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      <ProgramServiceRevenue>
        <Description>AMBULANCE FEES</Description>
        <BusinessCode>621910</BusinessCode>
        <TotalRevenueColumn>254653</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>254653</RelatedOrExemptFunctionIncome>
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      <ProgramServiceRevenue>
        <Description>COMMUNITY SERVICE</Description>
        <BusinessCode>624200</BusinessCode>
        <TotalRevenueColumn>54322</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>54322</RelatedOrExemptFunctionIncome>
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      <TotalProgramServiceRevenue>165218470</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>4487985</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>13488</UnrelatedBusinessRevenue>
        <ExclusionAmount>4474497</ExclusionAmount>
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      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>47631</TotalRevenueColumn>
        <ExclusionAmount>47631</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
      <GrossRents>
        <Real>688792</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>396028</Real>
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      <RentalIncomeOrLoss>
        <Real>292764</Real>
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      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>292764</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>34796</UnrelatedBusinessRevenue>
        <ExclusionAmount>257968</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>945944</Securities>
        <Other>16354</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>1137694</Securities>
        <Other>4352</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>-191750</Securities>
        <Other>12002</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-179748</TotalRevenueColumn>
        <ExclusionAmount>-179748</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>CAFETERIA</Description>
        <BusinessCode>624200</BusinessCode>
        <TotalRevenueColumn>827581</TotalRevenueColumn>
        <ExclusionAmount>827581</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>FAMILY FITNESS CENTER</Description>
        <BusinessCode>713940</BusinessCode>
        <TotalRevenueColumn>636593</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>636593</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>VENDING MACHINE SALES</Description>
        <BusinessCode>624200</BusinessCode>
        <TotalRevenueColumn>19359</TotalRevenueColumn>
        <ExclusionAmount>19359</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>51817</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>51817</RelatedOrExemptFunctionIncome>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>1535350</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>171692967</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>162566588</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>3388576</UnrelatedBusinessRevenue>
        <ExclusionAmount>5447288</ExclusionAmount>
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      <GrantsToDomesticOrgs>
        <Total>29600</Total>
        <ProgramServices>29600</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>2157395</Total>
        <ProgramServices>800922</ProgramServices>
        <ManagementAndGeneral>1356473</ManagementAndGeneral>
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      <OtherSalariesAndWages>
        <Total>51113929</Total>
        <ProgramServices>35779750</ProgramServices>
        <ManagementAndGeneral>15334179</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>2953736</Total>
        <ProgramServices>2067615</ProgramServices>
        <ManagementAndGeneral>886121</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
        <Total>9138083</Total>
        <ProgramServices>6396658</ProgramServices>
        <ManagementAndGeneral>2741425</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>4846226</Total>
        <ProgramServices>3392358</ProgramServices>
        <ManagementAndGeneral>1453868</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>713381</Total>
        <ProgramServices>499367</ProgramServices>
        <ManagementAndGeneral>214014</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>103881</Total>
        <ProgramServices>72717</ProgramServices>
        <ManagementAndGeneral>31164</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>277399</Total>
        <ProgramServices>194179</ProgramServices>
        <ManagementAndGeneral>83220</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>10528173</Total>
        <ProgramServices>7369721</ProgramServices>
        <ManagementAndGeneral>3158452</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>629156</Total>
