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      <MissionDesc>TO MEET LIFETIME HEALTHCARE NEEDS OF THOSE SERVED. TO PROVIDE THE HIGHEST LEVEL OF SERVICE, QUALITY, AND EFFICIENCY. TO ADVANCE HEALTHCARE THROUGH EDUCATION. OUR VISION IS TO BE THE HOSPITAL OF CHOICE FOR THE COMMUNITIES WE SERVE.</MissionDesc>
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      <Desc>IT IS THE MISSION OF CABELL HUNTINGTON HOSPITAL TO PROMOTE HEALTH IN THE REGION THROUGH DEVELOPMENT AND DELIVERY OF A FULL SPECTRUM OF SERVICES THAT IMPROVE THE PHYSICAL, MENTAL, AND SPIRITUAL DIMENSIONS OF LIVES OF THOSE SERVED. THEREFORE, THE PRIMARY PROGRAM SERVICE ACCOMPLISHMENT IS THE INPATIENT AND OUTPATIENT SERVICES PERFORMED. CABELL HUNTINGTON HOSPITAL IS LICENSED FOR 303 BEDS AND STAFFED OVER 3,300 INDIVIDUALS. DURING FISCAL YEAR 2022, IN ADDITION TO ITS ADULT AND PEDIATRIC UNITS, IT OPERATES A COMPREHENSIVE CANCER CENTER, 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 ALSO OPERATES A CHILDREN'S HOSPITAL. THE CHILDREN'S HOSPITAL UNIT HAS 71 BEDS WITH 36 BEDS IN THE LEVEL III NEONATAL INTENSIVE CARE UNIT, 25 BEDS IN THE GENERAL PEDIATRICS UNIT, AND 10 BEDS IN THE PEDIATRIC INTENSIVE CARE UNIT. IT ALSO HAS A NEONATAL THERAPEUTIC UNIT. THE HOSPITAL IS GOVERNED BY A VOLUNTARY BOARD OF INDEPENDENT CITIZENS OF THE COMMUNITY. DURING THE FISCAL YEAR 2022, THE HOSPITAL PROVIDED SERVICES TO 15,188 INPATIENTS, WHICH RESULTED IN PROVIDING 99,398 DAYS OF CARE. THE ORGANIZATION ALSO PROVIDED CARE TO 606,740 OUTPATIENTS. THIS INCLUDED 45,430 PATIENT VISITS TO THE EMERGENCY ROOM, WHICH IS OPERATED 24 HOURS AND IS OPEN TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IT ALSO INCLUDED 16,823 OUTPATIENT SURGICAL PROCEDURES AND 12,535 HOME HEALTH VISITS.</Desc>
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        <Desc>CABELL HUNTINGTON HOSPITAL IS VERY INVOLVED WITH THE COMMUNITY IT SERVES. DURING THE FISCAL YEAR 2022, IT HELD NUMEROUS EVENTS, INCLUDING HEALTH SCREENINGS, EDUCATION OUTREACH, HEALTH FAIRS, AND COMMUNITY TRAINING. OVER 8,700 PEOPLE ATTENDED THESE EVENTS THAT TOOK PLACE BETWEEN OCTOBER 1, 2021 AND SEPTEMBER 30, 2022. THE COST ASSOCIATED WITH THESE ACTIVITIES IS $262,850. THE ORGANIZATION ALSO GIVES BACK TO THE COMMUNITY BY PARTICIPATING IN VARIOUS PROGRAMS THAT PROMOTE HEALTHY AND SAFE LIFESTYLES FOR THE PEOPLE THAT LIVE HERE. THE HOSPITAL GAVE $64,892 FOR THE SUPPORT OF HUNTINGTON'S KITCHEN PROGRAM THAT PROMOTES HEALTHY EATING LIFESTYLES. IT PROMOTES HEALTHY EXERCISE PROGRAMS BY PROVIDING ANNUAL FUNDS TO THE YMCA TOTALING $22,500 ALONG WITH OTHER DONATIONS TO LOCAL RUNNING EVENTS. WE PROVIDE SERVICE TO EBENEZER OUTREACH WHICH IS A CLINIC FOR CITIZENS WITH LOW INCOME ($66,672). THE AMOUNT OF $5,000 WAS GIVEN TO THE HUNTINGTON MUSEUM OF ART FOR THE PROGRAM "ART FOR MEDICINE" FOR THE EDWARDS COMPREHENSIVE CANCER CENTER PATIENTS AND ANOTHER $2,500 WAS GIVEN TO THE HUNTINGTON MUSEUM OF ART FOR SATURDAY KIDS ART. THE AMOUNT OF $2,500 WAS GIVEN TO THE HUNTINGTON CITY MISSION FOR THEIR FIGHTING HUNGER PROGRAM. THE AMOUNT OF $7,500 WAS GIVEN TO SHEPHERD'S HOUSE THAT ASSISTS RESIDENTS WITH ADDICTION RECOVERY. THE AMOUNT OF $32,200 WAS GIVEN TO SUPPORT FAITH HEALTH APPALACHIA WHOSE MISSION IS TO BE A CONDUIT OF TRANSFORMATION THAT CONNECTS COMMUNITY RESOURCES, HOSPITALS, FAITH COMMUNITIES, HEALTH CARE FACILITIES, AND SOCIAL SERVICE PROGRAMS THAT IS BASED ON TRUTH, CARE, AND EDUCATION TO IMPROVE THE TOTAL WELLNESS OF INDIVIDUALS AND COMMUNITY. THE FAITH HEALTH APPALACHIA ORGANIZATION PROVIDES ACUTE INPATIENT AND OUTPATIENT CARE INCLUDING SERVICES THAT ARE REIMBURSED FOR AND NOTED AS CHARITY CARE. ADDITIONALLY, CHH GAVE $36,600 TO VARIOUS OTHER COMMUNITY PROGRAMS SUCH AS ALCHEMY THEATRE TROUPE, COALITION FOR THE HOMELESS, CITY OF HUNTINGTON FOUNDATION, CONTACT HUNTINGTON, DRWV FOUNDATION, RIVER CITIES MINISTRY, STEPPING STONES, TEAM FOR WV CHILDREN, AND WV MEDICAL PROFESSIONAL HEALTH PROGRAM. THE HOSPITAL'S CHARITY CARE SERVICES WERE $19,549,472 (WHICH IS NETTED AGAINST REVENUES) AND BAD DEBT EXPENSE WAS $18,728,069. THE HOSPITAL CONSIDERS ALL OF THIS A COMMUNITY SERVICE.</Desc>
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        <Desc>CABELL HUNTINGTON HOSPITAL IS A TEACHING HOSPITAL THAT IS ASSOCIATED WITH MARSHALL UNIVERSITY SCHOOLS OF MEDICINE, NURSING, AND PHARMACY. THE HOSPITAL IS LEADING THE WAY IN COMMUNITY HEALTH CARE AND WITH THAT COMES THE RESPONSIBILITY OF TRAINING OTHERS TO CONTINUE THE TRADITION OF EXCELLENCE. THE HOSPITAL RESIDENTS AND INTERNS GET THE OPPORTUNITY TO TRAIN WITH SOME OF THE MOST HIGHLY QUALIFIED MEDICAL SPECIALISTS IN THE AREA, SHARING INSIGHT INTO THE LATEST CONCEPTS IN MEDICAL EDUCATION AND PATIENT CARE. DURING THE FISCAL YEAR 2022, 268 INTERNS, FELLOWS, AND RESIDENTS ROTATED THROUGH THE HOSPITAL. .</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HOYT BURDICK</PersonNm>
        <TitleTxt>SR VP, CHIEF MEDICAL OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>23765</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MACK ARROLIGA MD</PersonNm>
        <TitleTxt>ANESTHESIOLOGIST</TitleTxt>
        <AverageHoursPerWeekRt>45.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIM MARTIN</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>45.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BHANU YADIKI MD</PersonNm>
        <TitleTxt>HOSPITALIST</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN YINGLING</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO MHN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS LEE</PersonNm>
        <TitleTxt>VP MHN, CIO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA C STUMP</PersonNm>
        <TitleTxt>VP MHN, CHIEF STRATEGY OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRED NOBLIN</PersonNm>
        <TitleTxt>CEO PLEASANT VALLEY HOSPITAL</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRADLEY BURCK</PersonNm>
        <TitleTxt>VP CHH FOUNDATION</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA SUMMERS</PersonNm>
        <TitleTxt>VP PATIENT SERVICES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH JACKSON</PersonNm>
        <TitleTxt>VP SUPPORT SERVICES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CASSIE LANDERS</PersonNm>
        <TitleTxt>TREASURER/DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH DENMAN</PersonNm>
        <TitleTxt>VICE CHAIR/DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RANDIE LAWSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID HARRIS</PersonNm>
        <TitleTxt>SECRETARY/DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD STEWART</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF ROWE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RANDY MOORE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTA DENNING MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAN O'HANLON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PETER RAY MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOE EVANS MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GREG WOOTEN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN LILLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH SHAPIRO MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA CLEMENTS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MATT STRAUB</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOE TOUMA MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BOBBY MILLER MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDGAR LANHAM</PersonNm>
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        <ContractorName>
          <PersonNm>UNIVERSITY PHYSICIANS AND SURGEONS</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1600 MEDICAL CENTER DRIVE</AddressLine1Txt>
            <CityNm>HUNTINGTON</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NORTHSTAR ANESTHESIA OF WV PLLC</PersonNm>
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          <USAddress>
            <AddressLine1Txt>6225 N STATE HIGHWAY 161 SUITE 20</AddressLine1Txt>
            <CityNm>IRVING</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75038</ZIPCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BIOFIRE DIAGNOSTICS LLC</PersonNm>
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          <USAddress>
            <AddressLine1Txt>515 COLOROW DR</AddressLine1Txt>
            <CityNm>SALT LAKE CITY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>84108</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MEDICAL SOLUTIONS LLC</PersonNm>
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          <USAddress>
