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      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey Lancaster</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>040.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>221033</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17861</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kathryn Moffett-Bradford MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>187054</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18371</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Clay Marsh MD</PersonNm>
        <TitleTxt>Voting Ex-Officio, VP and Executive Dean SoM</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>17885856</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>321836</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>620641</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1409</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>Weatherby Locums Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 972633</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753972633</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare Staffing Services</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Locumtenenscom LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 405547</AddressLine1Txt>
            <CityNm>Atlanta</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303845547</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare Staffing Services</ServicesDesc>
        <CompensationAmt>585480</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>David Skoner</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>10 Hillcrest Rd</AddressLine1Txt>
            <CityNm>Pittsburgh</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>152213652</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>393988</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CHG Companies Inc</PersonNm>
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          <USAddress>
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            <CityNm>Dallas</CityNm>
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            <ZIPCd>753972651</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare Staffing Services</ServicesDesc>
        <CompensationAmt>337542</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Fusion Healthcare Staffing LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 202056</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753202056</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Physician Services</ServicesDesc>
        <CompensationAmt>217449</CompensationAmt>
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        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>412365695</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>412365695</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>267887945</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>267887946</RelatedOrExemptFuncIncomeAmt>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>6961349</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6961349</RelatedOrExemptFuncIncomeAmt>
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        <BusinessCd>531120</BusinessCd>
        <TotalRevenueColumnAmt>1410748</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1410748</RelatedOrExemptFuncIncomeAmt>
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        <UnrelatedBusinessRevenueAmt>56686</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2510757</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-54157</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>15834</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15834</RelatedOrExemptFuncIncomeAmt>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>600</TotalRevenueColumnAmt>
        <ExclusionAmt>600</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>56686</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2457200</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>24389501</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
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      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>6481649</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2617331</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
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        <ProgramServicesAmt>451186744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10647636</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>18986353</ProgramServicesAmt>
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        <ProgramServicesAmt>34165027</ProgramServicesAmt>
        <ManagementAndGeneralAmt>964200</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>16454542</ProgramServicesAmt>
        <ManagementAndGeneralAmt>476915</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>23622</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63761</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>18693</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51562</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>10971182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2192487</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>239581</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43708</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>4037892</ProgramServicesAmt>
        <ManagementAndGeneralAmt>455434</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>273677</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4061</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6174903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>485293</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1356747</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101890</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>1233828</ProgramServicesAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>572718</ProgramServicesAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>99041</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24160194</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6081039</ProgramServicesAmt>
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        <ProgramServicesAmt>8914418</ProgramServicesAmt>
        <ManagementAndGeneralAmt>956353</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Provision for Doubtful Accounts</Desc>
        <TotalAmt>26136522</TotalAmt>
        <ProgramServicesAmt>26136522</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Medical Supplies Pharmaceuticals</Desc>
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        <ProgramServicesAmt>11970905</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Taxes, Licenses Fees</Desc>
        <TotalAmt>1683752</TotalAmt>
        <ProgramServicesAmt>812854</ProgramServicesAmt>
        <ManagementAndGeneralAmt>870898</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Educational Training</Desc>
