2011-08-15T11:04:38-05:00 2010-09-30 DIXON HUGHES GOODMAN LLP PO BOX 1556 MORGANTOWN WV 265071556 990 2009-10-01 550675666 CABELL HUNTINGTON HOSPITAL INC CABE 3045262571 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 DAVID M WARD 3045262571 2011-08-15 1 RICK SLATER 3042927343 2009 2016-02-24 21:20:13Z BRENT MARSTELLER 1340 HAL GREER BLVD HUNTINGTON WV 25701 394886880 0 X WWW.CABELLHUNTINGTON.ORG X 1986 WV TO MEET LIFETIME HEALTHCARE NEEDS OF THOSE SERVED. 16 15 2511 295 95039 33696 72640 71520 336705692 358696787 8066295 4584972 3369059 2214806 348213686 365568085 8233624 11053506 0 154053197 166016926 0 0 177566748 182435197 339853569 359505629 8360117 6062456 401540158 414291810 306599680 310345510 94940478 103946300 TO MEET THE LIFETIME HEALTHCARE NEEDS OF THOSE SERVED. TO PROVIDE THE HIGHEST LEVEL OF SERVICE, QUALITY AND EFFICIENCY. TO ADVANCE HEALTHCARE THROUGH EDUCATION. 1 1 298782847 11053506 360841644 It is the mission of Cabell Huntington Hospital (THE "ORGANIZATION") to promote health in the region through the development and delivery of a full spectrum of services that improve the physical, mental, and spiritual dimensions of the lives of those served.The ORGANIZATION is licensed for 313 beds and staffed 2511 INDIVIDUALS during fiscal YEAR 2010. In addition to its adult and pediatric units, the ORGANIZATION operates a pediatric intensive care unit, a neonatal intensive care unit, a burn intensive care unit, a surgical intensive care unit, a medical intensive care unit, and a coronary care unit.The ORGANIZATION is governed by a voluntary board of independent, local citizens.All expenses for program services relate to providing healthcare services to the patients of THE ORGANIZATION. During FISCAL YEAR 2010, THE ORGANIZATION provided services to 17,413 inpatients, which resulted in providing 75,064 days of care. The ORGANIZATION also provided care to 454,743 outpatients. This included 53,777 patient visits to the ORGANIZATION's emergency room, which is operated 24 hours and is open to all patients regardless of their ability to pay. Also provided on an outpatient basis were 16,661 surgical procedures and 17,904 home health visits. Although reimbursement for the services indicated above is vital to the continuing financial stability of the ORGANIZATION, it is recognized that not all individuals possess the ability to pay for their care. Accordingly, the ORGANIZATION provides care to patients who meet its charity established rates. In FISCAL YEAR 2010, the ORGANIZATION provided $22,592,960 of uncompensated care, which represents 2.9% of its total patient revenue. The estimated cost of providing this uncompensated care was $10,611,629.THE ORGANIZATION also provides services to patients with special needs and low income through its obstetric clinic. This clinic provides education and support to expectant mothers who might otherwise have insufficient or no prenatal care.THE ORGANIZATION contributed $50,004 IN PHARMACY SUPPLIES to the Ebenezer Medical Outreach Center's Community Pharmacy, which provides free prescription medication for those who qualify. The ORGANIZATION also partners with Ebenezer Medical Outreach Center to provide