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        <Desc>Camden-Clark Memorial Hospital is a leader in cancer care for the mid-ohio valley, providing cancer care to patients in a 45 mile radius from the hospital. In addition to a wide range of treatment options provided, the hospital offers a number of related services to its patients. Through the hospitals collaboration with the American Cancer Society, the development of the organizations cancer resource center, a hair restoration salon, a patient navigator and an oncology social, the hospital has enhanced the education, navigation and social support of its cancer patients and families. The hospitals community and social services provide a holistic healing environment which includes support groups for patients/families.</Desc>
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        <Desc>Camden Clark Memorial Hospital offers emergency room services as part of the hospitals mission of meeting the healthcare needs of the community for a lifetime. Due to the community that it serves, the majority of patients visiting the ER are either underinsured or uninsured. For the reporting period, there were approximately 42,351 ER visits. A significant portion of the hospitals inpatient volume comes directly from the ER.</Desc>
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        <PersonNm>Jessica Huffman</PersonNm>
        <TitleTxt>AVP Clinical Services</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>151950</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5953</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christine Daniels</PersonNm>
        <TitleTxt>VP, Nursing 2022</TitleTxt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>150207</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Jo Shahan</PersonNm>
        <TitleTxt>Former CCMC Interim CFO 2019</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>040.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>104451</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Terry W Capel MD</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>001.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kathy G Eddy</PersonNm>
        <TitleTxt>Vice Chairman</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>001.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Randall E Snider</PersonNm>
        <TitleTxt>Director - Secretary</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Orton C Armstrong MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>001.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Joe D Campbell</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>001.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lynford C Lovell</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>001.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sister Joan Kreyenbuhl</PersonNm>
        <TitleTxt>Director through 11.10.23</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>001.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>4314328</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>2798357</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>824083</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>138</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Medical Solutions LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>Omaha</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>681142122</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Staffing Services</ServicesDesc>
        <CompensationAmt>1607002</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Quest Diagnostics Nichols Institute Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>14255 Newbrook Dr</AddressLine1Txt>
            <CityNm>Chantilly</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>201512228</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Staffing Services</ServicesDesc>
        <CompensationAmt>1226783</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DVA Renal Healthcare Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 781607</AddressLine1Txt>
            <CityNm>Philadelphia</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>191781607</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Staffing Services</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Parkersburg Cardiology Assoc Inc</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>600 18th St Ste 512</AddressLine1Txt>
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          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Getinge USA Sales LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>45 Barbour Pond Dr</AddressLine1Txt>
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            <ZIPCd>074702094</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Advertising</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>21</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>80000</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>423755034</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Pharmacy Sales - Patients</Desc>
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        <RelatedOrExemptFuncIncomeAmt>29821606</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621990</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1505389</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>976170</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <ExclusionAmt>1123564</ExclusionAmt>
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        <BusinessCd>624200</BusinessCd>
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        <ExclusionAmt>1278725</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OVASC Revenue</Desc>
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        <ExclusionAmt>426451</ExclusionAmt>
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        <ExclusionAmt>252998</ExclusionAmt>
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        <ManagementAndGeneralAmt>966662</ManagementAndGeneralAmt>
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        <EOYAmt>7470766</EOYAmt>
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        <EOYAmt>3330841</EOYAmt>
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        <EOYAmt>1756009</EOYAmt>
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        <EOYAmt>275876513</EOYAmt>
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        <EOYAmt>244725</EOYAmt>
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        <EOYAmt>57319362</EOYAmt>
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        <EOYAmt>140628552</EOYAmt>
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        <EOYAmt>22616483</EOYAmt>
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        <BOYAmt>290599735</BOYAmt>
        <EOYAmt>301173382</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>-25296869</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>-25296869</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>262070508</BOYAmt>
