | GrossRevenueEvent2Amt |
| Gross Revenue Other Events | $0 | GrossRevenueOtherEventsAmt |
| Gross Receipts Total | $208,925 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $147,193 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $61,732 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $8,313 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $31,723 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $7,235 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $14,461 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $61,732 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
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 |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 240 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $573,934 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $573,934 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0069 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,744,169 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,194,569 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $549,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0066 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $15,318,103 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,194,569 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,123,534 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0135 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $50,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $174,291 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $174,291 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0021 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $224,291 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $224,291 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0027 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $15,542,394 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,194,569 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,347,825 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0162 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,438,782 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $201,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,948,527 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,402,137 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $546,390 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| 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 | Boone Memorial Hospital Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 Madison Avenue | AddressLine1Txt |
| City | Madison | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BMH.ORG | WebsiteAddressTxt |
| 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 | Four Rural Health Clinics - including provider based and non-provider based | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boone Memorial Hospital Inc | 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 |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| 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 | false | 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 | WWW.BMH.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.BMH.ORG | 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 | 100.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 240.0 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| 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://www.bmh.org/financial-services/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.bmh.org/financial-services/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.bmh.org/financial-services/ | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Collection Activities | false | CollectionActivitiesInd |
| 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 | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Boone Memorial Hospital, Inc.. ASSEMBLED AN ADVISORY PANEL COMPRISED OF REPRESENTATIVES FROM COMMUNITY LEADERS, HEALTH CARE PROVIDERS, AND LOCAL CITIZENS TO ASSIST WITH THE ASSESSMENT PROCESS. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - BOONE MEMORIAL HOSPITAL, INC.. BOONE MEMORIAL HOSPITAL DEVELOPED AN IMPLEMENTATION PLAN THAT ADDRESSED THE MAJORITY OF THE SIGNIFICANT COMMUNITY NEEDS IDENTIFIED IN THE CHNA. THE AREAS ADDRESSED INCLUDED ALCOHOL AND DRUG ABUSE, DRUNK DRIVING AND LACK OF RECREATIONAL PROGRAMS. THE HOSPITAL SPONSORED MULTIPLE COMMUNITY EVENTS/EDUCATIONAL SEMINARS THAT INCLUDED HEALTH FAIRS, MONTHLY DIABETIC EDUCATIONAL CLASSES, DRUG AND ALCOHOL ABUSE PREVENTION FORUMS AND A LOW COST FITNESS CENTER PROGRAM FOR THE COMMUNITY. AS WITH MOST HEALTH CARE FACILITIES, WE HAVE LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES. |
