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        <Identifier>EXPLANATION OF LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1:</ReturnReference>
        <Explanation>THE ORGANIZATION IS A MEMBER OF THE WEST VIRGINIA HOSPITAL ASSOCIATION (WVHA) AND THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH), BOTH OF WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBERS. A PORTION OF THE DUES PAID TO WVHA AND NACH HAVE BEEN ALLOCATED TO LOBBYING ACTIVITIES, WHICH AMOUNTED TO $5,175 AND $2,185 RESPECTIVELY. THESE ASSOCIATIONS PROVIDE BOTH ADVOCACY AND REPRESENTATION FOR ITS MEMBERS. SPECIFIC INFORMATION REGARDING THE ADVOCACY AGENDAS OF THESE TWO ASSOCIATIONS CAN BE VIEWED AT THEIR RESPECTIVE WEBSITES, WWW.CHILDRENSHOSPITALS.NET AND WWW.WVHA.ORG.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>6415591</OtherCostOrOtherBasis>
        <BookValue>6415591</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>192177069</OtherCostOrOtherBasis>
        <Depreciation>44325114</Depreciation>
        <BookValue>147851955</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>182357801</OtherCostOrOtherBasis>
        <Depreciation>174104855</Depreciation>
        <BookValue>8252946</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>20225963</OtherCostOrOtherBasis>
        <Depreciation>1160393</Depreciation>
        <BookValue>19065570</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>181586062</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>ACCRUED PROFESSIONAL LIABILITY</Description>
        <Amount>12851842</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED POST RETIREMENT BENEFITS COST</Description>
        <Amount>121814346</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED GAIN</Description>
        <Amount>4162208</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ESTIMATED THIRD PARTY SETTLEMENTS</Description>
        <Amount>1998698</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DERIVATIVE FINANCIAL INSTRUMENT</Description>
        <Amount>12265103</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>153092197</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>477762388</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>966115</NetUnrealizedGainsInvestments>
      <OtherRevenues>1215419</OtherRevenues>
      <RevenueNotRptdF990>2181534</RevenueNotRptdF990>
      <RevenueSubtotal>475580854</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-470052</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-470052</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>475110802</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>403148462</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>470052</OtherExpensesIncluded>
      <ExpensesNotRptdF990>470052</ExpensesNotRptdF990>
      <ExpensesSubtotal>402678410</ExpensesSubtotal>
      <OtherExpensesNotIncluded>48150852</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>48150852</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>450829262</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 AND 2012. THE CORPORATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>DECREASE IN PENSION LIABILITY INCLUDED IN REVENUE ON AFS 42,651,680. INVESTMENT MANAGEMENT FEES NETTED WITH REVENUE ON AFS -513,153. BAD DEBTS NETTED WITH REVENUE ON AFS -47,648,428. RENTAL INCOME RECLASSED TO RENTAL EXPENSES ON FORM 990 10,729. CHANGE IN EFFECTIVE INTEREST RATE SWAP NETTED WITH REVENUE ON AFS 6,944,213. EQUITY IN CHH-CABELL &amp; SURGERY CENTER NETTED WITH REVENUE ON AFS -229,622.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL EXPENSES NETTED WITH REVENUE ON FORM 990 -470,052.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL EXPENSES NETTED WITH REVENUE ON FORM 990 470,052.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>INVESTMENT MANAGEMENT FEES NETTED WITH REVENUE ON AFS 513,153. BAD DEBTS NETTED WITH REVENUE ON AFS 47,648,428. RENTAL INCOME RECLASSED TO RENTAL EXPENSES ON FORM 990 -10,729.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent350>X</Pcent350>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>21324130</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>21324130</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05290</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>107354906</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>81982389</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>25372517</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06290</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>128679036</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>81982389</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>46696647</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.11580</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>136445</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>136445</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>15213461</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2786612</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12426849</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03080</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>2316859</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1432002</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>884857</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00220</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>407175</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>37917</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>369258</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00090</PercentOfTotalExpense>