        <EOYAmt>275876513</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>11180884</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>834942</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-8783468</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <HospitalInd>X</HospitalInd>
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      <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>37773</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>37773</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
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        <FormAndLineReferenceDesc>II-B 1i</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization paid dues to the American Hospital Association AHA as well as the West Virginia Hospital Association WVHA. A portion of these dues, specifically 37,773, was related to lobbying activities of the AHA and WVHA. Camdne-Clark Memorial Hospital Corporation does not participate in or intervene in including publishing or distributing of statements any political campaign on behalf of or in opposition to any candidate for public office.</ExplanationTxt>
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        <Desc>Financial derivatives and other financial products</Desc>
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      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
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        <Desc>Federal income taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Interest rate swaps</Desc>
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        <Desc>Self insurance liability</Desc>
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        <Desc>Debt Issuance Costs</Desc>
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        <Desc>Line of Credit - Current</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Payroll Liabilities</Desc>
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      <NetUnrealizedGainsInvstAmt>834942</NetUnrealizedGainsInvstAmt>
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      <RevenueNotReportedAmt>-12327194</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>461680415</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-10251</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-10251</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>461670164</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>437337395</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>10251</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>10251</ExpensesNotReportedAmt>
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      <OtherExpensesNotIncludedAmt>13162136</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>13162136</ExpensesNotRptFinclStmtAmt>
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      <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, BCHS, PHIC, HPN, and TMHS are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2023 and 2022.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>This amount includes 13,051,644 provision for bad debts and 110,492 non controlling interest expense that was reported as an offset to revenue on the audited financial statements but are reported as an expense on the Form 990.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 4b</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>This amount includes rental expense of 10,251 that is an offset to revenue on Form 990 but an expense on the audited financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>This amount includes provision for bad debts of 13,051,644 and non controlling interest expense 110,492 that were reported as an offset to revenue on the audited financial statements but are reported as an expense on the Form 990.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Two primary sources of data were utilized to inform the CHNA 1 a public input survey and 2 a community meeting. The public input survey Appendix C was developed by WVU OHA with the CCMC 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, some questions specific to experiences during the COVID-19 pandemic, 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 and as hard copies in the community. In addition to a MyChart email blast to patient zip codes in the service area, as well as some more targeted efforts to close demographic gaps, collection efforts included CCMC Pastoral Care Services, Parkersburg-Wood County Area Development Corporation, Social media accounts of local entities, United Way Alliance of the Mid-Ohio Valley, Wood County Development Authority, Wood County Health Department, and WTAP. A full list of Community Partners can be found in the CHNA posted online here https//wvumedicine.org/camden-clark/wp-content/uploads/sites/6/2021/12/CCMC-2021-Community-Health-Needs-AssessmentAdopted-12-7-21.pdf</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The existing secondary data, new survey data, community meeting input, and lessons learned from the last CHNA cycle all factored into CCMC leaderships prioritization decisions. The group considered the degree to which the hospital can realistically affect health outcomes for each topic projects or programs already underway for each, as well as level of importance placed on each by the community relative to the reach of CCMCs impact. Leadership paid particular attention to the demographics of respondents compared to the community, feedback gathered about access to health care, how single women responded to questions about health concerns, as well as other areas and demographics they know to be of particular concern in their community. Within this discussion of where and how the hospital can realistically affect community wellbeing and health outcomes, what they could accomplish with collaboration with partners, and what topics to monitor and revist at a later time, the list of top health concerns was organized into five that will be the focus moving forward with implementation planning.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Obesity, Chronic Disease, Physical Activity, and Nutrition - During the previous CHNA cycle, obesity and chronic disease appeared among the communitys top health concerns and were prioritized by hospital leadership to address through programming. CCMC implemented strategies to address these health topics, and leadership was not surprised to see these prevalent issues rise once again to the top of the list. This cycle, building on experiences from the last and in response to community requests and ideas collected through the survey data, CCMCs team has also included physical activity and nutrition among the facets of what will be addressed via prioritizing this topic.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Substance Use and Mental Health - CCMC leadership is well-aware of ongoing issues related to drug and alcohol use in their service area, as well as a continued need for attention and resources to be directed toward mental health. In response to existing knowledge, community input, and a recent local policy decision limiting access to treatment services in CCMCs home county, the leadership team sees it necessary to prioritize these topics.