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      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Brennan</PersonNm>
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        <PersonNm>Donald Nickerson</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Don Rigby</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Bernard Twigg</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Wack MD</PersonNm>
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        <PersonNm>Jeff Jackson</PersonNm>
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        <PersonNm>Staci Stephen</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tim Borchers</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Josh Jefferson</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Voellinger MD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Medical Solutions LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>Dallas</CityNm>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481706023</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>Chantilly</CityNm>
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            <ZIPCd>201512228</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Kenstep Enterprises Inc</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>Wheeling</CityNm>
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          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>21</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>2325</MembershipDuesAmt>
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      <TotalContributionsAmt>661962</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>577762065</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>576842377</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>30674367</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>1701417</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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      <OtherRevenueMiscGrp>
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        <EOYAmt>17201744</EOYAmt>
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        <EOYAmt>291502158</EOYAmt>
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        <EOYAmt>66712015</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>174914201</EOYAmt>
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        <EOYAmt>113458692</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>3129265</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>116587957</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>291502158</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <NetUnrlzdGainsLossesInvstAmt>1596714</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-3431230</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
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      <TotalLobbyingExpendituresAmt>56834</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>II-B 1i</FormAndLineReferenceDesc>
        <ExplanationTxt>This amount is calculated based on information provided by the West Virginia Hospital Association, the American Hospital Association, and the Catholic Health Association. The American Hospital Association estimates that 39 of the 2024 dues were allocated to lobbying expense. The West Virginia Hospital Association estimates that during 2024, 12.60 of the dues paid should be allocated to lobbying expense. The Catholic Health Association estimates that during 2024, 3.92 of the dues paid should be allocated to lobbying expense. Wheeling Hospital, Inc., does not participate in or intervene in including publishing or distributing of statements any political campaign on behalf of or in opposition to any candidate for public office.</ExplanationTxt>
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        <Desc>Financial derivatives and other financial products</Desc>
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      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>Estimated Amounts Due From Third Party Payors</Desc>
        <BookValueAmt>292476</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Intercompany Receivables</Desc>
        <BookValueAmt>1976081</BookValueAmt>
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        <Desc>Deferred Compensation</Desc>
        <BookValueAmt>452919</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>LT Shared Services Asset Allocation</Desc>
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        <Desc>Federal income taxes</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Compensation</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Local/City PR Taxes</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Finance Leases Payable</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Capitalized Lease Payable</Desc>
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        <Desc>Other Noncurrent Liabilities</Desc>
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        <Desc>Self Insurance Liability</Desc>
        <Amt>5314000</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Long Term Lease Liability</Desc>
        <Amt>5938246</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated Malpractice Costs</Desc>
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        <Desc>Due to Related Org Non Current</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Property Taxes Payable</Desc>
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      <SupplementalInformationDetail>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
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        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
