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      <PrincipalOfficerNm>J Thomas Jones</PrincipalOfficerNm>
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      <MissionDesc>West Virginia United Health System is committed to improving the health of the communities it serves through the delivery of quality, cost effective health care services support of health professional training and research. WVUHS provides integrated support services to reduce costs for member hospitals.</MissionDesc>
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      <Desc>In 2013, the WVUHS Legal Services Department consisted of the Vice President and General Counsel of WVUHS, the Associate Collections Counsel of WVUHS, and the Associate Collection Counsels staff. The Vice President and Legal Counsel oversees the general legal affairs of WVUHS and its subsidiaries. The Vice President and general Counsel also served on a day-to-day basis as the Vice President and General Counsel of WVUHS subsidiary, West Virginia University Hospitals, Inc. WVUH, and each of WVUHs subsidiaries. The purpose of the WVUHS Legal Services Department is to ensure that WVUHS and its subsidiaries operate in compliance with all applicable laws, to reduce the legal costs incurred by WVUHS and its subsidiaries, to maximize collections, and to minimize collection costs.</Desc>
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        <Desc>The primary operational function of WVUHS is to provide centralized services for member hospitals and affiliated clinics which allow those entities to deliver higher quality healthcare, reduce the costs of services provided to the public, and better support education and research. The largest program service, as measured by expenses, in the centralized procurement operation which serves five hospitals and the UPC clinics. During the year, WVUHS saved members 6,526,523 in the cost of purchased supplies and services through a combination of centrally-negotiated purchasing contracts and an efficient customer service department that processes daily purchase orders to assure an uninterrupted flow of products to support patient care.</Desc>
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        <Desc>1 WVUHS is committed to assisting its member hospitals and clinics in their ongoing efforts to assess and meet community and regional health needs. To support those efforts, WVUHS has established a common community benefit data collection and reporting system to ensure accurate documentation of monies spent to improve the health and social status of our communities. In addition, WVUHS hospitals are sharing experiences and plans related to their community health needs assessments, which will direct future use of community benefit funds to achieve targeted health status improvement and community development goals.</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Richard King</PersonNm>
        <TitleTxt>VP/CIO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>035.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>95437</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>222686</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16237</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeff Gibson</PersonNm>
        <TitleTxt>VP Health Services</TitleTxt>
        <AverageHoursPerWeekRt>050.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>246280</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22721</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Steve Bowman</PersonNm>
        <TitleTxt>Director Procurement</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>187795</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>836</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Christine Vaglienti</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18774</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Paul E Parker III</PersonNm>
        <TitleTxt>Associate General Counsel</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Elizabeth Walker</PersonNm>
        <TitleTxt>Associate General Counsel</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Edward Harman Jr</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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            <City>Philadelphia</City>
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          <USAddress>
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            <State>CT</State>
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        <ServicesDesc>Capital Strategic Planning</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Proskauer Rose LLP</BusinessNameLine1>
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          <USAddress>
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            <State>NY</State>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1>LGCR Government Solutions LLC</BusinessNameLine1>
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          <USAddress>
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            <State>WV</State>
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      <ProgramServiceRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>69540</UnrelatedBusinessRevenueAmt>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>10765</TotalRevenueColumnAmt>
        <ExclusionAmt>10765</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Other Income</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>49568</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>9299237</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9169364</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>69540</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>60333</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>1083000</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
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      <ForeignGrantsGrp>
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      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>2926845</ProgramServicesAmt>
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        <ProgramServicesAmt>1393652</ProgramServicesAmt>
