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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Donna Hupp Baker</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sarah Harvey</PersonNm>
        <TitleTxt>Certified Registered Nurse Anesthetist</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>216020</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>1046823</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>62</IndivRcvdGreaterThan100KCnt>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <ServicesDesc>Contracted Hospitalists</ServicesDesc>
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      <ContractorCompensationGrp>
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        <ContractorAddress>
          <USAddress>
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          <USAddress>
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      <ContractorCompensationGrp>
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        <CurrentYearAmt>1000000</CurrentYearAmt>
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      <SupplementalInformationDetail>
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      <OtherSecuritiesGrp>
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      </OtherSecuritiesGrp>
      <OtherLiabilitiesOrgGrp>
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      <OtherLiabilitiesOrgGrp>
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        <Amt>1981395</Amt>
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        <Amt>1693059</Amt>
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        <Desc>Interest Rate Swaps</Desc>
        <Amt>2110848</Amt>
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      <OtherLiabilitiesOrgGrp>
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        <Amt>4072904</Amt>
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      <TotalRevEtcAuditedFinclStmtAmt>175428824</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-1153551</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-7570836</OtherRevenueAmt>
      <RevenueNotReportedAmt>-8724387</RevenueNotReportedAmt>
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      <OtherRevenuesNotIncludedAmt>128820</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>128820</RevenueNotReportedFinclStmtAmt>
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      <OtherExpensesIncludedAmt>-98707</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>-98707</ExpensesNotReportedAmt>
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      <OtherExpensesNotIncludedAmt>7570836</OtherExpensesNotIncludedAmt>
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        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The annual audit and financial statements of City Hospital, Inc. are prepared on a consolidated basis as a member of the WV United Health System. 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 2015 and 2014. The Systems policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in operating expenses.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Allowance for Doubtful Accounts presented as an offset to revenue on the audited financial statements. For 990 purposes Allowances for Doubtful Accounts totaling 7,570,836 are presented as expense.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Capital Campaign contributions of 128,820 from University Healthcare Foundation were posted to the balance sheet of City Hospital, Inc. financial statements, the amount was reported as contribution revenue for 990 reporting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in value of derivatives of 98,707 are included on the Financial Statements as expense and are not included as expense on the 990.</ExplanationTxt>
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        <FormAndLineReferenceDesc>XII 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Allowance for Doubtful Accounts presented as an offset to revenue on the audited financial statements, for 990 purposes Allowances for Doubtful Accounts totaling 7,570,836 are presented as expense.</ExplanationTxt>
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          <AddressLine1Txt>2000 Foundation Way Suite 2310</AddressLine1Txt>
          <CityNm>Martinsburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25401</ZIPCd>
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        <WebsiteAddressTxt>www.wvuniversityhealthcare.com</WebsiteAddressTxt>
        <StateLicenseNum>80</StateLicenseNum>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>http//wvuniversityhealthcare.com/About-University-Healthcare/2013-Community-Health-Needs-Assessment.</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>15</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>http//www.wvuniversityhealthcare.com/About-University-Healthcare/2013-Community-Health-Needs-Assessm</StrategyWebsiteURLTxt>
        <StrategyAttachedInd referenceDocumentId="">false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <FPGFamilyIncmLmtFreeCarePct>0000000200.000000000000</FPGFamilyIncmLmtFreeCarePct>
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        <ExplainedBasisInd>true</ExplainedBasisInd>
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        <DescribedInfoInd>X</DescribedInfoInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>http//www.wvuniversityhealthcare.com/Resources/Docs/Policies/WVUHE-ADM-1609-Financial-Policy.pdf</FAPAvailableOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
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        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
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        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <MedicareRatesInd>X</MedicareRatesInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>true</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group City Hospital, Inc. Line Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>During a three month period, representatives of the Mobilizing for Action through Planning and Partnerships core group met with more than 300 people in 27 locations, ranging from Chamber of Commerce meetings to the Hispanic Festival. Participating community members were asked one question What do we need in our county to make it a healthy place to live, work and play With 1,756 responses approximately 3-4 responses per person, the feedback obtained through the visioning process was varied. The reponses were first condensed into broad strategy categories.