        <ProgramServices>440409</ProgramServices>
        <ManagementAndGeneral>188747</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>28538242</Total>
        <ProgramServices>19976769</ProgramServices>
        <ManagementAndGeneral>8561473</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>2638576</Total>
        <ProgramServices>1847003</ProgramServices>
        <ManagementAndGeneral>791573</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>2389992</Total>
        <ProgramServices>1672994</ProgramServices>
        <ManagementAndGeneral>716998</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>548</Total>
        <ProgramServices>384</ProgramServices>
        <ManagementAndGeneral>164</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>31197</Total>
        <ProgramServices>21838</ProgramServices>
        <ManagementAndGeneral>9359</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>5813606</Total>
        <ProgramServices>4069524</ProgramServices>
        <ManagementAndGeneral>1744082</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>12584607</Total>
        <ProgramServices>8809225</ProgramServices>
        <ManagementAndGeneral>3775382</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>8817939</Total>
        <ProgramServices>6172557</ProgramServices>
        <ManagementAndGeneral>2645382</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>PROVISION FOR BAD DEBTS</Description>
        <Total>14084474</Total>
        <ProgramServices>14084474</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PATIENT CHARGES</Description>
        <Total>11699362</Total>
        <ProgramServices>11699362</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DIAGNOSTIC TESTING</Description>
        <Total>3584577</Total>
        <ProgramServices>3584577</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>3808033</Total>
        <ProgramServices>2665435</ProgramServices>
        <ManagementAndGeneral>1142598</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>176482112</Total>
        <ProgramServices>131647438</ProgramServices>
        <ManagementAndGeneral>44834674</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>38806</BOY>
        <EOY>76829</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>5675486</BOY>
        <EOY>9843323</EOY>
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      <AccountsReceivable>
        <BOY>21529705</BOY>
        <EOY>17017894</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <BOY>69000</BOY>
        <EOY>17972</EOY>
      </ReceivablesFromOfficersEtc>
      <OtherNotesLoansReceivableNet>
        <BOY>1804076</BOY>
        <EOY>1393564</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>3790155</BOY>
        <EOY>3607758</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>1311343</BOY>
        <EOY>2059143</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>263330149</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>138000618</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>131137329</BOY>
        <EOY>125329531</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>92461488</BOY>
        <EOY>96153755</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>687986</BOY>
        <EOY>258743</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>5422702</BOY>
        <EOY>4874388</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>263928076</BOY>
        <EOY>260632900</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>14619951</BOY>
        <EOY>10599648</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>61212</BOY>
        <EOY>62476</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>112447871</BOY>
        <EOY>110720610</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>614389</BOY>
        <EOY>3886981</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>32907739</BOY>
        <EOY>45262064</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>160651162</BOY>
        <EOY>170531779</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>103276914</BOY>
        <EOY>90101121</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>103276914</BOY>
        <EOY>90101121</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>263928076</BOY>
        <EOY>260632900</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>2315975</OtherCostOrOtherBasis>
        <BookValue>2315975</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>92303718</OtherCostOrOtherBasis>
        <Depreciation>48011535</Depreciation>
        <BookValue>44292183</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>161713793</OtherCostOrOtherBasis>
        <Depreciation>87800872</Depreciation>
        <BookValue>73912921</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>6996663</OtherCostOrOtherBasis>
        <Depreciation>2188211</Depreciation>
