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      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>From K-1</Description>
        <BusinessCode>211110</BusinessCode>
        <TotalRevenueColumn>276</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>276</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <TotalOtherRevenue>47600</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>4458945</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2590602</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>10716</UnrelatedBusinessRevenue>
        <ExclusionAmount>14487</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>2000</Total>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>940573</Total>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>1463519</Total>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>142859</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>176484</Total>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>140085</Total>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>5121</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>42000</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>95514</Total>
      </FeesForServicesLobbying>
      <FeesForServicesOther>
        <Total>439736</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>16453</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>1337124</Total>
      </OfficeExpenses>
      <Occupancy>
        <Total>75750</Total>
      </Occupancy>
      <Travel>
        <Total>69758</Total>
      </Travel>
      <ConferencesMeetings>
        <Total>38837</Total>
      </ConferencesMeetings>
      <DepreciationDepletion>
        <Total>41716</Total>
      </DepreciationDepletion>
      <Insurance>
        <Total>43738</Total>
      </Insurance>
      <OtherExpenses>
        <Description>Business Franchise Tax</Description>
        <Total>13902</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Memberships</Description>
        <Total>13209</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Special projects</Description>
        <Total>10000</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Other expenses allocate</Description>
        <Total>-388743</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Payroll expenses alloca</Description>
        <Total>-518372</Total>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>29453</Total>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>4230716</Total>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>120</BOY>
        <EOY>120</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>108118</BOY>
        <EOY>779189</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>150514</BOY>
        <EOY>215455</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>60292</BOY>
        <EOY>49953</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>56327</BOY>
        <EOY>36478</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>494056</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>408186</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>97830</BOY>
        <EOY>85870</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>741879</BOY>
        <EOY>1027342</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>3571161</BOY>
        <EOY>3748227</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>1724491</BOY>
        <EOY>1345970</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>6510732</BOY>
        <EOY>7288604</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>440459</BOY>
        <EOY>587449</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>256893</BOY>
        <EOY>272853</EOY>
      </DeferredRevenue>
      <OtherLiabilities>
        <BOY>1147401</BOY>
        <EOY>1127006</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1844753</BOY>
        <EOY>1987308</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>4665979</BOY>
        <EOY>5301296</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>4665979</BOY>
        <EOY>5301296</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>6510732</BOY>
        <EOY>7288604</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>228229</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>407088</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">
      <ContributorInfo>
        <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>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <SubstantiallyAllDuesNondeduct>0</SubstantiallyAllDuesNondeduct>
      <OnlyInHouseLobbying>0</OnlyInHouseLobbying>
      <AgreeToCarryoverPriorYear>0</AgreeToCarryoverPriorYear>
      <DuesAssessments>2474016</DuesAssessments>
      <NonDedLobbyPoliticalCurrent>289914</NonDedLobbyPoliticalCurrent>
      <NonDedLobbyPoliticalTotal>289914</NonDedLobbyPoliticalTotal>
      <AggrAmtReportedInDuesNotices>355021</AggrAmtReportedInDuesNotices>
      <TaxableAmount>-65107</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">
      <Equipment>
        <OtherCostOrOtherBasis>382771</OtherCostOrOtherBasis>
        <Depreciation>331893</Depreciation>
        <BookValue>50878</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>111285</OtherCostOrOtherBasis>
        <Depreciation>76293</Depreciation>
        <BookValue>34992</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>85870</TotalOfBookValueLandBuildings>
      <CloselyHeldEquityInterests>
        <BookValue>2656200</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </CloselyHeldEquityInterests>
      <OtherSecurities>
        <Description>Deferred Compensation Plan-Life insurance annuity contracts</Description>
        <BookValue>1092027</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>3748227</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>Due from related parties</Description>
        <BookValue>1345170</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Employee advances</Description>
        <BookValue>800</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>1345970</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Deferred compensation plan liability</Description>
        <Amount>1092027</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to related parties</Description>
        <Amount>34979</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1127006</TotalOfAmounts>
      <TotalRevenue>4458945</TotalRevenue>
      <TotalExpenses>4230716</TotalExpenses>
      <ExcessOrDeficitForYear>228229</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>182065</NetUnrealizedGLOnInvestments>
      <OtherAmount>225023</OtherAmount>
      <TotalAdjustments>407088</TotalAdjustments>
      <ExcessOrDeficitPerFS>635317</ExcessOrDeficitPerFS>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>Equity in undistributed net income of subsidiary 225,023.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <Form990ScheduleJPartII>
        <NamePerson>Joseph Letnaunchyn</NamePerson>
        <BaseCompensationFilingOrg>376775</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>107962</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>136715</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>30232</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>651684</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>106529</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Richard Miller</NamePerson>
        <BaseCompensationFilingOrg>191301</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>35446</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>53814</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6896</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>287457</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>32262</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Antonios J Gregory</NamePerson>
        <BaseCompensationFilingOrg>165613</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>22356</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6520</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>194489</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jill A McDaniel</NamePerson>
        <BaseCompensationFilingOrg>151957</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20011</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>1518</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>173486</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>James Kranz</NamePerson>
        <BaseCompensationFilingOrg>154802</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20232</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6401</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>181435</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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4b</ReturnReference>
        <Explanation>Joseph M. Letnaunchyn $97,120 Richard L. Miller $22,500</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>The organization is a not-for-profit trade association whose members are providers of hospital services.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <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: 182,065. Equity in undistributed net income of subsidiary 225,023. Total to Form 990, Part XI, Line 5: 407,088.</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>237497</ShareOfTotalIncome>
        <ShareOfEOYAssets>2942220</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>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>