      </Research>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>18073940</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4256531</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>13817409</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03420</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>146752976</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>86238920</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>60514056</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.15000</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <TotalCommunityBuildingExpense>18750</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>18750</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>27500</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>27500</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CommunitySupport>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>237831</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>237831</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <Other>
        <TotalCommunityBuildingExpense>83030</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>83030</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </Other>
      <Total>
        <TotalCommunityBuildingExpense>367111</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>367111</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00090</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>16767482</BadDebtExpenseAmount>
      <AmountAttributableTo>3353496</AmountAttributableTo>
      <AmountReimbursedByMedicare>100961509</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>112036062</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-11074553</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>1 OCCUMED LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>OCCUPATIONAL HEALTH AND URGENT CARE CENTER</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.68460</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.31540</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>3 HUNTINGTON SURGERY PROPERTIES LP</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>OWNS REAL ESTATE AND LEASES TO HUNTINGTON SURGERY CENTER</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.43000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.57000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>CABELL HUNTINGTON HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1340 HAL GREER BOULEVARD</AddressLine1>
          <City>HUNTINGTON</City>
          <State>WV</State>
          <ZIPCode>25701</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>CABELL HUNTINGTON HOSPITAL INC</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>1</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <Other>X</Other>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>1</TakeIntoAccount>
        <OtherFacilities>0</OtherFacilities>
        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <DevelopCommunityPlan>X</DevelopCommunityPlan>
        <IncludeOperationalPlans>X</IncludeOperationalPlans>
        <AdoptBudget>X</AdoptBudget>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>1</AllNeedsAddressed>
        <OrganizationIncurExciseTax>0</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>350.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>10</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CABELL HUNTINGTON PAIN MANAGEMENT CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1634 13TH AVENUE</AddressLine1>
            <City>HUNTINGTON</City>
            <State>WV</State>
            <ZIPCode>25701</ZIPCode>
          </Address>
          <FacilityType>PAIN MANAGEMENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CABELL BREAST HEALTH CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1400 HAL GREER BLVD</AddressLine1>
            <City>HUNTINGTON</City>
            <State>WV</State>
            <ZIPCode>25701</ZIPCode>
          </Address>
          <FacilityType>DIAGNOSTIC CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>WOMEN'S HEALTH</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1660 TWELFTH AVENUE</AddressLine1>
            <City>HUNTINGTON</City>
            <State>WV</State>
            <ZIPCode>25701</ZIPCode>
          </Address>
          <FacilityType>OB GYN OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>WOMEN'S &amp; FAMILY MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1115 20TH STREET</AddressLine1>
            <City>HUNTINGTON</City>
            <State>WV</State>
            <ZIPCode>25701</ZIPCode>
          </Address>
          <FacilityType>FAMILY OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>COOK EYE CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1300 THIRD AVENUE</AddressLine1>
            <City>HUNTINGTON</City>
            <State>WV</State>
            <ZIPCode>25701</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CATARACT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>FAMILY MEDICAL CENTER KENOVA</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>750 OAK STREET</AddressLine1>
            <City>KENOVA</City>
            <State>WV</State>
            <ZIPCode>25430</ZIPCode>
          </Address>
          <FacilityType>FAMILY OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CENTER FOR SURGICAL WEIGHT CONTROL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1115 20TH STREET</AddressLine1>
            <City>HUNTINGTON</City>
            <State>WV</State>
            <ZIPCode>25701</ZIPCode>
          </Address>
          <FacilityType>BARIATRIC CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>FAMILY MEDICAL CENTER MERRITTS CREEK</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>100 MEADOW POINTE</AddressLine1>
            <City>BARBOURSVILLE</City>
            <State>WV</State>
            <ZIPCode>25504</ZIPCode>
          </Address>
          <FacilityType>FAMILY OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CABELL PEDIATRICS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1115 20TH STREET</AddressLine1>
