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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Bryan K Richmond MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Steven L Smith</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kenneth L Tackett</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Edwin H Welch Ph D</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Larry C Hudson</PersonNm>
        <TitleTxt>Executive VP &amp; CFO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>65978</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Glenn Crotty Jr MD</PersonNm>
        <TitleTxt>Executive VP &amp; COO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>95718</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Marshall A McMullen Jr</PersonNm>
        <TitleTxt>Secretary &amp; Gen Counsel</TitleTxt>
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        <OtherCompensationAmt>90898</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael D Williams</PersonNm>
        <TitleTxt>VP Administrator</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>207933</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>S Andrew Weber</PersonNm>
        <TitleTxt>VP Administrator</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>137182</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Stephen Z Bell</PersonNm>
        <TitleTxt>VP Finance</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>202499</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert D Whitler</PersonNm>
        <TitleTxt>VP Gov't &amp; Comm Affairs</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39408</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ronald E Moore</PersonNm>
        <TitleTxt>VP Prof Prac &amp; CNO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>199882</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert B Danielson</PersonNm>
        <TitleTxt>VP Compliance</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>86737</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dale R Wood</PersonNm>
        <TitleTxt>VP System Improv &amp; CQO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>207425</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey H Goode</PersonNm>
        <TitleTxt>VP Ambulatory Services</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>138410</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey L Oskin</PersonNm>
        <TitleTxt>VP Administrator</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas P McIllwain</PersonNm>
        <TitleTxt>VP Medical Affairs</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gregory Veltri</PersonNm>
        <TitleTxt>VP Info Svc &amp; CIO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kristi Snyder</PersonNm>
        <TitleTxt>VP Human Resources</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Randall H Hodges</PersonNm>
        <TitleTxt>VP Administrator</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>James Tierney DO</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Leon Ronen MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Rittinger MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mark K Stephens MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Daniel L Smith MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Maynard C Smith Construction Company</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 11888</AddressLine1Txt>
            <CityNm>Charleston</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25339</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 120001</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Raymond James and Associates Inc</BusinessNameLine1Txt>
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            <CityNm>St Petersburg</CityNm>
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          <BusinessName>
            <BusinessNameLine1Txt>West Virginia Univ Physicians of Char</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>3110 MacCorkle Ave SE</AddressLine1Txt>
            <CityNm>Charleston</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25304</ZIPCd>
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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Jones Lang LaSalle</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>33845 Treasury Center</AddressLine1Txt>
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            <StateAbbreviationCd>IL</StateAbbreviationCd>
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        </ContractorAddress>
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        <Desc>Patient Revenue</Desc>
        <BusinessCd>621990</BusinessCd>
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        <Desc>Pharmacy</Desc>
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        <ExclusionAmt>1153290</ExclusionAmt>
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        <BusinessCd>812300</BusinessCd>
        <TotalRevenueColumnAmt>1387042</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1387042</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Medical Center Inn</Desc>
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        <RelatedOrExemptFuncIncomeAmt>406932</RelatedOrExemptFuncIncomeAmt>
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        <Desc>Affiliate Transfers</Desc>
        <BusinessCd>541610</BusinessCd>
        <TotalRevenueColumnAmt>211602</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>211602</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>3667</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>1015592564</TotalRevenueColumnAmt>
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        <ManagementAndGeneralAmt>2840512</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>2719579</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>601786</TotalAmt>
        <ManagementAndGeneralAmt>601786</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>115477</TotalAmt>
        <ManagementAndGeneralAmt>115477</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>1207777</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>114265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1434038</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>908620</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2593486</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>9941557</TotalAmt>
        <ProgramServicesAmt>481099</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9460458</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>11702154</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6133383</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>2230789</TotalAmt>
        <ProgramServicesAmt>919819</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1310970</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>110032</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97113</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>16318617</TotalAmt>