free medical testing for the local indigent population. In FISCAL YEAR 2010, THE ORGANIZATION provided $267,158 in free medical tests, which is included in the uncompensated care noted above.THE ORGANIZATION offers a variety of education classes, health fairs, and screening to the public throughout the year at no charge. Services offered and costs to THE ORGANIZATION for fiscal YEAR 2010 TOTALED: education classes $115,603; health fairs $5,244; health screenings $20,599; AND ADDITIONAL COMMUNITY OUTREACH $28,182.THE ORGANIZATION's social work department provided medications for those unable to afford the medicines prescribed by the ORGANIZATION's emergency room physicians. Additionally, the department provides car seats for infants whose families cannot afford them. The department also donated infant car seats for neonates who were too small for car seats.THE ORGANIZATION'S dietitians provided free dietary instructions for outpatients who could not afford the nominal cOST. The ORGANIZATION also provided free meals to needy families during FISCAL YEAR 2010. These family members included patients who were unable to return home for meals or family members of patients who lived outside a 30 mile radius of the hospital and were unable to purchase their meals.THE ORGANIZATION's volunteer department also provided free wigs to indigent cancer patients. 298782847 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 1 48 0 1 2511 1 1 1 0 0 0 0 0 0 0 0 16 15 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WV X DAVID M WARD SENIOR VPCFO 3045262000 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 DAVID PORTER 2.00 X X 0 0 0 CAROLYN BAGBY 2.00 X X 0 0 0 DAVID FOX III 2.00 X X 0 0 0 FLOYD HARLOW JR 2.00 X X 0 0 0 PETER CHIRICO 2.00 X 0 0 0 MARIAN COX 2.00 X 0 0 0 tim KINSEY 2.00 X 0 0 0 tim miLNE 2.00 X 0 0 0 SAMUEL MOORE 2.00 X 0 0 0 CHARLES MCKOWN 2.00 X 0 0 0 BOYD MEADOWS 2.00 X 0 0 0 ALAN MORRISON 2.00 X 0 0 0 ROSS PATTON 2.00 X 0 0 0 EDUARDO PINO 2.00 X 0 0 0 JIM SCHNEIDER 2.00 X 0 0 0 VICKIE SMITH 2.00 X 0 0 0 BRENT MARSTELLER 45.00 X 615056 0 49231 DAVID M WARD 45.00 X 286942 0 110172 GLEN WASHINGTON 45.00 X 212525 0 24176 HOYT BURDICK 45.00 X 290002 0 71842 PAUL SMITH 45.00 X 180937 0 74339 ROSEMARY SMITH 45.00 X 183946 0 83360 BARRY TOURIGNY 45.00 X 178606 0 26698 W MARK TWILLA 45.00 X 172793 0 20251 DAVID GRALEY 45.00 X 180330 0 22442 MICHAEL VEGA 45.00 X 375437 0 33976 ALFREDO RIVAS 45.00 X 392719 0 33976 THOMAS POULTON 45.00 X 516872 0 27638 MICKEY NEAL 45.00 X 430327 0 32009 FAROUK ABADIR 45.00 X 375537 0 33976 4392029 0 644086 124 0 1 0 UNIVERSITY PHYSICIANS & SURGEONS INC 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 MEDICAL SCHOOL 23024916 BAILES CRAIG & YON PO BOX 1926 HUNTINGTON WV 25720 LEGAL FEES 1113308 HOSPITAL HOUSEKEEPING SYSTEMS PO BOX 826 SAN ANTONIO TX 78293 CONSULTING SERVICES 697631 RADIOLOGY INC PO BOX 910 HUNTINGTON WV 25712 RADIOLOGY SERVICES 635397 TRI STATE REHAB SERVICES 2700 GREENUP AVENUE ASHLAND KY 41101 HOME HEALTH REHAB 481536 21 71520 71520 NET PATIENT REVENUE 621990 348199153 348199153 LABORATORY INCOME 621500 8877690 8807741 69949 AEROMED INCOME 621990 1619944 1619944 358696787 3150813 25090 