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            <ZIPCd>26743</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Physician Services</ServicesDesc>
        <CompensationAmt>199699</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>J&amp;R Landscaping &amp; Tree Experts</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>375 Timber Ridge Lane</AddressLine1Txt>
            <CityNm>Keyser</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>26726</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Excavating and Landscaping Services</ServicesDesc>
        <CompensationAmt>190524</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>6125</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1793</AllOtherContributionsAmt>
      <TotalContributionsAmt>7918</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Services</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>26173990</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>26173990</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>26173990</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>561</TotalRevenueColumnAmt>
        <ExclusionAmt>561</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>32540</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>786</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>31754</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>31754</TotalRevenueColumnAmt>
        <ExclusionAmt>31754</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <FundraisingGrossIncomeAmt>10781</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>3175</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>7606</TotalRevenueColumnAmt>
        <ExclusionAmt>7606</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>Physician Billing</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>224283</TotalRevenueColumnAmt>
        <ExclusionAmt>224283</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Cafeteria Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>61907</TotalRevenueColumnAmt>
        <ExclusionAmt>61907</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Patient Pharmacy Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>8559</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8559</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>25357</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25357</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>320106</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>26541935</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>26207906</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>326111</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1320</TotalAmt>
        <ProgramServicesAmt>1320</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>12500</TotalAmt>
        <ProgramServicesAmt>12500</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>912740</TotalAmt>
        <ProgramServicesAmt>435412</ProgramServicesAmt>
        <ManagementAndGeneralAmt>477328</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>10139027</TotalAmt>
        <ProgramServicesAmt>9413866</ProgramServicesAmt>
        <ManagementAndGeneralAmt>725161</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>227177</TotalAmt>
        <ProgramServicesAmt>210929</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16248</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1058332</TotalAmt>
        <ProgramServicesAmt>1013687</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44645</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>923608</TotalAmt>
        <ProgramServicesAmt>857550</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66058</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>19997</TotalAmt>
        <ManagementAndGeneralAmt>19997</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3219959</TotalAmt>
        <ProgramServicesAmt>2885637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>334322</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>88517</TotalAmt>
        <ProgramServicesAmt>198</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88319</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>675294</TotalAmt>
        <ProgramServicesAmt>474469</ProgramServicesAmt>
        <ManagementAndGeneralAmt>200825</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>2151</TotalAmt>
        <ProgramServicesAmt>2151</ProgramServicesAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>469366</TotalAmt>
        <ProgramServicesAmt>302636</ProgramServicesAmt>
        <ManagementAndGeneralAmt>166730</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>167938</TotalAmt>
        <ProgramServicesAmt>142242</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25696</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>512725</TotalAmt>
        <ProgramServicesAmt>330040</ProgramServicesAmt>
        <ManagementAndGeneralAmt>182685</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>2287136</TotalAmt>
        <ProgramServicesAmt>152896</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2134240</ManagementAndGeneralAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1277300</TotalAmt>
        <ProgramServicesAmt>822195</ProgramServicesAmt>
        <ManagementAndGeneralAmt>455105</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>99888</TotalAmt>
        <ProgramServicesAmt>79479</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20409</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Provision for Doubtful Accounts</Desc>
        <TotalAmt>1338285</TotalAmt>
        <ProgramServicesAmt>1338285</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>2099982</TotalAmt>
        <ProgramServicesAmt>2099982</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Taxes, Licenses and Fees</Desc>
        <TotalAmt>576865</TotalAmt>
        <ProgramServicesAmt>552464</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24401</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Recuiting</Desc>
        <TotalAmt>355043</TotalAmt>
        <ProgramServicesAmt>102519</ProgramServicesAmt>
        <ManagementAndGeneralAmt>252524</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>45399</TotalAmt>
        <ProgramServicesAmt>16174</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29225</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>26510549</TotalAmt>
        <ProgramServicesAmt>21246631</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5263918</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>29036</BOYAmt>
        <EOYAmt>43147</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1458363</BOYAmt>
        <EOYAmt>578399</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3000433</BOYAmt>
        <EOYAmt>1143770</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>127334</BOYAmt>
        <EOYAmt>76538</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>484460</BOYAmt>
        <EOYAmt>610424</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>105823</BOYAmt>
