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        <TotalRevenueColumnAmt>45259542</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45242102</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>208</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1305932</TotalAmt>
        <ProgramServicesAmt>1305932</ProgramServicesAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>24684580</TotalAmt>
        <ProgramServicesAmt>24053262</ProgramServicesAmt>
        <ManagementAndGeneralAmt>631318</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>539809</TotalAmt>
        <ProgramServicesAmt>526003</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13806</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2164721</TotalAmt>
        <ProgramServicesAmt>2107599</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57122</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>820067</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21524</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>11096833</TotalAmt>
        <ProgramServicesAmt>11025112</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71721</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>1612</TotalAmt>
        <ProgramServicesAmt>1583</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
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        <ProgramServicesAmt>370606</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14983</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>13713</ProgramServicesAmt>
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      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>1058413</TotalAmt>
        <ProgramServicesAmt>982300</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76113</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>59376</TotalAmt>
        <ProgramServicesAmt>57916</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1460</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>50369</TotalAmt>
        <ProgramServicesAmt>50369</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>0</TotalAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>139992</TotalAmt>
        <ProgramServicesAmt>90067</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49925</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>618242</TotalAmt>
        <ProgramServicesAmt>618242</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>1180553</TotalAmt>
        <ProgramServicesAmt>1180553</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Provision for Doubtful Accounts</Desc>
        <TotalAmt>760002</TotalAmt>
        <ProgramServicesAmt>760002</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Recruiting</Desc>
        <TotalAmt>106114</TotalAmt>
        <ProgramServicesAmt>106114</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Taxes, Licenses Fees</Desc>
        <TotalAmt>104984</TotalAmt>
        <ProgramServicesAmt>25881</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79103</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>129974</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17141</ManagementAndGeneralAmt>
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        <TotalAmt>45259540</TotalAmt>
        <ProgramServicesAmt>44225295</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1034245</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>264742</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>1500</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>185721</EOYAmt>
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      <OtherAssetsTotalGrp>
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      <TotalAssetsGrp>
        <BOYAmt>2731805</BOYAmt>
        <EOYAmt>4903721</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1418841</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>1963175</BOYAmt>
        <EOYAmt>1750399</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>2507306</BOYAmt>
        <EOYAmt>3169240</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>224499</BOYAmt>
        <EOYAmt>1734481</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>224499</BOYAmt>
        <EOYAmt>1734481</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2731805</BOYAmt>
        <EOYAmt>4903721</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>2</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>1509980</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>
      <FactsAndCircumstancesTestTxt>Part I Section A Line 3 Although the organization qualifies as a hospital under IRC Section 170B1AIII as shown on Schedule A, Part I, Line III, the organization is not a licensed hospital in the state of West Virginia, and therefore, it is not required to complete Form 990, Schedule H.</FactsAndCircumstancesTestTxt>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D" softwareId="18007340" softwareVersionNum="19.1.1.0">
      <EquipmentGrp>
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        <DepreciationAmt>1332661</DepreciationAmt>
        <BookValueAmt>185721</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>185721</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>Accrued wages, benefits, and payroll taxes</Desc>
        <Amt>1648219</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued pension benefits</Desc>
        <Amt>88892</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>State income taxes</Desc>
        <Amt>13288</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1750399</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>44499540</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>-760002</OtherRevenueAmt>
      <RevenueNotReportedAmt>-760002</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>45259542</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>45259542</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>44499538</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>44499538</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>760002</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>760002</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>45259540</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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. Management determined there were no tax uncertainties that met the recognition threshold in 2018 and 2017. 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 760,002 provision for doubtful accounts reported as an offset to revenue on the financial statements but is reported as an expense on Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount shown on line 4b consists of 760,002, provision for doubtful accounts reported as an offset to revenue on the financial statements but is reported as an expense on Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SubstantiationRequiredInd>false</SubstantiationRequiredInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>true</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Daniel J McGraw MD</PersonNm>
        <TitleTxt>Board Member, Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>879716</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>2322</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26781</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>917069</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Steve Altmiller</PersonNm>