        <ManagementAndGeneralAmt>16318617</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>52929186</TotalAmt>
        <ProgramServicesAmt>52929186</ProgramServicesAmt>
      </PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>18669006</ProgramServicesAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>68015</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7752793</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>198145818</TotalAmt>
        <ProgramServicesAmt>195694054</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2451764</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>40449295</TotalAmt>
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        <ManagementAndGeneralAmt>338243</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Charity Allowance</Desc>
        <TotalAmt>32101298</TotalAmt>
        <ProgramServicesAmt>32101298</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Provider Tax</Desc>
        <TotalAmt>19115046</TotalAmt>
        <ProgramServicesAmt>19115046</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>4694678</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24764900</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>756397774</ProgramServicesAmt>
        <ManagementAndGeneralAmt>194974456</ManagementAndGeneralAmt>
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      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
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        <EOYAmt>39200</EOYAmt>
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        <EOYAmt>243140021</EOYAmt>
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        <EOYAmt>122901490</EOYAmt>
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        <EOYAmt>17861382</EOYAmt>
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        <EOYAmt>5443663</EOYAmt>
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        <EOYAmt>344657299</EOYAmt>
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        <EOYAmt>115908525</EOYAmt>
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        <EOYAmt>93193515</EOYAmt>
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        <EOYAmt>11369636</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>309965940</EOYAmt>
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        <EOYAmt>28687</EOYAmt>
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        <EOYAmt>90597372</EOYAmt>
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        <EOYAmt>6656711</EOYAmt>
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        <EOYAmt>64108071</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>602848935</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>337365435</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>25048938</EOYAmt>
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      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>11563146</BOYAmt>
        <EOYAmt>11858522</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>322878509</BOYAmt>
        <EOYAmt>374272895</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>889754010</BOYAmt>
        <EOYAmt>977121830</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>64220334</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-12847093</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>21145</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
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      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <PaidStaffOrManagementInd>1</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>1</MailingsMembersInd>
      <MailingsMembersAmt>5048</MailingsMembersAmt>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>207621</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>1619</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>214288</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>Occasionally, individuals are asked by legislators at both the state and national levels for opinions on certain issues and the process of health-related legislation. At such times, CAMC representatives may hold discussions with legislative officials to present their information and perspectives regarding various health care issues. Such interactions do not typically involve CAMC expressing whether or not they support a particular bill, but rather consist of general discussions related to the pertinent health issues.</ExplanationTxt>
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      <ExplanationProvidedInd>X</ExplanationProvidedInd>
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        <AdministrativeExpensesAmt>3162</AdministrativeExpensesAmt>
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        <OtherExpendituresAmt>793950</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>2770</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>36316561</EndYearBalanceAmt>
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        <OtherExpendituresAmt>758744</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>3163</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>31115133</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>-192637</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>888233</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>3665</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>27674365</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>25031594</BeginningYearBalanceAmt>
        <ContributionsAmt>865051</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2980879</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>710409</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>45251</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>28121864</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
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      <TermEndowmentBalanceEOYPct>0.68000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>1</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>1</RelatedOrgListSchRInd>
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        <BookValueAmt>28426559</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>369250230</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>215953896</DepreciationAmt>
        <BookValueAmt>153296334</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>5319302</DepreciationAmt>
        <BookValueAmt>2081148</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>408071048</DepreciationAmt>
        <BookValueAmt>85843764</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>6759749</DepreciationAmt>
        <BookValueAmt>75009494</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>344657299</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