        <EOYAmt>308090</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>23074119</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5582137</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>17225317</BOYAmt>
        <EOYAmt>17491982</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>897793</BOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>4878278</BOYAmt>
        <EOYAmt>4878278</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>28206837</BOYAmt>
        <EOYAmt>25130628</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>5031779</BOYAmt>
        <EOYAmt>3938048</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>19023606</BOYAmt>
        <EOYAmt>18500000</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1852736</BOYAmt>
        <EOYAmt>1851944</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>784841</BOYAmt>
        <EOYAmt>-145401</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>26692962</BOYAmt>
        <EOYAmt>24144591</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>2852744</BOYAmt>
        <EOYAmt>986037</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>-1338869</BOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1513875</BOYAmt>
        <EOYAmt>986037</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>28206837</BOYAmt>
        <EOYAmt>25130628</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>31386</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-559224</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A" softwareId="18007340" softwareVersionNum="19.1.1.0">
      <HospitalInd>X</HospitalInd>
      <PublicSupportCY170Pct>0.00000</PublicSupportCY170Pct>
      <PublicSupportCY509Pct>0.00000</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="990C" softwareId="18007340" softwareVersionNum="19.1.1.0">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>5062</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>5062</TotalLobbyingExpendituresAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>II-B 1i</FormAndLineReferenceDesc>
        <ExplanationTxt>This amount is calculated based on information provided by the West Virginia Hospital Association and the American Hospital Association. The American Hospital Association estimates that 22.73 of the 2018 dues were allocated to lobbying expense. The West Virginia Hospital Association estimates that during 2018, 16.84 of the dues paid should be allocated to lobbying expense.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D" softwareId="18007340" softwareVersionNum="19.1.1.0">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1060000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1060000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>15357031</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1902621</DepreciationAmt>
        <BookValueAmt>13454410</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>373102</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>53863</DepreciationAmt>
        <BookValueAmt>319239</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>6211267</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3624871</DepreciationAmt>
        <BookValueAmt>2586396</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>72719</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>782</DepreciationAmt>
        <BookValueAmt>71937</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>17491982</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <OtherAssetsOrgGrp>
        <Desc>Goodwill and other intangible</Desc>
        <BookValueAmt>4878278</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>4878278</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Self Insurance</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Debt Issuance Costs</Desc>
        <Amt>-145401</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>-145401</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>25207611</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>-1338285</OtherRevenueAmt>
      <RevenueNotReportedAmt>-1338285</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>26545896</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-3961</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-3961</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>26541935</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>25173050</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>786</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>786</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>25172264</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>1338285</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1338285</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>26510549</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The annual audit and financial statements of Potomac Valley Hospital are prepared on a consolidated basis as a member of the WV United Health System. WVUHS, WVUH, PVH, CCHS, CCMC, CCF, CCPC, University Healthcare, BMC, JMC, UHCF, UHC, USC, UHF, UPC, SJH, SJF, RMH and RMF are tax-exempt organizations and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code. On such basis, they will not incur any liability for income taxes, except for possible unrelated business income. AHS, WVUIS and GHC are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2018 and 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The System 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. The Systems 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 shown on line 2d consists of 1,338,285 provision for doubtful accounts reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount on line 4b consists of 3,175 special events expense that is recorded as an offset to revenue on the Form 990 as well as 786 of rental expenses that is recorded as an offset to revenue on the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount shown on line 2d consists of 786 of rental expenses that is recorded as an offset to revenue on the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount shown on line 4b consists of 1,338,285 provision for doubtful accounts reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="990G" softwareId="18007340" softwareVersionNum="19.1.1.0">
      <FundraisingEventInformationGrp>
        <Event1Nm>Golf Tournament</Event1Nm>
