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      <Form990PartVIISectionAGrp>
        <PersonNm>ATUL SHAH MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>666035</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28300</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES O'BRIEN</PersonNm>
        <TitleTxt>FORMER INTERIM CEO</TitleTxt>
        <AverageHoursPerWeekRt>24.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>109600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>5867527</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>245408</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>83</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CERNER HEALTH SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 959167</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63195</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATION SERVICES</ServicesDesc>
        <CompensationAmt>3896607</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>R &amp; V ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>310 GRANT ST SUITE 1120</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15219</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED ADMINISTRATIVE SERVICES</ServicesDesc>
        <CompensationAmt>1006320</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLEGHENY HEALTH NETWORK</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>30 E NORTH AVENUE</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15212</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>840000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PHARMACY SYSTEMS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 130</AddressLine1Txt>
            <CityNm>DUBLIN</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED PHARMACISTS</ServicesDesc>
        <CompensationAmt>746438</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COHEN &amp; GRIGSBY PC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 641014</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15264</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ATTORNEY</ServicesDesc>
        <CompensationAmt>583064</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>50</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>31530</FundraisingAmt>
      <RelatedOrganizationsAmt>80000</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>232058</AllOtherContributionsAmt>
      <TotalContributionsAmt>343588</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH CARE SERVICES</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>164095553</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>164095553</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHYSICIAN OFFICE SERVICES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>23792264</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23792264</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>187887817</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>404513</TotalRevenueColumnAmt>
        <ExclusionAmt>404513</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1308232</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>87540</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1220692</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1220692</TotalRevenueColumnAmt>
        <ExclusionAmt>1220692</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2270271</SecuritiesAmt>
        <OtherAmt>1550</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1691756</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>578515</SecuritiesAmt>
        <OtherAmt>1550</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>580065</TotalRevenueColumnAmt>
        <ExclusionAmt>580065</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>13500</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>31530</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>13315</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>185</TotalRevenueColumnAmt>
        <ExclusionAmt>185</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>PREMIER AND ACUITY INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>990933</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>987610</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>3323</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA &amp; VENDING INCOME</Desc>
        <BusinessCd>722100</BusinessCd>
        <TotalRevenueColumnAmt>653754</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>653754</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>EHR INCENTIVE INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>475579</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>475579</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>839326</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>839326</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>2959592</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>193396452</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>190844086</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>3323</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2205455</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2120782</TotalAmt>