| Schedule H, Part V, Section B, Line 16 Facility , 1 | Facility , 1 - BOONE MEMORIAL HOSPITAL, INC.. THE FOLLOWING MEASURES ARE USED TO PUBLICIZE THE FINANCIAL ASSISTANCE AVAILABLE FROM BMH TO THE COMMUNITY AND PATIENTS IN ACCORDANCE WITH FEDERAL AND STATE LAW: A. PROVIDING INFORMATION WHEN A PATIENT CALLS BMH AT (304) 369-1230; B. ANNUALLY POSTING AN ARTICLE IN A NEWSPAPER OF LOCAL CIRCULATION AND/OR OTHER MEANS AS DEEMED REASONABLY NECESSARY; D. POSTING OF A NOTICE IN THE EMERGENCY DEPARTMENT ADMITTING AREAS AND BUSINESS OFFICES AT BMH; AND/OR E. FINANCIAL COUNSELORS VISITING WITH BMH INPATIENTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c | Patients must provide their "Total Yearly Income" in order to be considered for financial assistance. a. Adults: If the patient is an adult, the term "Total Yearly Income" means the sum of the total yearly gross income of the patient and the patient's spouse. b. Minors: If the patient is a minor, the term "Total Yearly Income" means the sum of the total yearly gross income of the patient, the patient's mother and the patient's father. The patient, immediate family member or patient representative shall verify the patient's reported Total Yearly Income, as provided on the Application. The Total Yearly Income may be verified through any of the following mechanisms: a. Income Indicators. By the provision of third party financial documentation including IRS Form W-2, Wages and Tax Statement; pay check remittance; individual tax return; telephone verification by employer; bank statements; Social Security payment remittance; Worker's Compensation payment remittance; unemployment insurance payment notice; Unemployment Compensation Determination Letters; or other appropriate indicators of the patient's Total Yearly Income. b. Participation in a Benefit Program. By the provision of documentation showing current participation in a public benefit program such as Medicaid; Food Stamps; WIC; or other similar means tested programs. Proof of Participation in any of the above programs indicates that the patient has been deemed Financially Indigent and therefore, is not required to provide his or her income on the Assistance Application. c. In cases where the patient or responsible party is unable to provide third party verification of patient's Total Yearly Income, verification of the patient's Total Yearly Income can be done in either of the following ways: 1. Obtaining the patient's or responsible party's Written Attestation. By obtaining an Application signed by the patient or responsible party attesting to the veracity of the patient's Total Yearly Income information provided: or 2. Obtaining the patient's or responsible party's Verbal Attestation. Through the written attestation of the BMH employee completing the Assistance Application that the patient or responsible party verbally verified the patient's Total Yearly Income information provided. 3. In instances where the patient or responsible party is unable to provide the requested third party verification of patient's Total Yearly Income, the patient or responsible party is required to provide a reasonable explanation of why the patient or responsible party is unable to provide the required third party verification. Sound business practices will be employed to verify patient's attestation and supporting information. Unmarried expired patients may be deemed to have no income for purposes of calculation of Total Yearly Income. Documentation of Total Yearly Income is not required for expired patients; however, documentation of estate assets may be required. If an expired patient is married, the surviving spouse may apply for financial assistance. Patients, immediate family members or patient representatives applying for financial assistance must verify the number of people in the patient's household "Number in Household"). a. Adults: In calculating the Number in Household, include the patient, the patient's spouse, and any dependents (as defined by the Internal Revenue Code). b. Minors: In calculating the Number in Household, include the patient, the patient's mother, the patient's father, dependents of the patient's mother, and dependents of the patient's father. During the verification process, while information to determine a patient's Total Yearly Income is being collected, the patient may be treated as a private pay patient. |
| Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation | 1438782 |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | bad debt as reported on cost report. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | Patient accounts receivable are carried at the original charge less an estimate made for doubtful or uncollectible accounts. The allowance is based upon a review of the outstanding balances aged by financial class. Management uses collection percentages based upon both current and historical collection experience to determine collectibility. Management also reviews troubled, aged accounts to determine collection potential. Patient accounts receivable are written off when deemed uncollectible. Recoveries of accounts previously written off are recorded as a reduction to bad debt expense when received. Interest is not charged on patient accounts receivable. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | MEDICARE ALLOWABLE COSTS WERE DERIVED FROM THE MEDICARE CARE COST REPORT FOR THE PERIOD ENDED 6/30/24. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | After the patient's account is reduced by the discounts based on the Financial Assistance Eligibility Discount Guidelines, the patient is responsible for the remainder of their outstanding account. Patients will be invoiced for any remaining amounts in accordance with other BMH Debt Collection Policies regarding this matter. |
| Schedule H, Part V, Section B, Line 16a FAP website | - Boone Memorial Hospital, Inc.: Line 16a URL: https://www.bmh.org/financial-services/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - Boone Memorial Hospital, Inc.: Line 16b URL: https://www.bmh.org/financial-services/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - Boone Memorial Hospital, Inc.: Line 16c URL: https://www.bmh.org/financial-services/; |