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group City Hospital, Inc. Line Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>These categories were initially established by the number of times specific types of strategies were suggested. CHNA stakeholder and representatives from the Health and Human Services Collaborative were asked to further select the top three priority areas for intervention. Both groups identified the same top three priorities for the region, although the rank order was different between the two groups. The CHNA top three priority areas were 1. Access to and the quality of health care 2. Community and public health and, 3. Economic security. The Health and Human Services Collaborative HHSC ranked the top three priorities as follows 1. Access to and the quality of health care 2. Economic security and, 3. Community and public health.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group City Hospital, Inc. Line Part V, Section B, Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>The CHNA was undertaken jointly with Jefferson Memorial Hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group City Hospital, Inc. Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Together City Hospital, Inc. CHI and Jefferson Memorial Hospital JMH prioritized the community health needs identified in the Assessment and decided to focus on the top 3 issues identified in the CHNA 1. Chronic Diseases/Illness, 2. Behavioral Health/Substance Abuse, and 3. Cancer in particular lung and breast. Our implementation plan was based on addressing these 3 issues. Maternal/Child Health and access to better, healthy food choices community gardens, farmers markets were both identified as well. Although those issues were not included in the implementation plan, CHI recently open a NICU and the WVU Health Sciences Center Eastern Division and WVUH-East collaborated with local farmers markets to obtain a federal grant to improve access to these products for residents in the Eastern Panhandle. We simply wanted to focus our efforts on the top 3 community health needs that were identified in our study.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group City Hospital, Inc. Line Part V, Section B, Line 13b</FormAndLineReferenceDesc>
        <ExplanationTxt>CHI offers discounted care only to individuals who qualify for free care. CHI offers a Prompt - Pay Discount Program - patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either prompt pay discount the patient/guarantor must meet certain requirements.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group City Hospital, Inc. Line Part V, Section B, Line 24</FormAndLineReferenceDesc>
        <ExplanationTxt>CHI charges all patients an amount equal to gross charges regardless of payment method.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>City Hospital Inc CHI uses 200 Federal Poverty Guideline to determine free care eligibility. However, City Hospital does not offer discounted care to individuals who do not qualify for free care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>City Hospital, Inc. community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The 2015 amounts can be found at the following web address http//wvumedicine.org/about/2015-community-benefit/.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Column f - Total community benefit expense for 2015 is 52,343,450 and is 30.25 of total net expenses. To calculate net expense, bad debt of 7,570,836 was deducted from total expenses of 180,592,960 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 at cost, Unreimbursed Medicaid and other means-tested government programs at cost.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Physical improvements and housing City Hospital employees spent a weekday volunteering at a local social service agency on behalf of the United Way of the Eastern Panhandle. City Hospital also provided the kick-off breakfast for all 500 volunteers throughout the Eastern Panhandle.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Economic Development In 2015, hospital representatives participated as members of the Berkeley County Development Authority, the Berkeley County Board of Health, and as Board Members of the Martinsburg Berkeley County Chamber of Commerce.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Support CHI supports and participates in many health related community activities by providing judges for science fairs at the local schools. We have teams that participate in the annual March of Dimes Walk in Berkeley County, American Cancer Society Relay for Life in Berkeley County and various other fundraising events for local, health related, non-profit organizations. Many employees serve as volunteer board of directors for community non-profit organizations such as Hospice of the Panhandle, Boys Girls Club of the Eastern Panhandle, Eastern Panhandle Free Clinic and the United Way of the Eastern Panhandle.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Environmental Improvements 2015 marked the first full year for City Hospital as a tobacco free campus, by order of the Berkeley County Health Departments Clean Air Act.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Leadership Development and Training At least one management representative from City Hosptial participates in the Chamber of Commerces Leadership Berkeley class each year. The hospital also has representatives on the Workforce Development Committee of the Chamber of Commerce. The Education Department works closely with Blue Ridge Community and Technical College to provide leadership training programs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Coalition building City Hospital staff participate in the Health Human Services Council as well as Healthier Berkeley County. All of these entities focus on improving community access to health care, human services in general, and determine ways to encourage healthy lifestyles.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Health Improvement Advocacy City Hospital is a partner in the MAPP project which is a collaborative initiative to access community social services needs and develop a plan to tackle these issues. In 2015, City Hospital completed its community health needs assessment and has developed implementation plans to address three key issues - chronic disease, breast and lung cancers, and behavioral health/drug and alcohol abuse issues. Planning for Cycle 2 of the CHNA began in late 2015 with the survey to be completed in 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Workforce Development City Hospital participates in activities sponsored by the Martinsburg Berkeley County Chambers Workforce Development Committee. City Hospital is also a major sponsor of the Womens Network, which is an organization, established by the Berkeley County Chamber, which sponsors womens professional activities, social network and professional development seminars. A representative from Berkeley Medical also serves on the Blue Ridge Community Technical College Board of Governors. City Hosptial also has agreements with area community colleges and universities to allow students to complete clinical rotations at the hospital.