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        <EOY>374805989</EOY>
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        <EOY>89208143</EOY>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>464014132</EOY>
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      <ReconcilationOtherChanges>-28036946</ReconcilationOtherChanges>
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        </ContributorNameBusiness>
        <ContributorAddressUS>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
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      <OtherActivities>1</OtherActivities>
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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 $5,115 AND $4,491 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>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>6415591</OtherCostOrOtherBasis>
        <BookValue>6415591</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>189742558</OtherCostOrOtherBasis>
        <Depreciation>29942118</Depreciation>
        <BookValue>159800440</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>173822220</OtherCostOrOtherBasis>
        <Depreciation>172722742</Depreciation>
        <BookValue>1099478</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>12795762</OtherCostOrOtherBasis>
        <Depreciation>1160393</Depreciation>
        <BookValue>11635369</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>178950878</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>UNAMORTIZED BOND ISSUE COSTS</Description>
        <BookValue>1458015</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ESTIMATED SETTLEMENT FROM THIRD PARTY-PAYORS</Description>
        <BookValue>15604302</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER RECEIVABLES</Description>
        <BookValue>8350500</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>25412817</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>ACCRUED PROFESSIONAL LIABILITY</Description>
        <Amount>13923000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED POST RETIREMENT BENEFITS COST</Description>
        <Amount>151231355</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED GAIN</Description>
        <Amount>4925069</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>3130009</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ESTIMATED THIRD PARTY SETTLEMENTS</Description>
        <Amount>5842606</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>179052039</TotalOfAmounts>
      <TotalRevenue>438151062</TotalRevenue>
      <TotalExpenses>412490372</TotalExpenses>
      <ExcessOrDeficitForYear>25660690</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>8919058</NetUnrealizedGLOnInvestments>
      <OtherAmount>-36956004</OtherAmount>
      <TotalAdjustments>-28036946</TotalAdjustments>
      <ExcessOrDeficitPerFS>-2376256</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>370595140</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>8919058</NetUnrealizedGainsInvestments>
      <OtherRevenues>-76638830</OtherRevenues>
      <RevenueNotRptdF990>-67719772</RevenueNotRptdF990>
      <RevenueSubtotal>438314912</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-163850</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-163850</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>438151062</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>372042937</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>2404220</OtherExpensesIncluded>
      <ExpensesNotRptdF990>2404220</ExpensesNotRptdF990>
      <ExpensesSubtotal>369638717</ExpensesSubtotal>
      <OtherExpensesNotIncluded>42851655</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>42851655</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>412490372</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>INCREASE IN PENSION LIABILITY -34,715,635. CHANGE IN EFFECTIVE INTEREST RATE SWAP -2,240,369. TOTAL TO SCHEDULE D, PART XI, LINE 8: -36,956,004.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>INCREASE IN PENSION LIABILITY INCLUDED IN REVENUE ON AFS -34,715,635. INVESTMENT MANAGEMENT FEES NETTED WITH REVENUE ON AFS -389,987. ASSETS RELEASED FROM RESTRICTION FOR CANCER CENTER 928,460. BAD DEBTS NETTED WITH REVENUE ON AFS -42,471,223. RENTAL INCOME RECLASSED TO RENTAL EXPENSES ON FORM 990 9,555.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL EXPENSES NETTED WITH REVENUE ON FORM 990 -163,850.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CHANGE IN EFFECTIVE INTEREST RATE SWAP INCLUDED IN EXPENSES ON AFS 2,240,370. RENTAL EXPENSES NETTED WITH REVENUE ON FORM 990 163,850.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>INVESTMENT MANAGEMENT FEES NETTED WITH REVENUE ON AFS 389,987. BAD DEBTS NETTED WITH REVENUE ON AFS 42,471,223. RENTAL INCOME RECLASSED TO RENTAL EXPENSES ON FORM 990 -9,555.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Explanation>PART X, LINE 2 - ASC 740 FOOTNOTE: THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED ACCOUNTING GUIDANCE THAT PRESCRIBES A MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. IT ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICIATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. FUTURE INTEREST AND PENALTIES ATTRIBUTABLE TO INCOME TAXES, IF ANY, WILL BE RECOGNIZED AS A COMPONENT OF THE INCOME TAX PROVISION OR BENEFIT. THE ORGANIZATION RECORDS ANY ACCRUALS FOR UNCERTAIN TAX POSITIONS UNDER ASC 740, INCOME TAXES. THE ORGANIZATION HAD NO ACCRUALS FOR UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2012 AND 2011.</Explanation>
      </Form990ScheduleDPartXIV>
