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      <Form990PartVIISectionAGrp>
        <PersonNm>Gonzalo Romero Lauro</PersonNm>
        <TitleTxt>VP Asst Chief Info Officer</TitleTxt>
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        <ReportableCompFromOrgAmt>300817</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>20841</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Paul Parker</PersonNm>
        <TitleTxt>Assoc General Counsel</TitleTxt>
        <AverageHoursPerWeekRt>040.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>281192</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>31083</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Brandon Koehler</PersonNm>
        <TitleTxt>VP of Finance - Provider Network Services</TitleTxt>
        <AverageHoursPerWeekRt>020.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>020.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>273977</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>33660</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Grace</PersonNm>
        <TitleTxt>Chief Admin Officer Aug-Dec</TitleTxt>
        <AverageHoursPerWeekRt>040.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>210190</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>83623</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kimberly Clarke</PersonNm>
        <TitleTxt>VP Asst Chief Info Officer</TitleTxt>
        <AverageHoursPerWeekRt>040.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>267726</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>25600</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>William Miller</PersonNm>
        <TitleTxt>AVP Chief Tech Officer</TitleTxt>
        <AverageHoursPerWeekRt>040.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>264843</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9234</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Darin Rogers</PersonNm>
        <TitleTxt>VP - Provider and Network Services</TitleTxt>
        <AverageHoursPerWeekRt>040.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Nancy Vest</PersonNm>
        <TitleTxt>AVP Chief Data Mgmt Officer</TitleTxt>
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        <ReportableCompFromOrgAmt>236451</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26084</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tareva Palmer</PersonNm>
        <TitleTxt>Chief Information Security Officer</TitleTxt>
        <AverageHoursPerWeekRt>040.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>221711</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18803</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>E Gordon Gee</PersonNm>
        <TitleTxt>Director - Chair</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
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        <OfficerInd>X</OfficerInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Heywood</PersonNm>
        <TitleTxt>Director - Vice Chair and Treasurer</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kathy Eddy</PersonNm>
        <TitleTxt>Director - Secretary</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
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        <OfficerInd>X</OfficerInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard M Adams</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey L Barger</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joe Campbell</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Terry Capel MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ellen S Cappellanti</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michelle Rotellini</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Steve Ferguson</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Hannah Hazard MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John P Keeley</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jocelyn Moore</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Randy Williams</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Hank Lawrence</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Woody Thrasher</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Bernie Twigg</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dennis Xander</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Clay Marsh</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Scott Roach</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Morehead MD</PersonNm>
        <TitleTxt>Director, January - February</TitleTxt>
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      <TotReportableCompRltdOrgAmt>709670</TotReportableCompRltdOrgAmt>
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      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Deloitte Consulting LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4022 Sells Dr</AddressLine1Txt>
            <CityNm>Hermitage</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>370762903</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Kiwi Tek LLC</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8900 Keystone Xing Ste 1095</AddressLine1Txt>
            <CityNm>Indianapolis</CityNm>
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            <ZIPCd>462407646</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>R Smith International LLC</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>433 Plaza Real Ste 255</AddressLine1Txt>
            <CityNm>Boca Raton</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>334323945</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Optum360 LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11000 Optum Cir</AddressLine1Txt>
            <CityNm>Eden Prairie</CityNm>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>General Healthcare Resources LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2250 Hickory Road Ste 240</AddressLine1Txt>
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            <ZIPCd>194622225</ZIPCd>
          </USAddress>
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      </ProgramServiceRevenueGrp>
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      <GrossRentsGrp>
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        <ExclusionAmt>8599775</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Retainer Revenue</Desc>
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        <ExclusionAmt>2242000</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Augusta Premiums</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>1250000</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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        <TotalRevenueColumnAmt>286519779</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>1273</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>11756553</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>1142500</ProgramServicesAmt>