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt Expense at cost was calculated by multiplying bad debt expense of 7,570,836 by our cost-to-charge ratio of 40.68 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 3,079,816.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 26,988, which was then multiplied by the cost-to-charge ratio of 40.68 for a total of 10,979.</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 10,979 should be considered community benefit due to the fact that a patient with an outstanding balance of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process. In our Charity Care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year. We provide care to individuals in need without regard to ability to pay.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>City Hospitals footnote for Accounts Receivable - patients states accounts receivable are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon managements assessment of individual accounts. The allowance for doubtful accounts is estimated based upon a periodic review of the accounts receivable aging, payor classifications, and application of historical write-off percentages. City Hospital 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. CHI maintains allowances for potential credit losses and such losses have historically been within managements expectations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Part III Line 6 was calculated using total cost from the Medicare Cost Report less Medicare reimbursement of direct GME. City Hospitals shortfall of 15,920,287 on Medicare program should be considered a community benefit because we are relieving a government burden by providing care in excess of our cost to these patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>CHI does have a debt collection policy. The policy does not yet address collection practices to be followed for patients who are known to qualify for charity care or financial assistance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>City Hospital Inc is a part of WVU Hospitals - East, a healthcare system serving the Eastern Panhandle of WV. The WVUH-East Marketing Department considers several components in assessing how the organization determines the need of the communities it serves. Through outside consultants to collaborating with various departments, a needs assessment takes into account several factors including physicians to population ratios, physician availability in the entire service area, and general health risks for our community. The Primary Service Area PSA for WVUH- East includes Berkeley County, WV and Jefferson County, WV with Morgan County, WV being a secondary service area. This data is then analyzed to provide general estimates to where WVUH-East entities could better care for residents of West Virginia Eastern Panhandle.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Sources utilized to help gather this information come from a variety of areas. Physician distribution and population data come from the American Medical Association and the U.S. Census Bureau and the general health risk for our community come from clinical diagnosis information gathered by the West Virginia Health Care Authority and Thomson Reuters Market Planner Plus. We also conduct market research to ask consumers how they perceive the health system and where they go for health care services. Once all the data is gathered to determine where residents of West Virginia are going for care and what types of services they are receiving, a needs assessment can then begin based on physician distribution and population estimates. Note that WVUH-East is working with other local organizations in a project known as MAPP Mobilizing for Action through Planning and Parnerships to create and implement a community health improvement plan.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>City Hospital employs 4 financial analysts to meet with patients to discuss financial eligibility for our charity care program. City Hospital has the qualification requirements, as well as, applications for charity care available at all registration areas. Patients that do not qualify for state or federally funded programs can apply for the charity care program at City Hospital.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>City Hospital is a non-profit acute care hospital located in Berkeley County, WV population 111,901 in the city of Martinsburg, WV. Martinsburg is the largest city in the Eastern Panhandle, and the 8th largest municipality in the state of West Virginia, with a total population of 17,743 residents. City Hospital along with Jefferson Memorial Hospital, located in Ranson, West Virginia make up WVUH-East which is a part of the West Virginia United Health System. WVUH-East provides the majority of inpatient services for the population in our Primary Service Area PSA. For City Hospital Inc the PSA consists of Berkeley County, WV and Jefferson County, WV. The 2014 market share for City Hospitals Primary Service Area is 45.9 with 25.0 of those patients covered by Medicaid and 2.5 uninsured.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Jefferson Memorial Hospital, a non-profit critical access hospital under common management, is located within the Primary Service Area and War Memorial Hospital, a non-profit critical access hospital, operated by Valley Health System, is located in the extended service area of Morgan County, WV. Berkeley County has a population of 111,901, with an average household income of 55,100, and an unemployment rate of 5.0. Currently, 13.2 of the people residing in Berkeley County live below the federal poverty line according to the U.S. Census Bureau 2010-2014. Jefferson Countys population is 56,482, with an average household income of 66,205 and unemployment of 4.1. Currently, 10.2 of Jefferson county residents live below the poverty line. In the extended service area for WVUH - East, Morgan County, WV has a population of 17,524, with an average household income of 37,406 and unemployment rate of 5.5. Currently, 13.0 of Morgan County residents currently live below the poverty line.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The CHI board of directors is a community board, with fourteen of the fifteen members living in or around Martinsburg, WV. The remaining board member lives in Morgantown, WV and has connections with CHI through the West Virginia United Health System. Having members living outside our PSA allows us to be more aware of the healthcare needs in other areas of West Virginia. None of the board members are employees or contractors of the filing organization, or family members thereof.