| Schedule H, Part VI, Line 2 Needs assessment | The BMH project team completed the community needs assessment using the following strategies: -Assembled an Advisory Panel comprised of representatives from community leaders, health care providers, and local citizens to assist with the assessment process. -Conducted primary data collection through surveys of providers, key informants, and the general population. Phone interviews were also conducted. -Collected secondary data sources such as information from the Boone County Health Department Community Needs Assessment, State health statistics and behavioral risk assessments, US Census Data, Centers for Disease Control statistics and data, etc. -Created a comprehensive database including answers to each survey question which was used to track and calculate the data. -Held focus groups, some of which included youth representation in order to obtain a diverse range of responses in an open discussion format. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | Measures to publicize the Financial Assistance Policy: The following measures are used to publicize the financial assistance available from BMH to the community and patients in accordance with Federal and State law: a. Posting on the BMH website at the following location: www.bmh.org; b. Providing information when a patient calls BMH at (304) 369-1230; c. Annually posting an article in a newspaper of local circulation and/or other means as deemed reasonably necessary; d. Posting of a notice in the emergency department admitting areas and business offices at BMH; and/or e. Financial Counselors visiting with BMH inpatients. |
| Schedule H, Part VI, Line 4 Community information | BMH serves primarily Boone County, WV and the surrounding communities. Boone County had an estimated population of 24,224 in 2013. The median household income was $41,359 with 18.9% below the federal poverty guideline. 15% of the population is over 65 and 28.9% is under 18 with 40.7 years as the median age. 79% of the hospital's patients were from Boone County is FY 13. |
| Schedule H, Part VI, Line 5 Promotion of community health | The majority of the Board of Directors are local, lifelong residents. The Emergency Room is always available to all patients, regardless of ability to pay. Boone Memorial Health has made the most recent Community Needs Assessment report available on its website for all patients to have easy access to read. BMH offers patients access to state of the art MRI equipment seven days a week which provides top quality care close to home which is a differentiating service line when compared to other critical access hospitals throughout WV. We have a fully digital radiology department with a PACS system. Our lab has just recently expanded to incorporate additional testing equipment. We also operate multiple Rural Health Clinics throughout the region with extended / weekend service hours to help serve the healthcare needs of our community. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | WV |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Boone County Community Org | |||||||
| 347 Lick Ck Ste 1A | Danville | WV | 25053 | 550481682 | 501(c)(3) | $8,250 | Delivery Vehicle |
| WV Game Changer | |||||||
| 420 Marion Sq Suite 101 | Fairmont | WV | 26554 | 842643977 | 501(c)(3) | $46,000 | Substance Abuse Education |
| Waterways 2023 Concert Series | |||||||
| PO Box 37 | Madison | WV | 25130 | $12,500 | 2023 Concert Series | ||
| Boone County Sheriff's Department | |||||||
| 200 State St Suite 102 | Madison | WV | 25130 | $11,251 | AED's for all Cruisers | ||
| Aracoma Story | |||||||
| 311 Main St | Logan | WV | 25601 | 310951887 | $16,542 | New Sound System | |
| Town of Danville | |||||||
| PO Box 217 | Danville | WV | 25053 | 550542061 | $70,000 | operational support | |
| BARN Community Group | |||||||
| 179 Memorial Drive | Nellis | WV | 35142 | 813325847 | $10,000 | operational support | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | Grant applications are received and evaluated by the hospitals leadership team including Chief External Affairs Officer and Chier Executive Officer. Applications are selected based on merit, expected benefit to the community and alignment to the core values of the Foundation. Grantees are required to report and confer with BMH Foundation employees on a regular basis concerning the status and execution of the project. Grantees are also required to submit Financial Reports and Project Status Reports to the Foundation no later than the first day of each month during the Project Period. Financial reports compare actual expenses to approved Project Budget. Project Status Reports shall also include narrative accounts of accomplishments resulting from the receipt of the respective grant. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 | false | 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 (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Virgil Underwood | ||||||||||||||
| President and Chief Executive Officer | $336,035 | $0 | $0 | $0 | $0 | $0 | $358,008 | $0 | $26,665 | $0 | $720,708 | $0 | $0 | $0 |
| Douglas Cole Malcolm | ||||||||||||||
| Chief Financial Officer | $224,058 | $0 | $0 | $0 | $0 | $0 | $95,265 | $0 | $26,665 | $0 | $345,988 | $0 | $0 | $0 |
| Angela Christian | ||||||||||||||
| Chief Operating Officer | $263,443 | $0 | $0 | $0 | $0 | $0 | $190,748 | $0 | $26,665 | $0 | $480,856 | $0 | $0 | $0 |
| Ray Harrell | ||||||||||||||
| CEAO and Secretary | $185,000 | $0 | $0 | $0 | $0 | $0 | $1,443 | $0 | $26,665 | $0 | $213,108 | $0 | $0 | $0 |