            <AddressLine1Txt>1010 NORTH 102ND ST SUITE 300</AddressLine1Txt>
            <CityNm>OMAHA</CityNm>
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            <ZIPCd>68114</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>TRAVEL NURSES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>QUALIVIS</PersonNm>
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          <USAddress>
            <AddressLine1Txt>2000 CENTER POINT RD</AddressLine1Txt>
            <CityNm>COLUMBIA</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29210</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <RelatedOrganizationsAmt>1570376</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>6069701</GovernmentGrantsAmt>
      <TotalContributionsAmt>7640077</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>659945704</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>LABORATORY REVENUE</Desc>
        <BusinessCd>621500</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>22047852</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>AEROMED INCOME</Desc>
        <BusinessCd>623000</BusinessCd>
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        <TotalRevenueColumnAmt>5962522</TotalRevenueColumnAmt>
        <ExclusionAmt>5962522</ExclusionAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <GrossRentsGrp>
        <RealAmt>355084</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>43848</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>311236</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>311236</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>181068341</SecuritiesAmt>
        <OtherAmt>14583</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>159959182</SecuritiesAmt>
        <OtherAmt>7280</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>21109159</SecuritiesAmt>
        <OtherAmt>7303</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>21116462</TotalRevenueColumnAmt>
        <ExclusionAmt>21116462</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>2279875</TotalRevenueColumnAmt>
        <ExclusionAmt>2279875</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OUTSIDE SERVICES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>1015262</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1015262</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>998319</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7826</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>990493</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>4293456</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>720471265</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>682086578</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>1074515</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>29358859</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>24961386</TotalAmt>
        <ProgramServicesAmt>24961386</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>3999044</TotalAmt>
        <ProgramServicesAmt>875267</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3123777</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>190200382</TotalAmt>
        <ProgramServicesAmt>157250362</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32950020</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>5409084</TotalAmt>
        <ProgramServicesAmt>4483800</ProgramServicesAmt>
        <ManagementAndGeneralAmt>925284</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>42170314</TotalAmt>
        <ProgramServicesAmt>34956609</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7213705</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>13680495</TotalAmt>
        <ProgramServicesAmt>11310507</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2369988</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1877216</TotalAmt>
        <ManagementAndGeneralAmt>1877216</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>239002</TotalAmt>
        <ManagementAndGeneralAmt>239002</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>1084369</TotalAmt>
        <ManagementAndGeneralAmt>1084369</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>174450748</TotalAmt>
        <ProgramServicesAmt>136107103</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38343645</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>877361</TotalAmt>
        <ProgramServicesAmt>280756</ProgramServicesAmt>
        <ManagementAndGeneralAmt>596605</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>7208146</TotalAmt>
        <ProgramServicesAmt>2883258</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4324888</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>27220122</TotalAmt>
        <ProgramServicesAmt>13610061</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13610061</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>9714681</TotalAmt>
        <ProgramServicesAmt>7117410</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2597271</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>0</TotalAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>12041977</TotalAmt>
        <ProgramServicesAmt>9561880</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2480097</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>25831745</TotalAmt>
        <ProgramServicesAmt>16079243</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9752502</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>4299994</TotalAmt>
        <ProgramServicesAmt>3869995</ProgramServicesAmt>
        <ManagementAndGeneralAmt>429999</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>18727906</TotalAmt>
        <ProgramServicesAmt>18727906</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>124924624</TotalAmt>
        <ProgramServicesAmt>124924624</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVIDER TAX</Desc>
        <TotalAmt>15529275</TotalAmt>
        <ProgramServicesAmt>15529275</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL EDUCATION</Desc>
        <TotalAmt>14415668</TotalAmt>
        <ProgramServicesAmt>14415668</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>32632494</TotalAmt>
        <ProgramServicesAmt>10197654</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22434840</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>751496033</TotalAmt>
        <ProgramServicesAmt>607142764</ProgramServicesAmt>
        <ManagementAndGeneralAmt>144353269</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3700</BOYAmt>
        <EOYAmt>15283</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>180911865</BOYAmt>
        <EOYAmt>84755487</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>98463121</BOYAmt>
        <EOYAmt>92563725</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>82685</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>8091275</BOYAmt>
        <EOYAmt>9356639</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>3428014</BOYAmt>
        <EOYAmt>4037519</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>668608974</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>400224676</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>257690203</BOYAmt>
        <EOYAmt>268384298</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>273123510</BOYAmt>
        <EOYAmt>239233593</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>9181703</BOYAmt>
        <EOYAmt>9245713</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>3565524</BOYAmt>
        <EOYAmt>3565524</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>253444542</BOYAmt>
        <EOYAmt>277212824</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1087986142</BOYAmt>
        <EOYAmt>988370605</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>92085578</BOYAmt>
        <EOYAmt>116071516</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>341964653</BOYAmt>
        <EOYAmt>334950756</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>3058108</BOYAmt>
        <EOYAmt>1960183</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>188733303</BOYAmt>
        <EOYAmt>99226146</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>625841642</BOYAmt>
        <EOYAmt>552208601</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>462144500</BOYAmt>
        <EOYAmt>436162004</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>462144500</BOYAmt>
        <EOYAmt>436162004</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1087986142</BOYAmt>