        <ManagementAndGeneralAmt>887490</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>417629</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85787</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>560265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131812</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
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        <ProgramServicesAmt>374185</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76863</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
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      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>183135</TotalAmt>
        <ManagementAndGeneralAmt>183135</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>26555</TotalAmt>
        <ManagementAndGeneralAmt>26555</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>277619</TotalAmt>
        <ManagementAndGeneralAmt>277619</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>379710</TotalAmt>
        <ProgramServicesAmt>152588</ProgramServicesAmt>
        <ManagementAndGeneralAmt>227122</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>8150</TotalAmt>
        <ManagementAndGeneralAmt>8150</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>85710</TotalAmt>
        <ProgramServicesAmt>40614</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45096</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>6717</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108703</ManagementAndGeneralAmt>
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      <RoyaltiesGrp>
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      <OccupancyGrp>
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        <ProgramServicesAmt>97246</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77881</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>38697</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61399</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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      <InterestGrp>
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      <PaymentsToAffiliatesGrp>
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        <ManagementAndGeneralAmt>23807</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ManagementAndGeneralAmt>14060</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Taxes, License Fees</Desc>
        <TotalAmt>27784</TotalAmt>
        <ProgramServicesAmt>816</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26968</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Dues</Desc>
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        <ProgramServicesAmt>2814</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20454</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Education and Training</Desc>
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        <ProgramServicesAmt>355</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Other Business Related Expense</Desc>
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        <ProgramServicesAmt>147</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>7095570</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2282901</ManagementAndGeneralAmt>
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        <EOYAmt>3433953</EOYAmt>
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        <EOYAmt>2225947</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>32735</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipAccumDeprecAmt>483696</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>38083</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>6859216</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>12589934</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>5025365</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>433121</BOYAmt>
        <EOYAmt>592102</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>5617467</EOYAmt>
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      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>6972467</EOYAmt>
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        <BOYAmt>6939407</BOYAmt>
        <EOYAmt>6972467</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>12589934</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-79234</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>95429</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>16865</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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      <SupportingOrgType1Ind>X</SupportingOrgType1Ind>
      <CertificationInd>X</CertificationInd>
      <ContributionControllerInd>false</ContributionControllerInd>
      <ContributionFamilyInd>false</ContributionFamilyInd>
      <Contribution35ControlledInd>false</Contribution35ControlledInd>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1>West Virginia University Hospitals Inc</BusinessNameLine1>
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        <OrganizationTypeDesc>3</OrganizationTypeDesc>
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        <SupportedOrgNotifiedInd>true</SupportedOrgNotifiedInd>
        <USOrganizedInd>true</USOrganizedInd>
        <SupportAmt>8863383</SupportAmt>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1>United Hospital Center</BusinessNameLine1>
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        <OrganizationTypeDesc>3</OrganizationTypeDesc>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportedOrgNotifiedInd>true</SupportedOrgNotifiedInd>
        <USOrganizedInd>true</USOrganizedInd>
        <SupportAmt>4024961</SupportAmt>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1>Camden-Clark Memorial Hospital</BusinessNameLine1>
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        <OrganizationTypeDesc>3</OrganizationTypeDesc>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportedOrgNotifiedInd>true</SupportedOrgNotifiedInd>
        <USOrganizedInd>true</USOrganizedInd>
        <SupportAmt>4523784</SupportAmt>