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        <BookValueAmt>2747830</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <InvstProgramRelatedOrgGrp>
        <Desc>Malpractice Fund</Desc>
        <BookValueAmt>39746595</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>Recruitment/Student Loan</Desc>
        <BookValueAmt>3406854</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>Workers Comp Self Insured Fund</Desc>
        <BookValueAmt>163912</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>RC Byrd Teaching Ctr Fund</Desc>
        <BookValueAmt>52587549</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <InvstProgramRelatedOrgGrp>
        <Desc>Investments Other</Desc>
        <BookValueAmt>6846046</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <InvstProgramRelatedOrgGrp>
        <Desc>Affiliate Receivables</Desc>
        <BookValueAmt>10409739</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <OtherAssetsOrgGrp>
        <Desc>Trustee Funds</Desc>
        <BookValueAmt>8254674</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Interest in Net Assets: CAMC Foundation</Desc>
        <BookValueAmt>36907460</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Bond Funds</Desc>
        <BookValueAmt>26414858</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Bond Collateral</Desc>
        <BookValueAmt>11920000</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Deferred Bond Costs</Desc>
        <BookValueAmt>4056520</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Investments Other</Desc>
        <BookValueAmt>198439</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Derivative Asset Value</Desc>
        <BookValueAmt>5441564</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>93193515</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated Malpractice Claims</Desc>
        <Amt>19640000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated Worker's Comp Claims</Desc>
        <Amt>1457304</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Affiliate Payables</Desc>
        <Amt>9174350</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Settlements Due to 3rd Parties</Desc>
        <Amt>15565223</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated Retiree Health</Desc>
        <Amt>3176094</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Umbrella Trust &amp; SERP</Desc>
        <Amt>15095100</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>64108071</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Line 2b:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMC operates HealthCare Financial Services, which provides collections services to outside clients. Payments that are recovered by the collection department include both the commission portion and the amount due to the outside client. The amount listed in Part X Line 21 reflects the amount CAMC transmitted to the client.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>To further the mission of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMC's financial statements are audited as part of the audit of the financial statements of CAMC Health System, Inc and Subsidiaries (collectively, the "System"). Language regarding ASC 740 (FIN 48) included in the consolidated footnotes is as follows: "The IRS has determined that CAMC, the Foundation, and the Institute are exempt from income taxes under Section 501 (c)(3) of the Internal Revenue Code (the "Code") and applicable state statutes, but are subject to unrelated business income tax. The System does not have any material uncertain tax positions at December 31, 2014."</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
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          <AddressLine1Txt>3200 MacCorkle Avenue</AddressLine1Txt>
          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25304</ZIPCd>
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        <USAddress>
          <AddressLine1Txt>501 Morris Street</AddressLine1Txt>
          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25301</ZIPCd>
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        <BusinessName>
          <BusinessNameLine1Txt>CAMC Women and Children's Hospital</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>800 Pennsylvania Avenue</AddressLine1Txt>
          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>253025302</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.camc.org</WebsiteAddressTxt>
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      <HospitalFacilitiesGrp>
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        <BusinessName>
          <BusinessNameLine1Txt>CAMC Teays Valley Hospital</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1400 Hospital Drive</AddressLine1Txt>
          <CityNm>Hurricane</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25526</ZIPCd>
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        <WebsiteAddressTxt>www.camc.org</WebsiteAddressTxt>
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        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>B</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Facility Reporting Group - A</BusinessNameLine1Txt>
        </HospitalFacilityName>
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        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
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        <HowDataObtainedInd>X</HowDataObtainedInd>
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        <OwnWebsiteURLTxt>www.camc.org/documents/community/2014/CBRG-Plan-2014-2016</OwnWebsiteURLTxt>
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        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
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        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
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        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
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      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Facility Reporting Group - B</BusinessNameLine1Txt>
        </HospitalFacilityName>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
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        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
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        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
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        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Part V, Section C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>12</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>See Part V, Section C</StrategyWebsiteURLTxt>
        <StrategyAttachedInd>0</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
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        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
