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        <ExclusionAmount>82143</ExclusionAmount>
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      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <GrantsToDomesticOrgs>
        <Total>5238</Total>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>1016525</Total>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>1414676</Total>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>178863</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>201997</Total>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>108013</Total>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>31956</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>43682</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>83885</Total>
      </FeesForServicesLobbying>
      <FeesForServicesOther>
        <Total>375527</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>32304</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>105892</Total>
      </OfficeExpenses>
      <Occupancy>
        <Total>75751</Total>
      </Occupancy>
      <Travel>
        <Total>64081</Total>
      </Travel>
      <ConferencesMeetings>
        <Total>30737</Total>
      </ConferencesMeetings>
      <DepreciationDepletion>
        <Total>36436</Total>
      </DepreciationDepletion>
      <Insurance>
        <Total>33468</Total>
      </Insurance>
      <OtherExpenses>
        <Description>Other expenses</Description>
        <Total>24777</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Bad debts</Description>
        <Total>12500</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Special projects</Description>
        <Total>11000</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Memberships</Description>
        <Total>8710</Total>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>-989520</Total>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>2906498</Total>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>120</BOY>
        <EOY>120</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
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        <EOY>1014006</EOY>
      </SavingsAndTempCashInvestments>
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        <EOY>0</EOY>
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        <EOY>550</EOY>
      </OtherNotesLoansReceivableNet>
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        <EOY>31183</EOY>
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      <LandBuildingsEquipmentBasisNet>
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        <EOY>68755</EOY>
      </LandBuildingsEquipmentBasisNet>
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        <EOY>2292363</EOY>
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      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>1345170</BOY>
        <EOY>1823672</EOY>
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      <TotalAssets>
        <BOY>7288604</BOY>
        <EOY>8054910</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>587449</BOY>
        <EOY>847957</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>272853</BOY>
        <EOY>431815</EOY>
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        <BOY>1127006</BOY>
        <EOY>1188366</EOY>
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      <TotalLiabilities>
        <BOY>1987308</BOY>
        <EOY>2468138</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>5301296</BOY>
        <EOY>5586772</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>5301296</BOY>
        <EOY>5586772</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>7288604</BOY>
        <EOY>8054910</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>131433</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>154043</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>0</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
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      <AggrAmtReportedInDuesNotices>370150</AggrAmtReportedInDuesNotices>
      <TaxableAmount>-87867</TaxableAmount>
      <Form990ScheduleCPartIV>
        <Identifier>Organizations Direct and Indirect Political Campaign Activities:</Identifier>
        <ReturnReference>Part I-A, Line 1:</ReturnReference>
        <Explanation>The organization did not engage in any direct or indirect political campaign activities.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasis>513377</OtherCostOrOtherBasis>
        <Depreciation>444622</Depreciation>
        <BookValue>68755</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>68755</TotalOfBookValueLandBuildings>
      <CloselyHeldEquityInterests>
        <BookValue>2804705</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </CloselyHeldEquityInterests>
      <TotalOfBookValueSecurities>2804705</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>Due from related parties</Description>
        <BookValue>1823672</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>1823672</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Deferred compensation plan liability</Description>
        <Amount>1188366</Amount>
      </OtherLiabilities>
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    </IRS990ScheduleD>
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      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
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      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <Form990ScheduleJPartII>
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        <NontaxableBenefitsFilingOrg>19352</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>704564</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>83265</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
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        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <NontaxableBenefitsFilingOrg>18134</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>311960</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>21057</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Antonios Gregory</NamePerson>
        <BaseCompensationFilingOrg>173645</BaseCompensationFilingOrg>
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        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>24587</DeferredCompFilingOrg>
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        <TotalCompensationFilingOrg>207761</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>James Kranz</NamePerson>
        <BaseCompensationFilingOrg>153212</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20993</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9396</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>183601</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jill McDaniel</NamePerson>
        <BaseCompensationFilingOrg>158674</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>21843</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>2033</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>182550</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Carol Haugen</NamePerson>
        <BaseCompensationFilingOrg>135243</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>18692</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15760</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>169695</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>Included as part of written employment contract for Organization's President. This was available for 2011, but not used.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4b</ReturnReference>
        <Explanation>Payment to Section 457(f) plan for Joseph M. Letnaunchyn $108,200 Payment to Section 457(f) plan for Richard L. Miller $ 23,650</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>The organization is a not-for-profit trade association whose members are providers of hospital services.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>The Vice-president and the Controller review the Form 990 prior to filing with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12</ReturnReference>
        <Explanation>The West Virginia Hospital Association has an indemnification policy in the bylaws but no process to monitor the conflict of interest policy.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15a</ReturnReference>
        <Explanation>The CEO's compensation is determined by the Compensation Committee of the Board of Trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The West Virginia Hospital Assocation puts the financial statements on a website dedicated to these types of forms.</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: 5,538. Equity in undistributed net income of subsidiary 148,505. Total to Form 990, Part XI, Line 5: 154,043.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Healthcare Education Foundation of West Virginia</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 Association Drive</AddressLine1>
          <City>Charleston</City>
          <State>WV</State>
          <ZIPCode>25311</ZIPCode>
        </AddressUS>
        <EIN>556028466</EIN>
        <PrimaryActivities>Providing educational seminars/opportunities to support quality patient care</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>West Virginia Health Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 Association Dr</AddressLine1>
          <City>Charleston</City>
          <State>WV</State>
          <ZIPCode>25311</ZIPCode>
        </AddressUS>
        <EIN>550657641</EIN>
        <PrimaryActivity>Insurance Services</PrimaryActivity>
        <LegalDomicileState>WV</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>168901</ShareOfTotalIncome>
        <ShareOfEOYAssets>3011708</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>West Virginia Health Services Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>109747</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>