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      <ForeignGrantsGrp>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>11219202</ProgramServicesAmt>
      </CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>118546622</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1353972</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>343</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>36475347</ProgramServicesAmt>
        <ManagementAndGeneralAmt>395789</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>450175</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4697</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>2044391</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>258904</TotalAmt>
        <ProgramServicesAmt>258904</ProgramServicesAmt>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>13014</TotalAmt>
        <ProgramServicesAmt>13014</ProgramServicesAmt>
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      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>22874934</ProgramServicesAmt>
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        <ProgramServicesAmt>2814543</ProgramServicesAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>76184332</TotalAmt>
        <ProgramServicesAmt>76167723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16609</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>105847</TotalAmt>
        <ProgramServicesAmt>103938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1909</ManagementAndGeneralAmt>
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      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>538578</TotalAmt>
        <ProgramServicesAmt>538578</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>752847</TotalAmt>
        <ProgramServicesAmt>751263</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1584</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
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      <InterestGrp>
        <TotalAmt>4731337</TotalAmt>
        <ProgramServicesAmt>4731337</ProgramServicesAmt>
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        <TotalAmt>34444356</TotalAmt>
        <ProgramServicesAmt>34444356</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>156855</TotalAmt>
        <ProgramServicesAmt>156855</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Taxes, License Fees</Desc>
        <TotalAmt>4754746</TotalAmt>
        <ProgramServicesAmt>4754416</ProgramServicesAmt>
        <ManagementAndGeneralAmt>330</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Educational Training</Desc>
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        <ProgramServicesAmt>435181</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Recruiting</Desc>
        <TotalAmt>88069</TotalAmt>
        <ProgramServicesAmt>88069</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Association Dues</Desc>
        <TotalAmt>313006</TotalAmt>
        <ProgramServicesAmt>311231</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1775</ManagementAndGeneralAmt>
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        <EOYAmt>5589189</EOYAmt>
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        <EOYAmt>48509549</EOYAmt>
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        <BOYAmt>316093597</BOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>6503489</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>112615510</BOYAmt>
        <EOYAmt>113957886</EOYAmt>
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        <BOYAmt>204888789</BOYAmt>
        <EOYAmt>233351449</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>111204808</BOYAmt>
        <EOYAmt>89451077</EOYAmt>
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        <BOYAmt>111204808</BOYAmt>
        <EOYAmt>89451077</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>322802526</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-41609261</ReconcilationRevenueExpnssAmt>
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      <OtherChangesInNetAssetsAmt>18764495</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <SupportedOrgInformationGrp>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>West Virginia Healthcare Co-Operative</BusinessNameLine1Txt>
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      <FactsAndCircumstancesTestTxt>Part I Section A Line 12 The amounts of support being reported for West Virginia University Hospitals, Inc., United Hospital Center, Camden Clark Memorial Hospital, and West Virginia Healthcare Co-Operative are the annual amount of savings realized by each company through the use of the Systems purchasing discounts and through the combining of other necessary expenses such as the annual audit, legal fees, benchmarking, hospital reviews, and a wide range of other expenses.</FactsAndCircumstancesTestTxt>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV Section A Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>WVUHS supports West Virginia University Hospitals, Inc., United Hospital Center, and Camden Clark Memorial Hospital as well as other supported hospitals of which WVUHS or one of the above listed supported organizations are the sole member. West Virginia United Health System, Inc. dba West Virginia University Health System WVUHS was formed to serve as a part of an integrated health science and healthcare delivery system. WVUHS functions to provide strategic leadership, oversight,</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV Section A Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>and centralized support services for member hospitals and affiliated organizations which allow those entities to deliver high quality healthcare, reduce the costs of services provided to the public, and provide better environment for education and research.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV Section B Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Per Article 3 of the WVUHS Bylaws. The Corporation shall possess all of the powers granted to a corporation pursuant to the West Virginia Nonprofit Corporation Act W. Va. Code sub-section 31E-1-101 et seq. In addition, the Corporation shall have, unless set forth otherwise in a Subsidiarys governing document, the following powers with respect to each Hospital and each Subsidiary of a Hospital.