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        <ProgramServicesAmt>636487247</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46608491</ManagementAndGeneralAmt>
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        <EOYAmt>14479</EOYAmt>
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        <EOYAmt>21606495</EOYAmt>
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        <EOYAmt>3247070</EOYAmt>
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        <EOYAmt>63111780</EOYAmt>
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        <EOYAmt>45922662</EOYAmt>
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        <EOYAmt>248561218</EOYAmt>
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        <EOYAmt>75378981</EOYAmt>
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        <EOYAmt>66074</EOYAmt>
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        <EOYAmt>69250516</EOYAmt>
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        <EOYAmt>146026877</EOYAmt>
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        <EOYAmt>102534341</EOYAmt>
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        <EOYAmt>102534341</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>248561218</EOYAmt>
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      <OtherChangesInNetAssetsAmt>-3702662</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
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      <FactsAndCircumstancesTestTxt>Part I Section A Line 3 Although the organization qualifies as a hospital under IRC Section 170b1Aiii as shown on Schedule A, item 3, the organization does not qualify as a hospital for Schedule H or State of West Virginia purposes.</FactsAndCircumstancesTestTxt>
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        <BookValueAmt>5239565</BookValueAmt>
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        <BookValueAmt>16990696</BookValueAmt>
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        <DepreciationAmt>42678113</DepreciationAmt>
        <BookValueAmt>15142351</BookValueAmt>
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        <DepreciationAmt>1551147</DepreciationAmt>
        <BookValueAmt>16451774</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>53824386</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <OtherAssetsOrgGrp>
        <Desc>Deferred Compensation</Desc>
        <BookValueAmt>232936</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Student Loan Receivable</Desc>
        <BookValueAmt>2621583</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other Curr Rec - Accr</Desc>
        <BookValueAmt>553944</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Other to/from IC WVUPC</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>Other Current Receivable</Desc>
        <BookValueAmt>859197</BookValueAmt>
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      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
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      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Goodwill Other Intang</Desc>
        <BookValueAmt>2400014</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Other to/from IC WVUH-East</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>Due From Staff/Employees</Desc>
        <BookValueAmt>323546</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Affiliate AR</Desc>
        <BookValueAmt>152557</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Due from Related Org - Accr</Desc>
        <BookValueAmt>21769384</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Due from Third Party Payors</Desc>
        <BookValueAmt>15557067</BookValueAmt>
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        <Desc>Accrued Current Receivables</Desc>
        <BookValueAmt>1452434</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>45922662</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Accrued Expenses - Current</Desc>
        <Amt>40087423</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Compensation</Desc>
        <Amt>232936</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Non-Current Liabilities</Desc>
        <Amt>145010</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Long Term Lease Liability</Desc>
        <Amt>9752366</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Other Current Liabilities</Desc>
        <Amt>25447</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Notes Payable - Current</Desc>
        <Amt>2380534</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Leases Payable - Current</Desc>
        <Amt>302517</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Capitalized Leases Payable</Desc>
        <Amt>481743</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Notes Payable</Desc>
        <Amt>15842540</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>657561292</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-7550087</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-26044078</OtherRevenueAmt>
      <RevenueNotReportedAmt>-33594165</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>691155457</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>691155457</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>657051660</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>657051660</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>26044078</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>26044078</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>683095738</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Corporation is a tax-exempt organization and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code and applicable state statutes. On such basis, the Corporation will not incur any liability for income taxes, except for possible unrelated business income. The Corporation does not have any material uncertain tax positions as of December 31, 2022 and 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount reported on line 2d 26,044,078 consists entirely of Allowance for Doubtful Accounts reported as an offset to revenue on the Audited Financial Statements AFS but are considered an expense for 990 reporting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount reported on line 4b 26,044,078 consists entirely of Allowance for Doubtful Accounts reported as an offset to revenue on the Audited Financial Statements AFS but are considered an expense for 990 reporting.</ExplanationTxt>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>West Virginia University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1150 HSN PO Box 9100</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26505</ZIPCd>
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        <CashGrantAmt>24379251</CashGrantAmt>