    </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>0</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>0</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>20423604</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>20423604</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04950</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>98113975</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>77423167</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>20690808</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05020</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>118537579</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>77423167</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>41114412</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09970</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>212999</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>212999</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>14155264</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2792225</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>11363039</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02750</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>26492651</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>25652061</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>840590</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00200</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>419047</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>100714</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>318333</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </Research>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>41279961</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>28545000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12734961</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03080</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>159817540</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>105968167</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>53849373</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.13050</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <TotalCommunityBuildingExpense>25000</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>25000</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </EconomicDevelopment>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>168115</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>168115</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <Total>
        <TotalCommunityBuildingExpense>193115</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>193115</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>15829009</BadDebtExpenseAmount>
      <AmountAttributableTo>658487</AmountAttributableTo>
      <AmountReimbursedByMedicare>80299114</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>100775607</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-20476493</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </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>2 HUNTINGTON SURGERY CENTER LP</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>AMBULATORY SURGERY CENTER</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.63110</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.36890</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>0</CHNAConducted>
        <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>0</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <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 II: THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED IN PART II, PROMOTE THE HEALTH OF THE COMMUNITY OR COMMUNITIES THE ORGANIZATION SERVES. DURING FY 2012, THE HOSPITAL COMMUNITY BUILDING ACTIVITIES REACHED OUT TO OVER 42,000 INDIVIDUALS WITHIN THE COMMUNITIES SERVED. THE HOSPITAL WELCOMES INPUT FROM THE COMMUNITIES AS TO WHICH EVENTS IT SHOULD PURSUE. FUTURE EVENTS ARE DETERMINED BASED UPON THE COMMUNITY NEEDS ASSESSMENT AND OTHER FACTORS. MANY OF THE ACTIVITIES PERFORMED MEET THE CRITERIA FOR COMMUNITY HEALTH IMPROVEMENT SERVICES: A REQUEST FROM A PUBLIC AGENCY OR COMMUNITY GROUP WAS THE BASIS FOR INITIATING OR CONTINUING THE ACTIVITY OR PROGRAM; ACTIVITIES OR PROGRAMS THAT SEEK TO ACHIEVE OBJECTIVES, INCLUDING: IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND RELIEF OF GOVERNMENT BURDEN; AVAILABLE TO THE PUBLIC AND SERVE LOW-INCOME CONSUMERS; ADDRESS FEDERAL, STATE OR LOCAL PUBLIC HEALTH PRIORITIES; LEVERAGE OR ENHANCE PUBLIC HEALTH DEPARTMENT ACTIVITIES; AND OTHERWISE WOULD BECOME THE RESPONSIBILITY OF GOVERNMENT OR ANOTHER TAX-EXEMPT ORGANIZATION. SOME OF THE HIGHLIGHTS INCLUDE: A SIGNIFICANT EFFORT TO PROMOTE HEALTHY LIFESTYLES IN THE TRI-STATE REGION BY PARTNERING WITH EBENEZER OUTREACH CENTER TO CONTINUE TO PROMOTE HEALTHY EATING CHOICES. THIS PROJECT CONTINUES WITH HUNTINGTON'S KITCHEN AND ALLOWS RESIDENTS OF OUR AREA TO TAKE HEALTHY COOKING CLASSES TO HELP ELIMINATE SOME OF THE LOCAL HEALTH PROBLEMS. ALONG THE SAME LINES, WE CONTINUE TO PARTNER WITH THE HUNTINGTON MALL TO OPEN A HEALTHY KIDS PLAY PLACE THAT ALLOWS CHILDREN TO HAVE A SAFE AND HEALTHY PLACE TO EXERCISE AND BE REMINDED OF HEALTHY LIFESTYLES.