        <EOYAmt>988370605</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-31024768</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-60918832</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>65961104</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>87103</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>87103</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AMA), ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC), WEST VIRGINIA HOSPITAL ASSOCIATION (WVHA), AND THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH) WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBERS. A PORTION OF THE DUES PAID TO EACH HAVE BEEN ALLOCATED TO LOBBYING ACTIVITIES, WHICH AMOUNTED TO $51,593. THE ASSOCIATIONS PROVIDE BOTH ADVOCACY AND REPRESENTATION FOR ITS MEMBERS. SPECIFIC INFORMATION REGARDING THE ADVOCACY AGENDAS OF THE ASSOCIATIONS CAN BE VIEWED AT THEIR RESPECTIVE WEBSITES, WWW.AAMC.ORG, WWW.WVHA.ORG, AND WWW.CHILDRENSHOSPITALS.ORG. THE ORGANIZATION ALSO ENGAGED PACK GOVERNMENT SOLUTIONS, LLC TO LOBBY THE WEST VIRGINIA LEGISLATURE, MONITOR LEGISLATION, FACILITATE MEETINGS WITH LAWMAKERS, AND FOR GENERAL ADVOCACY FOR THE HOSPITAL INDUSTRY. THESE LOBBYING ACTIVITIES AMOUNTED TO $35,510.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>3574910</BeginningYearBalanceAmt>
        <ContributionsAmt>815750</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-227038</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>4163622</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>630000</BeginningYearBalanceAmt>
        <ContributionsAmt>2689610</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>255300</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>3574910</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <ContributionsAmt>630000</ContributionsAmt>
        <EndYearBalanceAmt>630000</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>6818842</OtherCostOrOtherBasisAmt>
        <BookValueAmt>6818842</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>302179811</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>138640792</DepreciationAmt>
        <BookValueAmt>163539019</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp />
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>321401111</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>250976025</DepreciationAmt>
        <BookValueAmt>70425086</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>38209210</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10607859</DepreciationAmt>
        <BookValueAmt>27601351</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>268384298</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>MISCELLANEOUS OTHER ASSETS</Desc>
        <BookValueAmt>20645371</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>58687738</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ESTIMATED SETTLEMENT THIRD-PAR</Desc>
        <BookValueAmt>20714138</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN SMMC</Desc>
        <BookValueAmt>174265192</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSETS</Desc>
        <BookValueAmt>2900385</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>277212824</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD PARTY SETTLEME</Desc>
        <Amt>2671004</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DERIVATIVE FINANCIAL INSTRUMEN</Desc>
        <Amt>2792976</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED POST RETIREMENT BENEFI</Desc>
        <Amt>51614681</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PROFESSIONAL LIABILITI</Desc>
        <Amt>11373000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>TAX DEFERRALS</Desc>
        <Amt>0</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE OBLIGATIONS</Desc>
        <Amt>4104370</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CONTRACT LIABILITY MEDICARE AD</Desc>
        <Amt>23652115</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEF GAIN/OTHER LIABILITIES</Desc>
        <Amt>3018000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>99226146</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION'S ENDOWMENT FUND WAS ESTABLISHED FOR THE EXCLUSIVE BENEFIT OF THE HOOPS FAMILY CHILDREN'S HOSPITAL AT CABELL HUNTINGTON HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT ANNUALLY REVIEWS ITS TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2022 AND 2021.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>IN THE SEPTEMBER 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, CABELL HUNTINGTON HOSPITAL (CHH) SOLICITED INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. CHH CARES FOR PATIENTS THROUGHOUT WEST VIRGINIA, EASTERN KENTUCKY, AND SOUTHERN OHIO. THE HOSPITAL CONSULTED KEY INFORMANTS FROM THE FOLLOWING ORGANIZATIONS: A.D. Lewis Community Center American Heart Association Autism Service Center Big Brothers Big Sisters of the Tri-State Buckskin Council Cabell County Public Library Cabell Home Health Cabell Huntington Hospital Cabell Huntington Hospital Home Care Medicine Cabell-Huntington Coalition for the Homeless Carver Center for Healthy Aging Central United Methodist Church Christ Episcopal Church City of Huntington City of Huntington Fire Department Cox Landing &amp; Sunrise United Methodist Churches Education Alliance Edwards Comprehensive Cancer Center Facing Hunger Foodbank FaithHealth Appalachia Grace Christian Fellowship Hospice of Huntington Huntington 1st Church of the Nazarene Huntington City Council Huntington City Mission Huntington Internal Medicine Group Interventional Radiology Ironton in Bloom Kanawha-Charleston Health Department Kindred Communications Lawrence County Chamber of Commerce Lawrence Economic Development Corporation Marshall Health and Marshall University School of Medicine Marshall Health Marshall Health Division of Addiction Science in Family and Community Medicine-PROACT/Project Hope Marshall University Marshall University Behavioral Health Clinic Marshall University OB/GYN Marshall University Pediatrics Marshall University Joan C. Edwards School of Medicine Family Medicine Marshall University School of Pharmacy Martin County Health Department Mildred Mitchell Bateman Hospital Mountain Health Network Midland Behavioral Health Pathways, Inc. PROACT Quality Insights Radiology, Inc. Rome Presbyterian Church Southern WV Health Systems St. Mary's Medical Center TEAM for West Virginia Children Tenth Avenue Church of God The Cause, Inc. The Center - Youth Opportunity Hub The Highlawn Community Alliance Transformation Community Church Tri-state STEM+M Early College High School United Way of the River Cities Vertical Healthcare West Virginia Department of Health and Human Resources/Bureau of Behavioral Health Women Infants and Children WV FREE YMCA of Huntington THESE ORGANIZATIONS WERE REPRESENTED BY PROFESSORS, PHYSICIANS, MID-LEVEL HEALTH CARE PROVIDERS, NURSES, CEOS, CFOS, DIRECTORS OF FACILITIES, PASTORS, AND OTHER CITIZENS OF THE SERVICE AREA. PART V, SECTION B, LINE 6A THE SEPTEMBER 2022 CHNA WAS CONDUCTED ALONG WITH ST. MARY'S MEDICAL CENTER. BOTH HOSPITALS ARE LOCATED IN HUNTINGTON, WEST VIRGINIA.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINE 11 COMMUNITY-BUILDING ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>A three-year Community Health Improvement Plan (CHIP) has been developed to guide community benefit and population health improvement activities across our service area. The CHIP builds upon previous health improvement activities, while recognizing new health needs identified in the 2022 CHNA including a changing health care environment and the impact of the COVID-19 pandemic. CHIP seeks to address not only priority areas identified in the past assessments but also to include disparities in social determinants of health and access to care. This is consistent with a health equity approach to look beyond the health care system to build healthier communities for all people. Priority Areas for CHIP include Behavioral Health, Substance Use Disorder, Chronic Disease Prevention and Management, Aging Population, and Food Insecurity. Behavioral Health &amp; Substance Use Disorder The goal is to support substance use disorder (SUD) efforts and improved outcomes in our community for people with a behavioral health and/or substance use disorder and their families, including infants with Neonatal Abstinence Syndrome (NAS). Continuing Strategies: - Provider Response Organization for Addiction Care and Treatment (PROACT) PROACT'S goal is to offer individuals and their families a viable system that provides positive outcomes. Partner institutions within PROACT include