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV Section B Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>For the purposes of these Bylaws, Hospital shall mean West Virginia University Hospitals, Inc., United Hospital Center, Inc. Elect and remove any member or members of each Hospitals and Subsidiarys governing board consistent with, if applicable, the requirements for consumer representatives on the boards of licensed hospitals as stated in the West Virginia hospital licensing regulations at 64 CSR 12 sub-section 64-12-7. West Virginia University Hospitals has the power to nominate individuals t</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV Section B Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>WVUHS supports West Virginia University Hospitals, Inc., United Hospital Center, and Camden Clark Memorial Hospital as well as other supported hospitals of which WVUHS or one of the above listed supported organizations are the sole member. West Virginia United Health System, Inc. dba West Virginia University Health System WVUHS was formed to serve as a part of an integrated health science and healthcare delivery system. WVUHS functions to provide strategic leadership, oversight,</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV Section B Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>and centralized support services for member hospitals and affiliated organizations which allow those entities to deliver high quality healthcare, reduce the costs of services provided to the public, and provide better environment for education and research.</ExplanationTxt>
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      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
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      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
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      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>II-B 1g</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount shown here is based on a calculation of the hours the System CEO participated in lobbying related activities in 2021 amount equals hours multiplied by hourly pay rate.</ExplanationTxt>
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        <BookValueAmt>5509650</BookValueAmt>
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        <BookValueAmt>98719</BookValueAmt>
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        <BookValueAmt>58605193</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>52930220</DepreciationAmt>
        <BookValueAmt>80237037</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>144450599</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Self Insurance Trust Fund</Desc>
        <BookValueAmt>14482067</BookValueAmt>
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      <OtherSecuritiesGrp>
        <Desc>Other Investments</Desc>
        <BookValueAmt>-406903</BookValueAmt>
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      <OtherSecuritiesGrp>
        <Desc>Funded Depreciation - LT</Desc>
        <BookValueAmt>3118006</BookValueAmt>
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        <Desc>Other Non-Current Assets</Desc>
        <BookValueAmt>1684120</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Deferred Compensation</Desc>
        <BookValueAmt>6131341</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Due from Related Org - Non Current</Desc>
        <BookValueAmt>40694088</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>48509549</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Compensation</Desc>
        <Amt>6131341</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Malpractice Costs - Current</Desc>
        <Amt>740606</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Self Insurance Liability</Desc>
        <Amt>15058828</Amt>
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        <Desc>Other Non-Current Liabilities</Desc>
        <Amt>1198660</Amt>
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        <Desc>Finance Lease Liability - Long Term</Desc>
        <Amt>16289478</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Long Term Lease Liability</Desc>
        <Amt>1739559</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Line of Credit - Current</Desc>
        <Amt>600000</Amt>
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      <RevenueNotReportedFinclStmtAmt>-2338942</RevenueNotReportedFinclStmtAmt>
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      <RecipientTable>
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          <AddressLine1Txt>405 Capital Street Suite 512</AddressLine1Txt>
          <CityNm>Charleston</CityNm>
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        </USAddress>
        <RecipientEIN>550725474</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WV Chamber of Commerce</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1624 Kanawha Blvd E</AddressLine1Txt>
          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25311</ZIPCd>
        </USAddress>
        <RecipientEIN>550306990</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Support</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>4</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>WVUHS contributes money to local charitable organizations to help further the mission of the system throughout the community. WVUHS does not monitor the use of the donated funds.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="990J" softwareId="21013554" softwareVersionNum="21.0.5.0">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>true</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Albert L Wright Jr</PersonNm>
        <TitleTxt>Director/ President CEO WVUHS</TitleTxt>
        <BaseCompensationFilingOrgAmt>1347412</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>531488</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>42326</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>333738</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27838</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>2282802</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Douglas Coffman</PersonNm>
        <TitleTxt>Sr. CP CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>605091</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>153669</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>104233</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13050</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11135</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>887178</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Melissa McCoy</PersonNm>
        <TitleTxt>VP Finance/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>383566</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>67417</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>7325</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>71612</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28798</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>558718</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Rich Jr</PersonNm>