        <GrossReceiptsEvent1Amt>10781</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>10781</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>3175</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>10781</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>10781</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>3175</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>3175</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>7606</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="990H" softwareId="18007340" softwareVersionNum="19.1.1.0">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>false</FPGReferenceDiscountedCareInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>166536</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>17848</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>148688</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00590</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>5238498</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>5238498</DirectOffsettingRevenueAmt>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>80021</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>71446</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>8575</NetCommunityBenefitExpnsAmt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Potomac Valley Hospital Line Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>As a part of the West Virginia United Health System WVUHS, PVH contracted with the WVU School of Public Health WVU SPH to assist in the CHNA process and report. The CHNA process utilized two primary sources of data, which included a public input survey and a community meeting. The public input survey was developed by the WVU SPH with the leadership team following an iterative process to gain stakeholder input. Members of the leadership team were selected because of their familiarity with Mineral County, Potomac Valley Hospital, and health services and needs in the area. These individuals included Andrew Root - Administrator, Mineral County Health Department Christian Brooks - Directors of Public Relations, Potomac Valley Hospital Michael Gould, DO - Emergency Physician, Potomac Valley Hospital Amy Boothe - VP of Operations, Potomac Valley Hospital Paula Eisenhour - Administrative Associate, Potomac Valley Hospital Mark Boucot - CEO, PVH and Garrett Regional Medical Center Daniel Staggers - Board of Directors, Potomac Valley Hospital Brenna Earnest, RN - Diabetes Prevention/Education - Potomac Valley Hospital Connie Moore - Director of Care Management, Potomac Valley Hospital Curtis Crawford - Volunteer Clergy, Potomac Valley Hospital Teresa White - Director of Nursing, Potomac Valley Hospital. The public interest survey topics included questions about specific health issues, thoughts on overall health of the community, quality of life, access to healthcare and medical needs including specialist care, risky behaviors, and demographic information including geographic location and income. This survey was intended to solicit the communitys perception of their health needs and was collected both online and through hard copies from residents who are 18 or older.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Potomac Valley Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The leadership team met in September 2018 to review the data collected through the survey and community event and identify priority areas for developing implementation strategies. The WVU SPH reviewed survey data, including responses to the three most important health problems or issues in the three counties Mineral County, WV Allegany County, MD Garrett County, MD it defined as the community served. Mineral Countys top three health concerns were 1 Drug Abuse 2 Obesity and 3 Cancer. Allegany Countys top concerns were 1 Drug Abuse 2 Cancer 3 Low Income while Garrett County reported top concerns in 1 Obesity 2 Drug Abuse and 3 Mental Health Problems respectively. In conclusion, the 2018 CHNA identified two main health priorities and significant needs obesity and diabetes that will guide PVH and the leadership team in the implementation planning process. According to the CHNA, implementation activities will aim to address these issues using existing resources and partnerships with other community organizations where possible and building upon past success, including past efforts to address health needs identified in the last CHNA report.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Potomac Valley Hospital Line Part V, Section B, Line 22d</FormAndLineReferenceDesc>
        <ExplanationTxt>No adjustments are made to charges based on Financial Assistance eligibility.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Potomac Valley Hospital Line Part V, Section B, Line 24</FormAndLineReferenceDesc>
        <ExplanationTxt>During 2018, PVH did charge Financial Assistance eligible patients amounts equal to gross charges for services provided but the charges were reduced appropriately for those receiving financial assistance.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Riverside Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>122 Ashfield St</AddressLine1Txt>
            <CityNm>Piedmont</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>26750</ZIPCd>
          </USAddress>
          <FacilityTxt>Rural Health Clinic</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Elk Garden Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>48 Oak St</AddressLine1Txt>
            <CityNm>Elk Garden</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>26717</ZIPCd>
          </USAddress>
          <FacilityTxt>Rural Health Clinic</FacilityTxt>
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      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>Potomac Valley Hospital PVH uses 200 Federal Poverty Guideline to determine free care eligibility. PVH offers a Prompt - Pay Discount Program - patients who have no third party coverage uninsured or uninsurable may be eligible for a 20 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either discount the patient/guarantor must meet certain requirements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Potomac Valley Hospital community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The 2018 amounts can be found at the following web address http//wvumedicine.org/about/community-benefit/.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Column f - Total community benefit expense for 2018 is 5,610,629 and is 21.16 of total net expenses. To calculate net expense, bad debt of 1,338,285 was deducted from total expenses of 26,510,549 as shown in Part IX line 25 of the core Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost. To calculate the Medicare allowable cost shown in Part III question 8, we used the allowable costs from the Medicare Cost report.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>For 2018, PVH employees spent work time volunteering for the Mineral County United Way Day of Caring.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt Expense at Cost on Line 2 was calculated by multiplying bad debt expense of 1,338,285 by our cost-to-charge ratio of 60.84 for a total of 814,213 less DSH allocations to self-pay patient accounts of 87,260 for a total of 726,953.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Estimated bad debt attributable to patients eligible for charity care on Line 3 was calculated by pulling all outstanding patient balances of 5,000 or greater from our patient accounting system. That report totaled 116,587, which was then multiplied by the cost-to-charge ratio of 60.84 for a total of 70,932.