| Casey Shaun Hager | ||||||||||||||
| Doctor | $656,744 | $0 | $0 | $0 | $0 | $0 | $4,773 | $0 | $26,665 | $0 | $688,182 | $0 | $0 | $0 |
| Brian Cortelessi | ||||||||||||||
| Doctor | $469,151 | $0 | $0 | $0 | $0 | $0 | $8,112 | $0 | $26,665 | $0 | $503,928 | $0 | $0 | $0 |
| Melissa Moody | ||||||||||||||
| Doctor | $469,520 | $0 | $0 | $0 | $0 | $0 | $5,929 | $0 | $8,574 | $0 | $484,023 | $0 | $0 | $0 |
| Philip Todd Berry | ||||||||||||||
| Doctor | $428,685 | $0 | $0 | $0 | $0 | $0 | $6,500 | $0 | $26,665 | $0 | $461,850 | $0 | $0 | $0 |
| Kenneth Chadwick Adkins | ||||||||||||||
| Doctor | $406,749 | $0 | $0 | $0 | $0 | $0 | $5,738 | $0 | $26,665 | $0 | $439,152 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Travel for companions | WVHA Annual Meeting - Board members and the executive team (C-Suite & Medical Leadership) are required to attend the annual hospital association meeting. As part of this meeting, spouses are required to attend. The Hospital covers reasonable travel and accommodations for BMH team member and spouses. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Multiple EXECUTIVES PARTICIPATED IN A 457(F) PLAN. CONTRIBUTIONS TO THE 457(F) PLAN ARE BASED ON THE PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL PERFORMANCE OF THE EXECUTIVE. ANNUAL CONTRIBUTIONS ARE REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE. The committee conducted a thorough review of the IRS Form 990s and WV Uniform Financial Reports for hospitals and health systems throughout West Virginia. THE COMMITTEE USES THE DATA TO DETERMINE THE TOTAL Compensation of the CEO AND OTHER EXECUTIVE OFFICERS. THIS DATA IS REVIEWED Periodically OR WHEN A NEW PERSON COMES INTO AN EXECUTIVE ROLE. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 1 | The basic mission of Boone Memorial Hospital, Inc. ("BMH") is to create an environment in which qualified physicians and other health care personnel can work together to provide high quality health care service, in an atmosphere of brotherly love and concern, to the services, including prevention, guidance, diagnosis, treatment, restoration, rehabilitation and other efforts to enable patients to lead healthy, productive lives, as may be needed by its community, and as its resources will permit. In carrying out its programs, BMH recognizes its responsibility to make services available to all persons who can benefit from them and to provide these in an economical manner in compliance with high professional standards. The hospital further recognizes responsibility to develop an organizational environment in which physicians, employees, volunteers and other individuals constituting its staff are stimulated to high standards of performance and can find maximum satisfaction, achievement and opportunity. BMH launched the BMH Foundation for Community Health as a new department (and DBA) of BMH. Our mission through the Foundation is to improve community health by addressing the social determinants of health: Economic Stability, Education Access and Quality, Neighborhood and Built Environment, Social and Community Context, and Healthcare Access and Quality. We plan to accomplish these goals through programming and education, managed projects and operations, grantmaking to other non-profits and governmental entities, and community events and partnerships. These functions will be supported by existing hospital financial resources and personnel, fundraising, and by leveraging our community partnerships to not only secure federal, state, and private grant dollars, but work together toward our shared goals. BMH also seeks to be a catalyst for the improvement of community health through local economic development opportunities, education and rural innovation. Boone Memorial Health is committed to providing services that improve the health and well-being of Boone County residents. Our comprehensive health prevention and management programs include the BMH Healthy Lifestyle Program; Diabetes self-management education and support (DSMES); Brighter Futures for patients suffering from substance use disorders; FARMacy to provide families with fresh, locally-grown fruits and vegetables - at no cost; and a dedicated Social Services Department to ensure when patients leave our care they go home to the best environment possible to assure their wellness. As an equal opportunity employer it will not permit discrimination because of race, color, religion, sex, age, national origin or handicap. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | The CFO and CEO will review the Form 990 for accuracy prior to filing with the IRS. A copy of the final Form 990 will be provided to the Board of Directors prior to filing with the IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | Compliance is enforced and monitored when board members recuse themselves on conflict of interest issues. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | The CEO presents recommendations to the compensation committee which will evaluate and approve on behalf of the board of directors. |
| Form 990, Part VI, Line 19 Required documents available to the public | Financial statements are submitted to the WV Healthcare Authority and subsequently published. The governing documents and conflict of interest policy are available upon request. |
| Form 990, Part XII, Line 2c | THE OVERSIGHT PROCESS FOR THE AUDIT OF THE FINANCIAL STATEMENTS HAS NOT CHANGED DURING THE TAX YEAR. |