        <TitleTxt>Chief Medical Info Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>334110</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>88726</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>7109</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>60529</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27320</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>517794</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert O'Neil</PersonNm>
        <TitleTxt>Executive Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>287533</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>156056</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>61270</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13050</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17038</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>534947</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Karen Bowling</PersonNm>
        <TitleTxt>Exc VP Gov Af President</TitleTxt>
        <BaseCompensationFilingOrgAmt>41624</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>374615</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>9936</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>89426</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>8337</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>75034</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1305</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>11745</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1066</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>9594</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>62268</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>560414</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Brian Cottrill</PersonNm>
        <TitleTxt>VP Asst Chief Info Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>239891</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>52577</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>3682</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10846</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27720</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>334716</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Venturella</PersonNm>
        <TitleTxt>VP - IT</TitleTxt>
        <BaseCompensationFilingOrgAmt>481200</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>123472</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>22827</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>86099</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28393</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>741991</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Darin Rogers</PersonNm>
        <TitleTxt>VP - Provider and Network Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>184318</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>32509</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2370</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>34763</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14097</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>268057</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Melanie Davies</PersonNm>
        <TitleTxt>VP - Corporate Compliance</TitleTxt>
        <BaseCompensationFilingOrgAmt>249893</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>66174</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>38766</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10921</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10390</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>376144</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gonzalo Romero Lauro</PersonNm>
        <TitleTxt>VP Asst Chief Info Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>239582</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>51012</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>10223</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10944</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9897</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>321658</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jessica Alsop</PersonNm>
        <TitleTxt>VP General Counsel</TitleTxt>
        <BaseCompensationFilingOrgAmt>409267</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>105500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>7989</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>73515</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28882</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>625153</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kimberly Clarke</PersonNm>
        <TitleTxt>VP Asst Chief Info Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>218065</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>47372</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2289</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9251</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16349</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>293326</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Todd Karpinski</PersonNm>
        <TitleTxt>Chief Pharmacy Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>300226</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>81821</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>6806</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>58717</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17280</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>464850</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ryan Stansbury</PersonNm>
        <TitleTxt>VP Operations - Med Group</TitleTxt>
        <BaseCompensationFilingOrgAmt>251231</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>186708</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>40368</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25443</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28302</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>532052</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tareva Palmer</PersonNm>
        <TitleTxt>Chief Information Security Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>196742</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>24118</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>851</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8917</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9886</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>240514</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Leeann Kaminsky</PersonNm>
        <TitleTxt>Chief HR Officer VP HR</TitleTxt>