        <ProgramServicesAmt>2007320</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113462</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>75675133</TotalAmt>
        <ProgramServicesAmt>71626513</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4048620</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>847475</TotalAmt>
        <ProgramServicesAmt>802135</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45340</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>12549797</TotalAmt>
        <ProgramServicesAmt>11878383</ProgramServicesAmt>
        <ManagementAndGeneralAmt>671414</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>5012111</TotalAmt>
        <ProgramServicesAmt>4743963</ProgramServicesAmt>
        <ManagementAndGeneralAmt>268148</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>2977710</TotalAmt>
        <ManagementAndGeneralAmt>2977710</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>137218</TotalAmt>
        <ManagementAndGeneralAmt>137218</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>32085</TotalAmt>
        <ManagementAndGeneralAmt>32085</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>16169303</TotalAmt>
        <ProgramServicesAmt>15743608</ProgramServicesAmt>
        <ManagementAndGeneralAmt>425695</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>46626</TotalAmt>
        <ManagementAndGeneralAmt>46626</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>6921391</TotalAmt>
        <ProgramServicesAmt>6554618</ProgramServicesAmt>
        <ManagementAndGeneralAmt>366773</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>5660045</TotalAmt>
        <ProgramServicesAmt>5357233</ProgramServicesAmt>
        <ManagementAndGeneralAmt>302812</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>4811997</TotalAmt>
        <ProgramServicesAmt>4554555</ProgramServicesAmt>
        <ManagementAndGeneralAmt>257442</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <InterestGrp>
        <TotalAmt>1612705</TotalAmt>
        <ProgramServicesAmt>1526425</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86280</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>5378195</TotalAmt>
        <ProgramServicesAmt>5090462</ProgramServicesAmt>
        <ManagementAndGeneralAmt>287733</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>3227674</TotalAmt>
        <ProgramServicesAmt>3054993</ProgramServicesAmt>
        <ManagementAndGeneralAmt>172681</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>25517267</TotalAmt>
        <ProgramServicesAmt>25517267</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>9059526</TotalAmt>
        <ProgramServicesAmt>9059526</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HEALTH CARE PROVIDER TA</Desc>
        <TotalAmt>4474654</TotalAmt>
        <ProgramServicesAmt>4474654</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>1735307</TotalAmt>
        <ProgramServicesAmt>1642468</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92839</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>4645461</TotalAmt>
        <ProgramServicesAmt>4393562</ProgramServicesAmt>
        <ManagementAndGeneralAmt>251899</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>188612462</TotalAmt>
        <ProgramServicesAmt>178027685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10584777</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1013517</BOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2289597</BOYAmt>
        <EOYAmt>3845532</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>18769379</BOYAmt>
        <EOYAmt>20291611</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>1988840</BOYAmt>
        <EOYAmt>1813045</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2364320</BOYAmt>
        <EOYAmt>1669278</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>126582800</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>96011877</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>31669890</BOYAmt>
        <EOYAmt>30570923</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>25166106</BOYAmt>
        <EOYAmt>26018518</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>3470195</BOYAmt>
        <EOYAmt>2941012</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>5270411</BOYAmt>
        <EOYAmt>4305952</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>92002255</BOYAmt>
        <EOYAmt>91455871</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>22574983</BOYAmt>
        <EOYAmt>17462689</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>16187</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>38565642</BOYAmt>
        <EOYAmt>36778501</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <EOYAmt>2852113</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>16381628</BOYAmt>