CHH, St. Mary's Medical Center, Marshall Health, and Thomas Health. The PROACT center, which opened in 2018, was created to address the clinical, behavioral, spiritual, and professional issues of those affected by substance use. It functions as the centralized hub for treatment, recovery, therapy, education, research, workforce opportunities, and support for those affected by addiction. - Hoops Family Children's Hospital Child Advocacy Center (CAC) The Hoops Family Children's Hospital at CHH opened the CAC to offer children and families compassionate care to reduce the trauma often experienced by children who are victims of abuse. The CAC served 197 clients between October 1, 2021 and June 30, 2022. - Hoops Family Children's Hospital Maternal Opioid Medical Support (MOMS) program The MOMS program provides addiction treatment services for mothers while their babies recover from neonatal abstinence syndrome (NAS) in the Neonatal Therapeutic Unit (NTU). Services provided include medication-assisted therapy, women's health, contraception, individual and group counseling, case management and pastoral care. The MOMS program served 357 individuals between October 1, 2021 and June 30, 2022. - Neonatal Therapeutic Unit (NTU) The NTU at CHH provides care for babies born prenatally exposed to substances that can cause symptoms of withdrawal after birth. The unit is dedicated to caring for the entire family by providing treatment, education, and support in a non-judgmental environment. The NTU is the first of its kind in the state of WV and one of the first in the US in which newborns experience the benefit of quiet, supportive hospital setting involving the parents and extended family in forming healthy habits. The NTU had 1,712 encounters from October 1, 2021 thru April 2022. - Project Hope for Women and Children This program is led by Healthy Connections, the HFCH MOMS Program, and Marshall Health's Maternal Addiction Recovery Center to support mothers and their families on the road to addiction recovery. As a comprehensive treatment facility, Project Hope provides onsite peer and residential support, life skills training, mental health services, educational support services, career development, nutrition, exercise support, parenting, relationship courses, spiritual care, and financial education. It can house up to 18 families at a time in single family units averaging a six month stay. - Lily's Place Lily's Place cares for drug exposed newborns and their families. Medical care is provided to infants suffering from NAS. They provide support, education, and counseling services to families and caregivers. During their short-term care, they connect families with recovery groups. Two follow-up clinics each month, with a pediatric neurologist and social worker, are conducted for parents and infants who graduate from the program. Between October 1, 2021 and June 30, 2022, 16 patients were served. - Prestera Center for Mental Health Services CHH coordinates services with Prestera Center, which is a regional provider of support and services for people with behavioral health and substance abuse needs. Prestera Center specializes in helping individuals who have a dual diagnosis for mental health and substance use needs. CHH referred 44 patients to Prestera Center between October 1, 2021 and June 30, 2022. - Project Engage This is a program for patients who seek treatment through CHH emergency department or are admitted as an inpatient or to mother/baby unit. Project Engage is a program that unifies policies and protocols to increase the likelihood that patients with SUB will be prepared for and choose long-term treatment upon discharge. There were 75 referrals to the Prestera Center from Project Engage between October 1, 2021 and June 30, 2022. - Perinatal Bereavement Support Groups A support group for behavioral health conditions and/or substance use disorders. Seven Perinatal Bereavement Support Groups were held with 10 participants between October 1, 2021 and July 31, 2022. - FaithHealth Appalachia (FHA) Based on the FaithHealth Model first deployed by the Wake Forest Baptist Medical Center's FaithHealth Program, FaithHealth Appalachia's mission is to "Be the Bridge," a conduit of transformation that connects community resources, hospitals, faith communities, health care facilities, and social service programs that are based on truth, care, and education to improve the total wellness of individuals and community. CHH supports the mission of FHA as a model to increase access to medical care and other resources to local congregations and employs its Executive Director in the CHH Pastoral Care/Chaplaincy department. Between October 1, 2021 and May 31, 2022, there were 45 community referrals to FHA and 19 health care referrals to FHA. - Cabell-Huntington Health Department Harm Reduction Program (HRP) CHH, in conjunction with Marshall Health and St. Mary's Medical Center, supports the HRP. The HRP provides sterile syringes, collects non-sterile (used) syringes, offers Naloxone and rescue breathing training, and acts as points of access to prevention, testing and treatment for blood-borne diseases as well as providing family planning and referrals to medical treatment, social services, mental health and substance use disorder services for Cabell County residents. - Reverse the Cycle project The hospital ER, in conjunction with Mosaic Consulting and Marshall Health Addiction Medicine division provide: a. Screening for substance abuse disorder in ER visits with Peer Recovery Specialist follow-up. b. Peer recovery specialist outreach to overdose survivors. c. Prescribing or providing outpatient Narcan to ER patients presenting with overdose. - Health Connections A coalition of health care and social service providers dedicated to evidence based and inter-agency programming for the treatment of pregnant and parenting families who are struggling with SUD. New Strategies: - Increase the awareness and education to encourage treatment and management of behavioral health issues and SUD by collaborating with community partners to solicit feedback from people with lived experience and their families for both behavioral health and SUD services gap analysis. - Provide the Navigating Grief support groups, which was previously offered before Covid. - Promote wellness and resilience initiatives that protect from and offset risk factors for behavioral health issues and SUD by: a. Exploring partnerships with arts and cultural venues to provide youth engagement and social connectivity opportunities. b. Strengthening and supporting community organizations providing youth mentorship, senior programming, relationship-building, and social emotional learning opportunities. c. Developing arrangements with community organizations to encourage social engagement and self-management skills for people with chronic conditions, chronic pain, or advancing illness. - Improve access to behavioral health and SUD services by supporting efforts to expand telehealth applications. - Increase awareness of SUD to reduce stigma and fear of seeking treatment by providing SUD awareness sensitivity training to employees. - Improve access to SUD treatment and recovery services by: a. Exploring mobile unit outreach for services such as mobile medication assisted treatment (MAT) and Narcan distributions. b. Exploring community partnerships to enhance transportation options for SUD treatment and recovery services clients. Chronic Disease Prevention and Management The goal for Chronic Disease Prevention and Management is to reduce the burden of chronic dis</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 13(H)</FormAndLineReferenceDesc>
        <ExplanationTxt>A PATIENT WHO DOES NOT QUALIFY FOR INCOME BASED FINANCIAL ASSISTANCE UNDER THE POLICY, BUT IS UNABLE TO PAY FOR THE COST OF MEDICALLY NECESSARY CARE MAY SEEK ASSISTANCE FOR 1) EXCEPTIONAL CIRCUMSTANCES IN WHICH THE PATIENT CERTIFIES THEY ARE UNDERGOING AN EXTREME PERSONAL OR FINANCIAL HARDSHIP, 2) SPECIAL MEDICAL CIRCUMSTANCES IN WHICH THE PATIENTS WHO ARE SEEKING TREATMENT THAT CAN ONLY BE PROVIDED BY THIS HOSPITAL'S MEDICAL STAFF OR WHO WOULD BENEFIT FROM CONTINUED MEDICAL SERVICES FROM THE HOSPITAL FOR CONTINUITY OF CARE, 3) MEDICAID SCREENING WHERE PATIENTS ARE SEEKING CARE MAY BE CONTACTED BY A REPRESENTATIVE TO DETERMINE WHETHER THEY QUALIFY FOR MEDICAID, AND 4) MEDICAID ADJUSTMENTS WHEN A PATIENT QUALIFIES FOR MEDICAID BUT FUNDING IS NOT AVAILABLE TO PAY FOR EMERGENCY SERVICES AND OTHER MEDICALLY NECESSARY CARE.</ExplanationTxt>