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Cancer - Cancer continues to remain in the top health concerns for this hospitals area, and CCMC has a track record of programming and partnerships that allow them to prioritize and address this issue through community benefit strategies. They will continue to do so through implementation planning this cycle.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>COVID-19 - Leadership discussed the many reasons that COVID-19 remains a concern in their hospital service area. Acknowledging that a large amount of educational information exists already, CCMC still feels that there are strategies they could offer to benefit the community at this point in the COVID-19 pandemic and have chosen to prioritize it as a topic to address through upcoming implementation planning.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Poverty - Issues surrounding poverty are clearly prevalent concerns in this community cost of care, lack of employment opportunities and health insurance, or income for necessities came up repeatedly in CCMCs survey data this cycle, as they did last cycle as well. Though the hospital cannot solve this large systemic problem, leadership is willing to look for creative ways to work to bridge the gap. Discussion included avenues to connect with people where they may already be receiving food assistance or treatment services. Leadership has chosen to prioritize this topic among the list of health and disease concerns above.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 13b</FormAndLineReferenceDesc>
        <ExplanationTxt>Camden-Clark Medical Center offers discounted care only to individuals who qualify for free care. Camden Clark Medical Center 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 Camden-Clark Memorial Hospital Line Part V, Section B, Line 15e</FormAndLineReferenceDesc>
        <ExplanationTxt>A state Medicaid representative was on site to help determine eligibility and help patients through the eligibility process.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Camden-Clark Memorial Hospital 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>
      <FacilityNum>3</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Patriot Point Diagnostic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2838 Pike Street</AddressLine1Txt>
            <CityNm>Parkersburg</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>26101</ZIPCd>
          </USAddress>
          <FacilityTxt>Radiology/Lab</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Garfield Diagnositc</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2012 Garfield Ave Bdng 2 Ste 1</AddressLine1Txt>
            <CityNm>Parkersburg</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>26101</ZIPCd>
          </USAddress>
          <FacilityTxt>Radiology/Lab</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Sleep Lab</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19th Street Campus</AddressLine1Txt>
            <CityNm>Parkersburg</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>26101</ZIPCd>
          </USAddress>
          <FacilityTxt>Diagnostic</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>Camden-Clark Medical Center CCMC uses 200 Federal Poverty Guideline FPG to determine free care eligibility. However, CCMC does not offer discounted care to individuals who fail the 200 FPG test.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Camden-Clark Memorial Hospital Corporation, community benefit numbers are reported in total with other hospitals within the West Virginia United Health System. The most recent amounts can be found on WVU Medicines website here https//wvumedicine.org/about/leadership-and-more/community-benefit/</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Net community benefit expense for 2023 is 75,795,450 and is 17.33 of total net expenses. To calculate net expense, provision for doubtful accounts - patient accounts of 13,051,644 was deducted from total expenses of 450,489,280 as shown in Part IX line 25 of the core Form 990, for a net expense of 437,437,636.</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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Camden-Clark Medical Center CCMC started a leadership program in 2007. Employees who are selected to participate in this leadership program are required to volunteer in the community or at hospital activities which benefit the broader community as a whole. The activities these individuals participated in during the current year included various health fairs, church community events, Wood County Telethon, National Healthcare Decision Day, Try-Again Homes work project and various local school activities and events. These individuals also worked with and supported various community organizations such as United Way of America, The Salvation Army, Boys and Girls Club of America, and various community boards.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt Expense at cost was calculated by multiplying provision for doubtful accounts - patient accounts of 13,051,644 by our cost to charge ratio of 30.93 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 4,036,874.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 712,384 which we then multipled by our cost to charge ratio of 30.93 for a total of 220,341.</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 220,341 should be considered community benefit due to the fact that a patient with an outstanding balance of 25,000 or greater 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient accounts receivables are primarily paid by federal and state governmental authorities under the Medicare and Medicaid programs, managed health plans, commercial insurance companies, workers compensation programs, employers and patients. Patient accounts receivable are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions. The System does not believe there are any significant concentrations of revenues from any particular payor that would subject the System to any significant credit risks in the collection of patient accounts receivable. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. Changes in general economic conditions, patient accounting service center operations, payor mix, payor claim processing could affect collections of accounts receivable, cash flows and results of operations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The System performs periodic assessments to determine if an allowance for expected credit losses is necessary. The System considers its incurred loss experience and adjusts for known and expected events and other circumstances. In estimating its expected credit losses, the System may consider changes in the length of time its receivables have been outstanding, changes in credit ratings for payors, requests from payors to alter payment terms due to financial difficulty, and notices of payor bankruptcies or payors entering receivership. Because the Systems accounts receivable is typically paid for by highly solvent, creditworthy payors, such as Medicare, Medicaid, other governmental programs, and highly regulated commercial insurers on behalf of the patient, the Systems credit losses are immaterial to the consolidated financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The mix of accounts receivable at December 31, 2023 and 2022, from patients and third-party payors is as follows For the year-end December 31, 2023 Medicare - 25, Medicaid - 13, Blue Cross - 21, Commercial, managed care and other - 39, Patients - 2, totaling 100. For the year-end December 31, 2022 Medicare - 27, Medicaid - 16, Blue Cross - 19, Commercial, managed care and other - 35, Patients - 3, totaling 100.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount reported in Part III Line 6 186,984,093 was calculated using the total Medicare allowable cost from the Medicare cost report, less Medicare reimbursement of direct GME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>CCMCs shortfall, 22,374,517 of Medicare program reimbursement should be considered a community benefit because we are relieving a government burden by providing care in excess of our costs to these patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>CCMC 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, 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>Camden Clark Medical Center considers several components in assessing how the organization determines the need of the communities it serves. The CHNA utilized a robust community based process designed to engage a wide range of community members. CCMC conducted a Community Health Needs Assessment CHNA in 2021. The CHNA can be found here https//wvumedicine.org/camden-clark/wp-content/uploads/sites/6/2021/12/CCMC-2021-Community-Health-Needs-AssessmentAdopted-12-7-21.pdf.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CCMC provides, in writing, all options for possible financial assistance. This information is also available on CCMCs website. CCMC also has representatives that are available to discuss options with inpatients and outpatients on a daily basis. WV State Medicaid workers are onsite to help determine patient eligibility and to assist patients through the eligibility process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>CCMCs leadership defined the community served as a 7 county area comprised of Calhoun, Pleasants, Ritchie, Roane, Tyler, Wirt, and Wood in WV. CCMC, located in Parkersburg, WV is a part of Wood County. Wood County has a population of 83,052, median household income of 54,350 and an employment rate of 55.1. 18.7 of Wood County residents are living in poverty and 7.8 of residents reported they are without health care coverage. The remaining 6 counties considered to be in CCMCs defined service area had a combined total population of 48,216 and approximately 7.3 of residents reported they are without health care 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>A majority of the organizations governing body is comprised of persons who reside in the primary service area and who are neither employees nor independent contractors of the hospital, not family members thereof. The organization extends medical staff privileges to all qualified physicians in the community to many of its departments.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Any surplus of funds is used primarily to enhance patient care. While no research is done in this facility, a residency program was started in 2009.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>CCMC 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 team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its services area, 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. System hospitals include West Virginia University Hospitals, Inc. in Morgantown, WV, United Hospital Center in Bridgeport, WV, Camden-Clark Memorial Hospital in Parkersburg, WV, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Potomac Valley Hospital in Keyser, WV, St. Josephs Hospital of Buckhannon, Inc. in Buckhannon, WV, West Virginia Healthcare Cooperative, doing business as, Summersville Regional Medical Center in Summersville, WV, Braxton County Memorial Hospital in Gassaway, WV, Community Health Association, doing business as, Jackson General Hospital in Ripley, WV, Reynolds Memorial Hospital in Glen Dale, WV, Wetzel County Hospital in New Martinsville, WV, Barnesville Hospital Association in Barnesville, OH, Uniontown Hospital in Uniontown, PA, Wheeling Hospital, Inc. in Wheeling, WV, Harrison Community Hospital, Inc. in Cadiz, OH, GRMC, Inc. in Oakland, MD, Princeton Community Hospital Association, Inc. in Princeton, WV, Herbert J. Thomas Memorial Hospital Association, doing business as, Thomas Memorial Hospital in South Charleston, WV, Charleston Hospital, Inc., doing business as, St. Francis Hospital in Charleston, WV, and Grant Memorial Hospital, Inc. in Petersburg, WV.</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. and Camden-Clark Physician Corp 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, Harrison Community Hospital Foundation in Cadiz, OH, and Wheeling Foundation in Wheeling, WV, 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 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Contributions are discretionary and decisions on which organizations Camden-Clark Memorial Hospital supports are made by the President in conjunction with the Director of Marketing. Typically, local organizations are supported throughout the year and the donations are typically not specifically restricted, so there is no follow up process for monitoring the use of the funds.</ExplanationTxt>
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      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsFlngOrgInd>true</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Cynthia Kern</PersonNm>
        <TitleTxt>Vice President, Quality Patient Safety</TitleTxt>
        <BaseCompensationFilingOrgAmt>242725</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>55125</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>26142</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12128</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9154</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>345274</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christopher Childress</PersonNm>
        <TitleTxt>Director of Pharmacy</TitleTxt>
        <BaseCompensationFilingOrgAmt>182218</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>23645</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>276</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8383</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16798</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>231320</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dorian Williams</PersonNm>