            <City>HUNTINGTON</City>
            <State>WV</State>
            <ZIPCode>25701</ZIPCode>
          </Address>
          <FacilityType>PEDIATRIC CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CABELL HUNTINGTON BALANCE CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1616 13TH AVENUE</AddressLine1>
            <City>HUNTINGTON</City>
            <State>WV</State>
            <ZIPCode>25701</ZIPCode>
          </Address>
          <FacilityType>BALANCE DISORDER CENTER</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: A COST-TO-CHARGE RATIO WAS CALCULATED USING THE IRS WORKSHEET 2 TO CALCULATE THE PERCENTAGE OF COST. THE TOTAL OPERATING EXPENSES WERE TAKEN AND ADJUSTED FOR NON-PATIENT ACTIVITIES INCLUDING MEDICAID TAXES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 47648428.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART II: THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED IN PART II, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. DURING FY 2013, THE HOSPITAL COMMUNITY BUILDING ACTIVITIES REACHED OUT TO OVER 42,000 INDIVIDUALS WITHIN THE COMMUNITIES SERVED. FUTURE ACTIVITIES ARE DETERMINED BASED UPON THE COMMUNITY NEEDS ASSESSMENT,REQUESTS FROM PUBLIC AGENCIES OR COMMUNITY GROUPS, AND OTHER FACTORS. THE HOSPITAL ALSO WELCOMES INPUT FROM THE COMMUNITIES AS TO WHICH EVENTS IT SHOULD PURSUE. THE HOSPITAL SEEKS TO PROVIDE OR FUND ACTIVITES WITH THE FOLLOWING OBJECTIVES: IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, RELIEVING GOVERNMENT BURDEN; MAKING HEALTHCARE AVAILABLE TO THE PUBLIC AND SERVING LOW-INCOME CONSUMERS; ADDRESSING FEDERAL, STATE OR LOCAL PUBLIC HEALTH PRIORITIES; AND LEVERAGING OR ENHANCING PUBLIC HEALTH DEPARTMENT ACTIVITIES. SOME OF THE SPECIFIC COMMUNITY BUILDING ACTIVITIES FUNDED BY THE ORGANIZATION INCLUDE: HUNTINGTON AREA DEVELOPMENT COUNCIL WHICH PROMOTES NEW BUSINESS IN THE COMMUNITY. THE ORGANIZATION BELIEVES THE NEW BUSINESSES WILL EMPLOYEE THE PEOPLE IN THE COMMUNITY AND WILL PROVIDE BETTER HEALTHCARE BENEFITS;YOUNG LIFE AND EDUCATION CONTRIBUTIONS TO PROMOTE HIGHER EDUCATION AND HEALTHIER WELL-BEING;PAUL AMBROSE WALKING TRAIL TO PROMOTE EXERCISE AND HEALTHY LIFESTYLES;EBENEZER MEDICAL OUTREACH PROGRAM TO ASSIST THOSE WHO CANNOT AFFORD NEEDED MEDICATIONS AND TO CONTINUE HOUSING A FREE CLINIC TO SERVE THE COMMUNITY;HUNTINGTON'S KITCHEN TO PROMOTE HEALTHY EATING HABITS; ANDCHILDREN'S PLAY PLACE TO PROVIDE A SAFE ENVIRONMENT FOR CHILDREN IN THE COMMUNITY TO EXERCISE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTE: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATION TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ORGANIZATION HAS DEMONSTRATED SUCCESSFUL RESULTS IN COLLECTING RECEIVEABLES FOR PATIENTS WHO HAVE AGREED TO A PAYMENT PLAN, THESE AMOUNTS WILL REMAIN IN PATIENT ACCOUNTS RECEIVABLE AT THEIR ESTIMATED NET REALIZABLE AMOUNTS AND WILL BE EVALUATED AS PART OF MANAGEMENT'S ASSESSMENT OF THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE AMOUNTS. METHODOLOGY: THE COSTING METHOD USED FOR LINE TWO IS THE METHOD SUGGESTED IN THE INSTRUCTIONS FOR WORKSHEET 1, FINANCIAL ASSISTANCE AT COST IN THE INTERNAL REVENUE INSTRUCTIONS FOR FORM 990 SCHEDULE H. THIS METHOD CALCULATES A COST RATIO BY USING TOTAL OPERATING EXPENSES LESS BAD DEBT AND OTHER EXPENSE ADJUSTMENTS DIVIDED BY GROSS PATIENT REVENUES. THE RATIO IS THEN APPLIED TO BAD DEBT EXPENSE TO GET THE ESTIMATED COST.LINE THREE IS A PERCENTAGE DERIVED BY AN ESTIMATED NUMBER OF PATIENTS WHO START THE FINANCIAL ASSISTANCE PROGRAM AND DO NOT COMPLETE THE PROCESS. THERE ARE A NUMBER OF PATIENTS THAT DO NOT APPLY FOR FINANCIAL ASSISTANCE AND ARE DEFINITELY UNABLE TO PAY FOR THEIR OUT OF POCKET MEDICAL EXPENSES. IF THESE PATIENTS WENT THROUGH THE FINANCIAL ASSISTANCE PROCESS, THEY WOULD QUALIFY. THESE PATIENTS STILL NEED TO BE TREATED AND THIS IS WHY THE ORGANIZATION BELIEVES THIS SHOULD BE TREATED AS A COMMUNITY BENEFIT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: BECAUSE THE HOSPITAL IS A COMMUNITY BASED TEACHING HOSPITAL AND SERVING THE COMMUNITY WITHOUT REGARD TO ABILITY TO PAY, THIS AMOUNT SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE EXPENSES ALLOCATED TO THE MEDICARE REVENUE ARE DERIVED FROM THE MEDICARE COST REPORT AND ARE ALLOCATED TO CARRIER BY GROSS CHARGE RATIO AFTER THEY ARE ADJUSTED FOR COSTS INCLUDED IN LINES 7F AND 7G.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 9B: THE HOSPITAL HAS INFORMATION ABOUT ITS CHARITY CARE POLICY AND APPLICATIONS AVAILABLE IN ALL REGISTRATION AREAS OF THE HOSPITAL AS WELL AS ITS OFFSITE LOCATIONS. THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS WHO VISIT INPATIENTS IN ELIGIBLE FINANCIAL CLASSES TO PROVIDE INFORMATION ABOUT CHARITY CARE AS WELL AS RESPOND TO INQUIRIES FROM OUTPATIENTS REGARDING CHARITY CARE AND PROVIDE ASSISTANCE WITH THE CHARITY CARE APPLICATION PROCESS. PATIENTS CAN COMMUNICATE WITH FINANCIAL COUNSELORS IN PERSON OR BY TELEPHONE, MAIL OR FAX IN ORDER TO LEARN MORE ABOUT THE HOSPITAL'S CHARITY CARE POLICY AND OBTAIN INFORMATION REGARDING THEIR ELIGIBILITY FOR CHARITY CARE. THE HOSPITAL ALSO CONTRACTS WITH MEDICAID ELIGIBILITY SPECIALISTS TO ASSIST THOSE PATIENTS WHO QUALIFY FOR MEDICAID. INFORMATION ABOUT THE HOSPITAL'S CHARITY CARE POLICY AND PROCESS IS POSTED ON THE HOSPITAL'S WEBSITE.IT IS THE RESPONSIBILITY OF THE PATIENT TO MAKE SURE ALL OF THE DOCUMENTATION TO QUALIFY FOR ASSISTANCE IS FILED WITH THE HOSPITAL AND ANY GOVENMENT ASSISTANCE PROGRAMS. IF THEY FAIL TO DO SO, THE PATIENT IS BILLED, AND IN MOST CASES, THEY WILL CALL THE BILLING DEPARTMENT. THE BILLING DEPARTMENT WILL REFER THEM BACK TO A FINANCIAL COUNSELOR TO FINISH THE NECESSARY FILINGS. BILLING WILL BE NOTIFIED IF THE ACCOUNT IS TO BE DISCOUNTED AND/OR SET UP ON A PAYMENT SCHEDULE. IF THE PATIENT FAILS TO FOLLOW THROUGH AT THIS TIME, LASTLY, THE ACCOUNT IS SENT TO THE COLLECTION AGENCY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>CABELL HUNTINGTON HOSPITAL, INC.</Identifier>