        <EOYAmt>11859203</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>77522253</BOYAmt>
        <EOYAmt>68968693</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>14207920</BOYAmt>
        <EOYAmt>22024101</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>272082</BOYAmt>
        <EOYAmt>463077</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>14480002</BOYAmt>
        <EOYAmt>22487178</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>92002255</BOYAmt>
        <EOYAmt>91455871</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>4783990</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>656888</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>2566298</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>152263</OtherCostOrOtherBasisAmt>
        <BookValueAmt>152263</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>64134519</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>47521389</DepreciationAmt>
        <BookValueAmt>16613130</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>603878</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>211247</DepreciationAmt>
        <BookValueAmt>392631</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>61289484</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>48279241</DepreciationAmt>
        <BookValueAmt>13010243</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>402656</OtherCostOrOtherBasisAmt>
        <BookValueAmt>402656</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>30570923</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD-PARTY SETTLEMENTS</Desc>
        <Amt>884924</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED MALPRACTICE LIABILITY</Desc>
        <Amt>3708796</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PENSION LIABILITY</Desc>
        <Amt>6940890</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>GOODWILL LIABILITY</Desc>
        <Amt>324593</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>11859203</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>182701786</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-1545000</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>100855</OtherRevenueAmt>
      <RevenueNotReportedAmt>-1444145</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>184145931</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>9250521</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>9250521</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>193396452</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>179653792</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>100856</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>100856</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>179552936</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>9059526</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>9059526</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>188612462</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICAL CENTER IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR STATE STATUTES RELATING TO NOT-FOR-PROFIT ORGANIZATIONS. WMC PHYSICIAN PRACTICES, INC. WAS CONVERTED TO A SINGLE MEMBER LLC IN JUNE 2014. THE ORGANIZATION FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S CONSOLIDATED FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. GENERALLY TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2014, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSE NETTED AGAINST RENT INCOME ON 990 87,540. FUNDRAISING EXPENSES NETTED AGAINST INCOME ON 990 13,315.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS NETTED AGAINST REVENUE ON FINANCIALS 9,059,526. TEMP RESTRICTED DONATIONS REPORTED AS AN INCREASE OF NET ASSETS ON FIN STMTS 190,995.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSE NETTED AGAINST RENT INCOME ON 990 87,541. FUNDRAISING EXPENSES NETTED AGAINST INCOME ON 990 13,315.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS NETTED AGAINST REVENUE ON FINANCIALS 9,059,526.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>WEIRTON MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: WEIRTON MEDICAL CENTER SOLICITED IN MARCH 2016 FROM THOSE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. ORGANIZATIONS SELECTED TO PROVIDE FEEDBACK INCLUDE: BROOKE/HANCOCK COUNTY HEALTH DEPT., JEFFERSON COMMUNITY ACTION COUNCIL, WASHINGTON CITY MISSION, AND NORTHWOOD HEALTHCARE AMONG OTHERS.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>WEIRTON MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: CHRONIC DISEASE MANAGEMENT, UNHEALTHY LIFESTYLES, AND DRUG AND ALCOHOL ABUSE WERE SELECTED AS THE PRIORITY HEALTH ISSUES TO BE ADDRESSED. TO ADDRESS CHRONIC DISEASE MANAGEMENT, WEIRTON MEDICAL CENTER WILL CONTINUE TO PROVIDE OUTREACH AND EDUCATION TO THE RESIDENTS OF WEIRTON AND THE SURROUNDING COMMUNITIES. THE WMC COMMUNICATIONS OFFICE ADMINISTERS MANY WELLNESS INITIATIVES EACH YEAR, NURSES ARE AVAILABLE AT WELLNESS EVENTS THROUGHOUT THE AREA AND DOCTORS ARE PRIMARY SPEAKERS AT MANY LOCAL CIVIC AND RELIGIOUS GROUPS. TO ADDRESS UNHEALTHY LIFESTYLE CHOICES, WEIRTON MEDICAL CENTER WILL CONTINUE TO PROVIDE OUTREACH AND EDUCATION FOR SMOKING CESSATION, PROPER NUTRITION, AND THE IMPORTANCE OF PHYSICAL ACTIVITY. ILLICIT DRUG USE WAS A RECURRING ISSUE OF CONCERN IN MANY OF OUR INTERVIEWS WITH COMMUNITY MEMBERS, THE HOSPITAL WILL MAINTAIN ITS COLLABORATION AND REFERRAL NETWORK TO ADDRESS PATIENTS' NEEDS WITH REGARDS TO ADDICTION AND ABUSE. AS WITH MOST HEALTH CARE FACILITIES, WE HAVE LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES.</ExplanationTxt>