        <BookValue>4808452</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>125329531</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>SELF-FUNDED INSURANCE RESERVE</Description>
        <Amount>13335273</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PENSION LIABILITY</Description>
        <Amount>16209830</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>BOND INTEREST SWAP LIABILITY</Description>
        <Amount>14807729</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER</Description>
        <Amount>909232</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>45262064</TotalOfAmounts>
      <TotalRevenue>171692967</TotalRevenue>
      <TotalExpenses>176482112</TotalExpenses>
      <ExcessOrDeficitForYear>-4789145</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>3370786</NetUnrealizedGLOnInvestments>
      <OtherAmount>-11757434</OtherAmount>
      <TotalAdjustments>-8386648</TotalAdjustments>
      <ExcessOrDeficitPerFS>-13175793</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>169179920</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>3370786</NetUnrealizedGainsInvestments>
      <OtherRevenues>-6279862</OtherRevenues>
      <RevenueNotRptdF990>-2909076</RevenueNotRptdF990>
      <RevenueSubtotal>172088996</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-396029</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-396029</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>171692967</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>182355713</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>5873601</OtherExpensesIncluded>
      <ExpensesNotRptdF990>5873601</ExpensesNotRptdF990>
      <ExpensesSubtotal>176482112</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>176482112</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>MINIMUM PENSION LIABILITY: -3015969. TRANSFERS TO RELATED ORGANIZATIONS: -3263893. INTEREST RATE SWAP: -5477572.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>TRANSFERS TO RELATED ORGANIZATIONS: -3263893. PENSION IN OTHER CHANGES IN NET ASSETS ON AUDITED FINANCIAL STATEMENTS: -3015969.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>RENTAL EXPENSES NETTED WITH REVENUE ON FORM 990: -396029.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>INTEREST RATE SWAP INCLUDED IN EXPENSES ON AUDITED FINANCIAL STATEMENTS: 5477572. RENTAL EXPENSES NETTED WITH REVENUE ON FORM 990: 396029.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Explanation>PART X, LINE 2: EFFECTIVE JULY 1, 2009, THE ORGANIZATION ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ("FASB") AUTHORITATIVE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR THE RECOGNITION AND MEASUREMENT OF THE BENEFITS OF INDIVIDUAL TAX POSITIONS IN THE FINANCIAL STATEMENTS. TAX POSITIONS MUST MEET A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT IN ORDER FOR THE BENEFIT OF THOSE TAX POSITIONS TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS EXIST AS OF JUNE 30, 2010, AND THE ADOPTION OF THE GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON THE FINANCIAL POSITION OR RESULTS OF OPERATIONS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent350>X</Pcent350>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>6068689</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>209587</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5859102</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03610</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>28775025</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>12814250</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>15960775</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09830</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>42667</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>42667</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>34886381</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13023837</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>21862544</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.13470</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>603435</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>603435</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00370</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>440503</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>584429</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>-143926</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>76380</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>76380</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>1120318</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>584429</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>535889</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00420</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>36006699</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13608266</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>22398433</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.13890</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseAmount>6309844</BadDebtExpenseAmount>