        <BaseCompensationFilingOrgAmt>411555</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>109944</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>8677</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>75948</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17061</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>623185</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Anthony Condia</PersonNm>
        <TitleTxt>VP Chief Marketing Officer Communications Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>142960</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>142960</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>24451</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>24451</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3184</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>3184</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18843</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>18843</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5329</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5329</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>194767</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>194767</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nancy Vest</PersonNm>
        <TitleTxt>AVP Chief Data Mgmt Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>199165</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>32565</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>4721</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9207</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16877</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>262535</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Miller</PersonNm>
        <TitleTxt>AVP Chief Tech Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>221240</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>36388</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>7215</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8335</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>899</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>274077</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christine Vaglienti</PersonNm>
        <TitleTxt>AVP Sr Litigation Counsel</TitleTxt>
        <BaseCompensationFilingOrgAmt>289976</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>46870</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1382</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11187</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19617</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>369032</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christopher Haver</PersonNm>
        <TitleTxt>AVP - HR Shared Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>286620</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>125887</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>13476</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11132</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27744</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>464859</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Paul Parker</PersonNm>
        <TitleTxt>Assoc General Counsel</TitleTxt>
        <BaseCompensationFilingOrgAmt>244631</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>31758</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>4803</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11248</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19835</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>312275</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sunita G Kellermeyer</PersonNm>
        <TitleTxt>AVP - Sr Clinical Ops Counsel</TitleTxt>
        <BaseCompensationFilingOrgAmt>261392</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>38815</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>5794</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11142</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28351</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>345494</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Brian Guyton</PersonNm>
        <TitleTxt>AVP Total Rewards</TitleTxt>
        <BaseCompensationFilingOrgAmt>241425</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>116016</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>12255</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8197</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27722</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>405615</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Brandon Koehler</PersonNm>
        <TitleTxt>VP of Finance - Provider Network Services</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>230946</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>38642</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>4389</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>32724</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>936</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>307637</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Frank Briggs</PersonNm>
        <TitleTxt>VP, HVI</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>327733</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>57963</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>6824</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>62206</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>17269</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>471995</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Grace</PersonNm>
        <TitleTxt>Chief Admin Officer Aug-Dec</TitleTxt>
        <BaseCompensationFilingOrgAmt>209665</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>525</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>75000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8623</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>293813</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Benjamin Gerber</PersonNm>