        <TitleTxt>AVP Support Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>167991</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>24425</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>7026</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5897</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>30736</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>236075</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Candace White</PersonNm>
        <TitleTxt>Director Surgical Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>161777</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>21130</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>5360</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7325</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10901</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>206493</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rhonda Boso-Suggs</PersonNm>
        <TitleTxt>AVP Ancillary Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>164308</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>27908</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1650</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7770</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21035</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>222671</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sean Smith</PersonNm>
        <TitleTxt>CCMC VP Operations/WCH President</TitleTxt>
        <BaseCompensationFilingOrgAmt>151027</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>151027</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>34151</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>34151</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3342</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>3342</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22321</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>22321</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14745</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>14746</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>225586</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>225587</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christine Daniels</PersonNm>
        <TitleTxt>VP, Nursing 2022</TitleTxt>
        <OtherCompensationFilingOrgAmt>150207</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>150207</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Steve Altmiller</PersonNm>
        <TitleTxt>President CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>521783</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>182029</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>109133</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14850</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22052</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>849847</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MarJean Kennedy</PersonNm>
        <TitleTxt>VP Mktg Dev Strat Init</TitleTxt>
        <BaseCompensationFilingOrgAmt>214896</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>43937</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>5568</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>31306</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11344</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>307051</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jessica Huffman</PersonNm>
        <TitleTxt>AVP Clinical Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>122842</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>23102</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>6006</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5528</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>425</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>157903</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kyle Pierson</PersonNm>
        <TitleTxt>VP Finance - West Region</TitleTxt>
        <BaseCompensationFilingOrgAmt>283018</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>60167</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>5661</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>42301</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31123</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>422270</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Jo Shahan</PersonNm>
        <TitleTxt>Former CCMC Interim CFO 2019</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>102872</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>1500</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>79</OtherCompensationRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>104451</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Walter Kerschl</PersonNm>
        <TitleTxt>Chief Medical Officer 2022</TitleTxt>
        <OtherCompensationFilingOrgAmt>349654</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>349654</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Doug Coffman</PersonNm>
        <TitleTxt>Director through 08.01.23</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>489050</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>198611</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>87365</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>14850</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>11023</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>800899</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Carlie Lacy</PersonNm>
        <TitleTxt>VP General Counsel</TitleTxt>
        <BaseCompensationFilingOrgAmt>225999</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>45183</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>4055</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>49573</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29223</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>354033</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tom Takubo DO</PersonNm>
        <TitleTxt>Director 09.05.23-11.15.23</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>570146</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>100000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1242</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>100913</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>17963</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>790264</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nicholas Barcellona</PersonNm>