      <AmountAttributableTo>4391699</AmountAttributableTo>
      <AmountReimbursedByMedicare>60951673</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>75516983</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-14565310</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Camden-Clark Memorial Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>800 Garfield AveNUE</AddressLine1>
          <City>Parkersburg</City>
          <State>WV</State>
          <ZIPCode>26102</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
        <Other>DISPROPORTIONATE SHARE HOSPITAL</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>LHC GROUP INC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>420 W Pinhood Road Suite A</AddressLine1>
          <City>LAFAYETTE</City>
          <State>LA</State>
          <ZIPCode>70503</ZIPCode>
        </Address>
        <ErOther>X</ErOther>
        <Other>Homehealth AND Hospice</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <PercentOfTotalExpenseExpln>Part I, Line 7f: THE AMOUNT OF TOTAL EXPENSE REPORTED ON FORM 990, PART IX, LINE 25 INCLUDES A BAD DEBT EXPENSE OF $14,084,474 WHICH HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENT OF TOTAL EXPENSE IN COLUMN (F).</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>Part III, Line 4: PATIENT RECEIVABLES ARE REPORTED NET OF MANAGEMENT'S ESTIMATE OF AMOUNTS UNCOLLECTIBLE DUE TO CONTRACTUAL ADJUSTMENT, BAD DEBT, AND CHARITY. MANAGEMENT CONSIDERS PAST PERFORMANCE WHEN DETERMINING THESE AMOUNTS.BAD DEBT EXPENSE AT COST IS CALCULATED BY MULTIPLYING THE FINANCIAL STATEMENT AMOUNT OF BAD DEBT EXPENSE ($14,084,474) BY THE COST TO CHARGE RATIO (44.8%) WHICH WAS DETERMINED BY USING IRS WORKSHEET 2 FROM THE SCHEDULE H INSTRUCTIONS. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY IS CALCULATED BASED ON THE ADOPTION OF THE SEARCH AMERICA CREDIT SCORING MODEL.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>Part III, Line 8: THE ORGANIZATION USED INFORMATION FROM THEIR COST REPORT TO COMPLETE THIS SECTION AS WELL AS THEIR INTERNAL REPORTS.THE ORGANIZATION RAN A REPORT FOR FISCAL YEAR 2010 OF EVERY PATIENT THAT QUALIFIED FOR MEDICARE THAT WOULD HAVE ALSO QUALIFIED FOR MEDICAID IF MEDICARE DID NOT EXIST. THE ORGANIZATION BELIEVES THAT IF A PERSON QUALIFIED FOR MEDICAID, THEY WOULD HAVE ALSO QUALIFIED UNDER THE ORGANIZATION'S CHARITY CARE GUIDELINES. OF APPROXIMATELY $61 MILLION IN MEDICARE NET PATIENT REVENUE, ROUGHLY $9.5 MILLION IS FROM INDIVIDUALS THAT ARE DUALLY ELIGIBLE FOR MEDICARE/MEDICAID. THIS REPRESENTS APPROXIMATELY 15.6% OF THE $61 MILLION; THEREFORE, 15.6% OF THE SHORTFALL, $2.3 MILLION, WOULD QUALIFY AS COMMUNITY BENEFIT.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>Part III, Line 9b: PATIENTS MEET WITH A FINANCIAL COUNSELOR AT THE TIME OF SERVICE. IF IT IS DETERMINED AT THAT TIME THAT THEY QUALIFY FOR CHARITY CARE, THEIR ACCOUNT IS CHARGED OFF AS CHARITY AND NO FURTHER BILLING OR COLLECTING ACTION IS TAKEN. THE ORGANIZATION HAS RECENTLY PUT IN PLACE NEW POLICIES TO IMPROVE THIS PROCESS SO THAT THEY WILL BE ABLE TO REEVALUATE THEIR ACCOUNTS RECEIVABLE FOR POSSIBLE CHARITY CARE AFTER THE INITIAL SCREENING.</DebtCollectionPolicy>
        <GeneralExplanation>PART I, LINE 7E: THIS AMOUNT INCLUDES THE EXPENSES OF THE FOLLOWING ACTIVITIES ALONG WITH MANY MORE: CHILDBIRTH CLASSES, HEARTSAVER AED, RELAY FOR LIFE, ROTARY BLOOD SCREENING, AND SHRINER'S CLINIC.</GeneralExplanation>
        <NeedsAssessment>Part VI, Line 2: THE ORGANIZATION IS PART OF THE MID-OHIO VALLEY RURAL HEALTH ALLIANCE. THE ALLIANCE MEMBERS JOINTLY ASSESS THE NEEDS OF THE REGION AND WORK WITH A CONSULTANT TO ENSURE THAT THOSE NEEDS ARE ADDRESSED.</NeedsAssessment>
        <PatientEducationAssistance>Part VI, Line 3: At the time of scheduling or service the patient is asked what insurance they have. If they have none and are self pay then they are informed of their options and may be placed with a financial counselor to determine whether they are eligible for assistance under Federal, state, or local government programs or our charity policy. The counselor will explain the policy to them and will gather the info necessary to determine if they qualify. The organization also distributes pamphlets, and prints the information on patient bills to spread awareness. The organization is currently working on getting the information put on the website.</PatientEducationAssistance>