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      <SupportSumAmt>17412128</SupportSumAmt>
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      <PublicSupportCY509Pct>0.00000</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <FactsAndCircumstancesTestTxt>Part I Line H The amounts of support being reported for West Virginia University Hospitals, Inc., United Hosptial Center, and Camden Clark Memorial Hospital are the annual amount of savings realized by each company through the use of the Systems purchasing discounts and through the combining of other necessary expenses such as the annual audit, legal fees, benchmarking, hospital reviews, and a wide range of other expenses.</FactsAndCircumstancesTestTxt>
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      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
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      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
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      <TotalLobbyingExpendituresAmt>280866</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>II-B 1g</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount shown here is based on a calculation of the hours the System CEO participated in lobbying related activities in 2013 amount equals hours multiplied by hourly pay rate.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>II-B 1i</FormAndLineReferenceDesc>
        <ExplanationTxt>Fees paid to public relation companies during 2013 that should be allocated to lobbying totaled 277,619.</ExplanationTxt>
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    </IRS990ScheduleC>
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        <DepreciationAmt>92534</DepreciationAmt>
        <BookValueAmt>434</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>325472</DepreciationAmt>
        <BookValueAmt>37293</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>65690</DepreciationAmt>
        <BookValueAmt>356</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>38083</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>Investment in West Virginia United Health Insurance Services, Inc.</Desc>
        <BookValueAmt>200000</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>Investment in United Physicians Care</Desc>
        <BookValueAmt>478368</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>Investment -Option Plan</Desc>
        <BookValueAmt>592102</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>Investment - Insurance Annuity</Desc>
        <BookValueAmt>79096</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>Land Purchased for investment</Desc>
        <BookValueAmt>5509650</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>6859216</TotalBookValueProgramRltdAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Option Plan</Desc>
        <Amt>592102</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>592102</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>1493401000</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>95429</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>1484006334</OtherRevenueAmt>
      <RevenueNotReportedAmt>1484101763</RevenueNotReportedAmt>
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        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The annual audit and financial statements of WVUHS 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. There were no tax uncertainties that met the recognition threshold in 2013.</ExplanationTxt>
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        <FormAndLineReferenceDesc>XI 2d</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>XII 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>The financial statements for WVUHS are prepared on a consolidated basis, 1,395,230,528 is the total consolidated adjustment to reconcile expenses shown on the audited financial statements, which includes all related entities, to the total expenses reported on this return, which are only expenses generated by WVUHS. See Schedule O Part IV line 12A for further explanation.</ExplanationTxt>
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          <AddressLine1>One Waterfront Place</AddressLine1>
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          <AddressLine1>405 Capital Street Suite 512</AddressLine1>
          <City>Charleston</City>
          <State>WV</State>
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        <ExplanationTxt>WVUHS contributes money to local charitable organizations to help further the mission of the system through out the community. WVUHS does not monitor the use of the donated funds. In 2013 WVUHS agreed to provide support of Clinical Translational Research and the specifics aims of the Clinical Translational Research Grant Award from the National Institutes of Health-entitled West Virginia IDEA-CTR through the West Virginia University Foundation. This agreement is for 5 years.</ExplanationTxt>
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        <PersonNm>Jeff Gibson</PersonNm>
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        <PersonNm>Christine Vaglienti</PersonNm>
        <TitleTxt>Associate Litigation Counsel</TitleTxt>
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        <PersonNm>Paul E Parker III</PersonNm>
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        <PersonNm>Elizabeth Walker</PersonNm>
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        <FormAndLineReferenceDesc>Part I Line 1b</FormAndLineReferenceDesc>