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        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>true</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Wheeling Hospital, Inc. Line Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The following organizations from local government, business, and non-profit organizations were integral to data collection efforts and were represented at the community meeting. Those in attendance were asked to speak to the experiences of the populations whom they serve or represent, and to discuss the accuracy of the survey data in relation to their professional and personal experiences as community members. Additionally the group worked to compile a list of existing resources, programs, and policies, as well as fresh ideas or potential partnerships for addressing each area of concern. These organizations included community partners, family service Upper Ohio Valley, Wheeling University, Visiting Angels WV, WVU Medicine, Aetna, and Capital Health Care Network.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Wheeling Hospital, Inc. Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The 2023 Community Health Needs Assessment identified Substance Use Abuse, Mental Health, Cancer, and Obesity Related Comorbid Diseases as the top prioritized needs. In 2024 Wheeling Hospital organized or participated in the following programs to address those needs. The Oncology Department started a program called Growing Hope that provides fresh produce to select cancer patients and their families. We also partnered with Pappys Project to provide Echo Shows to cancer patients so they can stay connected to their families while in treatment, which is vital for mental health.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Wheeling Hospital, Inc. Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>To address the needs of Substance Use Abuse and Mental Health the hospital held a back to school fair for kids over the summer that had resources for children and their families addressing health concerns and preventative measures. Wheeling Hospital began working on a school-based health center with Ohio County Schools, that project will come to fruition in 2025. We have a Nutrition Goes to Schools programs where we sent a nutritionist in to schools to discuss healthy eating and exercise and we partner on Wellness Weekend which is a half marathon, 5k, kids run event in our community where we provide PT, emergency tent and resources.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Wheeling Hospital, Inc. Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Wheeling Hospital addressed the community health need of obesity and related comorbid disease in 2024 through several events. They participated in health fairs at senior centers, local schools, and businesses as well as presenting community education for advanced directives. These events provided the community with resources and education for healthy living and disease prevention.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Wheeling Hospital, Inc. Line Part V, Section B, Line 13b</FormAndLineReferenceDesc>
        <ExplanationTxt>Wheeling Hospital, Inc. offers discounted care only to individuals who qualify for free care. Wheeling Hospital, Inc., offers a Prompt-Pay Discount Program - patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either prompt pay discount, the patient/guarantor must meet certain requirements.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Wheeling Hospital, Inc. Line Part V, Section B, Line 24</FormAndLineReferenceDesc>
        <ExplanationTxt>All patients are charged an amount equal to gross charges regardless of payment method. Once FAP eligibility is confirmed, charge amounts are moved to Charity Care and no longer charged to the patient.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Continuous Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>PO Box 6313</AddressLine1Txt>
            <CityNm>Wheeling</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>26003</ZIPCd>
          </USAddress>
          <FacilityTxt>Skilled Nursing Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>Wheeling Hospital, Inc. uses 200 Federal Poverty Guidelines FPG to determine free care eligibility. However, Wheeling Hospital, Inc., does not offer discounted care to individuals who fail the 200 FPG test.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Wheeling Hospital, Inc., community benefit numbers are reported in total with other hospitals within the West Virginia United Health System. The most recent amounts can be found on WVU Medicines website here https//wvumedicine.org/about/leadership-and-more/community-benefit/</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Net community benefit expense for 2024 is 82,037,683 and is 14.33 of total net expenses. To calculate net expense, Provision for Doubtful Accounts - patients of 24,450,243 was deducted from total expenses of 596,931,596 as shown in Part IX line of the core Form 990, for a net expense of 572,481,353.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-Charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital established rapid testing locations to screen members of the community for COVID-19. The locations were the only sites available during the early stages of the outbreak where the public could be screened for COVID-19.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Wheeling offers transportation services at no cost to patients allowing patients without transportation a way to get to and from physician and hospital appointments. During 2024, 1,528 round trips and 34 one way trips were provided by Wheelings courtesy van service.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Wheeling Hospital also offers, Lifeline, a communication device for elderly within their service area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debt expense at cost was calculated by multiplying Provision for Doubtful Accounts - patients expense of 24,450,243 by our cost to charge ratio of 32.14 for a total of 7,858,308.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 1,417,955, which we then multiplied by our cost to charge ratio of 32.14 for a total of 455,731.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The estimated bad debt attributable to patients eligible for charity care of 455,731 should be considered community benefit due to the fact that anyone with outstanding balances of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>In our charity care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year. Regardless, that bad debt should be considered community benefit as we provide services to those in need regardless of their ability to pay.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient accounts receivables are primarily paid by federal and state governmental authorities under the Medicare and Medicaid programs, managed health plans, commercial insurance companies, workers compensation programs, employers and patients. Patient accounts receivable are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions. The System does not believe there are any significant concentrations of revenues from any particular payor that would subject the System to any significant credit risks in the collection of patient accounts receivable. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. Changes in general economic conditions, patient accounting service center operations, payor mix, payor claim processing could affect collections of accounts receivable, cash flows and results of operations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The System performs periodic assessments to determine if an allowance for expected credit losses is necessary. The System considers its incurred loss experience and adjusts for known and expected events and other circumstances. In estimating its expected credit losses, the System may consider changes in the length of time its receivables have been outstanding, changes in credit ratings for payors, requests from payors to alter payment terms due to financial difficulty, and notices of payor bankruptcies or payors entering receivership. Because the Systems accounts receivable is typically paid for by highly solvent, creditworthy payors, such as Medicare, Medicaid, other governmental programs, and highly regulated commercial insurers on behalf of the patient, the Systems credit losses are immaterial to the consolidated financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The mix of accounts receivable at December 31, 2024 and 2023, from patients and third-party payors is as follows For the year-end December 31, 2024 Medicare - 22, Medicaid - 11, Blue Cross - 24, Commercial, managed care and other - 40, Patients - 3, totaling 100. For the year-end December 31, 2023 Medicare - 25, Medicaid - 13, Blue Cross - 21, Commercial, managed care and other - 39, Patients - 2, totaling 100.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount reported in Part III Line 6 258,234,346 was calculated using the total Medicare allowable cost from the Medicare cost report, less Medicare reimbursement of direct GME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Wheeling Hospital, Inc.s shortfall, 161,858,982 of Medicare program reimbursement should be considered a community benefit because we are relieving a government burden by providing care in excess of our costs to these patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>Wheeling Hospital, Inc., does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity, the patient will not be sent to bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Wheeling Hosptial, Inc. is continuously evaluating and assessing community needs that may arise outside of the CHNA. The implementation plan for the CHNA is re-evaluated yearly to determine the optimal response to the up-to-date needs that occur since the date of the last report and how the resources of the Hospital can best be used for the greater good of the surrounding area. Additionally, each department of the Hospital that conducts community abeyance programs is surveyed yearly in regard to the effectiveness of current programs in place and the best way to respond to new issues that have arisen since the last survey. The results are evaluated in regard to how best to deploy hospital resources to meet these objectives.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Wheeling Hospital, Inc. employs financial counselors to meet with patients and discuss eligibility to qualify for charity care. Wheeling Hospital, Inc., provides brochures discussing charity care and the qualifications for receiving charity care. These brochures are available at each registration area in the facility. Wheeling Hospital, Inc., provides financial assistance to patients who do not qualify for any state or federal programs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Our charity care eligibility guidelines are also listed on our website at www.wvumedicine.org under the Billing and Insurance - Online Bill Pay section of the Patient and Visitor page. Wheeling Hospital, Inc. also has contracted a third party organization to be on-site to help patients that qualify for charity care, Medicaid, or other types of financial assistance, complete the required applications and provide the correct documentation to receive these benefits.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Wheeling Hospital, Inc. predominantly services the Wheeling metropolitan statistical area. The primary service area includes one county in the northern panhandle of West Virginia Ohio County and one county in Ohio Belmont County, with a total population of approximately 106,112.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The median household income for 2023 was approximately 55,521 with a poverty rate of 14.8. This population and demographic information was obtained from the United State Census Bureau https//data.census.gov/cedsci/.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>A majority of the Hospitals board members are residents of the primary service area and are neither employees nor contractors of the Hospital. In addition, the Hospital extends medical staff privileges to any qualified physician in the community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Wheeling Hospital, Inc. The Hospital or Wheeling Hospital was created by an act of the Virginia General Assembly in 1850. Currently, the Hospital operates and exists under the laws of West Virginia as a not-for-profit corporation. In 2021, Wheeling Hospital, Inc. become a member of the West Virginia United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery system. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its service areas, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. System hospitals include West Virginia University Hospitals, Inc. in Morgantown, WV, United Hospital Center in Bridgeport, WV, Camden-Clark Memorial Hospital in Parkersburg, WV, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Potomac Valley Hospital in Keyser, WV, St. Josephs Hospital of Buckhannon, Inc. in Buckhannon, WV, West Virginia Healthcare Cooperative, doing business as, Summersville Regional Medical Center in Summersville, WV, Braxton County Memorial Hospital in Gassaway, WV, Community Health Association, doing business as, Jackson General Hospital in Ripley, WV, Reynolds Memorial Hospital in Glen Dale, WV, Wetzel County Hospital in New Martinsville, WV, Barnesville Hospital Association in Barnesville, OH, Uniontown Hospital in Uniontown, PA, Wheeling Hospital, Inc. in Wheeling, WV, Harrison Community Hospital, Inc. in Cadiz, OH, GRMC, Inc. in Oakland, MD, Princeton Community Hospital Association, Inc. in Princeton, WV, Herbert J. Thomas Memorial Hospital Association, doing business as, Thomas Memorial Hospital in South Charleston, WV, Charleston Hospital, Inc., doing business as, St. Francis Hospital in Charleston, WV, and Grant Memorial Hospital, Inc. in Petersburg, WV.