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      <Form990PartVIISectionAGrp>
        <PersonNm>BECKY MANNING</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL MCCARTHY</PersonNm>
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        <PersonNm>AARON SPURLOCK</PersonNm>
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        <PersonNm>DAVID RICH MD</PersonNm>
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        <PersonNm>LISA ZAPPIA</PersonNm>
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        <PersonNm>MARK COMBS</PersonNm>
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        <PersonNm>SHANA PHARES</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>MARSHALL HEALTH</BusinessNameLine1Txt>
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          <USAddress>
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          <BusinessName>
            <BusinessNameLine1Txt>GREEN ROSE</BusinessNameLine1Txt>
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          <USAddress>
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            <StateAbbreviationCd>WV</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JACKSON KELLY PLLC</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>PO BOX 45705</AddressLine1Txt>
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            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21297</ZIPCd>
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        </ContractorAddress>
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      <ProgramServiceRevenueGrp>
        <Desc>USER FEES</Desc>
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        <TotalRevenueColumnAmt>2063946</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2063946</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>2063946</TotalProgramServiceRevenueAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4386747</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>311528</TotalAmt>
        <ProgramServicesAmt>279397</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32131</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>383061</TotalAmt>
        <ProgramServicesAmt>343553</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39508</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>18494</TotalAmt>
        <ProgramServicesAmt>16586</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1908</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>46982</TotalAmt>
        <ProgramServicesAmt>42137</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4845</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>46934</TotalAmt>
        <ProgramServicesAmt>42093</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4841</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>118511</TotalAmt>
        <ManagementAndGeneralAmt>118511</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>26040</TotalAmt>
        <ManagementAndGeneralAmt>26040</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
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        <TotalAmt>2885558</TotalAmt>
        <ProgramServicesAmt>2826776</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58782</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>10425</TotalAmt>
        <ManagementAndGeneralAmt>10425</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>9653</TotalAmt>
        <ManagementAndGeneralAmt>9653</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>16567</TotalAmt>
        <ProgramServicesAmt>11045</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5522</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>4800</TotalAmt>
        <ManagementAndGeneralAmt>4800</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>23628</TotalAmt>
        <ProgramServicesAmt>2237</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21391</ManagementAndGeneralAmt>
      </TravelGrp>
      <InsuranceGrp>
        <TotalAmt>31729</TotalAmt>
        <ManagementAndGeneralAmt>31729</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEMBERSHIPS &amp; DUES</Desc>
        <TotalAmt>11230</TotalAmt>
        <ProgramServicesAmt>6500</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4730</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <ManagementAndGeneralAmt>4990</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
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        <ProgramServicesAmt>500</ProgramServicesAmt>
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        <ProgramServicesAmt>3570824</ProgramServicesAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>22210</EOYAmt>
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        <EOYAmt>4015058</EOYAmt>
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        <EOYAmt>448006</EOYAmt>
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        <EOYAmt>1128376</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2450565</BOYAmt>
        <EOYAmt>2886682</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2450565</BOYAmt>
        <EOYAmt>2886682</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3356513</BOYAmt>
        <EOYAmt>4015058</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>436117</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>2353968</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3233686</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1998188</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2322801</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>2353968</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>1998188</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2322801</CurrentTaxYearAmt>
        <TotalAmt>11942407</TotalAmt>
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      <PublicSupportTotal170Amt>11942407</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>10946</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10153</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>21099</TotalAmt>
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      <TotalSupportAmt>11963506</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>7589253</GrossReceiptsRltdActivitiesAmt>
      <First5Years170Ind>X</First5Years170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <RevenueSubtotalAmt>4386747</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>WEST VIRGINIA HEALTH INFORMATION NETWORK, (WVHIN) RECEIVED PRIVATE FOUNDATION GRANT FUNDING TO EXPAND ITS OUTREACH TO BEHAVIORAL HEALTH CENTERS AND TO EXPAND ITS SCOPE OF WORK WITH SOCIAL DETERMINANTS OF HEALTH. WVHIN RECEIVED FEDERAL FUNDING TO CREATE A REFERRAL AND PATIENT MONITORING SERVICE FOR SUBSTANCE USE DISORDER TREATMENT (TRAIN).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>WVHIN DISCONTINUED HEAT MAP SERVICES AND IMMUTRACK SERVICES DUE TO DECREASES IN FUNDING AND DEMAND FOR THESE COVID-RELATED SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF FIVE (5) MEMBERS CONSISTING OF THE CHAIR, VICE CHAIR, SECRETARY-TREASURER, THE IMMEDIATE PAST CHAIR, AND ONE (1) ADDITIONAL DIRECTOR APPOINTED BY THE CHAIR AND APPROVED BY THE BOARD. THE EXECUTIVE COMMITTEE SHALL MEET IN ACCORDANCE WITH ANY STANDING RESOLUTION OF THE COMMITTEE, OR WHEN CALLED BY THE CHAIR. THE EXECUTIVE COMMITTEE SHALL PERFORM THE DUTIES DELEGATED TO IT BY THESE BYLAWS, SHALL TRANSACT ALL BUSINESS REFERRED TO IT BY THE BOARD, SHALL PERFORM WHEN NECESSARY THE DUTIES OF THE BOARD BETWEEN REGULAR MEETINGS OF THE BOARD, SHALL MAKE A REPORT FOR APPROVAL OF ALL TRANSACTIONS TO THE BOARD, AND SHALL ACT IN EMERGENCIES ON BEHALF OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHANGES MADE WERE TO MODIFY THE BUSINESS OFFICE ADDRESS AND THE BOARD OF DIRECTORS' DELEGATION OF AUTHORITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PRESENTED TO THE EXECUTIVE/FINANCE COMMITTEE FOR REVIEW PRIOR TO FILING, AND PRESENTED TO THE FULL BOARD AT THE NEXT MEETING BUT NOT PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY DIRECTOR, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST IS AN INTERESTED PERSON. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL ABSTAIN FROM MAKING MOTIONS, VOTING, EXECUTING AGREEMENTS, OR TAKING ANY OTHER SIMILAR ACTION ON BEHALF OF THE CORPORATION TO WHICH THE CONFLICT MIGHT PERTAIN. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE INTERESTED PERSON SHALL NOT TAKE PART IN ANY DISCUSSIONS OF THE PROPOSED ARRANGEMENT OR TRANSACTION, AND SHALL ABSENT HIMSELF OR HERSELF FROM ANY MEETINGS, VOTES, OR OTHER DELIBERATIONS THEREON. UPON RECEIPT OF A DISCLOSURE NOTICE FROM AN INTERESTED PERSON REGARDING A TRANSACTION, THAT TRANSACTION SHALL NOT BE ENTERED INTO BY THE CORPORATION WITHOUT THE AUTHORIZATION OF THE BOARD OF DIRECTORS BASED UPON THE DETERMINATION OF THE MAJORITY OF DISINTERESTED VOTING DIRECTORS THAT THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AT THE TIME IT IS AUTHORIZED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE GOVERNING BODY MADE UP OF INDEPENDENT PERSONS REVIEW COMPARABILITY DATA AND MAKE A RECOMMENDATION REGARDING OFFICER COMPENSATION TO THE GOVERNING BODY FOR APPROVAL. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DEAP: PROGRAM SERVICE EXPENSES 166,537. MANAGEMENT AND GENERAL EXPENSES 3,463. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 170,000. CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 2,626,098. MANAGEMENT AND GENERAL EXPENSES 54,609. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,680,707. OTHER CONTRACT LABOR: PROGRAM SERVICE EXPENSES 34,141. MANAGEMENT AND GENERAL EXPENSES 710. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,851.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