        <ExplanationTxt>The System grosses up the pay of the CEO to pay the taxes related to his personal use of a company vehicle. A written policy was implemented in 2012. This benefit is reported in both Part VII and Schedule J of the Form 990. It is also a part of the overall compensation package as approved by the compensation committee and the Board of Directors. This was included as taxable compensation on the Form W-2 of the CEO for 2013.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>During 2013, J. Thomas Jones received distributions of 160,800 from a supplemental nonqualified retirement plan which were reported in W-2 box 5 for 2013. John Yeager received distributions of 30,380 from a supplemental nonqualified retirement plan which were reported in W-2 box 5 for 2013. Jeff Gibson received CAA 457F vesting distributions of 13,710 which was reported in W-2 box 5 for 2013 and also deferred 13,202 of compensation in his CAA Plan 457F during 2013.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Rich King received CAA 457F vesting distributions of 17,129 which were reported in W-2 box 5 for 2013. Robert ONeil deferred 11,166 of compensation in his CAA Plan 457F during 2013.</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 2 WVUHS facilities share information in clinical areas to streamline development of healthcare plans and implementation efforts. Shared protocols include stroke care, developed at WVU Hospitals, a JCAHO-accredited Stroke Treatment Center, and shared with United Hospital Center and in modified form with West Virginia University Hospitals - East, Inc d/b/a University Healthcare facilities in the Eastern Panhandle interventional cardiology services angioplasties without on-site surgical back-up, developed at United Hospital Center, and shared with West Virginia University Hospitals - East, Inc. d/b/a University Healthcare.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 0, Grants and allocations 0, Revenue 0 3 WVUHS facilities continue to use a common patient satisfaction vendor, Press-Ganey, to allow for comparative review of results and to share best practices within the organization as well as those recommended by Press-Ganey. On January 1, 2012 Camden Clark Medical Center CCMC was added to the WVUHS contract with Press-Ganey at discounted per survey rates available through the System that are attractive to CCMC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 0, Grants and allocations 0, Revenue 0 4 WVUHS facilities were the first hospitals in West Virginia to participate in Highmark Blue Cross Blue Shield Quality Blue program, which rewards hospitals for improving key clinical processes, as well as patient outcomes. The Quality Blue program brought cohesion and sharing of best practices between hospital Quality Improvement staff.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 0, Grants and allocations 0, Revenue 0 5 There is a focus on both quality care and satisfaction at the system level the WVUHS Board of Directors continuously looks at Clinical Quality and Patient Satisfaction dashboards which track results from each facility.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2013, Legal Services became a program of WVUHS. In 2013, Legal Services consisted of the Vice President and General Counsel of WVUHS, the Associate Collections Counsel of WVUHS, and the Associate Collection Counsels staff. The Vice President and Legal Counsel oversees the general legal affairs of WVUHS and its subsidiaries. The Vice President and general Counsel also served on a day-to-day basis as the Vice President and General Counsel of WVUHS subsidiary, West Virginia University Hospitals, Inc. WVUH, and each of WVUHs subsidiaries. The purpose of the WVUHS Legal Services Department is to ensure that WVUHS and its subsidiaries operate in compliance with all applicable laws, to reduce the legal costs incurred by WVUHS and its subsidiaries, to maximize collections, and to minimize collection costs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 12b</FormAndLineReferenceDesc>
        <ExplanationTxt>WVUHS chose to prepare Schedule D Parts XI - XII to reconcile the revenue and expenses shown on the consolidated audited financial statements to revenue and expenses for WVUHS shown on the Form 990. This is consistent with the prior year reporting. By reconciling to the audited consolidated statements we allow for greater transparency in reporting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2ab</FormAndLineReferenceDesc>
        <ExplanationTxt>The employees of the WVUHS are leased from a related entity, WVU Hospitals, Inc. EIN 55-0643304. Under these terms, WVU Hospitals, Inc. files all payroll tax filings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 1ab</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members considered not independent are considered so because of compensation received from the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by the WVU Hospitals accounting department and is then submitted to be reviewed by the external independent audit firm of the System. After the external review is completed the Form 990 is presented to the WVUHS CFO, upon approval from the CFO it is then presented to the audit committee and Board of Directors. Once approved the Form 990 is submitted to the IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All Officers, Directors and Board Members are required to annually disclose any relationships which may give rise to a potential conflict of interest. These responses are then tracked by the audit committee, when a conflict arises disclosure of the financial interest and all material facts is provided to the board, and after any discussion with the interested person, he/she shall leave the board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. If the remaining board or committee members decide a conflict exists, procedures outlined in the WVUHS Conflict of Interest Policy may be utilized.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15ab</FormAndLineReferenceDesc>
        <ExplanationTxt>The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. A full compensation survey was completed in 2012 for 2013 compensation amounts, with data provided by the independent consultant to the compensation committee in 2012. Interim data is provided to the committee on a case by case basis.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>All financial and governing documents along with Board of Director Conflict of Interest statements are made available during regular business hours at the business office. In accordance with West Virginia Legislative code every member of the board shall file a written statement, which shall be fully available for public disclosure, with the appropriate chairman of the board.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1-29</FormAndLineReferenceDesc>