      </SupplementalInformationGrp>
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            <AddressLine1Txt>1201 HAL GREER BLVD</AddressLine1Txt>
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            <AddressLine1Txt>1115 20TH STREET</AddressLine1Txt>
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            <AddressLine1Txt>1400 HAL GREER BLVD</AddressLine1Txt>
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            <StateAbbreviationCd>WV</StateAbbreviationCd>
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          <FacilityTxt>DIAGNOSTIC CLINIC</FacilityTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>SPORTS MEDICINE REHAB SERVICES</BusinessNameLine1Txt>
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            <AddressLine1Txt>2211 THIRD AVENUE</AddressLine1Txt>
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            <BusinessNameLine1Txt>CENTER FOR SURGICAL WEIGHT CONTROL</BusinessNameLine1Txt>
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          <FacilityTxt>BARIATRIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WOMEN'S HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1660 TWELFTH AVENUE</AddressLine1Txt>
            <CityNm>HUNTINGTON</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25701</ZIPCd>
          </USAddress>
          <FacilityTxt>OB-GYN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY MEDICAL CENTER MERRITTS CREEK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 MEADOW POINTE</AddressLine1Txt>
            <CityNm>BARBOURSVILLE</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25504</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SLEEP DISORDERS CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>300 CORPORATE CENTER DRIVE</AddressLine1Txt>
            <CityNm>SCOTT DEPOT</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25560</ZIPCd>
          </USAddress>
          <FacilityTxt>SLEEP LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COUNSELING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>517 NINTH STREET</AddressLine1Txt>
            <CityNm>HUNTINGTON</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25701</ZIPCd>
          </USAddress>
          <FacilityTxt>COUNSELING SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHH PROCTORVILLE FAMILY MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7718 COUNTY RD 107</AddressLine1Txt>
            <CityNm>PROCTORVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45669</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHH WOMEN'S HEALTH MERRITTS CREEK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>104 MEADOW POINTE</AddressLine1Txt>
            <CityNm>BARBOURSVILLE</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25504</ZIPCd>
          </USAddress>
          <FacilityTxt>OB-GYN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHH FAMILY PRACTICE BARBOURSVILLE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4 CHATEAU LANE</AddressLine1Txt>
            <CityNm>BARBOURSVILLE</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25504</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY MEDICAL CENTER KENOVA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>750 OAK STREET</AddressLine1Txt>
            <CityNm>KENOVA</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25430</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHH CANNONSBURG PRIMARY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6572 MIDLAND TRAIL</AddressLine1Txt>
            <CityNm>ASHLAND</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41102</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARSHALL INTERNAL MEDICINE - HUNTINGTON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1249 15TH STREET</AddressLine1Txt>
            <CityNm>HUNTINGTON</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25701</ZIPCd>
          </USAddress>
          <FacilityTxt>INTERNAL MEDICINE CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARSHALL CENTER FOR HEALTHY AGING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>659 CENTRAL AVE REAR</AddressLine1Txt>
            <CityNm>BARBOURSVILLE</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25504</ZIPCd>
          </USAddress>
          <FacilityTxt>SENIOR CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WOMEN'S &amp; FAMILY MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1115 20TH STREET</AddressLine1Txt>
            <CityNm>HUNTINGTON</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25701</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>THE CHH RECOVERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1640 13TH AVE</AddressLine1Txt>
            <CityNm>HUNTINGTON</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25701</ZIPCd>
          </USAddress>
          <FacilityTxt>RX DRUG ABUSE/PAIN RECOVERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WOODLANDS PRIMARY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>500 BRADLEY FOSTER DRIVE SUITE 267</AddressLine1Txt>
            <CityNm>HUNTINGTON</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25701</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>A COST-TO-CHARGE RATIO WAS CALCULATED USING THE IRS WORKSHEET 2. THE TOTAL OPERATING EXPENSES WERE ADJUSTED FOR NON-PATIENT ACTIVITIES, MEDICAID TAXES, AND COMMUNITY BENEFIT AND BUILDING EXPENSES BEFORE CALCULATING THE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $18,728,069.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S COMMUNITY-BUILDING ACTIVITIES, AS REPORTED IN PART II, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. DURING FY 2022, THE HOSPITAL COMMUNITY-BUILDING ACTIVITIES REACHED OUT TO NUMEROUS ORGANIZATIONS THAT SERVE INDIVIDUALS WITHIN THE DIRECT COMMUNITIES SERVED. FUTURE ACTIVITIES ARE DETERMINED BASED UPON THE COMMUNITY HEALTH NEEDS ASSESSMENT, REQUESTS FROM PUBLIC AGENCIES OR COMMUNITY GROUPS, AND OTHER FACTORS. THE HOSPITAL ALSO WELCOMES INPUT FROM THE COMMUNITIES AS TO WHICH EVENTS IT SHOULD PURSUE AND CONTINUE. THE HOSPITAL SEEKS TO PROVIDE OR FUND ACTIVITIES WITH THE FOLLOWING OBJECTIVES: IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, RELIEVING GOVERNMENT BURDEN, MAKING HEALTHCARE AVAILABLE TO THE PUBLIC AND SERVICING LOW-INCOME CONSUMERS, ADDRESSING FEDERAL, STATE, OR LOCAL PUBLIC HEALTH PRIORITIES, AND LEVERAGING OR ENHANCING PUBLIC HEALTH DEPARTMENT ACTIVITIES. SOME OF THE SPECIFIC COMMUNITY BUILDING ACTIVITIES FUNDED BY THE ORGANIZATION INCLUDE: 1) SHEPHERD'S HOUSE, WHICH IS AN ORGANIZATION THAT ASSISTS RESIDENTS TO GAIN LIVING SKILLS THAT EMPOWER THEM TO TAKE RESPONSIBILITY FOR THEIR LIVES, 2) HUNTINGTON MUSEUM OF ART PROGRAM FOR CHEMOTHERAPY PATIENTS AT THE HOSPITAL, 3) EBENEZER MEDICAL OUTREACH PROGRAM TO ASSIST THOSE WHO CANNOT AFFORD NEEDED MEDICATIONS AND TO HELP CONTINUE HOUSING A FREE CLINIC TO SERVE THE COMMUNITY, 4) HUNTINGTON'S KITCHEN CONTINUED OPERATIONS TO PROMOTE HEALTHY EATING HABITS FOR KIDS AND ADULTS IN THE COMMUNITY, 5) HUNTINGTON CITY MISSION FOOD PROGRAM TO HELP PROVIDE FOOD FOR INDIVIDUALS THAT HAVE NO PERMANENT HOME, 6) FAITHHEALTH APPALACHIA, A PROGRAM TO PROMOTE PASSION FOR A HOLISTIC APPROACH TO WELLNESS WHICH FOCUSES ON MIND, BODY, AND SPIRIT THROUGH BRIDGING TOGETHER OF HEALTHCARE, FAITH COMMUNITIES AND COMMUNITY, AND 7) NUMEROUS OTHER SUPPORT FOR THE SAME TYPES OF MISSIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENT FOOTNOTE: SEE FOOTNOTE #5 ON PAGE 16 OF THE AUDITED FINANCIAL STATEMENTS. THE METHODOLOGY USED TO DETERMINE THE COST FOR LINE 2 IS THE METHOD SUGGESTED IN THE INSTRUCTIONS FOR WORKSHEET 2, FINANCIAL ASSISTANCE AT COST IN THE INTERNAL REVENUE INSTRUCTIONS FOR FORM 990 SCHEDULE H. THIS METHOD CALCULATES A COST RATIO BY USING TOTAL OPERATING EXPENSES LESS BAD DEBT AND OTHER EXPENSE ADJUSTMENTS DIVIDED BY GROSS PATIENT REVENUES. THE RATIO IS THEN APPLIED TO BAD DEBT EXPENSE TO GET THE ESTIMATED COST. LINE 3 IS A PERCENTAGE DERIVED BY LOOKING AT THE HISTORICAL PERCENTAGES OF UNINSURED AND SELF-INSURED PATIENTS IN THE COMMUNITY SERVED. THERE ARE A NUMBER OF PATIENTS THAT DO NOT APPLY FOR FINANCIAL ASSISTANCE AND ARE DEFINITELY UNABLE TO PAY FOR THEIR OUT-OF-POCKET MEDICAL EXPENSES. IF THESE PATIENTS WENT THROUGH THE FINANCIAL ASSISTANCE PROCESS, THEY WOULD MOST LIKELY QUALIFY. THESE PATIENTS STILL NEED TO BE TREATED AND THIS IS WHY THE ORGANIZATION BELIEVES THIS SHOULD BE TREATED AS A COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>BECAUSE THE HOSPITAL IS A COMMUNITY BASED TEACHING HOSPITAL AND SERVES THE COMMUNITY WITHOUT REGARD TO ABILITY TO PAY, THIS AMOUNT SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE EXPENSES ALLOCATED TO THE MEDICARE ARE DERIVED FROM THE MEDICARE COST REPORT AND ARE ALLOCATED TO CARRIER BY GROSS CHARGE RATIO AFTER THEY ARE ADJUSTED FOR COSTS THAT ARE INCLUDED IN PART I, LINE 7F.