        <Explanation>PART V, SECTION B, LINE 1J: IN ADDITION TO THE ITEMS INDICATED, THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2013 DESCRIBES THE PROCESS FOR CONDUCTING INTERVIEWS WITH VARIOUS HEALTHCARE REPRESENTATIVES FROM THE COMMUNITY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>CABELL HUNTINGTON HOSPITAL, INC.</Identifier>
        <Explanation>PART V, SECTION B, LINE 3: AN ASSESSMENT SURVEY COLLECTED INFORMATION FROM CITIZENS IN EACH OF THE FOUR COUNTIES INCLUDED IN THE CHNA: CABELL, LAWRENCE (OHIO), LINCOLN, AND WAYNE. IT WAS POSTED ONLINE AND PAPER COPIES WERE DISTRIBUTED. KEY INFORMANTS WERE IDENTIFIED FROM THE FOUR COUNTY AREA THAT HAD CONSIDERABLE INVOLVEMENT IN THE COMMUNITY. SELECTED RESPONSES ARE INCLUDED FROM ONE-ON-ONE TELEPHONE INTERVIEWS WITH THE KEY INFORMANTS.THE KEY INFORMANTS WHOM THE HOSPITAL CONSULTED ARE AS FOLLOWS: CABELL HOSPITAL ADMINISTRATION, STATE GOVERNMENT COMMISSIONER FOR BUREAU FOR FAMILIES AND CHILDREN, RETIRED STATE HEALTH OFFICER, MARSHALL UNIVERSITY, DIRECTOR OF ORGANIZATIONAL DEVELOPMENT AND LEARNING, DIRECTOR OF MED SURGERY, DIRECTOR OF SPIRITUAL CARE, HOSPITAL SERVICES REPRESENTATIVE, ORTHOPEDIC SURGEON, SURGICAL ONCOLOGY, HOSPITAL BOARD MEMBERS, COMMUNITY ACTION ORGANIZATION REPRESENTATIVE, PRIMARY CARE PHYSICIAN, FAMILY RESOURCE NETWORK REPRESENTATIVE, BOARD OF EDUCATION, EXECUTIVE BEHAVIORAL HEALTH CENTER, WAYNE COUNTY COMMISSION MEMBER, WAYNE COUNTY ADMINISTRATORS, EMERGENCY MANAGER, AMONG OTHERS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>CABELL HUNTINGTON HOSPITAL, INC.</Identifier>
        <Explanation>PART V, SECTION B, LINE 20D: THE HOSPITAL USES ONE RATE TO CHARGE ALL PATIENTS. THE PATIENTS THAT ARE ELIGIBLE FOR FINANCIAL ASSISTANCE (ESTABLISHED AFTER PROVIDING THE HOSPITAL WITH ALL INFORMATION REQUESTED ON APPLICATION) ARE THEN GIVEN A DISCOUNTED CHARGE BASED ON THE FINANCIAL ASSISTANCE POLICY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: THE HOSPITAL ASSESES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING ITS OWN NEEDS ASSESSMENT AND CONSULTING WITH HEALTHCARE PROVIDERS SUCH AS MARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE AND VARIOUS COMMUNITY AGENCIES. A 2013 COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED DURING THE TAX YEAR. THE ASSESSMENT REPRESENTS THE COMMUNITY THE HOSPITAL SERVES WHICH INCLUDES CABELL, LINCOLN AND WAYNE COUNTIES IN WV, AND LAWRENCE COUNTY IN OHIO. THE REPORT INCLUDES A COMPREHENSIVE REVIEW AND ANALYSIS OF DATA REGARDING THE HEALTH ISSUES AND NEEDS OF THESE COUNTIES. THE RESULTS OF THIS ASSESSMENT ENABLE THE COUNTY PUBLIC HEALTH DEPARTMENTS, HEALTH SYSTEMS AND OTHER PROVIDERS TO MORE STRATEGICALLY ESTABLISH PRIORITIES, DEVELOP INTERVENTIONS, AND COMMIT RESOURCES TO IMPROVE THE OVERALL HEALTH OF THESE COMMUNITIES.THE CURRENT NEEDS ASSESSMENT CAN BE FOUND ON THE HOSPITAL WEBSITE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: THE HOSPITAL HAS INFORMATION ABOUT ITS CHARITY CARE POLICY AND APPLICATIONS AVAILABLE IN ALL REGISTRATION AREAS OF THE HOSPITAL AS WELL AS ITS OFFSITE LOCATIONS. THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS WHO VISIT INPATIENTS IN ELIGIBLE FINANCIAL CLASSES TO PROVIDE INFORMATION ABOUT CHARITY CARE AS WELL AS RESPOND TO INQUIRIES FROM OUTPATIENTS REGARDING CHARITY CARE AND PROVIDE ASSISTANCE WITH THE CHARITY CARE APPLICATION PROCESS. PATIENTS CAN COMMUNICATE WITH FINANCIAL COUNSELORS IN PERSON OR BY TELEPHONE, MAIL OR FAX IN ORDER TO LEARN MORE ABOUT THE HOSPITAL'S CHARITY CARE POLICY AND OBTAIN INFORMATION REGARDING THEIR ELIGIBILITY FOR CHARITY CARE. THE HOSPITAL ALSO CONTRACTS WITH MEDICAID ELIGIBILITY SPECIALISTS TO ASSIST THOSE PATIENTS WHO QUALIFY FOR MEDICAID. INFORMATION ABOUT THE HOSPITAL'S CHARITY CARE POLICY AND PROCESS IS POSTED ON THE HOSPITAL'S WEBSITE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: THE HOSPITAL IS LOCATED IN HUNTINGTON, CABELL COUNTY, WV. CABELL COUNTY IS LOCATED IN THE WESTERN PORTION OF WV AND IS BORDERED ON THE NORTHWEST BY OHIO AND ON THE SOUTHWEST BY KY (REGION REFERRED TO AS THE TRI-STATE AREA). HUNTINGTON IS ONE OF THE THREE METROPOLITAN CENTERS IN THE TRI-STATE AREA. DUE TO SPECIALIZED SERVICES SUCH AS ITS BURN UNIT, PEDIATRIC INTENSIVE CARE AND NEONATAL INTENSIVE CARE UNITS THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF CABELL, WAYNE AND LINCOLN COUNTIES IN WV AND LAWRENCE COUNTY IN OHIO. ALL OF WHICH CONATIN MEDICALLY UNDERSERVED AREAS AS DESIGNATED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE HOSPITAL'S PRIMARY SERVICE AREA HAS A POPULATION OF OVER 220,800 AND APPROXIMATELY 65% OF THE TOTAL DISCHARGES ORIGINATE FROM THE PRIMARY SERVICE AREA. THE HOSPITAL'S SECONDARY SERVICE AREA, WHICH INCLUDES COUNTIES IN WV, EASTERN KY AND SOUTHERN OHIO, ACCOUNTS FOR AN ADDITIONAL 27% OF DISCHARGES WITH THE REMAINING 8% COMING FROM OUTSIDE THE SERVICE AREA. ACCORDING TO OUR RECENT CHNA, 30.5% OF THE POPULATION IN THE PRIMARY SERVICE AREA IS 55 YEARS AND OLDER. THE AVERAGE MEDIAN HOUSEHOLD INCOME FOR THIS AREA IS APPROXIMATELY $35,500, WHILE APPROXIMATELY 21% OF THE POPULATION IS CLASSIFIED AS BEING AT THE POVERTY LEVEL BY THE US CENSUS BUREAU. THE UNEMPLOYMENT RATE IS APPROXIMATELY 8.9%. THE HOSPITAL IS AFFILIATED WITH THE MARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE AND ITS GRADUATE MEDICAL EDUCATION PROGRAMS, WHICH TRAINS PRIMARY CARE AND SPECIALTY PHYSICIANS FOR WV AND THE REGION. THE HOSPITAL'S AFFILIATION ALSO ENABLES IT TO PROVIDE SPECIALIZED HEALTHCARE SERVICES SUCH AS HIGH RISK OBSTETRICS, NEONATAL INTENSIVE CARE, PEDIATRIC INTENSIVE CARE, AND COMPREHENSIVE ONCOLOGY CARE. THE HOSPITAL ALSO SERVES AS A CLINICAL