﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-08-19T15:55:44-04:00</ReturnTs>
    <TaxPeriodEndDt>2024-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>550723540</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>FELTONCPA AC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1144 MARKET ST STE 600</AddressLine1Txt>
        <CityNm>WHEELING</CityNm>
        <StateAbbreviationCd>WV</StateAbbreviationCd>
        <ZIPCd>260032941</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>550615693</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>RIVER VALLEY HEALTH FOUNDATION</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>RIVE</BusinessNameControlTxt>
      <PhoneNum>3042423144</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1226 CHAPLINE STREET</AddressLine1Txt>
        <CityNm>WHEELING</CityNm>
        <StateAbbreviationCd>WV</StateAbbreviationCd>
        <ZIPCd>26003</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>TINA DEWITT</PersonNm>
      <PersonTitleTxt>TREASURER</PersonTitleTxt>
      <PhoneNum>3042423144</PhoneNum>
      <SignatureDt>2025-07-22</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>PATRICK J FELTON</PreparerPersonNm>
      <PTIN>P00504171</PTIN>
      <PhoneNum>3042332420</PhoneNum>
      <PreparationDt>2025-07-22</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="4">
    <IRS990 documentId="RetDoc1" referenceDocumentId="RetDoc3">
      <PrincipalOfficerNm>TINA DEWITT</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1226 CHAPLINE ST</AddressLine1Txt>
        <CityNm>WHEELING</CityNm>
        <StateAbbreviationCd>WV</StateAbbreviationCd>
        <ZIPCd>26003</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>101950</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>RIVERVALLEYHF.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationOtherInd>X</TypeOfOrganizationOtherInd>
      <OtherOrganizationDsc>FOUNDATION</OtherOrganizationDsc>
      <FormationYr>1989</FormationYr>
      <LegalDomicileStateCd>WV</LegalDomicileStateCd>
      <ActivityOrMissionDesc>THE MISSION OF THIS CORPORATION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF THE OHIO VALLEY. THE CORPORATION PROVIDES FUNDING IN SUPPORT OF HEALTH EDUCATION FOR MEMBERS OF THE COMMUNITY AND HEALTHCARE PROFESSIONALS IN THE COMMUNITIES OF WHEELING, WEST VIRGINIA, MARTINS FERRY, OHIO, ST. CLAIRSVILLE, OHIO, AND THE FOLLOWING COUNTIES: BROOKE, OHIO, MARSHALL AND WETZEL IN WEST VIRGINIA AND BELMONT, JEFFERSON, MONROE, GUERNSEY AND HARRISON IN OHIO.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>10</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>10</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <CYContributionsGrantsAmt>0</CYContributionsGrantsAmt>
      <CYProgramServiceRevenueAmt>0</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>127728</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>99678</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>5114</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>2272</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>132842</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>101950</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>1654780</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>122546</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>31639</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>0</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>23007</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>11388</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>1709426</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>133934</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-1576584</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-31984</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>2260683</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>2444210</TotalAssetsEOYAmt>