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS INCLUDED IN ITS FINANCIAL ASSISTANCE POLICY, THE COLLECTION PROCEDURES THAT WILL BE FOLLOWED FOR PATIENTS THAT ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE HOSPITAL SEEKS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. IF THE PATIENT HAS NOT BEEN DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO DISCHARGE OR SERVICE, THE HOSPITAL WILL BILL FOR CARE. PATIENTS WILL RECEIVE A SERIES OF BILLING STATEMENTS OVER A 120 DAY PERIOD BEGINNING AFTER THE PATIENT HAS BEEN DISCHARGED DELIVERED TO THE ADDRESS ON RECORD FOR THE PATIENT. THE PATIENT HAS UP TO THIS 120 DAY WINDOW TO HAVE AN APPLICATION PROCESSED OR PENDING. THEY WILL NOT BE SENT TO ANY COLLECTION AGENCIES/LAW FIRMS UNTIL THE APPLICATION IS PROCESSED AND THEN ONLY IF IT IS NOT APPROVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING A NEEDS ASSESSMENT AND CONSULTING WITH HEALTHCARE PROVIDERS SUCH AS MARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE AND VARIOUS COMMUNITY AGENCIES. THE 2022 COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED IN SEPTEMBER 2022 ALONG WITH MOUNTAIN HEALTH NETWORK AND ST. MARY'S MEDICAL CENTER ALSO LOCATED IN HUNTINGTON, WV. THE ASSESSMENT REPRESENTS THE COMMUNITY THE HOSPITALS SERVE WHICH INCLUDES 20 COUNTIES THAT SPAN INTO WEST VIRGINIA, OHIO, AND KENTUCKY. THE REPORT INCLUDES A COMPREHENSIVE REVIEW AND ANALYSIS OF DATA REGARDING THE HEALTH ISSUES AND NEEDS OF THESE COUNTIES. THE RESULTS OF THE ASSESSMENT ENABLE THE COUNTY PUBLIC HEALTH DEPARTMENTS, HEALTH SYSTEMS, AND OTHER PROVIDERS TO MORE STRATEGICALLY ESTABLISH PRIORITIES, DEVELOP INTERVENTIONS, AND COMMIT RESOURCES TO IMPROVE THE OVERALL HEALTH OF THESE COMMUNITIES. THE CURRENT NEEDS ASSESSMENT CAN BE FOUND ON THE HOSPITAL WEBSITE, HTTPS://CABELLHUNTINGTON.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS INFORMATION ABOUT ITS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND APPLICATIONS AVAILABLE IN ALL REGISTRATION AREAS OF THE HOSPITAL AS WELL AS ITS WEBSITE. THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS WHO VISIT INPATIENTS IN ELIGIBLE FINANCIAL CLASSES TO PROVIDE INFORMATION ABOUT CHARITY CARE AND FINANCIAL ASSISTANCE AS WELL AS RESPONDING TO INQUIRIES FROM OUTPATIENTS REGARDING PROVIDING ASSISTANCE WITH THE 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 AND FINANCIAL ASSISTANCE POLICIES AND OBTAIN INFORMATION REGARDING THEIR ELIGIBILITY FOR CHARITY CARE AND FINANCIAL ASSISTANCE. THE HOSPITAL ALSO CONTRACTS WITH MEDICAID ELIGIBILITY SPECIALISTS TO ASSIST THOSE PATIENTS WHO QUALIFY FOR MEDICAID. INFORMATION ABOUT THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND PROCESS IS POSTED ON THE HOSPITAL'S WEBSITE, HTTPS://CABELLHUNTINGTON.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS LOCATED IN HUNTINGTON, CABELL COUNTY, WV. CABELL COUNTY IS LOCATED IN THE WESTERN PORTION OF WV AND IS BORDERED ON THE NORTHWEST BY OHIO AND ON THE SOUTHWEST BY KY (REGION REFERRED TO AS THE TRI-STATE AREA). HUNTINGTON IS ONE OF THE THREE METROPOLITAN CENTERS IN THE TRI-STATE AREA. THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA CONSISTS OF THIRTEEN COUNTIES IN WEST VIRGINIA, SIX COUNTIES IN KENTUCKY, AND FOUR COUNTIES IN OHIO, ALL OF WHICH CONTAIN MEDICALLY UNDERSERVED AREAS AS DESIGNATED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES. NINETY-FIVE PERCENT (95%) OF THE TOTAL ADMISSIONS ORIGINATE FROM THIS SERVICE AREA. ACCORDING TO OUR MOST RECENT CHNA, THE MEDIAN AGE IN THIS SERVICE AREA IS 42.0. THE AVERAGE MEDIAN HOUSEHOLD INCOME FOR THIS SERVICE AREA IS APPROXIMATELY $46,711. NEARLY 27% OF THE CHILDREN AND 1 IN 10 ADULTS IN THIS SERVICE AREA ARE CURRENTLY LIVING IN POVERTY. THE UNEMPLOYMENT RATE IS APPROXIMATELY 4.2%. THE HOSPITAL IS AFFILIATED WITH THE MARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE AND ITS GRADUATE MEDICAL EDUCATION PROGRAMS, WHICH TRAIN PRIMARY CARE AND SPECIALTY PHYSICIANS FOR WV 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, COMPREHENSIVE ONCOLOGY CARE, AND BARIATRIC CARE. THE HOSPITAL ALSO SERVES AS A CLINICAL TRAINING SITE FOR A NUMBER OF HEALTH PROFESSION EDUCATION PROGRAMS, INCLUDING NURSING, PHARMACY, PHYSICAL &amp; OCCUPATIONAL THERAPY, AND RADIOLOGICAL TECHNOLOGY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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. 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, FAMILY MEMBERS, ELECTED PUBLIC OFFICIALS, OR EMPLOYED BY THE LOCAL, STATE, OR FEDERAL GOVERNMENT. THE HOSPITAL PROVIDES SPECIALIZED SERVICES NOT OTHERWISE AVAILABLE TO 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. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR ALL DEPARTMENTS. ANY SURPLUS OF FUNDS IS REINVESTED INTO REPLACEMENT OF EQUIPMENT OR NEW EQUIPMENT TO PROVIDE UPDATED SERVICES TO THE HOSPITAL'S PATIENTS OR TO PROVIDING NEW AND EXPANDED HEALTHCARE PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO THE FEDERAL POVERTY GUIDELINES FACTOR IN DETERMINING CRITERIA FOR FINANCIAL ASSISTANCE, THE PATIENT NEEDS TO BE UNINSURED, A UNITED STATES CITIZEN, AND NOT HAVE ASSETS IN EXCESS OF $50,000. THE $50,000 ASSET LIMITATION EXCLUDES THE PATIENT'S PRIMARY RESIDENCE AND PRIMARY CAR. ADDITIONALLY, PATIENTS WHO EXPERIENCE FINANCIAL OR PERSONAL HARDSHIPS OR SPECIAL MEDICAL CIRCUMSTANCES MAY ALSO QUALIFY FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EBENEZER MEDICAL OUTREACH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1448 TENTH AVENUE</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25701</ZIPCd>
        </USAddress>
        <RecipientEIN>550745033</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>45837</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>MEDICAL/PHARMACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARSHALL UNIVERSITY JOAN C EDWARDS SOM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ONE JOHN MARSHALL DR</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25701</ZIPCd>
        </USAddress>
        <RecipientEIN>556000789</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>24913049</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>MEDICAL SCHOOL</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS THE FOLLOWING PLAN ESTABLISHED TO MONITOR THE USE OF THE GRANT FUNDS. THE GRANTS AND FINANCIAL ASSISTANCE PROVIDED BY THE HOSPITAL ARE APPROVED BY THE HOSPITAL'S BOARD AND THE PRESIDENT/CEO OR WHOEVER THE PRESIDENT/CEO DESIGNATES. THEY ARE APPROVED BASED ON THE NEEDS OF THE ORGANIZATION APPLYING FOR THEM AND HOW THEY WILL USE THE FUNDS RELATED TO THE HOSPITAL'S MISSION. THE GRANTS AND ASSISTANCE GIVEN TO MARSHALL UNIVERSITY ARE TO AID IN THE EDUCATIONAL MISSION OF THE HOSPITAL THROUGH THE INTERN AND RESIDENT PROGRAMS. ASSISTANCE IS GIVEN TO A COMMUNITY MEDICAL OUTREACH PROGRAM FOR HEALTH SERVICES. VARIOUS STAFF MEMBERS OF THE HOSPITAL REVIEW THE FINANCIAL INFORMATION GIVEN TO THEM AND REPORT BACK TO THE BOARD AND PRESIDENT/CEO OR WHOEVER THE PRESIDENT/CEO DESIGNATES. THE FUNDS DISPERSED FOR THIS ASSISTANCE ARE REQUESTED WITH AN INVOICE AND CHECK REQUEST SIGNED BY THE APPROPRIATE HOSPITAL REPRESENTATIVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART 1, LINE 1 AND 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN FOWLER</PersonNm>
        <TitleTxt>FORMER PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>406460</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>3213</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1047253</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6253</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1463179</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID M WARD</PersonNm>
        <TitleTxt>SR VP, CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>492533</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>21296</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>15165</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21436</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>550430</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HOYT BURDICK</PersonNm>
        <TitleTxt>SR VP, CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>433180</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>18744</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>7638</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23765</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>483327</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MACK ARROLIGA MD</PersonNm>
