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      <Form990PartVIISectionAGrp>
        <PersonNm>VENKATA TAMMANA MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>890945</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37429</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHERIAN JOHN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>807699</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5342</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ATUL SHETTY MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>758095</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39366</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>6093040</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>306531</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>153</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AHSA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 670529</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75267</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>4982282</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CERNER CORPORATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 203448</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT</ServicesDesc>
        <CompensationAmt>4191680</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLEGHENY HEALTH NETWORK</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 951742</AddressLine1Txt>
            <CityNm>CLEVELAND</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44193</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>1209378</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VITALANT (CENTRAL BLOOD BANK)</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>DEPT 880337 PO BOX 29650</AddressLine1Txt>
            <CityNm>PHOENIX</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>850389650</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>667478</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GREATER TRI-STATE SLEEP CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>657 MORGANZA ROAD SUITE 101</AddressLine1Txt>
            <CityNm>CANONSBURG</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15317</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>650375</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>51</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>99960</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>73645</AllOtherContributionsAmt>
      <TotalContributionsAmt>173605</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH CARE SERVICES</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>193566130</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>193566130</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHYSICIAN OFFICE SERVICES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>29184590</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29184590</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>222750720</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1100309</TotalRevenueColumnAmt>
        <ExclusionAmt>1100309</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1827645</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>52095</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1775550</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1775550</TotalRevenueColumnAmt>
        <ExclusionAmt>1775550</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>592628</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>592628</TotalRevenueColumnAmt>
        <ExclusionAmt>592628</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA &amp; VENDING INCOME</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>695911</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>695911</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>473454</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>473454</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>PREMIER AND ACUITY INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>294673</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>294673</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>1464038</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>227856850</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>224214758</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3468487</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>37053</TotalAmt>
        <ProgramServicesAmt>37053</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>1303325</ProgramServicesAmt>