      <TotalLiabilitiesEOYAmt>0</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>2260683</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>2444210</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>THE MISSION OF THIS CORPORATION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF THE OHIO VALLEY. THE CORPORATION PROVIDES FUNDING IN SUPPORT OF HEALTH EDUCATION FOR MEMBERS OF THE COMMUNITY AND HEALTHCARE PROFESSIONALS IN THE COMMUNITIES OF WHEELING, WEST VIRGINIA, MARTINS FERRY, OHIO, ST. CLAIRSVILLE, OHIO, AND THE FOLLOWING COUNTIES: BROOKE, OHIO, MARSHALL AND WETZEL IN WEST VIRGINIA AND BELMONT, JEFFERSON, MONROE, GUERNSEY AND HARRISON IN OHIO.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>122546</ExpenseAmt>
      <GrantAmt>122546</GrantAmt>
      <Desc>THE FOUNDATION WAS CREATED AS A RESULT OF THE JUNE 1, 2017 SALE OF OHIO VALLEY MEDICAL CENTER ("OVMC") AND EAST OHIO REGIONAL HOSPITAL ("EORH") TO ALECTO, A FOR-PROFIT HEALTH CARE SYSTEM. THEREFORE, THE FOUNDATION WAS CREATED TO CARRY OUT THE CHARITABLE OUTREACH ACTIVITIES OF THE FORMER NOT- FOR-PROFIT OVMC AND EORH. ON MARCH 19, 2018, THE FOUNDATION WAS DESIGNATED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT NON-PROFIT 501(C) (3) PUBLIC CHARITY. THEREFORE, MOST OF THE 2017 AND EARLY 2018 CALENDAR YEARS INVOLVED WORKING ON MAKING THE APPROPRIATE STEPS TO RENAME AND RECLASSIFY THE FOUNDATION. FROM 2019 - 2022, THE FOUNDATION AWARDED ANNUAL GRANTS IN ORDER TO ASSURE COMMUNITY NEEDS FOR HEALTHCARE AND HEALTHCARE EDUCATION ARE MET. IN 2023, THE ORGANIZATION ESTABLISHED THE RIVER VALLEY HEALTH FOUNDATION FUND WITH THE COMMUNITY FOUNDATION FOR THE OHIO VALLEY AND CONTINUES TO WORK TOWARDS ITS MISSION THROUGH BOTH THIS ORGANIZATION AND THE FUND AT THE COMMUNITY FOUNDATION. THE MISSION OF THIS FOUNDATION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF THE OHIO VALLEY.</Desc>
      <TotalProgramServiceExpensesAmt>122546</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc4">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>false</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
      <ConservationEasementsInd>false</ConservationEasementsInd>
      <CollectionsOfArtInd>false</CollectionsOfArtInd>
      <CreditCounselingInd>false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd>false</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd>false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd>false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd>false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd>false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd>false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd>false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd>false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc2">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc2">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>1</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>0</EmployeeCnt>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>10</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>10</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>false</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>false</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>false</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>TINA DEWITT</PersonNm>
        <PhoneNum>3042423144</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1226 CHAPLINE ST</AddressLine1Txt>
          <CityNm>WHEELING</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <NoListedPersonsCompensatedInd>X</NoListedPersonsCompensatedInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHELLY CARENBAUER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THERESA CHILDERS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TINA DEWITT</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORRAINE ECKARD</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHY FRY</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HOWARD GAMBLE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOYCE JEFFERSON</PersonNm>
        <TitleTxt>2ND VICE CHA</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTINE MOLNAR</PersonNm>
