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        <TotalRevenueColumnAmt>1519514</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1519514</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COVID Relief Funding</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>5039</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5039</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>75218587</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>171</TotalRevenueColumnAmt>
        <ExclusionAmt>171</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>225592</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>10914</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>214678</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>214678</TotalRevenueColumnAmt>
        <ExclusionAmt>214678</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Cash Discounts</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>28092</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>28092</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>28092</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>75915191</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>75246679</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>214849</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2602528</TotalAmt>
        <ProgramServicesAmt>2284142</ProgramServicesAmt>
        <ManagementAndGeneralAmt>318386</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>45823954</TotalAmt>
        <ProgramServicesAmt>43378525</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2445429</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>619325</TotalAmt>
        <ProgramServicesAmt>607877</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11448</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5326881</TotalAmt>
        <ProgramServicesAmt>5067195</ProgramServicesAmt>
        <ManagementAndGeneralAmt>259686</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1344616</TotalAmt>
        <ProgramServicesAmt>1272861</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71755</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>45006</TotalAmt>
        <ProgramServicesAmt>2892</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42114</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3907126</TotalAmt>
        <ProgramServicesAmt>3490268</ProgramServicesAmt>
        <ManagementAndGeneralAmt>416858</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>11707</TotalAmt>
        <ProgramServicesAmt>4124</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7583</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>899737</TotalAmt>
        <ProgramServicesAmt>858532</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41205</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>0</TotalAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>2319774</TotalAmt>
        <ProgramServicesAmt>2316305</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3469</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>22997</TotalAmt>
        <ProgramServicesAmt>19637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3360</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>558312</TotalAmt>
        <ProgramServicesAmt>558312</ProgramServicesAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>2200179</TotalAmt>
        <ProgramServicesAmt>2200179</ProgramServicesAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>868955</TotalAmt>
        <ProgramServicesAmt>463550</ProgramServicesAmt>
        <ManagementAndGeneralAmt>405405</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1206326</TotalAmt>
        <ProgramServicesAmt>1040733</ProgramServicesAmt>
        <ManagementAndGeneralAmt>165593</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Provision for Doubtful Accounts</Desc>
        <TotalAmt>4328896</TotalAmt>
        <ProgramServicesAmt>4328896</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>3015210</TotalAmt>
        <ProgramServicesAmt>3015210</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Taxes, Licenses Fees</Desc>
        <TotalAmt>433069</TotalAmt>
        <ProgramServicesAmt>249604</ProgramServicesAmt>
        <ManagementAndGeneralAmt>183465</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Association Dues</Desc>
        <TotalAmt>171539</TotalAmt>
        <ProgramServicesAmt>92461</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79078</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>209054</TotalAmt>
        <ProgramServicesAmt>200319</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8735</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>75915191</TotalAmt>
        <ProgramServicesAmt>71451622</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4463569</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2701</BOYAmt>
        <EOYAmt>3000</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4908484</BOYAmt>
        <EOYAmt>7368323</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1794673</BOYAmt>
        <EOYAmt>147816</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>137785</BOYAmt>
        <EOYAmt>366891</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>24420117</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5522428</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>19997486</BOYAmt>
        <EOYAmt>18897689</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>507735</BOYAmt>
        <EOYAmt>509202</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <TotalAssetsGrp>
        <BOYAmt>27348864</BOYAmt>
        <EOYAmt>27292921</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>9756315</BOYAmt>
        <EOYAmt>10473501</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>1354326</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>16158726</BOYAmt>
        <EOYAmt>14031271</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>25915041</BOYAmt>
        <EOYAmt>25859098</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1433823</BOYAmt>
        <EOYAmt>1433823</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1433823</BOYAmt>
        <EOYAmt>1433823</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>27348864</BOYAmt>
        <EOYAmt>27292921</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>0</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A" softwareId="20011406" softwareVersionNum="20.0.2.0">
      <HospitalInd>X</HospitalInd>
      <FactsAndCircumstancesTestTxt>Part I Section A Line 3 Although the organization qualifies as a hospital under IRC Section 170b1Aiii as shown on Schedule A item 3, the organization does not qualify as a hospital for Schedule H or state of West Virginia purposes.</FactsAndCircumstancesTestTxt>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D" softwareId="20011406" softwareVersionNum="20.0.2.0">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1137865</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1137865</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>15774867</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1994442</DepreciationAmt>
        <BookValueAmt>13780425</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5546648</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3527986</DepreciationAmt>
        <BookValueAmt>2018662</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1960737</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1960737</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>18897689</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Liabilities - Notes Payable</Desc>
        <Amt>12687590</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Long Term Lease Liability</Desc>
        <Amt>1343681</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>14031271</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>71597209</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>-4328896</OtherRevenueAmt>
      <RevenueNotReportedAmt>-4328896</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>75926105</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-10914</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-10914</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>75915191</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>71597209</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>10914</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>10914</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>71586295</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>4328896</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>4328896</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>75915191</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The corporation is a tax-exempt organization and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code and applicable state statutes. On such basis, the corporation will not incur any liability for income taxes, except for possible unrelated business income.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The corporation accounts for uncertainty in income taxes using a recognition threshold of more likely than not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. Management determined there were no tax uncertainties that met the recognition threshold in 2020 and 2019. The corporations policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in operating expenses.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount reported consists of Allowance for Doubtful Accounts of 4,328,896 reported as an offset to revenue on the financial statements but is considered an expense on the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount reported consists of Allowance for Doubtful Accounts of 4,328,896 reported as an offset to revenue on the financial statements but is considered an expense on the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount reported consists of rental expenses of 10,914 reported as an expense on the financial statements but is considered an offset to revenue on Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount reported consists of rental expenses of 10,914 reported as an expense on the financial statements but is considered an offset to revenue on Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J" softwareId="20011406" softwareVersionNum="20.0.2.0">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Emma Morton-Eggleston MD</PersonNm>