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      <FacilityNum>1</FacilityNum>
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            <BusinessNameLine1Txt>1 - WMC PHYSICIAN PRACTICES LLC</BusinessNameLine1Txt>
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            <AddressLine1Txt>601 COLLIERS WAY</AddressLine1Txt>
            <CityNm>WEIRTON</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>26062</ZIPCd>
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          <FacilityTxt>PHYSICIAN MEDICAL SERVICES</FacilityTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>WEIRTON MEDICAL CENTER IS REQUIRED BY LAW TO GIVE A REASONABLE AMOUNT OF SERVICES WITHOUT CHARGE TO ELIGIBLE PERSONS WHO CANNOT AFFORD TO PAY FOR CARE. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON U.S. CITIZENSHIP AND THE U.S. GOVERNMENT'S FEDERAL POVERTY GUIDELINES. THESE GUIDELINES ARE UPDATED EACH YEAR. A PERSON MAY QUALIFY FOR FINANCIAL ASSISTANCE IF THEIR HOUSEHOLD INCOME IS AT OR BELOW 300% OF THE CURRENT GUIDELINES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST OF CHARITY CARE WAS ESTIMATED USING A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE UNREIMBURSED COST OF MEDICAID WAS ESTIMATED USING A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 9,059,326.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE AS REPORTED ON AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT ACCOUNTS RECEIVABLE ARE CARRIED AT THE ORIGINAL CHARGE LESS AN ESTIMATE MADE FOR DOUBTFUL OR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. THE ALLOWANCE IS BASED UPON A REVIEW OF THE OUTSTANDING BALANCES AGED BY FINANCIAL CLASS. MANAGEMENT USES COLLECTION PERCENTAGES BASED UPON HISTORICAL COLLECTION EXPERIENCE TO DETERMINE COLLECTABILITY. MANAGEMENT ALSO REVIEWS TROUBLED, AGED ACCOUNTS TO DETERMINE COLLECTION POTENTIAL. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE MEDICAL CENTER RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION TO BAD DEBT EXPENSE WHEN RECEIVED. INTEREST IS NOT CHARGED ON PATIENT ACCOUNTS RECEIVABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT CONSIDER THE SHORTFALL REPORTED IN MEDICARE REVENUE TO BE COMMUNITY BENEFITS SINCE SOME YEARS HAVE SHORTFALLS AND OTHERS HAVE OVERAGES. THE UNREIMBURSED COST OF MEDICARE WAS OBTAINED FROM THE HOSPITAL'S MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS NO COLLECTION FROM PATIENTS WHO QUALIFY FOR CHARITY CARE. IF A PATIENT QUALIFIES, THEY RECEIVE NO BILL.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>WEIRTON MEDICAL CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT OF THE RESIDENTS OF ITS SERVICE AREA EVERY THREE YEARS. THE ASSESSMENT RESULTS ARE TABULATED AND ANALYZED TO DETERMINE THE HEALTH NEEDS OF THE COMMUNITIES SERVED. THE HEALTH NEEDS ARE THEN PRIORITIZED AND A PLAN IS DEVELOPED TO ADDRESS THE NEEDS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>A CHARITY CARE POLICY IS POSTED AT ALL REGISTRATION AREAS. ALL PATIENTS ARE SEEN OR CALLED BY THE FINANCIAL COUNSELORS AND/OR THE CUSTOMER SERVICE DEPARTMENT TO DETERMINE WHAT SERVICES CAN BE OFFERED. THE PATIENTS ARE SCREENED FOR CHARITY CARE AND PROVIDED EDUCATION ABOUT THE STATE MEDICAID APPLICATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>WEIRTON MEDICAL CENTER SERVES THE COUNTIES OF BROOKE AND HANCOCK IN WEST VIRGINIA, AND PORTIONS OF WASHINGTON COUNTY IN PENNSYLVANIA AND JEFFERSON COUNTY IN OHIO.BROOKE COUNTY, WEST VIRGINIA HAS A PROJECTED POPULATION OF 23,298. THE MEDIAN HOUSEHOLD (2010-2014 AVERAGE) INCOME IS $44,067. THE 2010-2014 AVERAGE UNEMPLOYMENT RATE WAS 8.1 PERCENT. IN FY 2010, BROOKE COUNTY RESIDENTS MADE UP 26.9 PERCENT OF WEIRTON MEDICAL CENTER'S TOTAL PATIENT VOLUME.HANCOCK COUNTY, WEST VIRGINIA HAS A PROJECTED POPULATION OF 29,861. THE MEDIAN HOUSEHOLD INCOME(2010-2014 AVERAGE) IS $39,342 AND 7.7 PERCENT OF THE POPULATION WAS UNEMPLOYED FOR THE 2010-2014 AVERAGE. HANCOCK COUNTY RESIDENTS MADE UP 35.7 PERCENT OF WEIRTON MEDICAL CENTER'S TOTAL PATIENT VOLUME IN FY 2010.JEFFERSON COUNTY, OHIO HAS A PROJECTED POPULATION OF 67,780. THE MEDIAN HOUSEHOLD INCOME (2010-2014 AVERAGE) IS $40,816. THE 2010-2014 AVERAGE UNEMPLOYMENT RATE WAS 9.2 PERCENT. IN FY 2010, 19.4 PERCENT OF THE TOTAL PATIENT VOLUME CAME FROM JEFFERSON COUNTY.THE TOTAL SERVICE AREA POPULATION WAS 332,336 IN 2010 AND IS PROJECTED TO BE 328,351 IN 2015 - A DECLINE OF 1.2 PERCENT.THE REGION IS ALSO SERVED BY TRINITY HEALTH SYSTEM IN STEUBENVILLE, OHIO. PATIENTS FROM THE AREA ALSO USE WHEELING HOSPITAL, OHIO VALLEY MEDICAL CENTER IN WHEELING, AND WASHINGTON HOSPITAL IN WASHINGTON, PENNSYLVANIA. PATIENTS ALSO SEEK MEDICAL CARE FROM TERTIARY HOSPITALS LOCATED IN PITTSBURGH, PENNSYLVANIA.