        <TitleTxt>1ST VICE CHA</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUDY SCHOOLCRAFT</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GINA SMITH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUE WHITE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>99678</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>326</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>99352</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <TotalRevenueColumnAmt>2272</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2272</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2272</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>101950</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2598</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>99352</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>122546</TotalAmt>
        <ProgramServicesAmt>122546</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>3275</TotalAmt>
        <ManagementAndGeneralAmt>3275</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>4660</TotalAmt>
        <ManagementAndGeneralAmt>4660</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <OccupancyGrp>
        <TotalAmt>2353</TotalAmt>
        <ManagementAndGeneralAmt>2353</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>775</TotalAmt>
        <ManagementAndGeneralAmt>775</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BANK FEES</Desc>
        <TotalAmt>192</TotalAmt>
        <ManagementAndGeneralAmt>192</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER TAXES &amp; LICENSES</Desc>
        <TotalAmt>133</TotalAmt>
        <ManagementAndGeneralAmt>133</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>133934</TotalAmt>
        <ProgramServicesAmt>122546</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11388</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>144547</BOYAmt>
        <EOYAmt>112563</EOYAmt>
      </CashNonInterestBearingGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2116136</BOYAmt>
        <EOYAmt>2331647</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>2260683</BOYAmt>
        <EOYAmt>2444210</EOYAmt>
      </TotalAssetsGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>144547</BOYAmt>
        <EOYAmt>112563</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>2116136</BOYAmt>
        <EOYAmt>2331647</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2260683</BOYAmt>
        <EOYAmt>2444210</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2260683</BOYAmt>
        <EOYAmt>2444210</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-31984</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>215512</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-1</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc4">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>687</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>23418</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>36433</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>60538</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>687</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>23418</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>36433</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>60538</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>60538</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>94043</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>93518</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>109098</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>101478</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>99352</CurrentTaxYearAmt>
        <TotalAmt>497489</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>558027</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>180293</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.10850</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.14510</PublicSupportPY170Pct>
      <TenPctFactsCrcmstncsTestCYInd>X</TenPctFactsCrcmstncsTestCYInd>