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to the above mentioned hospitals, the System includes physician practices of United Physicians Care, Inc. and Camden-Clark Physician Corp that operate in conjunction with the System hospitals along with United Summit Center, Inc. a behavioral health center located in Clarksburg, WV. The System also includes, WVUH-East, Inc. and Camden-Clark Health Services, Inc., which operate as management companies for their respective hospitals. University Healthcare Foundation, Inc. in Martinsburg, WV, United Health Foundation, Inc. in Bridgeport, WV, Camden-Clark Foundation, Inc. in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, Reynolds Memorial Foundation, Inc. in Glen Dale, WV, Harrison Community Hospital Foundation in Cadiz, OH and Wheeling Foundation in Wheeling, WV, which perform various fundraising activities for their respective hospitals. In 2020, the System formed WVUHS Home Care, LLC to provide home health and hospice services to our service areas, supporting System hospitals by providing continuous care to our patients. Wheeling Hospital Ambulatory Surgical Center, LLC a surgical center located in Bridgeport, OH was acquired in 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>22 Chapel Road</AddressLine1Txt>
          <CityNm>Wheeling</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
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        <RecipientEIN>556000374</RecipientEIN>
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          <AddressLine1Txt>1025 Main Street Suite 811</AddressLine1Txt>
          <CityNm>Wheeling</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
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        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
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        <GrantTypeTxt>Scholarships</GrantTypeTxt>
        <RecipientCnt>29</RecipientCnt>
        <CashGrantAmt>23650</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
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      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Food Pantry</GrantTypeTxt>
        <CashGrantAmt>30607</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Wheeling Hospital provides cash contributions to various charitable organizations that support education, healthcare, or community building activities. Wheeling Hospital does not monitor the use of grants after awarded.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The scholarship committee reviews all scholarship applications and recipients are then chosen. Recipients must maintain a GPA of 2.5 or higher, and remain in the medical field. The scholarship committee continues to monitor eligibility.</ExplanationTxt>
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        <PersonNm>Albert Wright</PersonNm>
        <TitleTxt>Board Member, Vice Chair</TitleTxt>
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        <PersonNm>Jeffrey Abbott</PersonNm>
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        <PersonNm>John Nasr</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Anthony Martinelli</PersonNm>
        <TitleTxt>Former Assistant Vice President, VP COO, Reynolds Memorial Hospital</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>264824</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>48576</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>25705</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>12208</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>36812</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>388125</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Heidi Porter</PersonNm>
        <TitleTxt>VP of Quality Regulatory Affairs</TitleTxt>
        <BaseCompensationFilingOrgAmt>210086</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>23343</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>33101</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>3678</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3743</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>416</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>30650</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3406</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11748</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1305</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>289328</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>32148</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Bruce Archer</PersonNm>
        <TitleTxt>Vice President General Counsel</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>275705</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>45727</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1961</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>41547</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>36913</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>401853</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Pastorius</PersonNm>
        <TitleTxt>VP Support Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>142769</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>28987</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>27260</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5508</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24564</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>229088</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stephen Brown</PersonNm>
        <TitleTxt>VP, Physician Practice through 06/09/23</TitleTxt>
        <OtherCompensationFilingOrgAmt>116728</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>116728</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Douglass Harrison</PersonNm>
        <TitleTxt>President/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>307071</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>204714</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>78308</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>52206</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6682</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>4454</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>55619</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>37079</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8378</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5586</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>456058</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>304039</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Riley</PersonNm>