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>CHI extends privileges to all qualified medical staff in Berkley County and surrounding communities to meet its healthcare needs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>CHI allocates available funding to capital purchases and expanded services to improve patient care, support medical education in Berkeley County and surrounding counties in West Virginia and bordering states.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2009, CHI began offering discounted screening in response to a struggling economy. Recognizing that individuals were putting off scheduling routine, preventive testing such as mammograms and blood work, CHI offered Discounted Mammogram Clinics in May 2015 and then again in October 2015 cash, no insurance. The clinics were successful in serving over 100 patients at City Hospital. The Rotary Health Fair, held in April, provided a full blood work-up at cost. Nearly 500 individuals took advantage of these screenings. Discounted CT Lung Screenings were also offered the last Saturday of each month at a 99 cost.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Our Mini-Medical School Program, which is held 6 times per year in Berkeley County, is a community health education program featuring local physicians and topics that address health needs in our communities. The program is jointly sponsored by WVUH-East and the WVU Robert C. Byrd Health Sciences Center Eastern Division. It is offered free to the community with an average attendance of 75 - 100.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>CHI is a part of the West Virginia United Health System. CHI 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 services area, defined above, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. Other hospitals in the System include West Virginia University Hospitals, Inc., in Morgantown, WV, United Hospital Center, in Bridgeport, WV, Jefferson Memorial Hospital, in Ranson, WV, Potomac Valley Hospital in Keyser, WV, Camden-Clark Medical Center in Parkersburg ,WV and St. Josephs Hospital of Buckhannon, Inc.. St. Josephs joined the system in October 2015. In addition to these practices, the System also includes WVUH-East, Inc. and Camden-Clark Health Services which operate as management companies for their respective hospitals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The System also 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, and St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV.</ExplanationTxt>
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        <ExplanationTxt>Salaries of all officers are subject to the approval of a compensation committee designated by the WV University Healthcare Board of Directors. This committee uses the work of an independent salary and benefit consultant to determine the compensation packages to be made available to officers and that the compensation does not exceed fair market value of comparable positions at similar organizations. All data is retained and all decisions are appropriately documented pertaining to the compensation setting practices. This review occurs annually and was last completed in 2015 for 2016 compensation amounts.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 37,074,077, Grants and allocations 4,846, Revenue 85,031,973 In September 2009 Berkeley Medical opened a new 18-bed Orthopedic Unit. The unit is tailored toward personal care, patient comfort and privacy. The unit features a dedicated orthopedic nursing staff supported by staff from rehabilitation, care management, nutrition, and respiratory therapy. The team specializes in the care of patients following orthopedic surgery including total joints, fractures and knee and hip replacements. Orthopedic patient days in 2015 totaled 3,908 and 625 observation days.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 0, Grants and allocations 0, Revenue 0 A 28 million expansion project launched at Berkeley Medical in 2009 brought a new cardiac catheterization lab to Berkeley Medical in October 2010. Although the lab performed diagnostic catheterizations through December 2010, the lab expanded services in January 2011 to include elective primary coronary intervention PCI and emergent therapeutic cardiac catheterization STEMI. A new 20-bed ICU/CCU opened at the same time which included four cardiac beds to support the cath lab.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 0, Grants and allocations 0, Revenue 0 In November 2012 a new Outpatient Oncology suite was opened to serve patients of Berkeley Medical. by offering physician offices as well as an expanded outpatient treatment center in the same location, giving us the ability to treat an expanded number of patients. Berkeley Medical also maintains an inpatient Oncology department offering comprehensive cancer care services including chemotherapy dedicated inpatient oncology unit, Clinical Trials, and an American College of Surgeons accredited cancer program. During 2015 there were 19,570 patient visits to Oncology.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 0, Grants and allocations 0, Revenue 0 In addition to primary and specialty patient care services, City Hospital, Inc. serves as a clinical education site for West Virginia University, the WV School of Osteopathic Medicine and other regional universities and community colleges. THe Erma Byrd Health Professions Education Center, which houses the WVU Robert C. Byrd Health Sciences Center-Eastern Division, is also located on the City Hospital, Inc. campus. As part of a unified health system, the focus of City Hospital, Inc. and its sister organization Jefferson Medical Center is on growth to enhance and add new health services in Berkeley and Jefferson Counties.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 24a</FormAndLineReferenceDesc>
        <ExplanationTxt>Bond issuances allocated to City Hospital, Inc. CHI are being reported on Schedule K of West Virginia University Hospitals, Inc WVUH, EIN 55-0643304. WVUH is a 501c3 and is the parent hospital of CHI.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by the WVUH tax accountant and then reviewed by the non-profit tax manager of our independent auditing firm and West Virginia University Hospitals - East, Inc. WVUH-East Vice President of Finance. After gaining approval from the VP of Finance, it is then presented to all of the Board Members for a final review. Upon Board review, it is signed and submitted to the IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Annually, all Board Members, Vice Presidents, officers, and managers are required to disclose any relationships which may give rise to a conflict of interest. These responses are processed and maintained by the WVUH -East Compliance Committee. All board members are to be willing to identify conflicts of interest and abstain from voting when appropriate.</ExplanationTxt>