      <FactsAndCircumstancesTestTxt>THE ORGANIZATION WAS FORMED IN 2017 WITH THE SALE OF THE FORMER OVMC AND EORH HOSPITALS TO THE FOR-PROFIT HEALTH CARE SYSTEM ALECTO. WHILE THE BOARD OF DIRECTORS AND THE EXECUTIVE DIRECTOR HAVE WORKED TO INCREASE DONATIONS AND FUNDRAISING CONTRIBUTIONS TO THE ORGANIZATION, THEY HAVE STRUGGLED AS MANY PEOPLE IN THE LOCAL ECONOMY WERE HURT WITH THE SALE OF THE HOSPITALS AND AVOID ANY CONNECTIONS TO THE ENTITIES DESPITE THE FACT THAT THIS NON- PROFIT WAS CREATED TO CONTINUE THE GREAT WORK OF OVMC AND EORH. THEY HAVE ALSO SUFFERED FROM THE DOWNTURN IN THE ECONOMY AND DECREASE OF DONATIONS DURING THE TIME OF COVID. THE BOARD CONTINUES TO LOOK FOR WAYS TO INCREASE THE PUBLIC SUPPORT OF THE ORGANIZATION. IT'S ALSO WORTH NOTING THAT THE ORGANIZATION IS A 20% BENEFICIARY OF THE ROBB TRUST. WHILE THE ORGANIZATION HAS NO CONTROL OVER THE TRUST, ITS INVESTMENTS, OR ITS DISTRIBUTIONS, 20% OF THE TRUST BALANCE IS INCLUDED ON THE BALANCE SHEET, AND THE ORGANIZATION RECEIVES QUARTERLY DISTRIBUTIONS OF INCOME RELATIVE TO ITS SHARE. IN 2024, THE ORGANIZATION RECEIVED 90,500 FROM THE ROBB TRUST. THESE DISTRIBUTIONS ARE UNRESTRICTED CONTRIBUTIONS; HOWEVER, THEY ARE REFLECTED ON LINE 8 OF THE TOTAL SUPPORT AS OTHER INVESTMENT INCOME. IF THESE CONTRIBUTIONS WERE REFLECTED UNDER PUBLIC SUPPORT, THE ORGANIZATION WOULD MEET THE 33 1/3% TEST.</FactsAndCircumstancesTestTxt>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 17A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WAS FORMED IN 2017 WITH THE SALE OF THE FORMER OVMC AND EORH HOSPITALS TO THE FOR-PROFIT HEALTH CARE SYSTEM ALECTO. WHILE THE BOARD OF DIRECTORS AND THE EXECUTIVE DIRECTOR HAVE WORKED TO INCREASE DONATIONS AND FUNDRAISING CONTRIBUTIONS TO THE ORGANIZATION, THEY HAVE STRUGGLED AS MANY PEOPLE IN THE LOCAL ECONOMY WERE HURT WITH THE SALE OF THE HOSPITALS AND AVOID ANY CONNECTIONS TO THE ENTITIES DESPITE THE FACT THAT THIS NON- PROFIT WAS CREATED TO CONTINUE THE GREAT WORK OF OVMC AND EORH. THEY HAVE ALSO SUFFERED FROM THE DOWNTURN IN THE ECONOMY AND DECREASE OF DONATIONS DURING THE TIME OF COVID. THE BOARD CONTINUES TO LOOK FOR WAYS TO INCREASE THE PUBLIC SUPPORT OF THE ORGANIZATION. IT'S ALSO WORTH NOTING THAT THE ORGANIZATION IS A 20% BENEFICIARY OF THE ROBB TRUST. WHILE THE ORGANIZATION HAS NO CONTROL OVER THE TRUST, ITS INVESTMENTS, OR ITS DISTRIBUTIONS, 20% OF THE TRUST BALANCE IS INCLUDED ON THE BALANCE SHEET, AND THE ORGANIZATION RECEIVES QUARTERLY DISTRIBUTIONS OF INCOME RELATIVE TO ITS SHARE. IN 2024, THE ORGANIZATION RECEIVED 90,500 FROM THE ROBB TRUST. THESE DISTRIBUTIONS ARE UNRESTRICTED CONTRIBUTIONS; HOWEVER, THEY ARE REFLECTED ON LINE 8 OF THE TOTAL SUPPORT AS OTHER INVESTMENT INCOME. IF THESE CONTRIBUTIONS WERE REFLECTED UNDER PUBLIC SUPPORT, THE ORGANIZATION WOULD MEET THE 33 1/3% TEST.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 17B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WAS FORMED IN 2017 WITH THE SALE OF THE FORMER OVMC AND EORH HOSPITALS TO THE FOR-PROFIT HEALTH CARE SYSTEM ALECTO. WHILE THE BOARD OF DIRECTORS AND THE EXECUTIVE DIRECTOR HAVE WORKED TO INCREASE DONATIONS AND FUNDRAISING CONTRIBUTIONS TO THE ORGANIZATION, THEY HAVE STRUGGLED AS MANY PEOPLE IN THE LOCAL ECONOMY WERE HURT WITH THE SALE OF THE HOSPITALS AND AVOID ANY CONNECTIONS TO THE ENTITIES DESPITE THE FACT THAT THIS NON- PROFIT WAS CREATED TO CONTINUE THE GREAT WORK OF OVMC AND EORH. THEY HAVE ALSO SUFFERED FROM THE DOWNTURN IN THE ECONOMY AND DECREASE OF DONATIONS DURING THE TIME OF COVID. THE BOARD CONTINUES TO LOOK FOR WAYS TO INCREASE THE PUBLIC SUPPORT OF THE ORGANIZATION. IT'S ALSO WORTH NOTING THAT THE ORGANIZATION IS A 20% BENEFICIARY OF THE ROBB TRUST. WHILE THE ORGANIZATION HAS NO CONTROL OVER THE TRUST, ITS INVESTMENTS, OR ITS DISTRIBUTIONS, 20% OF THE TRUST BALANCE IS INCLUDED ON THE BALANCE SHEET, AND THE ORGANIZATION RECEIVES QUARTERLY DISTRIBUTIONS OF INCOME RELATIVE TO ITS SHARE. IN 2023, THE ORGANIZATION RECEIVED 92,865 FROM THE ROBB TRUST. THESE DISTRIBUTIONS ARE UNRESTRICTED CONTRIBUTIONS; HOWEVER, THEY ARE REFLECTED ON LINE 8 OF THE TOTAL SUPPORT AS OTHER INVESTMENT INCOME. IF THESE CONTRIBUTIONS WERE REFLECTED UNDER PUBLIC SUPPORT, THE ORGANIZATION WOULD MEET THE 33 1/3% TEST.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleI documentId="RetDoc2">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY FOUNDATION FOR THE OHIO V</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1226 CHAPLINE STREET</AddressLine1Txt>