TRAINING SITE FOR A NUMBER OF HEALTH PROFESSION EDUCATION PROGRAMS, INCLUDING NURSING, PHARMACY, PHYSICAL &amp; OCCUPATIONAL THERAPY, AND RADIOLOGICAL TECHNOLOGY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 5: THE HOSPITAL IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS THAT INCLUDES REPRESENTATIVES OF SMALL BUSINESSES, ORGANIZED LABOR, THE ELDERLY AND LOWER-INCOME CONSUMERS, IN COMPLIANCE WITH STATE LAW. A MAJORITY OF THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES, CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF.THE HOSPITAL PROVIDES SPECIALIZED SERVICES NOT OTHERWISE AVAILABLE TO MEMBERS OF THE COMMUNITY, SUCH AS ITS NEONATAL AND PEDIATRIC SERVICES. THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. AS NOTED ABOVE, THE HOSPITAL PARTICIPATES IN THE EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS, AND PROVIDES SUPPORT FOR MEDICAL RESEARCH CARRIED OUT BY MEDICAL SCHOOL FACULTY AND PHYSICIANS IN TRAINING. THE HOSPITAL PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS.THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVLEDGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR ALL DEPARTMENTS.ANY SURPLUS OF FUNDS IS REINVESTED INTO REPLACEMENT OF EQUIPMENT OR NEW EQUIPMENT TO PROVIDE UPDATED SERVICES TO THE HOSPITAL'S PATIENTS OR TO PROVIDING NEW AND EXPANDED HEALTHCARE PROGRAMS.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>EBENEZER MEDICAL OUTREACH CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1448 TENTH AVE</AddressLine1>
          <City>HUNTINGTON</City>
          <State>WV</State>
          <ZIPCode>25701</ZIPCode>
        </AddressUS>
        <EINOfRecipient>550745033</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>50004</AmountOfCashGrant>
        <PurposeOfGrant>MEDICAL/PHARMACY OUTREACH</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>EBENEZER MEDICAL OUTREACH CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1448 TENTH AVE</AddressLine1>
          <City>HUNTINGTON</City>
          <State>WV</State>
          <ZIPCode>25701</ZIPCode>
        </AddressUS>
        <EINOfRecipient>550745033</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>77879</AmountOfCashGrant>
        <PurposeOfGrant>HEALTHY EATING PROGRAM</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MARSHALL UNIVERSITY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>ONE JOHN MARSHALL DRIVE</AddressLine1>
          <City>HUNTINGTON</City>
          <State>WV</State>
          <ZIPCode>25755</ZIPCode>
        </AddressUS>
        <EINOfRecipient>556000789</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>9433496</AmountOfCashGrant>
        <PurposeOfGrant>MEDICAL SCHOOL</PurposeOfGrant>
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      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: THE ORGANIZATION HAS THE FOLLOWING PLAN ESTABLISHED TO MONITOR THE USE OF THE GRANT FUNDS: THE GRANTS AND FINANCIAL ASSISTANCE PROVIDED BY THE HOSPITAL ARE APPROVED BY THE HOSPITAL'S BOARD AND THE CEO/PRESIDENT. THEY ARE APPROVED BASED ON THE NEEDS OF THE ORGANIZATION APPLYING FOR THEM AND HOW THEY WILL USE THE FUNDS RELATED TO THE HOSPITAL'S MISSION. THE GRANTS AND ASSISTANCE GIVEN TO MARSHALL UNIVERSITY ARE TO AID IN THE EDUCATIONAL MISSION OF THE HOSPITAL THROUGH THE INTERN AND RESIDENT PROGRAMS. ASSISTANCE IS GIVEN TO A COMMUNITY MEDICAL OUTREACH PROGRAM FOR HEALTH SERVICES AND A HEALTHY EATING PROGRAM THAT WAS BEGUN IN THE PREVIOUS YEAR. VARIOUS STAFF MEMBERS OF THE HOSPITAL REVIEW THE FINANCIAL INFORMATION GIVEN TO THEM AND REPORT BACK TO THE BOARD AND PRESIDENT/CEO. THE FUNDS DISPERSED FOR THIS ASSISTANCE IS REQUESTED WITH AN INVOICE AND CHECK REQUEST SIGNED BY THE APPROPRIATE HOSPITAL REPRESENTATIVE.</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>SCHEDULE I, PART I, LINE 1 AND 2: THE ORGANIZATION RESPONDS TO REQUESTS FOR ASSISTANCE FROM LEGITIMATE ORGANIZATIONS IN THE COMMUNITY THAT ARE KNOWN TO THE FILING ORGANIZATION. ELIGIBILITY IS BASED ON THE ORGANIZATIONS' MISSIONS (EDUCATION, HEALTHCARE, OR RELATED COMMUNITY BENEFITS), AND SELECTION IS BASED ON WHETHER THE FILING ORGANIZATION BELIEVES THE NEED FOR THE ASSISTANCE IS RESPONSIVE TO ITS MISSION.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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        <NamePerson>BRENT MARSTELLER</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
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        <NamePerson>DAVID M WARD</NamePerson>
        <Title>SR VP &amp; CFO</Title>
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        <NamePerson>GLEN WASHINGTON</NamePerson>
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        <Title>SR VP &amp; MEDICAL AFFAIRS</Title>
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        <NamePerson>PAUL SMITH</NamePerson>
        <Title>VP GENERAL COUNSEL</Title>
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        <NamePerson>BARRY TOURIGNY</NamePerson>
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        <NamePerson>W MARK TWILLA - THRU 103012</NamePerson>
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        <NamePerson>DAVID GRALEY</NamePerson>
        <Title>VP &amp; COO FOUNDATION</Title>
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        <NamePerson>DENNIS LEE</NamePerson>
        <Title>VP CIO</Title>
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        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>3799</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19612</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>195631</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL VEGA MD</NamePerson>
        <Title>ANESTHESIOLOGIST</Title>