        <TitleTxt>ANESTHESIOLOGIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>447967</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>486</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22513</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>470966</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL SMITH</PersonNm>
        <TitleTxt>VP &amp; CAO</TitleTxt>
        <BaseCompensationFilingOrgAmt>341611</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>146859</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>7638</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35424</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>531532</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRADLEY BURCK</PersonNm>
        <TitleTxt>VP CHH FOUNDATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>215987</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7578</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1478</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35007</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>260050</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENNIS LEE</PersonNm>
        <TitleTxt>VP MHN, CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>313953</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>13453</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2022</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24140</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>353568</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BHANU YADIKI MD</PersonNm>
        <TitleTxt>HOSPITALIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>318579</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>53850</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>540</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24140</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>397109</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIM MARTIN</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>365226</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>16295</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1590</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35007</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>418118</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA C STUMP</PersonNm>
        <TitleTxt>VP MHN, CHIEF STRATEGY OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>299330</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>13203</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2022</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>38894</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>353449</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL MULLINS</PersonNm>
        <TitleTxt>FORMER PRESIDENT &amp; CEO MHN</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>873351</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>4615</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>413350</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>18129</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1309445</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AHMET OZTURK MD</PersonNm>
        <TitleTxt>ANESTHESIOLOGIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>572657</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>6858</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25015</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>604530</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GHASSAN MOUFARREGE</PersonNm>
        <TitleTxt>ANESTHESIOLOGIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>438844</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>162315</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1242</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12508</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>614909</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY DAMRON MD</PersonNm>
        <TitleTxt>CARDIOLOGIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>494203</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>3564</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>38894</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>536661</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN YINGLING</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO MHN</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>331558</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>40000</BonusRelatedOrganizationsAmt>
        <TotalCompensationRltdOrgsAmt>371558</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIA SUMMERS</PersonNm>
        <TitleTxt>VP PATIENT SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>192874</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>9001</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1576</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15635</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>219086</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KENNETH JACKSON</PersonNm>
        <TitleTxt>VP SUPPORT SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>163838</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8035</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1078</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>38894</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>211845</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRED NOBLIN</PersonNm>
        <TitleTxt>CEO PLEASANT VALLEY HOSPITAL</TitleTxt>
        <BaseCompensationFilingOrgAmt>293426</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>4437</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>810</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35007</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>333680</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>KEVIN FOWLER, FORMER PRESIDENT AND CEO, WAS PROVIDED WITH PERSONAL COUNTRY CLUB BENEFITS. THESE BENEFITS WERE ADDED TO HIS W-2 AS TAXABLE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1, LINE 4A AND 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 4A Kevin Fowler, President/COO, received a severance payments totaling $257,233. In addition, a 457B retirement plan was paid out totaling $1,047,253.05. Michael Mullins received a 457B retirement plan pay out totaling $413,350 plus severance payment totaling $270,769. LINE 4B THE FOLLOWING PAYMENTS WERE CONTRIBUTED TO A 457(F) PLAN: DAVID M. WARD, SR VP, CFO, &amp; CAO $ 83,295 PAUL SMITH, VP &amp; GENERAL COUNSEL 63,668 DENNIS LEE, VP &amp; CIO 57,254 LISA CHAMBERLIN STUMP, VP STRATEGIC MARKETING &amp; PLAN 56,250 KEVIN YINGLING, PRESIDENT &amp; CEO MOUNTAIN HEALTH NETWORK 129,300 REGINA CAMPBELL, CHIEF NURSING OFFICER 33,583 HOYT BURDICK, SENIOR VP &amp; CMO 48,869</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1, LINE 4C</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES WERE PAID TO VPS/OFFICERS BUT NOT EQUITY BASED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>A BONUS PLAN EXISTS FOR EXECUTIVES OF THE ORGANIZATION. DETAIL OF PAYMENTS MADE ARE DISCLOSED IN SCHEDULE J, PART II, COLUMN II. BONUSES ARE BASED ON MEETING MULTIPLE GOALS SET FORTH FOR EACH EXECUTIVE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 2, LINES 7 AND 8, COLUMN B, 1 OF 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BONDS IN COLUMN A AND COLUMN B WERE ISSUED SIMULTANEOUSLY AND ISSUANCE COSTS WERE FOR BOTH ISSUES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 2, LINE 11, "OTHER SPENT PROCEEDS", COLUMN C, 1 OF 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PURPOSE OF ISSUE WAS TO REFUND TAXABLE DEBT</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JEFFERY BURDICK</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>155873</TransactionAmt>
        <TransactionDesc>REPORTABLE COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>PAUL SMITH</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER</RelationshipDescriptionTxt>
        <TransactionDesc>OFFICER FOR HEALTHNET</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>DAVID WARD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER</RelationshipDescriptionTxt>
        <TransactionDesc>DIRECTOR FOR HEALTHNET</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>PAUL SMITH</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER</RelationshipDescriptionTxt>