        <TitleTxt>Director starting 12.05.23</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>335755</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>27000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>8228</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>65619</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>12445</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>449047</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Matthew Yoak</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>646998</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>35669</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>5322</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>14850</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>19218</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>722057</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sharileda Vance</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>367065</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>34100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2233</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>51449</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11574</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>466421</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Carol Grove</PersonNm>
        <TitleTxt>VP Nursing</TitleTxt>
        <BaseCompensationFilingOrgAmt>232606</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>24858</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>31339</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>30855</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>319658</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>CCMC has various policies in place with respect to travel, commuting and other benefits provided to its executives. Certain benefits listed and checked under this question are considered taxable compensation. In these circumstances, the value of the benefit is included in that given executives compensation. Certain other benefits listed and checked on this question are considered strictly business expenses and therefore no amount of the benefit is taxable and no amount is included in the executives compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for the CEO is determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the committee, which is made up of independent board members who are then responsibile for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Christine Daniels received 150,207 of severance pay in 2023 and Walter Kerschl received 349,654 of severance pay in 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals received deferred compensation contributions in 2023 Sean Smith in the amount of 30,751 partially from related party Kyle Pierson in the amount of 29,173 MarJean Kennedy in the amount of 21,590 Sharileda Vance in the amount of 36,800 Carol Grove in the amount of 24,000 Carlie Lacy in the amount of 39,160 Tom Takubo in the amount of 86,063 from related party and Nicholas Barcellona in the amount of 50,769 from related party. These amounts were properly recorded in deferred compensation on the Form 990 Schedule J.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>During 2023, certain individuals reported in Part VII participated in a nonqualified retirement plan and received direct cash payments instead of deferral of income. Douglas Coffman received cash distributions of 58,370 and Steve Altmiller received cash distributions of 93,275.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Per the WVUHS Incentive Plan incentives are contingent on meeting a net earning target.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II Line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Mary Jo Shahan was interim CFO in 2019 for Camden-Clark Memorial Hospital Corporation. However, in 2023 she was compensated for consulting work and interim CFO for related party, Uniontown Hospital.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="990K:1" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>West Virginia Hospital Finance Authority</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>621256910</BondIssuerEIN>
        <CUSIPNum>956622L85</CUSIPNum>
        <BondIssuedDt>2016-06-15</BondIssuedDt>
        <IssuePriceAmt>19440924</IssuePriceAmt>
        <PurposeDesc>2016 A - Refunding of 2007 A Bonds</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>West Virginia Hospital Finance Authority</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>621256910</BondIssuerEIN>
        <CUSIPNum>956622P40</CUSIPNum>
        <BondIssuedDt>2018-07-31</BondIssuedDt>
        <IssuePriceAmt>56880000</IssuePriceAmt>
        <PurposeDesc>2018C Series - Refund 2004 BC Bonds</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>3138536</RetiredAmt>
        <TotalProceedsAmt>19441485</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>149889</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>19290474</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>13980000</RetiredAmt>
        <TotalProceedsAmt>56880000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>422708</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>56457292</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2018</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>true</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>Cantor Fitzgerald</BusinessNameLine1Txt>
        </GICProviderName>
        <RegulatorySafeHarborStsfdInd>true</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line A</FormAndLineReferenceDesc>
        <ExplanationTxt>2016 A Bond - The 2016 A Bonds were issued on behalf of the West Virginia United Health System Obligated Group with an issue price of 288,869,596 per Form 8038. The 2016 A Bonds were issued to refund certain outstanding bonds. Per internal allocations based on the balance of the refunded bonds in the general ledger CCMC received 19,440,924 in proceeds to refund the 2007A bond issuance as an advanced refunding. The remaining amounts allocated from this issuance are reported on Form 990 for related parties West Virginia University Hospitals, Inc WVUH and United Hospital Center, Inc. UHC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I</FormAndLineReferenceDesc>
        <ExplanationTxt>Several bond issuances were issued in multiple series and each series is reported in this tax return separately. For each series identified in Schedule K, Part I, the taxpayer will reconcile the series amount reported in this tax return and the tax returns filed by related parties to the applicable 8038 filed with the IRS for each bond issuance. Each bond series is reported on the appropriate Form 990, Schedule K, only once in this manner.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Column B - The CUSIP shown on the Form 8038 956622P65 is for another bond in the 2018 issue - 2018 D E which are reported on the Schedule Ks for WVUH and UHC respectively.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount reported in Line 3 Column A is greater than the amount of bonds issued as a result of a balance that remained in the debt service fund for this bond issue. These funds will be applied to future payments of principal and interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>Column A - Rebate calculation was prepared for the period June 15, 2016 to June 15, 2021, per the report and underlying assumptions, no IRS payment or filing is otherwise currently required. The next rebate calculation is due June 15, 2026. Column B - A rebate calculation was prepared for the issuance date through July 31, 2023. The report indicates that no rebate is due. The next computation date is July 31, 2028.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV Line 5c</FormAndLineReferenceDesc>