        <TitleTxt>VP Nursing/CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>243941</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>40214</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2818</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>36192</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26105</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>349270</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Bane</PersonNm>
        <TitleTxt>VP Finance - Northwest Region</TitleTxt>
        <BaseCompensationFilingOrgAmt>280792</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>44557</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>62008</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12747</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17720</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>417824</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Charles Milton</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>384172</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>250</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>6858</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15386</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26332</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>432998</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Hassan Barazi</PersonNm>
        <TitleTxt>Chief Transformation Integration Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>410010</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>96155</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>12300</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>810</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12583</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2769</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>421</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>436124</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>98924</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Tony Aprea MD</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>385511</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>29017</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>133641</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>542</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>4043</DeferredCompRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>46273</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Scott Bachota</PersonNm>
        <TitleTxt>WTZ/RMH/WH VP Human Resources</TitleTxt>
        <BaseCompensationFilingOrgAmt>184588</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>46147</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>29223</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>2646</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>6118</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>2634</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>259400</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>64851</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Phillip Laux</PersonNm>
        <TitleTxt>VP Provider Practice</TitleTxt>
        <BaseCompensationFilingOrgAmt>177613</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>621</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25577</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>509</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>204320</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Dr. Abbott and Dr.Batras incentives are based on wRVU productivity over the base amount stipulated in their contracts as well as a quality incentive which is a percentage of their base pay. Overall physician compensation was determined to be reasonable.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for the CEO is determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the committee, which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package offered does not exceed fair market value.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Stephen Brown received 116,728 of severance pay in 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals received deferred compensation contributions in 2024 - Douglass Harrison in the amount of 77,173 - 30,869 from related party and 46,304 from Wheeling Hospital Bruce Archer in the amount of 28,653 Heidi Porter in the amount of 23,486 - 21,138 from Wheeling Hospital and 2,348 from related party Jennifer Riley in the amount of 24,960 Phillip Laux in the amount of 17,788 Scott Bachota in the amount of 23,220 - 4,644 from related parties and 18,576 from Wheeling Hospital Albert Wright in the amount of 375,320 from related party and Richard Aprea in the amount of 42,230 - 2,956 from related party and 39,274 from Wheeling Hospital . These amounts are properly recorded in deferred compensation on the Form 990 Schedule J.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals received cash distributions in 2024 - William Bane in the amount of 53,775 and John Pastorius in the amount of 18,338. These distributions were paid directly to the recipient and are reported on their W-2 as well as Part II, Column Biii.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>In doing so, we, the Wheeling Hospital, Inc. family, fulfill our mission through our healing, understanding, ministry, advanced technology, nurturance, tradition, ongoing education, unity, care, and hope.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2023, West Virginia United Health System WVUHS, EIN 55-0754713, transitioned to a centralized accounts payable process in which WVUHS made the majority of vendor payments and then issued the required 1099s. WVUHS is reimbursed by the entities for their portion of payments made, vendor payments that meet the Top 5 Independent Contractor reporting requirements are reported in Part VII, Section B of the reporting entity.