        <TitleTxt>Director, Chairman, Dean WVU SoM Eastern Campus</TitleTxt>
        <BaseCompensationFilingOrgAmt>274049</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>83069</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2122</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8526</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3348</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>371114</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Aaron McLaughlin MD</PersonNm>
        <TitleTxt>Director, Secretary</TitleTxt>
        <BaseCompensationFilingOrgAmt>218230</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>55546</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>577</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7759</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1914</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>284026</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ryan Miller DO</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>193515</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>48474</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>236</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6020</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1669</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>249914</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Timothy DeVine MD</PersonNm>
        <TitleTxt>Director, Vice Chairman</TitleTxt>
        <BaseCompensationFilingOrgAmt>244779</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>64450</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2550</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9791</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2104</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>323674</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Farnaz Houshmand MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>326673</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>57095</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1500</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10192</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2897</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>398357</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ryan McCarthy MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>198412</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>57437</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>306</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6173</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1726</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>264054</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Aaron Henry</PersonNm>
        <TitleTxt>VP Administration - East</TitleTxt>
        <BaseCompensationFilingOrgAmt>211038</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>53550</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>760</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>26108</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26930</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>318386</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Henry Kurban MD</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>316391</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>62100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1335</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9847</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3331</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>393004</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Thomas Alewine MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>501174</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>215593</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2322</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17820</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3348</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>740257</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Garth Wright MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <BonusFilingOrganizationAmount>19798</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>3025</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>20073</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3663</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>712194</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dwight Kemp DO</PersonNm>
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        <OtherCompensationFilingOrgAmt>2322</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16361</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3348</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>707342</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Fishkin MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>388329</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>254607</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>7105</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12095</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3388</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>665524</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jason Turner MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>421544</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>180739</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2762</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15014</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3663</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>623722</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Incentive and bonuses are based on goals and productivity measures that are not contingent on revenue.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>During 2020, certain individuals reported in Part VII participated in a nonqualified retirement plan. Aaron Henry had CAA deferred compensation of 21,241.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II Line 13</FormAndLineReferenceDesc>
        <ExplanationTxt>Aaron Henry, the VP of Administration for University Healthcare Physicians UHP receives compensation from City Hospital, Inc. City Hospital, Inc. is an unrelated party to UHP per the Schedule R reporting requirements. UHP reimbursed City Hospital for the compensation paid in 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation packages are reviewed in order to ensure they do not exceed fair market value.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O" softwareId="20011406" softwareVersionNum="20.0.2.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Membership of the corporation shall be physicians licensed to practice medicine in West Virginia in accordance with W.Va. Code 30-3-1 et seq. The membership shall consist of three ex-officio members and up to five physician members who may be appointed by the Vice President for the Health Sciences of West Virginia University.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>There are seven voting members of the Corporations Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is prepared by the West Virginia United Health System tax services department with assistance from the UHP Director of Finance and Accounting. The 990 is reviewed by the UHP VP of Finance and Accounting and it is disseminated to the Board of Directors for review before being filed with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Annually, employees and physicians are required to answer questions regarding any potential conflicts of interest. The Corporate Compliance and Legal departments review the reports for any discrepancies and follows up as necessary. No issues were noted for 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a 2b</FormAndLineReferenceDesc>
        <ExplanationTxt>The employees of UHP are leased from West Virginia University Medical Corporation, Inc. UHA. UHA is a related party to UHP per the Schedule R reporting requirements. UHP reimbursed UHA for compensation paid and UHA completes and files all payroll tax filings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The VP Finance - UPC, CCPC UHP is paid for his role by a party that is unrelated to UHP. UHP does not reimburse this entity for compensation paid for this position.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>West Virginia University School of Medicine</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 9100</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26506</ZIPCd>
        </USAddress>
        <EIN>556000842</EIN>
        <PrimaryActivitiesTxt>Medical Education</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>2</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>West Virginia University Medical Corporation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 897</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26507</ZIPCd>
        </USAddress>
        <EIN>550492006</EIN>
        <PrimaryActivitiesTxt>Medical Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
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</Return>