</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 WE BELIEVE 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 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 PROVIDE 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 19D: 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 ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING ITS OWN NEEDS ASSESSMENTS AND CONSULTING WITH COMMUNITY HEALTHCARE PROVIDERS, SUCH AS THE MARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE, AND COMMUNITY AGENCIES. A NEEDS ASSESSMENT WAS PERFORMED DURING FY 2009 AS PART OF THE HOSPITAL'S STRATEGIC PLANNING PROCESS IN ORDER TO IDENTIFY SERVICES NEEDED BY THE COMMUNITY. IN ADDITION, THE HOSPITAL HAS PROVIDED SUPPORT TO COMMUNITY AGENCIES WITH PROGRAMS SUCH AS COMMUNITY PHARMACIES IN ORDER TO MEET COMMUNITY NEEDS THAT THE HOSPITAL IS NOT DIRECTLY ABLE TO MEET. THE SENIOR LEADERSHIP AND/OR BOARD MEMBERS OF THE HOSPITAL PLAY AN ACTIVE ROLE IN THE NEEDS ASSESSMENT AND HAVE REVIEWED THE FINDINGS OF HEALTHCARE NEEDS ASSESSMENTS AND FACTORED THOSE FINDINGS INTO STRATEGY AND POLICY DEVELOPMENT. A COMMUNITY HEALTH NEEDS ASSESSMENT WILL BE PERFORMED IN 2013 IN CONJUNCTION WITH LOCAL HEALTH DEPARTMENTS AND OTHER PARTICIPATING PROVIDERS.</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 PROVIDE 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, WEST VIRGINIA. CABELL COUNTY IS LOCATED IN THE WESTERN PORTION OF THE STATE OF WEST VIRGINIA AND IS BORDERED ON THE NORTHWEST BY OHIO AND ON THE SOUTHWEST BY KENTUCKY (A 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 IS A REGIONAL REFERRAL CENTER SERVING A POPULATION OF APPROXIMATELY 1,000,000 IN ITS PRIMARY AND SECONDARY SERVICE AREAS. THAT POPULATION IS EXPECTED TO DECLINE BY APPROXIMATELY 6,000 OVER THE NEXT FOUR YEARS, WHILE THE PORTION OF THAT POPULATION THAT IS OVER AGE 65 WILL INCREASE BY ABOUT 17,000. THE HOSPITAL DRAWS PATIENTS FROM MORE THAN 27 COUNTIES IN WEST VIRGINIA, EASTERN KENTUCKY AND SOUTHERN OHIO. THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF CABELL, WAYNE AND LINCOLN COUNTIES IN WEST VIRGINIA AND LAWRENCE COUNTY, OHIO, ALL OF WHICH CONTAIN 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 220,000 AND APPROXIMATELY 65% OF THE TOTAL DISCHARGES IN 2009 ORIGINATE FROM ITS PRIMARY SERVICE AREA. THE HOSPITAL'S SECONDARY SERVICE AREA, WHICH INCLUDES COUNTIES IN WEST VIRGINIA, EASTERN KENTUCKY AND SOUTHERN OHIO, ACCOUNTS FOR AN ADDITIONAL 27% OF DISCHARGES IN 2009, WITH THE REMAINING 8% COMING FROM OUTSIDE THE SERVICE AREAS.THE AVERAGE MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA IS APPROXIMATELY $35,000, WHILE APPROXIMATELY 21% OF THE POPULATION IN THE PRIMARY SERVICE AREA IS CLASSIFIED AS BEING IN POVERTY BY THE US CENSUS BUREAU.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 WEST VIRGINIA 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 AND 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.</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>66721</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>12547386</AmountOfCashGrant>
        <PurposeOfGrant>MEDICAL SCHOOL</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>3</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <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 PRESIDENT/CEO. 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 DEVELOPMENT 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. THE HOSPITAL HAS VARIOUS STAFF MEMBERS WHO SERVE ON THE BOARD OF DIRECTORS OF THE ORGANIZATIONS RECEIVING THE FUNDS. THEY REVIEW THE FINANCIAL INFORMATION PRESENTED AT REGULAR MEETINGS AND REPORT BACK TO THE HOSPITAL 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>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
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      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>BRENT MARSTELLER</NamePerson>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID M WARD</NamePerson>
        <BaseCompensationFilingOrg>296312</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <OtherCompensationFilingOrg>780</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>129100</DeferredCompFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>GLEN WASHINGTON</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HOYT BURDICK</NamePerson>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>436535</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAUL SMITH</NamePerson>
        <BaseCompensationFilingOrg>228105</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>97534</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11321</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>336960</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROSEMARY SMITH</NamePerson>
        <BaseCompensationFilingOrg>224607</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>343187</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BARRY TOURIGNY</NamePerson>
        <BaseCompensationFilingOrg>240870</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID GRALEY</NamePerson>
        <BaseCompensationFilingOrg>235591</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>31932</DeferredCompFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>287423</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL VEGA MD</NamePerson>
        <BaseCompensationFilingOrg>384921</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>24098</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ALFREDO RIVAS MD</NamePerson>
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        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>38098</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID DENNING II MD</NamePerson>
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        <BonusFilingOrg>0</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4681</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICKEY J NEAL MD</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>HOSNY GABRIEL MD</NamePerson>