        <TitleTxt>Chief Strategy Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>345215</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>82833</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>6468</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>66217</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27922</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>528655</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>During 2021, 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 90,915 Robert ONeil received cash distributions of 44,221 Karen Bowling received cash distributions of 7,305 and Melanie Davies received cash distributions of 37,858. These distributions were paid directly to the recipient by WVUHS, reported on their W-2 and are reported in Part II, Column Biii. These amounts are reported along with other types of retirement contributions for the individuals listed and other that are not a part of the nonqualified plan.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>During 2021, the following individuals were able to defer compensation under a nonqualified plan. The amounts reported here are included in Part II Column C of the Schedule J. David Rich received deferred contributions of 51,096 James Venturella received deferred contributions of 73,049 Darin Rogers received deferred contributions of 28,238 Albert Wright received deferred contributions of 320,688 Jessica Alsop received deferred contributions of 62,417 Melissa McCoy received deferred contributions of 58,562 Todd Karpinski received deferred contributions of 45,667 Leeann Kaminsky received deferred contributions of 62,898 Anthony Condia received deferred contributions of 14,367 Benjamin Gerber received deferred contributions of 53,167 Ryan Stansbury received deferred contributions of 15,628 and Michael Grace received deferred contributions of 75,000. Column C can and does include amounts that were contributed as a part of the standard retirement package if it was available to the employee during the year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Per the WVUHS Incentive Plan incentives are contingent on meeting a net earnings target.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Brandon Koehler is listed as former on the Form 990. He was reported as a key employee on the 2019 Form 990. However, now he is paid by a related party for his role of VP Finance, Provider Network Services and is no longer a key employee to West Virginia United Health System.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Frank Briggs was VP, HVI Chief Quality Officer on the 2019 Form 990. However, now he is solely VP, HVI for West Virginia University Hospitals, Inc. and is no longer an officer for West Virginia United Health System.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O" softwareId="21013554" softwareVersionNum="21.0.5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a 2b</FormAndLineReferenceDesc>
        <ExplanationTxt>The employees of WVUHS are leased from a related entity, WVU Hospitals, Inc. EIN 55-0643304. Under these terms, WVU Hospitals, Inc. completes and files all payroll tax filings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by the WVUHS Tax Team and is then submitted to be reviewed by the external independent audit firm of the System. After the external review is completed, the Form 990 is presented to the WVUHS CFO. Upon approval from the CFO, it is then presented to the audit committee and the Board of Directors. Once approved, the Form 990 is submitted to the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All Officers, Directors, and Board Members are required to annually disclose any relationships which may give rise to a potential conflict of interest. These responses are then tracked by general counsel and the Chief Compliance Officer. When a conflict arises disclosure of the financial interest and all material facts is provided to the board, and after any discussion with the interested person, he/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 the remaining board or committee members decide a conflict exists, procedures outlined in the WVUHS Conflict of Interest Policy may be utilized.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The System engages an independent group to perform an executive compensation review and compensation survey annually. 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. Full compensation surveys were completed for 2019, 2020, and 2021 compensation amounts, with data provided by the independent consultant to the compensation committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>All financial and governing documents along with Board of Director Conflict of Interest statements are made available during regular business hours at the business office. In accordance with West Virginia Legislative code every member of the board shall file a written statement, which shall be fully available for public disclosure, with the appropriate chairman of the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1-29</FormAndLineReferenceDesc>
        <ExplanationTxt>The employees of WVUHS are leased from a related entity, WVU Hospitals, Inc. EIN 55-0643304. WVUHS reimburses WVUH and other related parties for salary, benefits, and applicable taxes for WVUHS employees and for a portion of compensation paid to Karen Bowling and Anthony Condia as their time is split between WVUHS, WVUH and other related parties. Darin Rogers is compensated by both WVUHS and an unrelated party, West Virginia University Medical Corporation. The appropriate salary expenses are reflected in Part IX Line 5 of this return and the other respective returns.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section B, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>WVUHS receives and pays invoices for Legal and Accounting Services that have been provided to all system entities. Based on an allocation agreed upon by all entities, the System then bills each entity for their respective portion of that service and the expense is offset by the reimbursements. The amounts reported in Part IX - Statement of Functional Expenses Line 11b and 11c reflect the portion of legal and accounting expense attributable to WVUHS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>j, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>The 18,764,495 change in net assets is 49,621,808 transfers from affiliates, 33,931,417 Wheeling revaluation audit adjustment, 3,074,099 adjustments to prior years Provider Relief Funds receviable and 5 rounding.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 14b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 926 Attachment 1. Transferor - West Virginia United Health System d/b/a West Virginia University Health System, EIN 55-0643304, PO Box 8034, Morgantown, WV 26506 2. Transfer - i. Transferee - Augusta Insurance Company, Ltd. EIN 98-1399333, PO Box 69, Grand Cayman, Grand Cayman Islands KY1-1102 ii. Transfer - West Virginia University Health System, a US tax-exempt corporation Transferor, made cash transfers that represented non-taxable deposits during the tax year ended December 31, 2021 in the amount of 24,271,707 is US dollars to Augusta Insurance Company, Ltd., its wholly-owned subsidiary formed in the Cayman Islands Transferee. To the extent that such transfers are not treated as deposits, but rather as constructive capital contributions from the Transferor only to the Transferee for US federal tax purposes, the Transferor is reporting such amounts on this statement as a protective measure in compliance with Code Section 6038B.