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        <PersonNm>Timothy Skeldon</PersonNm>
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        <PersonNm>Brian Ulery</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Matthew Upton</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Aaron Alexander</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Brian Lilly</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jane Harless</PersonNm>
        <TitleTxt>Controller</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>5189</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>181635</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Shari Boyer</PersonNm>
        <TitleTxt>Exec Dir Revenue Cycle</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Carl Gardener</PersonNm>
        <TitleTxt>Pharmacy Clinical System Analyst</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Compensation Committee, comprised of members who are free of any conflicts of interest, adheres to a disciplined process for reviewing compensation for senior executives to ensure that the compensation is reasonable. The Committee has retained an independent consulting and advisory firm, Gallagher &amp; Company, to provide appropriate market data as to comparability. The Committee reviews comparability data and other relevant evidence and approves the compensation of senior executives; provided, however, that in the case of the CEO, the Board, after review of the comparability data and other relevant evidence, including a recommendation from the Committee, has the final approval with regard to the CEO's compensation. Only those Board members who are free of conflicts of interest vote on the CEO's compensation. All compensation decisions, including the comparability data reviewed and any other relevant information considered, are contemporaneously documented in meeting minutes.</ExplanationTxt>
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    </IRS990ScheduleJ>
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        <IssuePriceAmt>56794500</IssuePriceAmt>
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        <TotalProceedsAmt>56794500</TotalProceedsAmt>
        <InReserveFundAmt>4689250</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>2539</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>52102711</OtherSpentProceedsAmt>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
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        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>1</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.03000</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.03000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
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        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a:</FormAndLineReferenceDesc>
        <ExplanationTxt>Thomas Health System, Inc. is the common paymaster for Herbert J. Thomas Memorial Hospital, Inc. dba Thomas Memorial Hospital, Charleston Hospital, Inc. dba St. Francis Hospital and THS Physician Partners, Inc. The employee compensation and benefit expenses are reported on the financial statements for each entity. The total number of W-2s filed by Thomas Health System for all entities is reported on Part V, Line 2a.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The System's finance committee is responsible for financial management of the organization. The 990 is reviewed by the organization's CFO as part of the finance committee. The 990 is then discussed with the System's finance committee and a copy is provided to all board members before it is filed with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization regularly and consistently monitors and enforces compliance with our written conflict of interest policy by asking annually that all Trustees, officers and employees (managers) who have decision making/purchasing authority disclose any potential conflicts of interest. Disclosure forms are signed annually then logged onto a spread sheet that identifies any potential conflicts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Compensation Committee, comprised of members who are free of any conflicts of interest, adheres to a disciplined process for reviewing compensation for senior executives to ensure that the compensation is reasonable. The Committee has retained an independent consulting and advisory firm, Gallaher &amp; Company, to provide appropriate market data as to comparability. The Committee reviews comparability data and other relevant evidence and approves the compensation of senior executives; provided, however, that in the case of the CEO, the Board, after review of the comparability data and other relevant evidence, including a recommendation from the Committee, has the final approval with regard to the CEO's compensation. Only those Board members who are free of conflicts of interest vote on the CEO's compensation. All compensation decisions, including the comparability data reviewed and any other relevant information considered, are contemporaneously documented in meeting minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The System makes its governing documents, conflict of interest policy and financial statements available to the public upon request. These documents are maintained in the administrative offices of the hospital and are provided via copy upon request. The documents also can be reviewed on site at the hospital upon advance notice.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Administrative Purchased Services: Program service expenses 0. Management and general expenses 405,266. Fundraising expenses 0. Total expenses 405,266. Other Purchased Services: Program service expenses 4,267,065. Management and general expenses 1,066,766. Fundraising expenses 0. Total expenses 5,333,831. Direct Dept Administrative Services: Program service expenses 0. Management and general expenses 1,797,643. Fundraising expenses 0. Total expenses 1,797,643. Linen Services: Program service expenses 525,436. Management and general expenses 131,359. Fundraising expenses 0. Total expenses 656,795. Maintenance Services: Program service expenses 3,054,877. Management and general expenses 763,719. Fundraising expenses 0. Total expenses 3,818,596. Dietary Services: Program service expenses 987,860. Management and general expenses 246,965. Fundraising expenses 0. Total expenses 1,234,825. Patient Services-COVID: Program service expenses 241,725. Management and general expenses 0. Fundraising expenses 0. Total expenses 241,725. IT Services: Program service expenses 4,228,177. Management and general expenses 1,057,044. Fundraising expenses 0. Total expenses 5,285,221.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Equity transfer 5,059,522.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4605 MacCorkle Avenue SW</AddressLine1Txt>
          <CityNm>South Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
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        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>Line 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Saint Francis Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>333 Laidley St</AddressLine1Txt>
          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25301</ZIPCd>
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        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>Line 3</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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        <DisregardedEntityName>
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        <PrimaryActivitiesTxt>Medical services</PrimaryActivitiesTxt>
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          <AddressLine1Txt>437 Division Street Ste 311</AddressLine1Txt>
          <CityNm>South Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25309</ZIPCd>
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        <EIN>550676607</EIN>
        <PrimaryActivitiesTxt>Equipment sales, rental and related services, vending sales</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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