3125723 85957 85957 285563 143353 142210 142210 142210 29753129 770515 29175442 577687 770515 1348202 1348202 CAFETERIA 624200 1233338 1233338 OUTSIDE SERVICES 621990 796871 796871 42387 42387 2072596 365568085 359608306 95039 5793220 11053506 11053506 2336141 467228 1868913 114291482 93719015 20572467 14601090 11680872 2920218 25203812 20163050 5040762 9584401 7667521 1916880 920112 920112 116842 116842 351622 351622 29124966 23299973 5824993 3322379 3322379 56606534 45285227 11321307 3263812 2611050 652762 13326004 10660803 2665201 369518 295614 73904 5965270 4772216 1193054 17523991 14019193 3504798 6665858 5332686 1333172 BAD DEBT 29446173 29446173 MEDICAL EDUCATION 6793317 6793317 PROVIDER TAX 6409910 6409910 2228889 1783114 445775 359505629 298782847 60722782 0 57036593 50467503 464480 363217 47700268 49627212 5423949 5274297 1380328 1900983 364491744 172352997 202343563 192138747 54477134 75684400 12751713 12957302 19962130 25878149 401540158 414291810 53664484 57632916 131001214 128103450 6934977 6848625 114999005 117760519 306599680 310345510 X 71293451 82485205 23647027 21461095 94940478 103946300 401540158 414291810 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6415591 6415591 183141081 26259158 156881923 161076589 144933446 16143143 13858483 1160393 12698090 192138747 UNAMORTIZED BOND ISSUE COSTS 1567842 ESTIMATED SETTLEMENT FROM THIRD PARTY-PAYORS 8790354 OTHER RECEIVABLES 5829652 PHYSICIAN LOAN GUARANTEES 9690301 25878149 ACCRUED PROFESSIONAL LIABILITY 10480000 ACCRUED POST RETIREMENT BENEFitS COST 100337410 DEFERRED GAIN 6383098 OTHER LIABILITIES 560011 117760519 365568085 359505629 6062456 1717295 1226072 2943367 9005823 373456049 1717295 6027316 7744611 365711438 -143353 -143353 365568085 364450226 5296219 5296219 359154007 351622 351622 359505629 Part XI, Line 8 - Other Adjustments: INCREASE IN PENSION LIABILITY: 6378938. CHANGE IN EFFECTIVE INTEREST RATE SWAP: -5152866. Part XII, Line 2d - Other Adjustments: DECREASE IN PENSION LIABILITY INCLUDED IN REVENuE ON AFS: 6378938. INVESTMENT MANAGEMENT FEES NETTED WITH REVENUE ON AFS: -351622. Part XII, Line 4b - Other Adjustments: RENTAL EXPENSES NETTED WITH REVENUE ON FORM 990: -143353. Part XIII, Line 2d - Other Adjustments: CHANGE IN EFFECTIVE INTEREST RATE SWAP INCLUDED IN EXPENSES ON AFS: 5152866. RENTAL EXPENSES NETTED WITH REVENUE ON FORM 990: 143353. Part XIII, Line 4b - Other Adjustments: INVESTMENT MANAGEMENT FEES NETTED WITH REVENUE ON AFS: 351622. 1 1 1 X 1 X 180.000000000000 1 1 0 1 1 16802672 0 16802672 0.04670 99269132 70551210 28717922 0.07990 0 0 116071804 70551210 45520594 0.12660 169608 0 169608 0.00050 10823974 2784614 8039360 0.02240 5557148 3454343 2102805 0.00580 332039 186253 145786 0.00040 16882769 6425210 10457559 0.02910 132954573 76976420 55978153 0.15570 17500 17500 0.00000 212032 212032 0.00060 229532 229532 0.00060 0 13545240 586396 84524463 94657568 -10133105 CABELL HUNTINGTON HOSPITAL

1340 HAL GREER BOULEVARD HUNTINGTON WV 25701