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 14b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 926 Attachment continued - 3. Consideration received. Transferee did not issue any additional shares to the Transferor for the capital contributions or non-taxable deposit because the Transferor is the sole shareholder of the Transferee and the issuance of additional shares would have been meaningless gestures according to federal tax principles. 4. Property transferred. i. Active business property. The Transferee received cash transfers in the amount of 24,271,707 in connection with an alternative risk financing arrangement that represented non-taxable deposits for U.S. federal tax purposes. To the extent that such transfers are not treated as deposits, but rather as constructive capital contributions from the Transferor only to Transferee for U.S. federal tax purposes, the Transferor is reporting such amounts on this statement as a protective measure in compliance with Code Section 6038B. The cost basis in the cash equals the fair market value.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 14b</FormAndLineReferenceDesc>
        <ExplanationTxt>ii. Stock or securities. Not applicable iii. Depreciated property. Not applicable iv. Property to be leased. Not applicable v. Property to be sold. Not applicable vi. Transfers to FSCs Not applicable vii.Tainted property. A. Inventory, etc. Property described in subsection 1.367a-5Tb. Not applicable. B. Installment obligations, etc. Property described in subsection 1.367a-5Tc. Not applicable. C. Foreign currency, etc. Property described in subsection 1.367a-5Td. Not applicable.D. Intangible property. Property described in subsection 1.367a-5Te. Not applicable. E. Leased property. Property described in subsection 1.367a-4Tf. Not applicable. viii. Foreign loss branch. Not applicable. ix. Other intangibles. Not applicable.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 14b</FormAndLineReferenceDesc>
        <ExplanationTxt>5. Transfer of foreign branch with previously deducted losses. i. Branch operation. Not applicable ii. Branch property. Not applicable iii. Previously deducted losses. Not applicable iv. Character of gain. Not applicable</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 14b</FormAndLineReferenceDesc>
        <ExplanationTxt>For the taxable year covered by the income tax return of Wheeling Hospital Inc. the Filer, the Filer is required to file an Internal Revenue Service Form 5471 the Return with respect to Mountaineer Freedon, Ltd. FEIN 98-1217988 the Foreign Corporation. However, consistent with Treasury Regulation Section 1.6038-2j1, the Filer has determined that another party, West Virginia University Health System Inc., as noted below the Joint Filer, is also required to furnish information with respect to the Foreign Corporation for the same period. The Filer, along with the Joint Filer, intend to, in lieu of making separate Returns, jointly make one Return. Such joint Return shall be filed with the income tax return of the Joint Filer as noted - Foreign Corporation Name Mountaineer Freedom, Ltd. Address P.O. Box 69, Grand Cayman, KY1-1102, Cayman Islands. Identifying Number 98-1217988. Moreover, in accordance with Treasury Regulation Section 1.6038-2j3, the Filer is filing this Statement for purposes of satisfying its compliance requirements in connection with the Return and reporting the following information of the Joint File - Name West Virginia University Health System Inc, Address P.O. Box 8034, Morgantown, WV, 26505, Identifying Number of U.S. Taxpayer with which Form 5471 was filed 55-0754713, IRS Service Center where U.S. Tax Return was or will be filed TBD based on the filing of WVUHS.</ExplanationTxt>
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          <BusinessNameLine1Txt>United Physicians Care Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>686 South Pike Street</AddressLine1Txt>
          <CityNm>Shinnston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26431</ZIPCd>
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        <EIN>550638563</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>United Hospital Center Inc</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>West Virginia University Hospitals East Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>121 Administrative Drive</AddressLine1Txt>
          <CityNm>Martinsburg</CityNm>
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          <BusinessNameLine1Txt>West Virginia University Hosptials Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>2500 Foundation Way</AddressLine1Txt>
          <CityNm>Martinsburg</CityNm>
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          <ZIPCd>25401</ZIPCd>
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          <BusinessNameLine1Txt>West Virginia University Hosptials - East Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>Jefferson Memorial Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>300 S Preston St</AddressLine1Txt>
          <CityNm>Ranson</CityNm>
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          <AddressLine1Txt>327 Medical Park Drive</AddressLine1Txt>
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          <BusinessNameLine1Txt>United Hospital Center Inc</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>West Virginia Health Care Cooperative Inc</BusinessNameLine1Txt>
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          <CityNm>Summersville</CityNm>
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          <BusinessNameLine1Txt>Camden-Clark Health Services</BusinessNameLine1Txt>
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        <InvolvedAmt>562524</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Camden-Clark Memorial Hospital Corporation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>578682</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Augusta Insurance Company LTD</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>b</TransactionTypeTxt>
        <InvolvedAmt>24250791</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Augusta Insurance Company LTD</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>5841677</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Change in Investment</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Barnesville Hospital Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>67636</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Wheeling Hospital Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>1416878</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