        <ManagementAndGeneralAmt>575206</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>68742999</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30338867</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>1276125</ProgramServicesAmt>
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        <ProgramServicesAmt>11283086</ProgramServicesAmt>
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        <ProgramServicesAmt>4455868</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>151008</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>105906</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>21367</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>18730366</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4790750</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>611640</TotalAmt>
        <ManagementAndGeneralAmt>611640</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>7744533</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3411082</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>4620410</TotalAmt>
        <ProgramServicesAmt>3205640</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1414770</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>3557555</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1570083</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>2774055</TotalAmt>
        <ProgramServicesAmt>1924639</ProgramServicesAmt>
        <ManagementAndGeneralAmt>849416</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>2979996</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1315184</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>3145251</TotalAmt>
        <ProgramServicesAmt>2182175</ProgramServicesAmt>
        <ManagementAndGeneralAmt>963076</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>34959073</TotalAmt>
        <ProgramServicesAmt>34959073</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>6159962</TotalAmt>
        <ProgramServicesAmt>6159962</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HEALTH CARE PROVIDER TA</Desc>
        <TotalAmt>5598499</TotalAmt>
        <ProgramServicesAmt>5598499</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL EXPENS</Desc>
        <TotalAmt>1519597</TotalAmt>
        <ProgramServicesAmt>1054296</ProgramServicesAmt>
        <ManagementAndGeneralAmt>465301</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>3774534</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>234728616</TotalAmt>
        <ProgramServicesAmt>178969724</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55758892</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>4101404</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>5798713</BOYAmt>
        <EOYAmt>3047992</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>35700996</EOYAmt>
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        <EOYAmt>2912108</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>1679925</EOYAmt>
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        <EOYAmt>36046247</EOYAmt>
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        <EOYAmt>11347573</EOYAmt>
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        <EOYAmt>12398726</EOYAmt>
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        <EOYAmt>134036061</EOYAmt>
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        <EOYAmt>19159921</EOYAmt>
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        <EOYAmt>19165672</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>105467612</EOYAmt>
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        <EOYAmt>28323148</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>270184</BOYAmt>
        <EOYAmt>245301</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>32880869</BOYAmt>
        <EOYAmt>28568449</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>134036061</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-6871766</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>152263</OtherCostOrOtherBasisAmt>
        <BookValueAmt>152263</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>58069815</DepreciationAmt>
        <BookValueAmt>11798333</BookValueAmt>
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        <BookValueAmt>178254</BookValueAmt>
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      <EquipmentGrp>
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        <BookValueAmt>9546595</BookValueAmt>
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      <OtherSecuritiesGrp>
        <Desc>ACUITY</Desc>
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        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>PACE MALPRACTICE CAP</Desc>