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>1. ALL MEMBERS OF THE WEIRTON MEDICAL CENTER'S GOVERNING BOARD RESIDE WITHIN ITS SERVICE AREA. THE CURRENT CHIEF OF STAFF, WHO HAS A TWO YEAR TENURE, HAS A SEAT ON THE BOARD BY VIRTUE OF THIS POSITION. THERE ARE NO FAMILY MEMBERS ON THE GOVERNING BOARD. 2. THE ORGANIZATION EXTENDS PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY; THREE DEPARTMENTS HAVE GRANTED EXCLUSIVITY TO PHYSICIAN GROUPS. 3. IF THERE ARE SURPLUS FUNDS, THE ORGANIZATION, BASED ON ITS PRIORITIES AND IDENTIFIED NEEDS, MAY ELECT TO USE THOSE FOR NEW CLINICAL PROGRAMS, THE ACQUISITION OF NEW OR REPLACEMENT EQUIPMENT OR OTHER SPECIFIC PURPOSES. MANAGEMENT RECOMMENDS SUCH INITIATIVES TO THE BOARD FOR APPROVAL. THE ORGANIZATION DOES NOT CONDUCT MEDICAL EDUCATION OR RESEARCH.4. WEIRTON MEDICAL CENTER OPERATES A 24 HOUR, SEVEN DAY A WEEK EMERGENCY ROOM AVAILABLE TO ALL, REGARDLESS OF ABILITY TO PAY.5. WEIRTON MEDICAL CENTER BENEFITS FROM A STRONG VOLUNTEER PROGRAM WHOSE MEMBERS PROVIDE APPROXIMATELY 16,000 ANNUAL HOURS OF ASSISTANCE TO THE ORGANIZATION. WEIRTON MEDICAL CENTER ALSO PROVIDES NUMEROUS COMMUNITY CLASSES AND SCREENINGS, SOME OF WHICH BENEFIT FROM VOLUNTEER PARTICIPATION.6. ON THE WEIRTON MEDICAL CENTER WEBSITE THERE IS A LINK TO ITS COMMUNITY HEALTH NEEDS ASSESSMENT.</ExplanationTxt>
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        <PersonNm>ATUL SHETTY MD</PersonNm>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>715256</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EUGENE TROUT</PersonNm>
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        <TotalCompensationFilingOrgAmt>276240</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID SCOTT ARTMAN</PersonNm>
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        <TotalCompensationFilingOrgAmt>252260</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID ANGALICH</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENISE PEARL WESTWOOD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VARDHAN J REDDY MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STANLEY MANNINO MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHEN ALATIS DO</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHERIAN JOHN MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>CHARLES O'BRIEN</PersonNm>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE FISCAL SERVICES DIRECTOR, THE CFO AND THE BOARD OF DIRECTORS BEFORE APPROVAL IS GIVEN AND IT IS SUBMITTED TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD AND MEDICAL STAFF EXECUTIVE ARE REQUIRED TO COMPLETE CONFLICT OF INTEREST STATEMENTS ANNUALLY. THE COMPLIANCE COMMITTEE OVERSEES THE PROCESS. DURING BOARD MEETINGS, IF AN INTERESTED PARTY HAS A CONFLICT, HE OR SHE RECUSES THEMSELVES FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A BOARD DESIGNATED COMPENSATION COMMITTEE IS UTILIZED TO APPROVE COMPENSATION NOT ONLY FOR THE CEO BUT FOR ALL OF SENIOR MANAGEMENT. COMPARABILITY DATA IS OBTAINED THROUGH THE DIRECTOR OF HUMAN RESOURCES AND A PERFORMANCE EVALUATION IS COMPLETED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE WEST VIRGINIA HEALTH CARE AUTHORITY AS PART OF THE FREEDOM OF INFORMATION ACT/SUNSHINE LAWS AND ARE ALSO PUBLISHED IN THE LEGAL SECTION OF THE NEWSPAPER ANNUALLY. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>DEFINED BENEFIT PENSION PLAN ADJUSTMENT 4,111,298. UNREALIZED LOSS ON AEIX INVESTMENT -1,545,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>WEIRTON MEDICAL CENTER HAS A COMMITTEE THAT OVERSEES THE AUDIT &amp; THE AUDITOR SELECTION PROCESS. THIS PROCEDURE HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </DisregardedEntityName>
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          <AddressLine1Txt>651 COLLIERS WAY</AddressLine1Txt>
          <CityNm>WEIRTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26062</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>MULTIPLE PHYSICIAN PRACTICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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        <EndOfYearAssetsAmt>7262496</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
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          <BusinessNameLine1Txt>WEIRTON MEDICAL CENTER AUXILIARY</BusinessNameLine1Txt>
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          <CityNm>WEIRTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26062</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
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      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>