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        <BonusFilingOrg>0</BonusFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>W MARK TWILLA</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <NontaxableBenefitsFilingOrg>20044</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <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. NO ACCRUALS OR PAYMENTS WERE MADE TO/FROM THE PLAN IN THE FILING YEAR.</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>
        <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>
        <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>
        <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>
        <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>
        <AmountRetired>1345000</AmountRetired>
        <TotalProceeds>48480000</TotalProceeds>
        <IssuanceCostsFromProceeds>806255</IssuanceCostsFromProceeds>
        <CreditEnhancement>644009</CreditEnhancement>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>1345000</AmountRetired>
        <TotalProceeds>48475000</TotalProceeds>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>982377</AmountRetired>
        <TotalProceeds>14415000</TotalProceeds>
        <IssuanceCostsFromProceeds>127348</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>14287652</OtherSpentProceeds>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>713768</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>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <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>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <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>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
      <Form990ScheduleKPartVI>
        <Identifier>SCHEDULE K SUPPLENTAL INFORMATION</Identifier>
        <Explanation>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 HOSPITAL FOR MONEY PREVIOUSLY SPENT ON CAPITAL PROJECTS</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="RetDoc1053100002">
      <Form990ScheduleKPartI>
        <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>
        <AmountRetired>452286</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>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>PETER CHIRICO</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER OF THE ORGANIZATION</Relationship>
        <AmountOfTransaction>685583</AmountOfTransaction>
        <DescriptionOfTransaction>PETER CHIRICO IS AN OWNER OF RADIOLOGY, INC. WHICH PROVIDES PROFESSIONAL SERVICES TO THE ORGANIZATION.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <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 4</ReturnReference>
        <Explanation>THE BYLAWS OF THE ORGANIZATION WERE AMENDED DURING THE FISCAL YEAR TO ALLOW ONE ADDITIONAL BOARD MEMBER AND TO DESCRIBE THE MANNER IN WHICH THEY ARE SELECTED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE AMENDMENT MADE TO THE BYLAWS IN JANUARY 2012 ALLOWS THE CHAIRMAN OF THE BOARD TO SELECT FOUR DIRECTORS WITH MAJORITY APPROVAL OF THE BOARD. THREE DIRECTORS ARE TO BE APPOINTED BY THE MAYOR OF THE CITY OF HUNTINGTON, THREE DIRECTORS ARE TO BE APPOINTED BY THE CABELL COUNTY COMMISSION, AND TWO DIRECTORS ARE TO BE APPOINTED BY THE SOUTHWESTERN DISTRICT UNION.</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 REVIEWED BY BRENT MARSTELLAR, CEO 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 8,919,058. INCREASE IN PENSION LIABILITY -34,715,635. CHANGE IN EFFECTIVE INTEREST RATE SWAP -2,240,369. TOTAL TO FORM 990, PART XI, LINE 5: -28,036,946.</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>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</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>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</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>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>OCCUMED LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <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>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HUNTINGTON SURGERY CENTER LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <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 SURGERIES.</PrimaryActivity>
        <LegalDomicileState>WV</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <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>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>0.51000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <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>
        </AddressUS>
        <EIN>621184183</EIN>
        <PrimaryActivity>OPERATES HUNTINGTON SURGERY PROPERTIES, LP</PrimaryActivity>
        <LegalDomicileState>WV</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>0.51000</PercentageOwnership>
      </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>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </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>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <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>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CABELL HUNTINGTON HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>946920</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HUNTINGTON SURGERY CENTER LP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>215500</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HUNTINGTON SURGERY CENTER LP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>220044</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OCCUMED LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>166645</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OCCUMED LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>752697</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OCCUMED LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>1249931</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>