        <ExplanationTxt>Column A - The securities for the 2016 A Bonds were purchased on June 15, 2016 and the last one matured on May 31, 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="990O" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 18,970,137, Grants and allocations 0, Revenue 27,075,613 Camden-Clark Memorial Hospital offers heart and vascular services for its immediate service area directly through the hospital. In addition, services are provided to underserved counties throughout the area via physicians that are employed by Camden Clark Physician Corporation, a related entity.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 256,088,441, Grants and allocations 0, Revenue 300,134,395 Camden Clark offers a wide range of other medical services that include Nephrology, OBGYN services, Neurosurgery, Orthopedics, Pediatrics, General Surgery, Vascular Surgery and various other services that can be found on our website https//wvumedicine.org/camden-clark/.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 20b</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization must attach a copy of its most recent audited financial statements. Attached are the consolidated financial statements of West Virginia United Health System, Inc. WVUHS and controlled entities. WVUHS became the sole member of Camden Clark Health Services, Inc., the parent corporation of Camden-Clark Memorial Hospital on March 1, 2011. The financial position, results of operations, and cash flows of Camden-Clark Memorial Hospital are included in the aforementioned consolidated audited financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Camden-Clark Health Services, Inc., a non-profit, tax-exempt corporation, is the sole member of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Camden-Clark Health Services, Inc., the organizations sole member, nominates all board members of the organization. Board members are elected by West Virginia United Health System WVUHS from the CCHS nominations. WVUHS elects all CCHS, CCMC, CCPC, and CCF board members from a slate of Director Nominees submitted to them by CCHS. CCHS will consider the underlying nominations of CCMC, CCPC, and CCF before they submit their nominations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>As the sole member of Camden Clark Health Services, Inc., WVUHS through its affiliation agreement, holds power to approve certain decisions such as annual budget, capital expenditures over 1 million, new debt over 1 million, new programs, and extraordinary filings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by the WVUHS Tax Team and is provided for review to the VP of Finance and Director of Accounting. It is also reviewed by the non-profit tax manager of our independent auditing firm. It is then presented to/reviewed by the Finance Committee. After being presented to the committee, it is provided to all board members for comments prior to filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>To identify and monitor any conflicts, a signed conflict of interest statement is required from board members of the organization and key individuals that are in a position to make or influence decisions. If an actual or possible conflict of interest is observed or disclosed, the organization invokes the procedures set out in the policy, bylaws for addressing the conflict of interest. For key individuals employees, a specific conflict of interest standard in the organizations code of ethics and business conduct also exists.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15 a b</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 2022 for 2023 compensation amounts. 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organizations financial statements are made available on request and are also available on the West Virginia Healthcare Authority website. The organizations governing documents and conflict of interest policy are made available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Other service expenses consist of the following items Consulting and Professional fees of 624,953 of which 163,080 is considered program service and 461,873 is considered management and general expense. Contracted Labor fees of 45,697,292 of which 39,424,646 is considered program service and 6,272,646 is considered management and general. Lab Fees of 216,589 of which all is considered program service expense. Resident Expense of 116 of which all is considered management and general expense. Lastly, Collection Agency Fees of 484,562 of which 24,725 is considered program service expense and 459,837 is considered management and general expense.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Changes in Net Assets Transfers to related organizations of 8,197,542, JOA contribution to SOM of 585,923, and rounding of 3.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2023, West Virginia United Health System WVUHS, EIN 55-0754713, transitioned to a centralized accounts payable process in which WVUHS made the majority of vendor payments and then issued the required 1099s. WVUHS is reimbursed by the entities for their portion of payments made, vendor payments that meet the Top 5 Independent Contractor reporting requirements are reported in Part VII, Section B of the reporting entity.</ExplanationTxt>
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          <BusinessNameLine1Txt>Camden-Clark Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 Garfield Ave</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Camden-Clark Physician Corp</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>604 Ann Street</AddressLine1Txt>
          <CityNm>Parkersburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26101</ZIPCd>
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          <BusinessNameLine1Txt>City Hospital Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>2500 Hospital Drive</AddressLine1Txt>
          <CityNm>Martinsburg</CityNm>
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          <BusinessNameLine1Txt>Jefferson Memorial Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>300 South Preston St</AddressLine1Txt>
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          <BusinessNameLine1Txt>West Virginia Health Care Cooperative Inc</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Reynolds Memorial Foundation</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <CityNm>Gassaway</CityNm>
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          <CityNm>New Martinsville</CityNm>
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      <IdRelatedTaxExemptOrgGrp>
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      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>