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        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Part X, Line 2: The Corporation, which is not classified as a private foundation, is exempt from Federal and state income taxes under provisions of the Internal Revenue Code Section 501 c 3 and similar state statutes related to tax-exempt organizations. Accounting principles generally accepted in the United States of America require the management of the Corporation to evaluate tax positions taken by the corporation. Management has evaluated the Corporation's tax positions and concluded that the Corporation had maintained its tax exempt status and had taken no uncertain tax positions that require recognition or disclosure in the financial statements. Therefore, no provision or liability for income taxes has been included in the financial statments.</ExplanationTxt>
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        <PersonNm>Chad Hovis</PersonNm>
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        <PersonNm>David L Ramsey</PersonNm>
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        <PersonNm>Shelda A Martin MD</PersonNm>
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        <FormAndLineReferenceDesc>Part III, Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Part I, Line 4b: David Ramsey has been paid out his SERP. Chad Hovis is apart of the Defined Contribution SERP- A defined contribution SERP is offered to select executives, with an annual 10 percent of salary contribution. Each annual contribution vests the earlier of 5 years or age 65. Taxes are advanced from vested accounts, with the remaining balance held until termination. All contributions are vested in the event of death, disability, involuntary termination without cause, or voluntary termination for good reason following change of control. Unvested contributions are forfeited for voluntary termination or termination for cause. Under the Execu-Flex Benefit Plan 409A, executives receive 11 percent of their salary in flex allowance. This flex allowance is used to elect executive benefits. Any remaining flex allowance is credited to a tax-deferred Capital Accumulation Account. The minimum vesting period is two years, maximum age is 68. A two year non-compete agreement Substantial Risk of Forfeiture Agreement applies if termination of employment occurs prior to the vesting date. Certain participants had amounts vested and included as reportable compensation this year, as detailed: Dave Ramsey $135,173</ExplanationTxt>
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        <ExplanationTxt>To provide housing for students, interns, residents and other Allied Health professionals training at Charleston Area Medical Center, Inc. CAMC, a non-stock, nonprofit corporation organized under the laws of the state of West Virginia and Robert C. Byrd Health Sciences Center of West Virginia University, Charleston Division WVU Charleston, a part of the West Virgina University to help aid, assist and advance education by providing housing for students, interns, residents and other Allied Health professionals to construct, acquire, establish, enlarge, improve, operate and maintain apartments and to rent such apartments to such persons and their families and to assist generally in the educational undertakings of CAMC or WVU Charleston.</ExplanationTxt>
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        <ExplanationTxt>In accordance with the corporation's policy on conflicts of interest, annually each director must complete and sign an individual declaration on conflicts of interest certifying that he or she has read the policy and disclosed any outside activities and interests which may conflict with or suggest a potential conflict with the best interests of the corporation. The individual declarations are reviewed by the President and the Treasurer, both of whom assist the Board and its members in identifying and managing confilict issues arising in connection with the operation of the corporation.</ExplanationTxt>
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      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>