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        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>PREMIER</Desc>
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        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
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        <Desc>OTHER RECEIVABLES</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>INTANGIBLE ASSETS</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE ASSETS</Desc>
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      <TotalBookValueOtherAssetsAmt>12398726</TotalBookValueOtherAssetsAmt>
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        <Desc>ESTIMATED THIRD-PARTY SETTLEMENTS</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PENSION LIABILITY</Desc>
        <Amt>1476501</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <Amt>8517461</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>2297247</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE OBLIGATIONS</Desc>
        <Amt>1532979</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED MALPRACTICE LIABILITY</Desc>
        <Amt>4808150</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>19165672</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>222526220</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1396486</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-567154</OtherRevenueAmt>
      <RevenueNotReportedAmt>829332</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>221696888</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>6159962</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>6159962</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>227856850</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>227976617</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>-592037</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>-592037</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>228568654</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>6159962</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>6159962</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>234728616</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND IS RECOGNIZED AS TAX EXEMPT UNDER 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. WMC PHYSICIAN PRACTICES, LLC IS A SINGLE MEMBER LIMITED LIABILITY COMPANY. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICES (IRS). THE ORGANIZATION HAS CONCLUDED THAT AS OF JUNE 30, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR YEARS ENDED JUNE 30, 2021, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSE NETTED AGAINST RENT INCOME ON 990 52,095. CHANGE IN TEMPORARY RESTRICTED ASSETS 24,883. PENSION BENEFIT -644,132.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS NETTED AGAINST REVENUE ON FINANCIALS 6,159,962.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSE NETTED AGAINST RENT INCOME ON 990 52,095. PENSION BENEFIT -644,132.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS NETTED AGAINST REVENUE ON FINANCIALS 6,159,962.</ExplanationTxt>
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        <StrategyWebsiteURLTxt>HTTPS://WWW.WEIRTONMEDICAL.COM/FILES/2022-CHNA-ACTION-PLAN.PDF</StrategyWebsiteURLTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>WEIRTON MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: WMC IS ADDRESSING THE UNHEALTHY LIFESTYLE CHOICES PREVALENT AMONG RESIDENTS IN THE SERVICE AREA SUCH AS SMOKING, POOR NUTRITION AND PHYSICAL ACTIVITY THAT CONTRIBUTE TO HEALTH CONDITIONS SUCH AS CHRONIC LUNG DISEASES, HEART DISEASE, OBESITY AND DIABETES. WMC OFFERED FREE SCREENINGS AND COMMUNITY EDUCATION SUCH AS BREAST SCREENINGS, PROSTATE SCREENINGS, CPR AND FIRST AID CLASSES, AND SKIN CANCER SCREENINGS.WMC EVALUATED THE NEED FOR LOW DOSE CT LUNG CANCER SCREENING -AFTER REVIEW OF THE POTENTIAL NUMBER OF PATIENTS AND THE CAPITAL AND REGULATORY REQUIREMENTS OF ESTABLISHING A LOW DOSE CT SCREENING PROGRAM, WMC DETERMINED THIS PROGRAM WAS NOT FEASIBLE. AT PRESENT, PHYSICIANS UTILIZE A NORMAL LUNG CT FOR EVALUATION OF LUNG CANCER PATIENTS.WMC IS ADDRESSING THE COMMUNITY EPIDEMIC OF DRUG AND ALCOHOL ABUSE BY IMPLEMENTING NEW SERVICES, PROVIDING ALTERNATIVES AND PREVENTING OVER PRESCRIPTION OF PAIN MEDICATION.</ExplanationTxt>
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            <BusinessNameLine1Txt>1 - WMC PHYSICIAN PRACTICES LLC</BusinessNameLine1Txt>
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            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>26062</ZIPCd>