X X X A community benefit report has been prepared by the Hospital, which has been made available to the public through mass mailing. 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. 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 will be posted on the Hospital's website on or before October 1, 2011. 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 five 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. Part VI, Line 5: The Hospital's community building activities, as reported in Part II, promote the health of the community or communities the organization serves. During FY 2010, the Hospital Community Outreach events totaled 242, with 674 volunteers and over 40,000 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 the local school system in Cabell County and Jamie Oliver's Food Revolution to educate the children and food preparers on how to make healthy food choices . This project continues on with Huntington's Kitchen that allows residents of our area to take healthy cooking classes to help eliminate some of the local health problems. Along the same lines, we developed and partnered 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. Part VI, Line 6: 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. 1 OUR JOBS OUR CHILDREN OUR FUTURE DBA HUNTINGTON AREA DEVELOPMENT COUNCIL 916 FIFTH AVE HUNTINGTON WV 25701 550714570 501(C)(3) 17500 ECONOMIC DEVELOPMENT EBENEZer MEDICAL OUTREACH CENTER 1448 TENTH AVE HUNTINGTON WV 25701 550745033 501(C)(3) 180109 COMMUNITY PHARMACY MARSHALL UNIVERSITY ONE JOHN MARSHALL DRIVE HUNTINGTON WV 25755 556000789 10823973 EDUCATIONAL SUPPORT FOR SCHOOL OF MEDICINE HUNTINGTON MALL PO BOX 4008 1 MALL ROAD BARBOURSVILLE WV 25504 341249240 31924 HEALTHY KIDS PLAYGROUND 3 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: THE ORGANIZATION HAS THE FOLLOWING PLAN ESTABLISHED TO MONITOR THE USE OF THE GRANT FUNDS: DOUG SHEILS IS ON THE BOARD OF DIRECTORS OF EBENEZER MEDICAL OUTREACH AND ATTENDS EVERY BOARD MEETING AND RESOURCE DEVELOPMENT COMMITTEE MEETING. HE STAYS UP TO DATE WITH HOW THE FUNDS ARE UTILIZED FOR MEDICAL CARE AND HUNTINGTON'S KITCHEN. DOUG SHEILS ALSO STAYS IN CLOSE CONTACT WITH THE CABELL COUNTY SCHOOL SYSTEM AND THEIR LUNCH PROGRAM, AS WELL AS THE JAMIE OLIVER ORGANIZATION THROUGH ITS CHIEF OF STAFF, LOUISE HOLLAND. THE ORGANIZATION IS ABLE TO MONITOR HOW FUNDS ARE SPENT AT THE PLAYGROUND THROUGH REGULAR HEALTH SCREENINGS THAT ARE CONDUCTED AT THE MALL, AS WELL AS REGULAR COMMUNICATIONS WITH THE HUNTINGTON MALL MANAGEMENT TEAM. THE ORGANIZATION RECEIVES FROM OUR JOBS, OUR CHILDREN, OUR FUTURE MONTHLY FINANCIALS AND REPORTS OF OPERATIONS RELATIVE TO THE APPROXIMATE $15 MILLION OF PROPERTIES OWNED AND LEASED, AS WELL AS RECRUITING ACTIVITIES. Other Information: Part IV: 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. X 1 1 X X X X X 1 0 0 0 0 0 0 0 0 BRENT MARSTELLER 501554 0 0 0 113502 0 31358 0 17873 0 664287 0 0 0 DAVID M WARD 279452 0 0 0 7490 0 101700 0 8472 0 397114 0 0 0 GLEN WASHINGTON 212387 0 0 0 138 0 6303 0 17873 0 236701 0 0 0 HOYT BURDICK 289242 0 0 0 760 0 53969 0 17873 0 361844 0 0 0 PAUL SMITH 180799 0 0 0 138 0 65403 0 8936 0 255276 0 0 0 ROSEMARY SMITH 183688 0 0 0 258 0 74424 0 8936 0 267306 0 0 0 BARRY TOURIGNY 178468 0 0 0 138 0 8825 0 17873 0 205304 0 0 0 W MARK TWILLA 172733 0 0 0 60 0 2378 0 17873 0 193044 0 0 0 DAVID GRALEY 179934 0 0 0 396 0 