        <BaseCompensationFilingOrg>373415</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>39249</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19919</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>432583</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ALFREDO RIVAS MD</NamePerson>
        <Title>ANESTHESIOLOGIST</Title>
        <BaseCompensationFilingOrg>375989</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>42249</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19919</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>438157</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>AHMET OZTURK MD</NamePerson>
        <Title>ANESTHESIOLOGIST/PAIN MEDICINE</Title>
        <BaseCompensationFilingOrg>493137</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>12404</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18456</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>523997</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DON GROSS MD</NamePerson>
        <Title>ANESTHESIOLOGIST</Title>
        <BaseCompensationFilingOrg>350413</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>44917</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>395330</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HOSNY GABRIEL MD</NamePerson>
        <Title>ANESTHESIOLOGIST</Title>
        <BaseCompensationFilingOrg>351288</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>65749</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19919</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>436956</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>THE ORGANIZATION PAID DUES TO GUYAN COUNTRY CLUB FOR THE MEMBERSHIP OF BRENT MARSTELLER. THIS WAS NOT CONSIDERED TAXABLE INCOME TO HIM.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>A 457(F) PLAN EXISTS FOR EXECUTIVES OF THE ORGANIZATION. A PAYMENT OF $157,500 WAS MADE TO THE CEO DURING THE FISCAL YEAR. NO OTHER PAYMENTS OR ACCRUALS WERE MADE FROM THE PLAN.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 6</ReturnReference>
        <Explanation>A BONUS PLAN EXISTS FOR EXECUTIVES OF THE ORGANIZATION. DETAIL OF PAYMENTS MADE ARE DISCLOSED IN SCHEDULE J, PART II, COLUMN II. BONUSES ARE BASED ON MEETING MULTIPLE GOALS SET FORTH FOR EACH EXECUTIVE. BONUSES ARE ONLY ACCRUED AND PAID WHEN THE ORGANIZATION HAS NET INCOME.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>WV HOSPITAL FINANCE AUTHORITY 2008 SERIES A</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>621256910</IssuerEIN>
        <CUSIPNumber>956622YU2</CUSIPNumber>
        <DateIssued>2008-10-16</DateIssued>
        <IssuePrice>48480000</IssuePrice>
        <DescriptionOfPurpose>REFUND SERIES 2004B BONDS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>WV HOSPITAL FINANCE AUTHORITY 2008 SERIES B</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>621256910</IssuerEIN>
        <CUSIPNumber>956622YU0</CUSIPNumber>
        <DateIssued>2008-10-16</DateIssued>
        <IssuePrice>48475000</IssuePrice>
        <DescriptionOfPurpose>REFUND SERIES 2004C BONDS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>WV HOSPITAL FINANCE AUTHORITY 2009 SERIES A</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>621256910</IssuerEIN>
        <DateIssued>2009-01-27</DateIssued>
        <IssuePrice>14415000</IssuePrice>
        <DescriptionOfPurpose>REFUND TAXABLE DEBT</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>CITY OF HUNTINGTON WEST VIRGINIA SERIES 2008</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>556000187</IssuerEIN>
        <DateIssued>2008-12-30</DateIssued>
        <IssuePrice>9685000</IssuePrice>
        <DescriptionOfPurpose>HOSPITAL IMPROVEMENTS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>2790000</AmountRetired>
        <TotalProceeds>48480000</TotalProceeds>
        <IssuanceCostsFromProceeds>806255</IssuanceCostsFromProceeds>
        <CreditEnhancement>644009</CreditEnhancement>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>B</BondReferenceCd>
        <AmountRetired>2685000</AmountRetired>
        <TotalProceeds>48475000</TotalProceeds>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>C</BondReferenceCd>
        <AmountRetired>1478111</AmountRetired>
        <TotalProceeds>14415000</TotalProceeds>
        <IssuanceCostsFromProceeds>127348</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>14287652</OtherSpentProceeds>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>D</BondReferenceCd>
        <AmountRetired>1077388</AmountRetired>
        <TotalProceeds>9685000</TotalProceeds>
        <IssuanceCostsFromProceeds>87796</IssuanceCostsFromProceeds>
        <CapitalExpenditures>9597204</CapitalExpenditures>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>1</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>CITIBANK</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>25.800000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>1</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>1</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>CITIBANK</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>25.800000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>1</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>1</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>1</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>1</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>1</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>C</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>D</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>SCHEDULE K SUPPLENTAL INFORMATION</Identifier>
        <Explanation>PART II, LINES 7 &amp; 8, COLUMN B: BONDS IN COLUMN A AND COLUMN B WERE ISSUED SIMULTANEOUSLY AND ISSUE COSTS WERE FOR BOTH BOND ISSUES. PART II, LINE 11, COLUMN C, "OTHER SPENT PROCEEDS": PROCEEDS USED TO REFUND TAXABLE DEBT PART II, LINE 11, COLUMN A, "OTHER SPENT PROCEEDS": PROCEEDS USED TO REIMBURSE THE HOSPITAL FOR AMOUNTS PREPAID FOR CAPITAL EXPENDITURES.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="RetDoc1053100002">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>THE COUNTY COMMISSION OF CABELL CNTY SERIES 2009</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>556000305</IssuerEIN>