        <CommunityInformation>Part VI, Line 4: The organization, located in Parkersburg, WV, services the Mid-Ohio Valley Region of West Virginia and Ohio. The primary service area consists primarily of 4 counties with an estimated total population of approximately 164,000 people and a median household income of approximately $39,000. It is an aging population. There is a declining corporate presence in the area which has negatively impacted the unemployment rate. There are two other hospitals within the primary service area, one in Parkersburg, WV and one in Marietta, OH. The community includes several federally designated medically underserved areas or populations.</CommunityInformation>
        <OtherInformation>Part VI, Line 6: A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE HOSPITAL, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY TO MANY OF ITS DEPARTMENTS.ANY SURPLUS OF FUNDS IS USED PRIMARILY TO ENHANCE PATIENT CARE. WHILE NO RESEARCH IS DONE AT THE FACILITY, A RESIDENCY PROGRAM WAS STARTED DURING THE CURRENT FISCAL YEAR.</OtherInformation>
        <ReportsFiledWithStates>WV</ReportsFiledWithStates>
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          <AddressLine1>PO BOX 1683</AddressLine1>
          <City>PARKERSBURG</City>
          <State>WV</State>
          <ZIPCode>26102</ZIPCode>
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        <IRCSection>501(C)4</IRCSection>
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        <PurposeOfGrant>YEARLY PLEDGE</PurposeOfGrant>
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          <BusinessNameLine1>GOOD SAMARITAN CLINIC INC</BusinessNameLine1>
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          <AddressLine1>418 GRAND PARK DRIVE SUITE 311</AddressLine1>
          <City>PARKERSBURG</City>
          <State>WV</State>
          <ZIPCode>261054000</ZIPCode>
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        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: ALL GRANTS ARE APPROVED BY THE OFFICERS OF THE ORGANIZATION. A VICE PRESIDENT OF THE ORGANIZATION SITS ON BOTH THE WOOD COUNTY DEVELOPMENT AUTHORITY AND GOOD SAMARITAN CLINIC'S BOARD OF DIRECTORS.</Explanation>
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      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>1</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoanTable>
        <NamePerson>LISA CASALENUOVO</NamePerson>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>176395</OriginalPrincipalAmount>
        <BalanceDue>17972</BalanceDue>
        <Default>0</Default>
        <ApprovedByBoard>1</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>17972</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>PARKERSBURG NEUROLOGICAL ASSOCIATES</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BUSINESS ENTITY OWNED, IN PART, BY BOARD MEMBER, DR.MICHAEL MOREHEAD</Relationship>
        <AmountOfTransaction>95836</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT REMITTED TO PARKERSBURG NEUROLOGICAL ASSOCIATES FOR THE ORGANIZATION'S USE OF EQUIPMENT, SUPPLIES, AND STAFF AND INTRAOPERATIVE MONITORING ON THE ORGANIZATION'S NEUROSURGERY CASES</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>PARKERSBURG NEUROLOGICAL ASSOCIATES</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BUSINESS ENTITY OWNED, IN PART, BY BOARD MEMBER, DR.MICHAEL MOREHEAD</Relationship>
        <AmountOfTransaction>50017</AmountOfTransaction>
        <DescriptionOfTransaction>REVENUE RECEIVED FROM PARKERSBURG NEUROLOGICAL ASSOCIATES FOR LEASE OF THE ORGANIZATION'S OFFICE SPACE</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>CAMDEN-CLARK HEALTH SERVICES, INC., A NON-PROFIT, TAX-EXEMPT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS OF CAMDEN-CLARK HEALTH SERVICES, INC., A NONPROFIT CORPORATION, SHALL ALSO SERVE AS MEMBERS OF THE BOARD OF DIRECTORS OF CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>CAMDEN-CLARK HEALTH SERVICES, INC. SHALL HAVE THE SOLE RIGHT TO VOTE AT ANY MEETING OF THE MEMBERS OF CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION. ADDTIONALLY, THE POWER TO ALTER, AMEND, OR REPEAL THE BYLAWS OF THE CORPORATION SHALL BE RESERVED TO CAMDEN-CLARK HEALTH SERVICES, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>THE CHIEF FINANCIAL OFFICER AND DIRECTOR OF FINANCE REVIEWED THE COMPLETED FORM PRIOR TO FILING. AFTER THE RETURN WAS FILED, A COPY WAS SENT TO THE BOARD OF DIRECTORS FOR THEIR REVIEW.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>TO IDENTIFY AND MONITOR ANY CONFLICTS, A SIGNED CONFLICT OF INTEREST STATEMENT IS REQUIRED FROM BOARD MEMBERS OF THE ORGANIZATION AND KEY INDIVIDUALS THAT ARE IN A POSITION TO MAKE OR INFLUENCE DECISIONS. IF AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST IS OBSERVED OR DISCLOSED, THE ORGANIZATION INVOKES THE PROCEDURES SET OUT IN THE POLICY/BYLAWS FOR ADDRESSING THE CONFLICT OF INTEREST. FOR KEY INDIVIDUALS (EMPLOYEES), A SPECIFIC CONFLICT OF INTEREST STANDARD IN THE ORGANIZATION'S CODE OF ETHICS AND BUSINESS CONDUCT ALSO EXISTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>THE ORGANIZATION UTILIZES AN EXECUTIVE COMPENSATION CONSULTANT TO SURVEY DATA AND MAKE RECOMMENDATIONS. THE COMPENSATION OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE ON THE WEST VIRGINIA HEALTHCARE AUTHORITY WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART XI, LINE 2C:</Identifier>