        <TransactionDesc>MEMBER MGR FMS CH DIALYSIS CTR</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>DAVID WARD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER</RelationshipDescriptionTxt>
        <TransactionDesc>MEMBER MGR FMS CH DIALYSIS CTR</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE (1): FAMILY MEMBER OF HOYT BURDICK, SR VP &amp; CMO</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MOUNTAIN HEALTH NETWORK, INC. (MHN): ONLY ONE EMPLOYEE COMPENSATED BY MHN DURING THIS YEAR AND THAT WAS MICHAEL MULLINS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHAIRMAN OF THE BOARD APPOINTS FIFTEEN OF THE EIGHTEEN DIRECTORS FOLLOWING CONSULTATION WITH A NOMINATING COMMITTEE CONSTITUTED AS PROVIDED IN THE GOVERNING BODY BYLAWS AND APPROVED BY A MAJORITY OF THE BOARD OF DIRECTORS. IN DOING THIS, THE BOARD AND CHAIRMAN TAKE INTO ACCOUNT THE REQUIREMENTS OF THE LAWS OF THE STATE OF WEST VIRGINIA RELATING TO THE COMPOSITION OF BOARD DIRECTORS OF NONPROFIT HOSPITALS, WHICH PROVIDE THAT AT LEAST 40% OF THE BOARD OF DIRECTORS OF NONPROFIT HOSPITALS SHALL BE COMPOSED OF AN EQUAL PORTION OF CONSUMER REPRESENTATIVES FROM EACH OF THE FOLLOWING FOUR CATEGORIES: SMALL BUSINESSES, ORGANIZED LABOR, ELDERLY PERSONS AND PERSONS WHOSE INCOME IS LESS THAN THE NATIONAL MEDIAN INCOME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE FORM 990 IS REVIEWED BY DREW HEFNER, DIRECTOR OF FINANCIAL DECISION SUPPORT; BETH CUTLER, FINANCIAL MANAGER; MONTE WARD, CFO; MELISSA LEASURE, GENERAL COUNSEL; AND JIM BAILES, ATTORNEY. AFTER REVIEW BY THESE INDIVIDUALS, THE FINAL COPY OF FORM 990 IS PROVIDED TO THE BOARD MEMBERS FOR THEIR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE BEGINNING 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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 AND 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST THROUGH THE IN-HOUSE GENERAL COUNSEL'S OFFICE. THE FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990, AND THUS, CAN BE ALSO FOUND ON GUIDESTAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN PENSION LIABILITY AND INTEREST RATE SWAP, $50,366,583 INCREASE IN OPEB BENEFIT 8,181,015 INCREASE IN NET PENSION BENEFIT 7,413,506 TOTAL $65,961,104</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT COMMITTEE INTERMITTENTLY PUTS OUT BIDS FOR THE ANNUAL AUDIT AND CHOOSES WHAT FIRM TO GO WITH. DURING THE YEAR AUDITORS MEET WITH THIS COMMITTEE PRIOR TO AUDIT AND AGAIN TO PRESENT AUDIT. THIS PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:HEALTHCARE FEES TOTAL FEES:55388954</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCHASED SERVICES TOTAL FEES:81192886</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OUTSIDE LABOR TOTAL FEES:36676216</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONSULTING SERVICES TOTAL FEES:1192692</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CABELL HUNTINGTON HOSPITAL FOUNDATION IN</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1427</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25716</ZIPCd>
        </USAddress>
        <EIN>311096222</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CABELL HUNTINGTON HOSPITAL AUXILIARY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1340 HAL GREER BOULEVARD</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25701</ZIPCd>
        </USAddress>
        <EIN>556014510</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PLEASANT VALLEY MEDICAL GROUP INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2520 VALLEY DRIVE</AddressLine1Txt>
          <CityNm>POINT PLEASANT</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25550</ZIPCd>
        </USAddress>
        <EIN>471358788</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHH INCPVH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTHNET AEROMEDICAL SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>419 BROOKS STREET</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25301</ZIPCd>
        </USAddress>
        <EIN>550681969</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST MARY'S MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2900 1ST AVENUE</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25702</ZIPCd>
        </USAddress>
        <EIN>550357050</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MOUNTAIN HEALTH NETWORK INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 636</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25711</ZIPCd>
        </USAddress>
        <EIN>320573122</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT SV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PROACT INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>800 20TH STREET</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25701</ZIPCd>
        </USAddress>
        <EIN>832100850</EIN>
        <PrimaryActivitiesTxt>ADDICTION SVS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OCCUMED LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1340 HAL GREER BOULEVARD</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25701</ZIPCd>
        </USAddress>
        <EIN>432093064</EIN>
        <PrimaryActivitiesTxt>URGENT CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-185071</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>-601715</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.89490</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HUNT SURG PROP LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1201 HAL GREER BOULEVARD</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25701</ZIPCd>
        </USAddress>
        <EIN>550647723</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>128786</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>536497</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.49000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MHC ACCOUNT CARE</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5183 US ROUTE 60 EAST</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25705</ZIPCd>
        </USAddress>
        <EIN>821639032</EIN>
        <PrimaryActivitiesTxt>HEALTH SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-64587</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>585829</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.20000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHH-CABELL DEVELOPMENT CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1201 HAL GREER BOULEVARD</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25701</ZIPCd>
        </USAddress>
        <EIN>621184183</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>1931</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>-34410</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.51000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MOUNTAIN REGIONAL SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 636</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25711</ZIPCd>
        </USAddress>
        <EIN>550655843</EIN>
        <PrimaryActivitiesTxt>RECORD OWNER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-1642</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>70549</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CABELL HUNTINGTON HOSPITAL FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>1570376</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>OCCUMED LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A (IV</TransactionTypeTxt>
        <InvolvedAmt>8327</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>OCCUMED LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>624446</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>OCCUMED LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>1204079</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>OCCUMED LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>250293</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>OCCUMED LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>313951</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HUNTINGTON SURGICAL PROPERTIES LP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>283867</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MOUNTAIN HEALTH NETWORK INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>990000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MOUNTAIN HEALTH NETWORK INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>341017</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ST MARY'S MEDICAL CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>12167236</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