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          <FacilityTxt>PHYSICIAN MEDICAL SERVICES</FacilityTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>WEIRTON MEDICAL CENTER IS REQUIRED BY LAW TO GIVE A REASONABLE AMOUNT OF SERVICES WITHOUT CHARGE TO ELIGIBLE PERSONS WHO CANNOT AFFORD TO PAY FOR CARE. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON U.S. CITIZENSHIP AND THE U.S. GOVERNMENT'S FEDERAL POVERTY GUIDELINES. THESE GUIDELINES ARE UPDATED EACH YEAR. A PERSON MAY QUALIFY FOR FINANCIAL ASSISTANCE IF THEIR HOUSEHOLD INCOME IS AT OR BELOW 300% OF THE CURRENT GUIDELINES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST OF CHARITY CARE WAS ESTIMATED USING A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE UNREIMBURSED COST OF MEDICAID WAS ESTIMATED USING A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS.</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 $ 6,159,962.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE AS REPORTED ON THE ORGANIZATION'S BOOKS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT ACCOUNTS RECEIVABLE ARE CARRIED AT THE ORIGINAL CHARGE LESS AN ESTIMATE MADE FOR DOUBTFUL OR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. THE ALLOWANCE IS BASED UPON A REVIEW OF THE OUTSTANDING BALANCES AGED BY FINANCIAL CLASS. MANAGEMENT USES COLLECTION PERCENTAGES BASED UPON HISTORICAL COLLECTION EXPERIENCE TO DETERMINE COLLECTABILITY. MANAGEMENT ALSO REVIEWS TROUBLED, AGED ACCOUNTS TO DETERMINE COLLECTION POTENTIAL. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE MEDICAL CENTER RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION TO BAD DEBT EXPENSE WHEN RECEIVED. INTEREST IS NOT CHARGED ON PATIENT ACCOUNTS RECEIVABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT CONSIDER THE SHORTFALL REPORTED IN MEDICARE REVENUE TO BE COMMUNITY BENEFITS SINCE SOME YEARS HAVE SHORTFALLS AND OTHERS HAVE OVERAGES. THE UNREIMBURSED COST OF MEDICARE WAS OBTAINED FROM THE HOSPITAL'S MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS NO COLLECTION FROM PATIENTS WHO QUALIFY FOR CHARITY CARE. IF A PATIENT QUALIFIES, THEY RECEIVE NO BILL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>WEIRTON MEDICAL CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT OF THE RESIDENTS OF ITS SERVICE AREA EVERY THREE YEARS. THE ASSESSMENT RESULTS ARE TABULATED AND ANALYZED TO DETERMINE THE HEALTH NEEDS OF THE COMMUNITIES SERVED. THE HEALTH NEEDS ARE THEN PRIORITIZED AND A PLAN IS DEVELOPED TO ADDRESS THE NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>A CHARITY CARE POLICY IS POSTED AT ALL REGISTRATION AREAS. ALL PATIENTS ARE SEEN OR CALLED BY THE FINANCIAL COUNSELORS AND/OR THE CUSTOMER SERVICE DEPARTMENT TO DETERMINE WHAT SERVICES CAN BE OFFERED. THE PATIENTS ARE SCREENED FOR CHARITY CARE AND PROVIDED EDUCATION ABOUT THE STATE MEDICAID APPLICATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>WEIRTON MEDICAL CENTER SERVES THE COUNTIES OF BROOKE AND HANCOCK IN WEST VIRGINIA, AND PORTIONS OF WASHINGTON COUNTY IN PENNSYLVANIA AND JEFFERSON COUNTY IN OHIO.BROOKE COUNTY, WEST VIRGINIA HAS A PROJECTED POPULATION OF 22,318. THE MEDIAN HOUSEHOLD (2013-2017 AVERAGE) INCOME WAS $48,835. THE 2013-2017 AVERAGE UNEMPLOYMENT RATE WAS 3.5 PERCENT. IN FY 2018, BROOKE COUNTY RESIDENTS MADE UP 22 PERCENT OF WEIRTON MEDICAL CENTER'S TOTAL PATIENT VOLUME.HANCOCK COUNTY, WEST VIRGINIA HAS A PROJECTED POPULATION OF 29,048. THE MEDIAN HOUSEHOLD INCOME (2013-2017 AVERAGE) WAS $43,634 AND THE AVERAGE UNEMPLOYMENT WAS 7.5% (2013-2017). HANCOCK COUNTY RESIDENTS MADE UP 53 PERCENT OF WEIRTON MEDICAL CENTER'S TOTAL PATIENT VOLUME IN FY 2018.JEFFERSON COUNTY, OHIO HAS A PROJECTED POPULATION OF 66,540. THE MEDIAN HOUSEHOLD INCOME (2013-2017 AVERAGE) IS $43,161. THE 2013-2017 AVERAGE UNEMPLOYMENT RATE WAS 7.9 PERCENT. IN FY 2018, 20 PERCENT OF THE TOTAL PATIENT VOLUME CAME FROM JEFFERSON COUNTY.WASHINGTON COUNTY, PENNSYLVANIA HAS A PROJECTED POPULATION OF 206,942. THE MEDIAN HOUSEHOLD INCOME (2013-2017 AVERAGE) WAS $59,309 AND THE AVERAGE UNEMPLOYMENT (2013-2017) WAS 5.8 PERCENT. IN FY 2018, 5 PERCENT OF THE TOTAL PATIENT VOLUME CAME FROM WASHINGTON COUNTY.THE TOTAL SERVICE AREA POPULATION WAS 332,336 IN 2010 AND IS PROJECTED TO BE 324,848 IN 2020 - A DECLINE OF 2.25 PERCENT.THE REGION IS ALSO SERVED BY TRINITY HEALTH SYSTEM IN STEUBENVILLE, OHIO. PATIENTS FROM THE AREA ALSO USE WHEELING HOSPITAL, OHIO VALLEY MEDICAL CENTER IN WHEELING, AND WASHINGTON HOSPITAL IN WASHINGTON, PENNSYLVANIA. PATIENTS ALSO SEEK MEDICAL CARE FROM TERTIARY HOSPITALS LOCATED IN PITTSBURGH, PENNSYLVANIA.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>1. ALL MEMBERS OF THE WEIRTON MEDICAL CENTER'S GOVERNING BOARD RESIDE WITHIN ITS SERVICE AREA. THE CURRENT CHIEF OF STAFF, WHO HAS A TWO YEAR TENURE, HAS A SEAT ON THE BOARD BY VIRTUE OF THIS POSITION. THERE ARE NO FAMILY MEMBERS ON THE GOVERNING BOARD. 