        <DateIssued>2009-02-12</DateIssued>
        <IssuePrice>6500000</IssuePrice>
        <DescriptionOfPurpose>HOSPITAL IMPROVEMENTS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>686863</AmountRetired>
        <TotalProceeds>6500000</TotalProceeds>
        <IssuanceCostsFromProceeds>62856</IssuanceCostsFromProceeds>
        <CapitalExpenditures>5384787</CapitalExpenditures>
        <OtherSpentProceeds>1052357</OtherSpentProceeds>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>1</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>1</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>PAUL SMITH, OFFICER, AND ROSEMARY SMITH, OFFICER, ARE MARRIED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE ORGANIZATION'S BYLAWS SPECIFICALLY ALLOW OUTSIDE ENTITIES TO APPOINT INDIVIDUALS TO THE BOARD OF DIRECTORS. THE MAYOR OF THE CITY OF HUNTINGTON CAN APPOINT THREE MEMBERS, THE CABELL COUNTY COMMISSION CAN APPOINT THREE MEMBERS, AND THE ORGANIZED LABOR UNION CAN APPOINT TWO MEMBERS. THE CHAIRMAN OF THE BOARD MAY ALSO APPOINT FOUR DIRECTORS WITH MAJORITY APPROVAL OF THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>A DRAFT OF THE FORM 990 IS REVIEWED BY DREW HEFNER, DIRECTOR OF FINANCIAL DECISION SUPPORT; BARBARA GUNN, FINANCIAL MANAGER; MONTE WARD, CFO; PAUL SMITH, GENERAL COUNSEL; AND JIM BAILES, ATTORNEY. THE FINAL COPY OF FORM 990 IS APPROVED BY THESE INDIVIDUALS AND THEN SENT TO THE BOARD MEMBERS FOR THEIR REVIEW.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>IN THE FALL OF EACH YEAR, OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE SENT AN ANNUAL QUESTIONNAIRE ADDRESSING THE CONFLICT OF INTEREST POLICY. EACH COMPLETED QUESTIONNAIRE IS REVIEWED BY THE VICE PRESIDENT OVER THE RESPECTIVE INDIVIDUAL'S DEPARTMENT AND GENERAL COUNSEL TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT DOES EXIST, AN IN-DEPTH ANALYSIS IS PERFORMED TO DETERMINE ANY IMPACT TO THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS OF THE ORGANIZATION HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION POLICY SETTING FORTH THE BOARD PHILOSOPHY WITH RESPECT TO THE COMPENSATION OF ITS OFFICERS. A COMPENSATION COMMITTEE COMPRISED OF BOARD MEMBERS HAS BEEN DELEGATED THE RESPONSIBILITY FOR ESTABLISHING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, AND CHIEF MEDICAL OFFICER OF THE ORGANIZATION. IN KEEPING WITH THE PHILOSOPHY ESTABLISHED BY THE BOARD, THE COMPENSATION COMMITTEE HAS ENGAGED THE OUTSIDE CONSULTING FIRM OF YAFFE &amp; ASSOCIATES, A FIRM WHICH SPECIALIZES IN ANALYZING NON-PROFIT EXECUTIVE COMPENSATION. THE OUTSIDE CONSULTING FIRM PERIODICALLY PROVIDES THE COMMITTEE WITH RELEVANT DATA CONCERNING THE COMPENSATION LEVELS OF EXECUTIVES OF HOSPITALS SIMILAR IN SIZE TO THE ORGANIZATION AND IN COMPARABLE GEOGRAPHIC AREAS. THE COMPENSATION COMMITTEE CONSIDERS THIS DATA TOGETHER WITH THE EXTENT TO WHICH PRE-ESTABLISHED GOALS HAVE BEEN ACCOMPLISHED AND THE FINANCIAL PERFORMANCE OF THE HOSPITAL AND ESTABLISHES THE COMPENSATION LEVEL FOR THE CHIEF EXECUTIVE OFFICER. THIS INFORMATION, AS WELL AS THE RECOMMENDATION OF THE CHIEF EXECUTIVE OFFICER, IS CONSIDERED BY THE COMPENSATION COMMITTEE IN ESTABLISHING THE COMPENSATION OF THE CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, AND CHIEF MEDICAL OFFICER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST THROUGH THE IN-HOUSE GENERAL COUNSEL'S OFFICE. THE FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990, AND THUS CAN ALSO BE FOUND ON GUIDESTAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>MISCELLANEOUS: PROGRAM SERVICE EXPENSES 46,659,688. MANAGEMENT AND GENERAL EXPENSES 5,184,409. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,844,097.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9:</ReturnReference>
        <Explanation>DECREASE IN PENSION LIABILITY 42,651,680. CHANGE IN EFFECTIVE INTEREST RATE SWAP 6,944,213. LIQUIDATION OF INVESTMENT IN CHH-CABELL 90,577.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THIS PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CABELL HUNTINGTON HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 1427</AddressLine1>
          <City>HUNTINGTON</City>
          <State>WV</State>
          <ZIPCode>25716</ZIPCode>
        </AddressUS>
        <EIN>311096222</EIN>
        <PrimaryActivities>PERFORMS FUNDRAISING FOR CABELL HUNTINGTON HOSPITAL, INC.</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CABELL HUNTINGTON HOSPITAL INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CABELL HUNTINGTON HOSPITAL AUXILIARY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1340 HAL GREER BOULEVARD</AddressLine1>
          <City>HUNTINGTON</City>
          <State>WV</State>
          <ZIPCode>25701</ZIPCode>
        </AddressUS>
        <EIN>556014510</EIN>
        <PrimaryActivities>PERFORMS FUNDRAISING FOR CABELL HUNTINGTON HOSPITAL, INC.</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CABELL HUNTINGTON HOSPITAL INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TRI-STATE MRI</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 3108</AddressLine1>
          <City>HUNTINGTON</City>
          <State>WV</State>
          <ZIPCode>25702</ZIPCode>
        </AddressUS>
        <EIN>550669726</EIN>
        <PrimaryActivity>OPERATES A FREE-STANDING MRI CENTER.</PrimaryActivity>
        <LegalDomicileState>WV</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CABELL HUNTINGTON HOSPITAL INC</BusinessNameLine1>
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        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-127699</ShareOfTotalIncome>