        <Explanation>THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART III, LINE 4A</Identifier>
        <Explanation>THE HOSPITAL STRIVES TO SUPPLY A COMPREHENSIVE RANGE OF INPATIENT, OUTPATIENT, OUTREACH CLINICS AND EMERGENCY ROOM SERVICES, INCLUDING PREVENTION, GUIDANCE, DIAGNOSIS, TREATMENT, RESTORATION, REHABILITATION AND OTHER EFFORTS AS MAY BE REQUIRED TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY AND AS THE HOSPITAL'S RESOURCES WILL PERMIT. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. OUR MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH THIS COMMITMENT TO SERVICE ALL MEMBERS OF THE COMMUNITY, CAMDEN-CLARK MEMORIAL HOSPITAL WILL PROVIDE THE FOLLOWING WHERE THE INDIVIDUAL'S NEED AND/OR AN INABILITY TO PAY COEXIST: - FREE CARE AND/OR SUBSIDIZED CARE - CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST - HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, THE HOSPITAL RECOGNIZES THESE AMOUNTS AS CHARTITY CARE IN MEETING IT'S MISSION TO THE ENTIRE COMMUNITY. IN ADDITION, CHARITY CARE IS PROVIDED THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT THE HOSPITAL BELIEVES WILL SERVE A BONAFIDE COMMUNITY HEALTH NEED. THE HOSPITAL PROVIDED $12,191,034 OF CHARITY CARE FOR THE YEAR ENDED JUNE 30, 2010. THE HOSPITAL ALSO PROVIDES NUMBEROUS OTHER BENEFITS FOR THE MID-OHIO VALLEY COMMUNITY, INCLUDING ECONOMIC BENEFITS, HEALTH EDUCATION, WELLNESS/OUTREACH PROGRAMS, AND PUBLIC SERVICES AND SUPPORT GROUPS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SCHEDULE L SUPPLEMENTAL INFORMATION</Identifier>
        <Explanation>CAMDEN-CLARK MEMORIAL HOSPITAL HAS DETERMINED THAT IT IS IN THE BEST INTEREST OF THE COMMUNITY TO PROVIDE RECRUITMENT ASSISTANCE TO DR. LISA CASALENUOVO. THIS LOAN WAS GRANTED TO ASSIST THE PHYSICIAN IN RELOCATING TO THE COMMUNITY AND TO PERMIT THE PHYSICIAN TO ESTABLISH A FULL-TIME OB/GYN PRACTICE.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FAMILY FITNESS CENTER LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2804 BIRCH STREET</AddressLine1>
          <City>PARKERSBURG</City>
          <State>WV</State>
          <ZIPCode>26101</ZIPCode>
        </AddressUS>
        <EIN>550774193</EIN>
        <PrimaryActivities>PROVIDE AN EXERCISE FACILITY FOR THE COMMUNITY</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <TotalIncome>642735</TotalIncome>
        <EOYAssets>1804885</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CAMDEN-CLARK HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>800 GARFIELD AVENUE</AddressLine1>
          <City>PARKERSBURG</City>
          <State>WV</State>
          <ZIPCode>26102</ZIPCode>
        </AddressUS>
        <EIN>550769602</EIN>
        <PrimaryActivities>AIDS, STRENGTHENS, AND SUPPORTS CAMDEN-CLARK MEMORIAL HOSPITAL.</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <PublicCharityStatus>Line 11a, I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CAMDEN-CLARK FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>800 GARFIELD AVENUE</AddressLine1>
          <City>PARKERSBURG</City>
          <State>WV</State>
          <ZIPCode>26102</ZIPCode>
        </AddressUS>
        <EIN>550667789</EIN>
        <PrimaryActivities>RAISE AND MANAGE FUNDS FOR CAMDEN-CLARK MEMORIAL HOSPITAL.</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <PublicCharityStatus>Line 7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AUXILIARY OF CAMDEN-CLARK MEMORIAL HOSPITAL OF PARKERSBURG</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>800 GARFIELD AVENUE</AddressLine1>
          <City>PARKERSBURG</City>
          <State>WV</State>
          <ZIPCode>26102</ZIPCode>
        </AddressUS>
        <EIN>550386283</EIN>
        <PrimaryActivities>PROMOTES ADVANCEMENT AND WELFARE OF CAMDEN-CLARK MEMORIAL HOSPITAL.</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CAMDEN-CLARK PHYSICIAN CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>604 ANN STREET</AddressLine1>
          <City>PARKERSBURG</City>
          <State>WV</State>
          <ZIPCode>26102</ZIPCode>
        </AddressUS>
        <EIN>264058719</EIN>
        <PrimaryActivities>FURNISHES FACILITIES AND SERVICES TO PROVIDE MEDICAL SERVICES.</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <PublicCharityStatus>Line 11a, I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>1</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>