4569 0 17873 0 202772 0 0 0 MICHAEL VEGA 375437 0 0 0 0 0 16103 0 17873 0 409413 0 0 0 ALFREDO RIVAS 392719 0 0 0 0 0 16103 0 17873 0 426695 0 0 0 THOMAS POULTON 516872 0 0 0 0 0 9765 0 17873 0 544510 0 0 0 MICKEY NEAL 430327 0 0 0 0 0 14136 0 17873 0 462336 0 0 0 FAROUK ABADIR 375537 0 0 0 0 0 16103 0 17873 0 409513 0 0 0 Part I, Line 1a THE ORGANIZATION PAID DUES TO GUYAN COUNTRY CLUB FOR THE MEMBERSHIP OF BRENT MARSTELLER. Part I, Line 4a: SANJAY SHAH RECEIVED $87,096 IN SEVERANCE PAYMENTS. Part I, Line 7 WV HOSPITAL FINANCE AUTHORITY 2004 SERIES A 621256910 956622WA8 2004-12-16 14095000 RETIRE DEBT/CAPITAL IMPROVEMENTS. 0 0 WV HOSPITAL FINANCE AUTHORITY 2008 SERIES A 621256910 956622YU2 2008-10-16 48480000 REFUND 2004 SERIES A AND B. 0 0 WV HOSPITAL FINANCE AUTHORITY 2008 SERIES B 621256910 956622YV0 2008-10-16 48475000 REFUND 2004 SERIES A AND B. 0 0 WV HOSPITAL FINANCE AUTHORITY 2009 SERIES A 621256910 2009-01-27 14415000 REFINANCE TAXABLE DEBT. 0 0 CITY OF HUNTINGTON WEST VIRGINIA SERIES 2008 556000187 2008-12-30 9685000 REFINANCE TAXABLE DEBT. 0 0 14095000 959688 3599811 118293 7842102 1 0 1 1 48480000 95504736 806255 1 0 1 1 48475000 1 0 1 1 14415000 127348 14287652 0 0 1 1 9685000 87796 9597204 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 CITIBANK 25.800000000000 0 0 1 0 1 1 CITIBANK 25.800000000000 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 THE COUNTY COMMISSION OF CABELL CNTY SERIES 2009 556000305 2009-02-12 6500000 REFINANCE DEBT/CAP IMPROVEMENTS. 0 0 6500000 62856 5384787 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 PETER CHIRICO A BOARD MEMBER OF THE ORGANIZATION 635397 PETER CHIRICO IS AN OWNER OF RADIOLOGY, INC. WHICH PROVIDES PROFESSIONAL SERVICES TO THE ORGANIZATION. 0 Form 990, Part III, line 2 New Program Services During the fiscal year ended September 30, 2010, the organization partnered with Jamie Oliver's Food Revolution television series and Cabell County Schools to work with every cook in all 28 Cabell County Schools to eliminate processed foods, develop new menus and train them how to economically prepare those new meals from scratch each day. The goal was to provide healthy meals to our students. The cost to the organization for this was $130,105. Additionally, the organization provided $50,000 seed money to help launch Huntington's Kitchen. The kitchen was the base of operations for the show and then was turned over to Ebenezer Medical Outreach so they could offer free and low cost cooking lessons to anyone in the community. This project has a tremendous potential to improve eating habits and the overall health of our community. Form 990, Part III, line 3 Changes in Program Services THE ORGANIZATION NO LONGER OFFERS RENAL DIALYSIS TREATMENTS AT THE HOSPITAL. THIS SERVICE IS NOW OFFERED THROUGH FRESENIUS DIALYSIS CENTER. Form 990, Part VI, Section A, line 2 PAUL SMITH, OFFICER, AND ROSEMARY SMITH, OFFICER, ARE MARRIED. Form 990, Part VI, Section B, line 11 THE COMPLETED FORM 990 WILL BE REVIEWED BY THE CHIEF EXECUTIVE OFFICER, INTERNAL GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, AND OUTSIDE LEGAL COUNSEL PRIOR TO FILING. THE COMPLETED FORM WILL ALSO BE PROVIDED TO ALL BOARD MEMBERS ELECTRONICALLY PRIOR TO FILING. Form 990, Part VI, Section B, line 12c 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. Form 990, Part VI, Section B, line 15 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 & 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. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. Schedule K Supplental Information PART I, COLUMN (F): A - THE WV HOSPITAL FINANCE AUTHORITY 2004 SERIES A BONDS WERE USED TO REFUND PRIOR TAX-EXEMPT BOND ISSUES (WV HOSPITAL FINANCE AUTHORITY 1994 SERIES A BONDS AND WV HOSPITAL FINANCE AUTHORITY 2002 SERIES A-1) , WHICH WERE ISSUED ON DECEMBER 31, 1994 AND MAY 1, 2002, RESPECTIVELY, AND TO FINANCE CAPITAL IMPROVEMENTS. B - THE WV HOSPITAL FINANCE AUTHORITY 2008 SERIES A BONDS WERE USED TO REFUND PRIOR TAX-EXEMPT BOND ISSUES (WV HOSPITAL FINANCE AUTHORITY 2004 SERIES B AND C BONDS), WHICH WERE ISSUED ON DECEMBER 31, 2004. C - THE WV HOSPITAL FINANCE AUTHORITY 2008 SERIES B BONDS WERE USED TO REFUND PRIOR TAX-EXEMPT BOND ISSUES (WV HOSPITAL FINANCE AUTHORITY 2004 SERIES B AND C BONDS), WHICH WERE ISSUED ON DECEMBER 31, 2004. D - THE WV HOSPITAL FINANCE AUTHORITY REVENUE BONDS 2009 SERIES A WERE USED TO REFINANCE TAXABLE DEBT. E - THE CITY OF HUNTINGTON, WEST VIRIGINA REVENUE BONDS 2008 SERIES WERE USED TO REFINANCE TAXABLE DEBT. F - THE COUNTY COMMISSION OF CABELL COUNTY REVENUE BONDS 2009 SERIES WERE USED TO REFINANCE TAXABLE DEBT AND FINANCE CAPITAL IMPROVEMENTS. CABELL HUNTINGTON HOSPITAL FOUNDATION INC PO BOX 1427 HUNTINGTON WV 25716 311096222 PERFORMS FUNDRAISING FOR CABELL HUNTINGTON HOSPITAL, INC. WV 501(C)(3) LINE 7 N/A CABELL HUNTINGTON HOSPITAL AUXILIARY INC 1340 HAL GREER Boulevard HUNTINGTON WV 25701 556014510 PERFORMS FUNDRAISING FOR CABELL HUNTINGTON HOSPITAL, INC. WV 501(C)(3) LINE 11A, I N/A TRI-STATE MRI PO BOX 3108 HUNTINGTON WV 25702 550669726 OPERATES A FREE-STANDING MRI CENTER. WV N/A RELATED -255991 1195123 0 1 OCCUMED LLC 1340 HAL GREER Boulevard HUNTINGTON WV 25701 432093064 OPERATES AN OCCUPATIONAL MEDICAL TESTING CENTER AND AN URGENT CARE CENTER. WV N/A RELATED -63673 918398 0 1 HUNTINGTON SURGERY CENTER LP 1201 HAL GREER Boulevard HUNTINGTON WV 25701 550647724 OPERATES AN AMBULATORY SURGERY CENTER - OUTPATIENT SURGERIES. WV N/A RELATED 707 -1230 0 0 CHH-CABELL INC 1201 HAL GREER Boulevard HUNTINGTON WV 25701 621223702 OPERATES HUNTINGTON SURGERY CENTER, LP. WV N/A C -160671 528191 0.51000 CHH-CABELL DEVELOPMENT CORPORATION 1201 HAL GREER Boulevard HUNTINGTON WV 25701 621184183 OPERATES HUNTINGTON SURGERY PROPERTIES, LP WV N/A C 67316 613780 0.51000 MOUNTAIN REGIONAL SERVICES INC PO BOX 636 HUNTINGTON WV 25711 550655843 RECORD OWNER OF REAL ESTATE NEAR CABELL HUNTINGTON HOSPITAL, INC. WV N/A C -70879 472990 1.00000 MOUNTAIN HEALTH NETWORK INC PO BOX 636 HUNTINGTON WV 25711 550675666 OWNS REAL ESTATE NEAR CABELL HUNTINGTON HOSPITAL, INC. WV N/A C 1.00000 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 CABELL HUNTINGTON HOSPITAL FOUNDATION INC C 71520 HUNTINGTON SURGERY CENTER LP D 23000 HUNTINGTON SURGERY CENTER LP K 222224 HUNTINGTON SURGERY CENTER LP P 181800 CABELL HUNTINGTON HOSPITAL FOUNDATION INC P 126507 OCCUMED P 536229