        <PurposeOfGrantTxt>Support</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>Part I Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>The Corporation contributes to WVU Health Sciences Center to support the mission of the School of Medicine and to support the WVU School of Medicine Academic Enrichment Fund. WVUMC only makes contributions to organziations with missions related to our mission. WVUMC does not monitor the use of grants after awarded.</ExplanationTxt>
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      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>true</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>true</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Michael Edmond MD</PersonNm>
        <TitleTxt>Director - Non Voting, CMO</TitleTxt>
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        <BonusFilingOrganizationAmount>167981</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>3797</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18300</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3131</NontaxableBenefitsFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kathryn Moffett-Bradford MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <BonusFilingOrganizationAmount>15683</BonusFilingOrganizationAmount>
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        <PersonNm>Arif Sarwari MD</PersonNm>
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        <PersonNm>Alison Wilson MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jessica Hott DO</PersonNm>
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        <PersonNm>William Lewis MD</PersonNm>
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        <PersonNm>Emma Morton-Eggleston MD</PersonNm>
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        <PersonNm>Vinay Badhwar MD</PersonNm>
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        <PersonNm>Stephen Hoffman MD</PersonNm>
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        <PersonNm>Kevin Halbritter MD</PersonNm>
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        <PersonNm>Ronald Pellegrino MD</PersonNm>
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        <PersonNm>Judie Charlton MD</PersonNm>
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        <PersonNm>Darin Rogers</PersonNm>
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        <ExplanationTxt>Darin Rogers - CAA deferred contributions of 29,086</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Membership in the Corporation is limited to physicians and surgeons licensed to practice medicine in West Virginia. Corporation members are Clinical Department physician faculty members of the West Virginia University School of Medicine. Each member occupies one of the following categories 1 Voting Full-time faculty members, 2 Non-voting Part-time faculty members.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>There shall be fourteen 14 Directors of the Corporation. Seven 7 Directors shall be elected from and by the full-time physician faculty members that provide services primarily at West Virginia University Health Sciences Center in Morgantown, West Virginia and two 2 Directors shall be elected from and by the full-time physician faculty members that provide services primarily at the Eastern Division. Of the Directors to be elected from the Eastern Division, one Director shall be a primary care provider and one shall be a specialty service provider. The Chief Medical Officer of the Corporation, the Associate Chief Medical Officer of the Corporation, and the Dean of the Eastern Division shall be ex-officio members of the Board of Directors without vote. The Dean of the School of Medicine shall be an ex-officio voting member of the Board of Directors. The Chancellor for Health Sciences shall be an ex-officio member without vote.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Proposed revisions to the by-laws are subject to approval by majority vote of the Board. Such revisions are then subject to approval by two thirds 2/3 of the full faculty members present in person or by written proxy at a regular or duly called special meeting of the Corporation, and shall be effective when approved by the President of West Virginia University.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is prepared by the West Virginia United Health System tax team with assistance from the Corporations accounting manager. Before the 990 is filed with the IRS, it is reviewed by the VP of Finance prior to being presented to the Finance Committee and Board members to ensure they have an understanding of the information provided in the form.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Annually employees, board members, and physicians are required to answer questions regarding any potential conflicts of interest including business and family transactions. The Corporate Compliance and Legal departments review the reports for any discrepancies and follow up as necessary.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A compensation committee reviews performance, goals, and comparable market data to determine compensation for the officers and key employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>The organizations Form 1023 and Form 990 are available to the public upon request.</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 to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a</FormAndLineReferenceDesc>
        <ExplanationTxt>WVUMC maintains payroll for physicians and advance practice professionals, all other staff WVUMC are paid by West Virginia University Hospitals, Inc WVUH, EIN 55-0643304 whereby WVUH pays employees and is reimbursed by WVUMC for the expense in accordance with their Joint Operating Agreement. All entities file appropriate payroll tax filings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1-31</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors are elected from and by the full-time physician faculty members of the Corporation. Compensation reported for the Board members is for work performed as physicians within the Corporation, not for their service on the Board. In accordance with IRS regulations and Form 990 instructions Former officers, key employees, and Board of DIrectors have been listed as appropriate.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets or fund balances consists of 3,702,509 transferred to the WVU School of Medicine and JOA payments, 5 rounding, and 158 error suspense.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>PO Box 9100</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26056</ZIPCd>
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          <CityNm>Martinsburg</CityNm>
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      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
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      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>University Healthcare Physicians</BusinessNameLine1Txt>
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        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>35022543</InvolvedAmt>
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