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>We feel that at a minimum, the estimated bad debt attributable to patients eligible for charity care of 70,932 should be considered community benefit due to the fact that anyone with outstanding balances of 5,000 or greater in our demographic usually qualifies as catastrophic if the patient completes the application process. In our Charity Care Policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year and would have qualified for charity care if paperwork was completed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Potomac Valleys financial statements are prepared on a consolidated basis as a member of the WV United Health System WVUHS. The footnote for Accounts Receivable is as follows Patient accounts receivable are reported at net realizable value. For receivables associatted with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions in 2018 or the provision for bad debts in 2017. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. The System grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor agreements, primarily with Medicare, Medicaid, and various commercial insurance companies. The System records accounts receivable net of estimated price concessions in 2018 and allowances for bad debts in 2017 and such amounts have historically been within managements expectations. The mix of accounts receivable at December 31, 2018 and 2017, from patients and third-party payors is as follows. For 2018, Medicare 29, Medicaid 18, Blue Cross 24, Commercial/Managed Care/Other 26, Patients 3, Total 100. For 2017, Medicare 29, Medicaid 14, Blue Cross 21, Commercial/Managed Care/Other 32, Patients 4, Total 100.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>For receivables associated with self-pay patients, which includes both patients without insurance and insured patients with deductible and copayment balances, the System records a significant provision for bad debt in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount reported in Part III Line 6 12,992,954 was calculated using the total Medicare allowable cost from the Medicare cost report.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Potomac Valley is reimbursed 100 by Medicare reimbursement includes DSH and IME for services provided to Medicare patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>PVH does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity care, the patient will not be sent to a bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The CHNA included review of publicly available secondary data related to counties within PVHs service area, including census data and County Health Ranking Data. Using these reports, the CHNA leadership team started the initial discussion around critical health needs. According to the CHNA, primary data collection was comprised of a survey of community members perceptions of health issues and a community event focused on reviewing survey data, discussing community assets that impact population health in PVHs service area, and working as a group to outline possible strategies for each area of concern.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PVH leadership continually monitors issues in their primary service area that impact patient care. PVH works with West Virginia University Hospitals and University Health Associates to expand the services available to PVH patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>As a member of the West Virginia United Health System WVUHS, PVH will be utilizing the West Virginia University School of Public Health to assist with the CHNA process and reports.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Potomac Valley Hospital PVH completed their first Community Health Needs Assessment process in December 2015. The CHNA was issued and approved by the Board of Directors in January 2016. A new CHNA was completed in 2018 and plans to build on the community health priorities, goals and strategies outlined in the prior CHNA report as well as offering new insight and plans to address emerging health priorities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The Director of Patient Financial Services at PVH along with 2 collections representatives are available to meet with patients to discuss financial eligibility for our charity care program. PVH has applications for charity care and the qualification requirements for receiving charity available to patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PVH is a non-profit critical access hospital located in Mineral County, WV population 26,940 in the city of Keyser with a total population of 4,985 residents according to 2018 estimates. According to the 2018 CHNA, the leadership team defined the community served as a tri-county area comprised of Mineral County in West Virginia, as well as neighboring Allegany and Garrett counties in Maryland.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The PVH board of directors is a community board, with all nine members living in or around Mineral County.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PVH extends privileges to all qualified medical staff in Mineral County and surrounding communities to meet its healthcare needs. PVH allocates available funding to capital purchases, expanded services to improve patient care, and support medical education in Mineral County and surrounding counties in West Virginia and bordering states.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>PVH is a part of the WV United Health System. PVH plays a significant role in improving the general health care of the community. The strategic plan of the System states intent to build a regional health care delivery system in its service area, defined above, while offering a variety of options for providers who want to participate. The System maintains a demonstrated committment to assist rural communites in preserving and improving the health care available to the patients it serves. The WV United Health Systems management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Other hospitals in the System include United Hospital Center, which is more centrally located in the state, City Hospital, Inc. dba Berkeley Medical Center and Jefferson Memorial Hospital dba Jefferson Medical Center both located in the Eastern Panhandle of West Virginia, West Virginia University Hospital located in Morgantown, WV, Camden-Clark Medical Center in Parkersburg, WV, St. Josephs Hospital of Buckhannon, Inc. in Buckhannon, WV, and Reynolds Memorial Hospital in Glen Dale, WV.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The System includes the physician practices of United Physicians Care, Inc. and Camden-Clark Physician Corp that operate in conjunction with the System hospitals. United Summit Center is a behavioral health center located in Clarksburg, WV. The System also has Foundations that do various fundraising activities for the hospitals University Healthcare Foundation in Martinsburg, WV, United Health Foundation in Clarksburg, Camden-Clark Foundation in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, and Reynolds Memorial Foundation, in Glen Dale, WV.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <GrantTypeTxt>Scholarships for students pursuing medical careers</GrantTypeTxt>