          <CityNm>WHEELING</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <RecipientEIN>310908698</RecipientEIN>
        <CashGrantAmt>122546</CashGrantAmt>
        <PurposeOfGrantTxt>ANNUAL RVHF FUND CON</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>WITH THE ESTABLISHMENT OF THE RIVER VALLEY HEALTH FOUNDATION FUND WITH THE COMMUNITY FOUNDATION FOR THE OHIO VALLEY, THE FOUNDATION IS CURRENTLY DEVELOPING A FORMALIZED PROCESS FOR MONITORING THE USE OF THE GRANT FUNDS DISTRIBUTED TO THE COMMUNITY FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc3">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF THIS CORPORATION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF THE OHIO VALLEY. THE CORPORATION PROVIDES FUNDING IN SUPPORT OF HEALTH EDUCATION FOR MEMBERS OF THE COMMUNITY AND HEALTHCARE PROFESSIONALS IN THE COMMUNITIES OF WHEELING, WEST VIRGINIA, MARTINS FERRY, OHIO, ST. CLAIRSVILLE, OHIO, AND THE FOLLOWING COUNTIES: BROOKE, OHIO, MARSHALL AND WETZEL IN WEST VIRGINIA AND BELMONT, JEFFERSON, MONROE, GUERNSEY AND HARRISON IN OHIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION WAS CREATED AS A RESULT OF THE JUNE 1, 2017 SALE OF OHIO VALLEY MEDICAL CENTER ("OVMC") AND EAST OHIO REGIONAL HOSPITAL ("EORH") TO ALECTO, A FOR-PROFIT HEALTH CARE SYSTEM. THEREFORE, THE FOUNDATION WAS CREATED TO CARRY OUT THE CHARITABLE OUTREACH ACTIVITIES OF THE FORMER NOT- FOR-PROFIT OVMC AND EORH. ON MARCH 19, 2018, THE FOUNDATION WAS DESIGNATED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT NON-PROFIT 501(C) (3) PUBLIC CHARITY. THEREFORE, MOST OF THE 2017 AND EARLY 2018 CALENDAR YEARS INVOLVED WORKING ON MAKING THE APPROPRIATE STEPS TO RENAME AND RECLASSIFY THE FOUNDATION. FROM 2019 - 2022, THE FOUNDATION AWARDED ANNUAL GRANTS IN ORDER TO ASSURE COMMUNITY NEEDS FOR HEALTHCARE AND HEALTHCARE EDUCATION ARE MET. IN 2023, THE ORGANIZATION ESTABLISHED THE RIVER VALLEY HEALTH FOUNDATION FUND WITH THE COMMUNITY FOUNDATION FOR THE OHIO VALLEY AND CONTINUES TO WORK TOWARDS ITS MISSION THROUGH BOTH THIS ORGANIZATION AND THE FUND AT THE COMMUNITY FOUNDATION. THE MISSION OF THIS FOUNDATION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF THE OHIO VALLEY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE ONE OF THE BOARD OF DIRECTORS PRIOR TO FILING AND IS AVAILABLE TO ANY OF THE BOARD OF DIRECTORS FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS THE CONFLICTS. TRUSTEES WITH CONFLICTS ARE NOT ALLOWED TO VOTE ON MATTERS IN WHICH THEIR CONFLICT PERTAINS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL REQUIRED DOCUMENTATION IS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING 0 ROUNDING -1 TOTAL -1</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII</FormAndLineReferenceDesc>
        <ExplanationTxt>AS OF 12/31/2019, RIVER VALLEY HEALTH FOUNDATION WAS A 50% BENEFICIARY OF THE ETHEL C ELIKAN TRUST. THEIR SHARE OF THE TRUST WAS INCLUDED AS AN ASSET ON THE BALANCE SHEET AS OF 12/31/2019. IN 2020, THE TRUST REMOVED RIVER VALLEY HEALTH FOUNDATION AS A BENEFICIARY DUE TO THE CLOSING OF TWO LOCAL HOSPITALS. (RIVER VALLEY HEALTH FOUNDATION WAS ESTABLISHED AT THESE TWO HOSPITALS BUT STILL SERVES THE RESIDENTS IN THE AREA AND OTHER NON-PROFITS THAT ARE REPLACING THE TWO CLOSED HOSPITALS.) AS A RESULT, WE HAD TO REMOVE THE BALANCE OF THE TRUST FROM THE BALANCE SHEET WHICH RESULTED IN AN EXPENSE ENTITLED "LOSS OF RESTRICTED FUNDS" TOTALING 343,507. THIS IS A ONE-TIME EXPENSE RELATED TO THE LOSS OF BENEFICIARY STATUS WITH THIS TRUST. IN 2023, THE BOARD OF DIRECTORS VOTED TO TRANSFER THE MAJORITY OF FUNDS HELD BY RIVER VALLEY HEALTH FOUNDATION TO THE COMMUNITY FOUNDATION FOR THE OHIO VALLEY, INC. AND ESTABLISH THE RIVER VALLEY HEALTH FOUNDATION FUND. THE RESULT OF THIS TRANSFER IS THAT THE MAJORITY OF THE FUNDRAISING AND CHARITABLE WORK THAT THE RIVER VALLEY HEALTH FOUNDATION DOES HAS SHIFTED TO THE COMMUNITY FOUNDATION. RIVER VALLEY HEALTH FOUNDATION WILL REMAIN OPEN AS A 501(C)3 TO RECEIVE THE REMAINING DISTRIBUTIONS IT HAS BEEN ALLOCATED AS PART OF VARIOUS TRUSTS. THE BOARD WILL REMAIN ACTIVE IN LOOKING FOR WAYS THAT THE ORGANIZATION CAN CONTINUE ITS NON-PROFIT WORK OF AIDING THE HEALTHCARE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>