        <ShareOfEOYAssets>755535</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
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      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
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        </NameOfRelatedOrg>
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          <AddressLine1>1340 HAL GREER BOULEVARD</AddressLine1>
          <City>HUNTINGTON</City>
          <State>WV</State>
          <ZIPCode>25701</ZIPCode>
        </AddressUS>
        <EIN>432093064</EIN>
        <PrimaryActivity>OPERATES AN OCCUPATIONAL MEDICAL TESTING CENTER AND AN URGENT CARE CENTER.</PrimaryActivity>
        <LegalDomicileState>WV</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CABELL HUNTINGTON HOSPITAL INC</BusinessNameLine1>
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        <ShareOfTotalIncome>10075</ShareOfTotalIncome>
        <ShareOfEOYAssets>1026591</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
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        <PercentageOwnership>0.68460</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HUNTINGTON SURGERY CENTER LP</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>1201 HAL GREER BOULEVARD</AddressLine1>
          <City>HUNTINGTON</City>
          <State>WV</State>
          <ZIPCode>25701</ZIPCode>
        </AddressUS>
        <EIN>550647724</EIN>
        <PrimaryActivity>OPERATES AN AMBULATORY SURGERY CENTER - OUTPATIENT</PrimaryActivity>
        <LegalDomicileState>WV</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CABELL HUNTINGTON HOSPITAL INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-6020</ShareOfTotalIncome>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HUNTINGTON SURGERY PROPERTIES LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1201 HAL GREER BOULEVARD</AddressLine1>
          <City>HUNTINGTON</City>
          <State>WV</State>
          <ZIPCode>25701</ZIPCode>
        </AddressUS>
        <EIN>550647723</EIN>
        <PrimaryActivity>HOLDS PROPERTY FOR CABELL HUNTINGTON SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>WV</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHH-CABELL DEVELOPMENT COPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>81289</ShareOfTotalIncome>
        <ShareOfEOYAssets>546219</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.41000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CHH-CABELL DEVELOPMENT CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1201 HAL GREER BOULEVARD</AddressLine1>
          <City>HUNTINGTON</City>
          <State>WV</State>
          <ZIPCode>25701</ZIPCode>
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        <PrimaryActivity>OPERATES HUNTINGTON SURGERY PROPERTIES, LP</PrimaryActivity>
        <LegalDomicileState>WV</LegalDomicileState>
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          <BusinessNameLine1>CABELL HUNTINGTON HOSPITAL INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
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        <PercentageOwnership>0.51000</PercentageOwnership>
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      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNTAIN REGIONAL SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 636</AddressLine1>
          <City>HUNTINGTON</City>
          <State>WV</State>
          <ZIPCode>25711</ZIPCode>
        </AddressUS>
        <EIN>550655843</EIN>
        <PrimaryActivity>RECORD OWNER OF REAL ESTATE NEAR CABELL HUNTINGTON HOSPITAL, INC.</PrimaryActivity>
        <LegalDomicileState>WV</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CABELL HUNTINGTON HOSPITAL INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>344540</ShareOfTotalIncome>
        <ShareOfEOYAssets>490134</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNTAIN HEALTH NETWORK INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 636</AddressLine1>
          <City>HUNTINGTON</City>
          <State>WV</State>
          <ZIPCode>25711</ZIPCode>
        </AddressUS>
        <EIN>550675666</EIN>
        <PrimaryActivity>OWNS REAL ESTATE NEAR CABELL HUNTINGTON HOSPITAL, INC.</PrimaryActivity>
        <LegalDomicileState>WV</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CABELL HUNTINGTON HOSPITAL INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
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          <BusinessNameLine1>CHH-CABELL INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1201 HAL GREER BOULEVARD</AddressLine1>
          <City>HUNTINGTON</City>
          <State>WV</State>
          <ZIPCode>25701</ZIPCode>
        </AddressUS>
        <EIN>621223702</EIN>
        <PrimaryActivity>OPERATES HUNTINGTON SURGERY CENTER, LP</PrimaryActivity>
        <LegalDomicileState>WV</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CABELL HUNTINGTON HOSPITAL INC</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfTotalIncome>488799</ShareOfTotalIncome>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
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      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>1</PurchaseOfAssetsFromOtherOrg>
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      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CABELL HUNTINGTON HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>1505672</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>HUNTINGTON SURGERY CENTER LP</BusinessNameLine1>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>OCCUMED LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>1316942</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OCCUMED LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>169556</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>