        <RecipientCnt>4</RecipientCnt>
        <CashGrantAmt>12500</CashGrantAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 1-3</FormAndLineReferenceDesc>
        <ExplanationTxt>PVH awarded scholarships to local high school students that will be pursuing education in a medical field. Recipients are chosen based on an essay submission and need.</ExplanationTxt>
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        <TotalCompensationFilingOrgAmt>183955</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joseph Hahn</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kellon Smith</PersonNm>
        <TitleTxt>Chief CRNA</TitleTxt>
        <BaseCompensationFilingOrgAmt>218090</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>213</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22707</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>241010</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ayesha Abid</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <BonusFilingOrganizationAmount>10385</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>203</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16250</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>302361</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patrick Turner</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
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        <OtherCompensationFilingOrgAmt>167</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mark Boucot</PersonNm>
        <TitleTxt>Director, CEO</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>13880</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gregory Casey MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <BonusFilingOrganizationAmount>40000</BonusFilingOrganizationAmount>
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        <NontaxableBenefitsFilingOrgAmt>6350</NontaxableBenefitsFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O" softwareId="18007340" softwareVersionNum="19.1.1.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 2,745,371, Grants and allocations 0, Revenue 4,354,173 PVH is a Critical Access Hospital with licensure for 25 beds. PVH provides both inpatient and outpatient services, including cardiac rehabiliation, care management, diabetes education/prevention, hospital, laboratory, orthopaedics, physical therapy, radiology, respiratory therapy, same day surgery, and skilled swing beds.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets includes 636,840 of related organization capitalization, 12,100 contributed to Summersville Regional Medical Center, 86,455 malpractice insurance adjustment, 3,175 special events expense and 86 of error suspense account balance adjustment. The malpractice adjustment was a related party transfer of medical malpractice liability from the local hospital PVH to the System as part of moving to a self-insured captive insurance plan across the System with these hospitals only paying a premium for coverage under the plan and the medical malpractice liability residing at the System level under the captive insurance entity, Augusta LLC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Each board member is required to disclose, annually, any relationship which may give rise to a potential conflict of interest. These responses are processed and maintained by the Director of Health Information Management. All board members are to be willing to identify conflicts of interest and abstain from voting when appropriate.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of the CEO is determined by the West Virginia United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compenstion 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 are completed annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>All financial and governing documents, including the conflict of interest policy are maintained onsite and made available to the public upon written request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>This total consists of Consulting Professional fees of 105,605 of which 95,717 is considered program service expense and 9,888 management and general expense Contracted Labor expense of 1,181,900 of which 972,896 is program service expense and 209,004 is considered management and general expense PVH Contracted Physician expense of 1,686,088 of which 1,653,548 is considered program service expense and 32,540 is considered management and general expense Consulting Professional Fees- Medical Staff of 72,089 of which is all considered management and general expense Collection Agency fees of 47,163 of which all is considered program service expense and Consulting Professional Fees - Medical Staff Director of 127,114 of which 116,314 is considered program service expense and 10,800 is considered management and general expense.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <CityNm>Glen Dale</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26038</ZIPCd>
        </USAddress>
        <EIN>550357045</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>West Virginia United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Reynolds Memorial Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>800 Wheeling Avenue</AddressLine1Txt>
          <CityNm>Glen Dale</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26038</ZIPCd>
        </USAddress>
        <EIN>550710402</EIN>
        <PrimaryActivitiesTxt>Hospital Support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12a, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>West Virginia United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Gateway Home Care LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1353 Edwin Miller Blvd</AddressLine1Txt>
          <CityNm>Martinsburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>254043703</ZIPCd>
        </USAddress>
        <EIN>541965474</EIN>
        <PrimaryActivitiesTxt>Durable Medical Equipment</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Allied Health Services Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO Box 782</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26507</ZIPCd>
        </USAddress>
        <EIN>550652017</EIN>
        <PrimaryActivitiesTxt>Medical Lab</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>West Virginia United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>West Virginia United Insurance Services Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3040 University Ave Suite 3200</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26505</ZIPCd>
        </USAddress>
        <EIN>550756055</EIN>
        <PrimaryActivitiesTxt>Provider Network</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>West Virginia United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <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>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>