        <TitleTxt>Board Member, Ex-Officio, CCMC CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>453023</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>71403</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>80208</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>15430</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>620064</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lisa Casalenuovo - Smeltzer DO</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>353989</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1169</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7083</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26622</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>388863</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nik Shah MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>768309</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>6858</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27263</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>810680</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Anil Singh MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>639418</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>168971</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2322</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26729</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>845690</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patrick Dugan MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>602561</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>33904</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>810</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26623</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>672148</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Bairava Kuppuswamy MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>424643</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>214135</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1332</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26775</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>675135</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Scott Naum DO</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>639684</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>2233</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26249</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>676416</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CCHS has no compensated employees. Compensation for Camden-Clark Memorial Hospital Corporation CEO is established by West Virginia United Health System WVUHS. WVUHS utilizes compensation consultants, who review 990s of related organizations, review employment contracts for similar positions and compensation surveys. The results of the mentioned research above are provided to the System Compensation Committee for review and approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>During 2018, certain individuals reported in Part VII participated in a nonqualified retirement plan. Steve Altmiller, Board Member and CCMC CEO, had deferred CAA contributions of 80,208.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Some but not all physicians have a productivity bonus in their contract. This bonus is based on producing over a set relative value unit RVU during the year. Physician compensation is capped at the 90 MGMA or at an alternative amount as determined by an independent third party valuation firm.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O" softwareId="18007340" softwareVersionNum="19.1.1.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 20,967,267, Grants and allocations 0, Revenue 12,601,244 CCPC strives to offer a comprehensive range of inpatient, outpatient and outreach clinic services, including prevention, guidance, diagnosis, treatment, restoration, rehabilitation and other efforts as may be required to meet the health care needs of the community in which it serves. In addition to the Cardiac, Primary Care and Hospitalists program services described above, the organization employs physicians who specialize in surgery, diabetes and nutritional management, behavioral health. CCPC has started to grow a network of employed primary care physicians throughout the community in an effort to address what is believed to be a significant shortage of available primary care for the residents of the mid-ohio valley. Although reimbursement for services rendered is critica to the operation and stability of the organization, it is recognized that not all individuals possess the ability to purchase essential medical services. Our mission, in conjunction with Camden Clark Medical Hospital, is to serve the community by providing health care services and health care education.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Without regard to race, creed, color, sex, national origin, or financial status, and to otherwise promote the quality, accessibility, and affordability of such professional medical services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Camden-Clark Health Services, Inc. As of March 1, 2011, affiliated with West Virginia United Health System, a non-profit, tax-exempt corporation is the sole member of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Camden-Clark Health Services Inc., the organizations sole member, nominates all board members of the organization. Board members are elected by West Virginia Health System, WVUHS from the CCHS nominations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Camden-Clark Health Services, Inc., the organizations sole member, approves certain reserved items regarding Camden-Clark Physician Corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The chief financial officer, director of finance and the board of directors review the completed Form 990 prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>To identify and monitor any conflicts, a signed conflict of interest statement is required from board members of the organization and key individuals that are in a position to make or influence decisions. If an actual or possible conflict of interest is observed or disclosed, the organization invokes the procedures set out in the policy/bylaws for addressing the conflict of interest. For key individuals employees, a specific conflict of interest standard in the organizations code of ethics and business conduct also exists.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The systems CEO and top management officials are employed by Camden-Clark Memorial Hospital CCMH and have roles throughout Camden-Clark Health Services CCHS which is also affiliated with West Virginia United Health System WVUHS. This organization does not have a CEO. The top management officials pay is reviewed and approved by the CCMH/CCHS board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>For the physicians, their contracts are based on individual fair market evaluations utilizing medical group management association standards and other data.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organizations governing documents, conflict of interest policy, and financial statements are made available upon request. The organizations financial statements are also available on the WV Healthcare Authoritys website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Dr. Daniel McGraw and Steve Altmiller are not independent and are voting board members. Dr. McGraw was compensated by CCPC. Steve Altmiller was compensated for holding the position of CEO at Camden Clark Memorial Hospital. These individuals are compensated for their work for their respective organizations, not for serving on the board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Expenses reported on line 11g consist of the following items Consulting and Professional Fees of 8,968 of which 979 is considered program service expense and 7,989 is considered management and general expense Contracted Labor of 4,392,813 of which 4,329,081 is considered program service expense and 63,732 is considered management and general expense Contracted Labor - Patient Care of 106,984 all of which is considered program service expense Physician Practice Support of 301 all of which is considered program service expense Contracted and Professional Med Staff of 63,213 all of which is considered program service expense Contracted Physician Expense of 6,509,111 all of which is considered program service expense and Collection Agency Fees of 15,443 all of which is considered program service expense.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets includes 1,509,980 of related organization capitalization.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <CityNm>Belpre</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45714</ZIPCd>
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      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>