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is prepared by the West Virginia United Health System Tax Team with information provided by the hospital. The 990 is reviewed by Accounting leadership and the CFO. Once that review is complete the 990 is presented to the Finance Committee by the WVUHS Director of Tax Services. Once it has been reviewed by the committee it is provided to the Board of Directors prior to filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All members of the board of directors and officers receive a copy of the conflict of interest policy annually. Recipients are annually asked to acknowledge they have read the policy, identify any areas of conflict and return the signed disclosure form to Wheeling Hospital, Inc. Responses are reviewed and indentified. Conflicts are referred to the board of directors for discussion and approval. Key employees and other employees are required to complete a conflict of interest questionaire at hiring and when a change occurs that may be a conflict of interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Douglass Harrison, Chief Executive Officer of Wheeling Hospital, Inc., is not an employee of Wheeling Hospital, Inc. Mr. Harrison is an employee of WVU Healthcare. Wheeling Hospital, Inc. entered into a management agreement with WVU Healthcare in 2019, resulting in the hiring of Mr. Harrison as the CEO. His compensation is determined and paid through WVU Healthcare. Other officers and key employees compensation is reviewed by the Wheeling Hospital ad hoc committee. The committee reviews national, regional, and local compensation surveys. Additionally, years of service are also taken into account.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents, conflict of interest policy, and financial statements are available upon request. Wheeling Hospital, Inc. also files the financial statements with WVHCA annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Changes in net assets include 4,942,899 related organization capitalization, 25,915 auxiliary net assets, 573,365 JOA contribution to the School of Medicine, 174,983 change in temporarily restricted net assets, and 2,234,102 audit entry related to the fund balance capital.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 3a</FormAndLineReferenceDesc>
        <ExplanationTxt>Wheeling Hospital, Inc. entered into a HUD/FHA Section 242 mortgage insurance agreement and was required by this agreement to undergo an A-133 audit.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 11g Other Services includes the following Consulting Professional fees of 52,740 of which 6,433 is considered program service expense and 46,307 is considered management and general expense Contract Labor fees of 94,962,553 of which 88,485,465 is considered program service expense and 6,477,088 is considered management and general expense Resident Expense of 19,788 of which 19,328 is considered program service expense and 460 is considered management and general expense and Collection Fees of 1,237 all of which are considered management and general expense.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 23</FormAndLineReferenceDesc>
        <ExplanationTxt>Negative insurance expense as reported is a result of adjusting the self-insurance reserves in December to agree to the actuarial report. The reserves decreased by a significant amount due to a reduction in the legacy claim liability, as well as on-going/flat new claims made.</ExplanationTxt>
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          <BusinessNameLine1Txt>Wheeling Hospital Ambulatory Surgery Center LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>68 State Route 7</AddressLine1Txt>
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          <CityNm>Bridgeport</CityNm>
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          <ZIPCd>26330</ZIPCd>
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          <CityNm>Clarksburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26301</ZIPCd>
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          <AddressLine1Txt>121 Administrative Drive</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Jefferson Memorial Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>300 South Preston St</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>327 Medical Park Drive</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Grant Memorial Hospital Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>117 Hospital Drive</AddressLine1Txt>
          <CityNm>Petersburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26847</ZIPCd>
        </USAddress>
        <EIN>881740605</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Herbert J Thomas Memorial Hospital Association</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4605 MacCorkle Ave SW</AddressLine1Txt>
          <CityNm>South Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25309</ZIPCd>
        </USAddress>
        <EIN>550404900</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Princeton Community Hospital Association Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>122 Twelfth Street</AddressLine1Txt>
          <CityNm>Princeton</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>24740</ZIPCd>
        </USAddress>
        <EIN>550483245</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Princeton Community Hospital Foundation Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 1369</AddressLine1Txt>
          <CityNm>Princeton</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>24740</ZIPCd>
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        <EIN>550694209</EIN>
        <PrimaryActivitiesTxt>Support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Princeton Community Hospital Association</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THS Physician Partners Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>4605 MacCorkle Ave SW</AddressLine1Txt>
          <CityNm>South Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25309</ZIPCd>
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        <EIN>454395947</EIN>
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          <BusinessNameLine1Txt>Herbert J Thomas Memorial Hospital Association</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1085 Van Voorhis Road Suite 500</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26505</ZIPCd>
        </USAddress>
        <EIN>921990757</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Ohio Valley Health Corporation</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>222 Nicolette Rd</AddressLine1Txt>
          <CityNm>Parkersburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26104</ZIPCd>
        </USAddress>
        <EIN>922553803</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Camden-Clark Health Services</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Allied Health Services Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO Box 782</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26507</ZIPCd>
        </USAddress>
        <EIN>550652017</EIN>
        <PrimaryActivitiesTxt>Linen Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>true</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>true</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>