        <ExplanationTxt>The employees of the WVUHS are leased from a related entity, WVU Hospitals, Inc. EIN 55-0643304. WVUHS reimburses WVUH for salary, benefits, and applicable taxes for WVUHS employees and for a portion of Richard Kings salary as his time is split between WVUHS and WVUH. Those salary expenses are reflected in Part IX Line 5 of this return.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section B, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>WVUHS receives and pays invoices for Legal and Accounting Services that have been provided to all system entities. Based on an allocation agreed upon by all entities, the System then bills each entity for their respective portion of that service and the expense is offset by the reimbursements. The amounts reported in Part IX - Statement of Functional Expenses Line 11b and 11c reflect the portion of legal and accounting expense attributable to WVUHS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets reported on line 9 consists of reimbursements to member hospitals for capital items in the amount of 16,865.</ExplanationTxt>
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          <State>WV</State>
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        <EIN>311118075</EIN>
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        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 a</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1>Jefferson Healthcare Foundation</BusinessNameLine1>
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        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1>United Hospital Foundation</BusinessNameLine1>
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          <State>WV</State>
          <ZIPCode>26330</ZIPCode>
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        <EIN>550621706</EIN>
        <PrimaryActivitiesTxt>Hospital Support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>11a</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>WV Health Care Co-Op</BusinessNameLine1>
        </DisregardedEntityName>
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          <AddressLine1>PO Box 8059</AddressLine1>
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          <State>WV</State>
          <ZIPCode>26506</ZIPCode>
        </USAddress>
        <EIN>550650441</EIN>
        <PrimaryActivitiesTxt>Support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 a</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>WV United Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>United Summit Center</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>6 Hospital Plaza</AddressLine1>
          <City>Clarksburg</City>
          <State>WV</State>
          <ZIPCode>26301</ZIPCode>
        </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>
          <BusinessNameLine1>Camden-Clark Health Services</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>800 Garfield Ave</AddressLine1>
          <City>Parkersburg</City>
          <State>WV</State>
          <ZIPCode>26102</ZIPCode>
        </USAddress>
        <EIN>550769602</EIN>
        <PrimaryActivitiesTxt>Healthcare Access</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 a</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Camden-Clark Foundation</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>800 Garfield Ave</AddressLine1>
          <City>Parkersburg</City>
          <State>WV</State>
          <ZIPCode>26102</ZIPCode>
        </USAddress>
        <EIN>550667789</EIN>
        <PrimaryActivitiesTxt>Hospital Support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 a</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Camden-Clark Memorial Hospital Corporation</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>800 Garfield Ave</AddressLine1>
          <City>Parkersburg</City>
          <State>WV</State>
          <ZIPCode>26102</ZIPCode>
        </USAddress>
        <EIN>311524546</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>WV United Health System</BusinessNameLine1>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Camden-Clark Physician Corp</BusinessNameLine1>
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          <State>WV</State>
          <ZIPCode>26102</ZIPCode>
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        <EIN>264058719</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 a</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>West Virginia United Insurance Services</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>1000 Technology Drive Suite 2320</AddressLine1>
          <City>Fairmont</City>
          <State>WV</State>
          <ZIPCode>26554</ZIPCode>
        </USAddress>
        <EIN>550756055</EIN>
        <PrimaryActivitiesTxt>Healthcare Contracting</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>WV United Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Allied Health Services Inc</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>PO Box 782</AddressLine1>
          <City>Morgantown</City>
          <State>WV</State>
          <ZIPCode>26507</ZIPCode>
        </USAddress>
        <EIN>550652017</EIN>
        <PrimaryActivitiesTxt>Outpatient Lab</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>WV United Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</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>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>West Virginia University Hopsitals Inc</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>4454861</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>United Hospital Center Inc</BusinessNameLine1>
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        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>1278057</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>Camden-Clark Memorial Hospital Corporation</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>1475019</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>