2. THE ORGANIZATION EXTENDS PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY; THREE DEPARTMENTS HAVE GRANTED EXCLUSIVITY TO PHYSICIAN GROUPS. 3. IF THERE ARE SURPLUS FUNDS, THE ORGANIZATION, BASED ON ITS PRIORITIES AND IDENTIFIED NEEDS, MAY ELECT TO USE THOSE FOR NEW CLINICAL PROGRAMS, THE ACQUISITION OF NEW OR REPLACEMENT EQUIPMENT OR OTHER SPECIFIC PURPOSES. MANAGEMENT RECOMMENDS SUCH INITIATIVES TO THE BOARD FOR APPROVAL. THE ORGANIZATION DOES NOT CONDUCT MEDICAL EDUCATION OR RESEARCH.4. WEIRTON MEDICAL CENTER OPERATES A 24 HOUR, SEVEN DAY A WEEK EMERGENCY ROOM AVAILABLE TO ALL, REGARDLESS OF ABILITY TO PAY.5. WEIRTON MEDICAL CENTER BENEFITS FROM A STRONG VOLUNTEER PROGRAM WHOSE MEMBERS PROVIDE APPROXIMATELY 16,000 ANNUAL HOURS OF ASSISTANCE TO THE ORGANIZATION. WEIRTON MEDICAL CENTER ALSO PROVIDES NUMEROUS COMMUNITY CLASSES AND SCREENINGS, SOME OF WHICH BENEFIT FROM VOLUNTEER PARTICIPATION.6. ON THE WEIRTON MEDICAL CENTER WEBSITE THERE IS A LINK TO ITS COMMUNITY HEALTH NEEDS ASSESSMENT.</ExplanationTxt>
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        <TotalCompensationFilingOrgAmt>1129492</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>VENKATA TAMMANA MD</PersonNm>
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        <PersonNm>JOHN C FRANKOVITCH</PersonNm>
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        <PersonNm>LISA CONTI</PersonNm>
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        <BondReferenceCd>A</BondReferenceCd>
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      <TaxExemptBondsPrivateBusUseGrp>
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        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
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        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>JJ BERNABEI</BusinessNameLine1Txt>
          </BusinessName>
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        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>76860</TransactionAmt>
        <TransactionDesc>TRI-STATE PHARMACY PAYS RENT TO WEIRTON MEDICAL CENTER AND J.J. BERNABEI IS A 55% OWNER OF TRI-STATE PHARMACY.</TransactionDesc>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE FISCAL SERVICES DIRECTOR, THE CFO, THE CEO AND IS AVAILABLE TO THE BOARD OF DIRECTORS BEFORE APPROVAL IS GIVEN AND IT IS SUBMITTED TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD AND MEDICAL STAFF EXECUTIVE ARE REQUIRED TO COMPLETE CONFLICT OF INTEREST STATEMENTS ANNUALLY. THE COMPLIANCE COMMITTEE OVERSEES THE PROCESS. DURING BOARD MEETINGS, IF AN INTERESTED PARTY HAS A CONFLICT, HE OR SHE RECUSES THEMSELVES FROM VOTING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A BOARD DESIGNATED COMPENSATION COMMITTEE IS UTILIZED TO APPROVE COMPENSATION NOT ONLY FOR THE CEO BUT FOR ALL OF SENIOR MANAGEMENT. COMPARABILITY DATA IS OBTAINED THROUGH THE DIRECTOR OF HUMAN RESOURCES AND A PERFORMANCE EVALUATION IS COMPLETED.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE WEST VIRGINIA HEALTH CARE AUTHORITY AS PART OF THE FREEDOM OF INFORMATION ACT/SUNSHINE LAWS AND ARE ALSO PUBLISHED IN THE LEGAL SECTION OF THE NEWSPAPER ANNUALLY. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,458,272. MANAGEMENT AND GENERAL EXPENSES 3,732,953. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,191,225. PATIENT FINANCIAL SERVICES: PROGRAM SERVICE EXPENSES 3,649,662. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,649,662. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,396,797. MANAGEMENT AND GENERAL EXPENSES 1,057,797. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,454,594. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 497,557. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 497,557. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,728,078. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,728,078.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>DEFINED BENEFIT PENSION PLAN ADJUSTMENT 1,162,860.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>WEIRTON MEDICAL CENTER HAS A COMMITTEE THAT OVERSEES THE AUDIT &amp; THE AUDITOR SELECTION PROCESS. THIS PROCEDURE HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
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      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
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      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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</Return>