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        <ExplanationTxt>The compensation of all executives is determined through the use of an independent salary consulting firm compiling the compensation data of comparable organizations in comparable geographic locations. This data is then used by an independent compensation committee to set the compensation for each executive. The data and supporting documentation are retained and documented.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>All financial and governing documents including conflict of interest policy are retained onsite and are made available to the public upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Services Expense includes Consulting and Professional Fees 1,085,930 - all considered management general expense, Contract Labor 7,232,653 - 3,112,061 considered program service expense and 4,120,592 considered management general expense, Lab Fees 1,417,780 - 1,413,795 considered program service expense and 3,985 considered management general expense, Contract Labor - Patient Care 4,915,470 - 4,247,259 considered program service expense and 668,211 considered management general expense, CP Med Staff and Med Staff Director 5,114,768 - 5,030,925 considered program service expense and 83,843 considered management general expense, Collection Agency Fees 635,599 all considered management general expense, Enhanced Patient Care Grants of 1,022 all considered program service expense, and Physician Practice Supplies of 113,922 all considered Program Service Expense.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets or fund balance includes 128,319 change in restricted net assets, 130,065 of related organization capitalization, and 5,100 of capital campaign contributions received by University Healthcare Foundation in 2015 and released from restriction in net asset but not transferred until January 2016 and 1 rounding.</ExplanationTxt>
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        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>United Summit Center Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>6 Hospital Plaza</AddressLine1Txt>
          <CityNm>Clarksburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26301</ZIPCd>
        </USAddress>
        <EIN>550752788</EIN>
        <PrimaryActivitiesTxt>Behavioral Health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>West Virginia Health Care Co-Op</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>PO Box 8059</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26506</ZIPCd>
        </USAddress>
        <EIN>550650441</EIN>
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        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11a</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>West Virginia United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Camden-Clark Memorial Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>800 Garfield Ave</AddressLine1Txt>
          <CityNm>Parkersburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26102</ZIPCd>
        </USAddress>
        <EIN>311524546</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Camden-Clark Health Services</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Camden-Clark Health Services</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>800 Garfield Ave</AddressLine1Txt>
          <CityNm>Parkersburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26102</ZIPCd>
        </USAddress>
        <EIN>550769602</EIN>
        <PrimaryActivitiesTxt>Healthcare Access</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11a, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>West Virginia United Health System Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Camden-Clark Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>800 Garfield Ave</AddressLine1Txt>
          <CityNm>Parkersburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26102</ZIPCd>
        </USAddress>
        <EIN>550667789</EIN>
        <PrimaryActivitiesTxt>Support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11a</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Camden-Clark Health Services</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Camden-Clark Physician Corp</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>604 Ann Street</AddressLine1Txt>
          <CityNm>Parkersburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26102</ZIPCd>
        </USAddress>
        <EIN>264058719</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11a, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Camden-Clark Health Services</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>University Healthcare Physicians</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2500 Foundation Way</AddressLine1Txt>
          <CityNm>Martinsburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25401</ZIPCd>
        </USAddress>
        <EIN>900893455</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11a, a</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Potomac Valley Hospital of W Va Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 Pin Oak Lane</AddressLine1Txt>
          <CityNm>Keyser</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26726</ZIPCd>
        </USAddress>
        <EIN>550420956</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>West Virginia University Hospitals</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Joseph's Hospital of Buckhannon Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Amalia Drive</AddressLine1Txt>
          <CityNm>Buckhannon</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26201</ZIPCd>
        </USAddress>
        <EIN>550356996</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>West Virginia United Health System Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <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>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>West Virginia United Insurance Services Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3040 University Avenue Suite 3200</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26505</ZIPCd>
        </USAddress>
        <EIN>550756055</EIN>
        <PrimaryActivitiesTxt>Provider Network</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>