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        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
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        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
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        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
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        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group - B</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 7a: camc.org/documents/community/CAMC-Teays-Valley-Hospita-Community-Benefit-Report-and-Implementation-Plan-2012.pdfFacility Reporting Group - BPart V, Section B, line 10a: camc.org/documents/community/CAMC-Teays-Valley-Hospita-Community-Benefit-Report-and-Implementation-Plan-2012.pdf</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility Reporting Group A</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group A consists of:</FormAndLineReferenceDesc>
        <ExplanationTxt>- Facility 1: CAMC Memorial Hospital, - Facility 2: CAMC General Hospital, - Facility 3: CAMC Women and Children's Hospital</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group - A Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>Household Telephone Survey:The household surveys were conducted using appropriate quality controls which included involving research experts in the design of the survey instrument, thorough and consistent training of interviewers, and the use of reputable survey-analysis software. The principal investigator provided oversight to the surveying process including data collection and entry. Data was collected and entered using a web-based survey. This report was compiled and verified for accuracy by members of the Kanawha Coalition for Community Health Improvement. This survey sample size results in a statistically significant 95% confidence interval with an error margin of plus or minus 5.63%. Not all respondents answered every question; therefore the margin of error was adjusted and reported for each question, based on the number of respondents. An independent sampling firm randomly selected landline telephone numbers for Kanawha County households. The random landline sample consisted of 4,000 numbers which was screened for disconnects and businesses, resulting in a list of 2,000 numbers. A total of sixteen individuals received training and administered the phone survey. After learning that the number of American homes with only wireless telephones continues to grow and that 39.4% of American homes had only wireless telephones (January - June 2013 National Health Interview Survey), the Kanawha Coalition acquired a random address sample of 5,000 additional Kanawha County residents which included wireless and some unlisted numbers. The wireless sample received postcards in the mail directing them to the online survey or to call the Kanawha Coalition to arrange a convenient time to take the survey by telephone. The Kanawha Coalition process works to ensure that the survey sample size is valid, and that the sample is randomly selected. It also ensured that the fourth-year nursing students with the University of Charleston's School of Nursing were adequately trained in how to administer the phone survey. As with any telephone survey, there are certain limitations. The result of the survey depends on the accuracy of the responses given by the persons interviewed. Self-reported behavior must be interpreted with caution. To assure proper sampling distribution, the demographics of the survey respondents were compared to county demographics based on 2010 U.S. Census data. This comparison reveals an over-representation of respondents who were female, over 55 years of age, had no children in the home and were Caucasian. There was an under-representation of African Americans, people with lower-educational attainment (high school or less), those with children in the home, and those who had never been married. The Kanawha Coalition conducted focus groups among individuals from these underrepresented populations. Focus group findings are intentionally reported independently from those of the scientific random telephone survey to maintain fidelity. Focus GroupsSix focus groups were held in 2013. A total of 15 senior citizens, 14 single-parents, and 10 African Americans participated. Host sites for the focus groups included the Kanawha Institute for Social Research and Action (KISRA), Shiloh Baptist Church, the United Way of Central West Virginia (Retired Senior Volunteer Program), and the Martin Luther King Community Center (after school program). Focus group participants were asked to share their opinions about barriers and challenges facing their particular population regarding access to health services, social and economic factors (e.g. employment, education, access to technology, and community attitudes surrounding discrimination, racism), the physical "built" environment (e.g. housing, access to healthy foods, air and water quality) and any other top health issues and pressing concerns.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group - A Part V, Section B, line 6a:</FormAndLineReferenceDesc>
        <ExplanationTxt>Thomas Health System (Thomas Memorial Hospital and St. Francis Hospital); Highland HospitalPart V, Section B, line 6b: United Way of Central West Virginia; FamilyCare Health Center; Kanawha-Charleston Health Department; Kanawha County Schools; Wellness Council of West Virginia; Spilman Thomas &amp; Battle, PLLC; Kanawha Coalition for Community Health Improvement; Charleston Area Alliance.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group - A Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>The following health issues are identified as community priorities and funded as part of operational planning by the CAMC Board of Trustees: Obesity, Drugs/Prescription and Illicit, Lack of Physical Activity, Heart Disease/High Blood Pressure, Tobacco Use/Second Hand Smoke Exposure, Unemployment Jobs/Poverty, Cancer, Lung Disease/Asthma. Community Benefit implementation strategies and examples of some of our 2014 outcomes include: 1.) Reducing utilization of the Emergency Room to address Unemployment/Jobs/Poverty through Telehealth for after hours and follow-up care. In 2014, grant funding was obtained and site visits were conducted to assess equipment needs at each of the 11 participating sites. 2.) Physician Drug Diversion training addressed the community need of Drugs/Prescription and Illicit. There were 2,365 physician and mid-level providers who participated with an evaluation of 4.5 and 80% with a post-test passing score. 3.) Medical Home/Neighborhood addressed the Unemployment/Jobs/Poverty need and in 2014 NCQA MCMH Level 2 recognition was achieved. Preventive health screening compliance improved and patients who were frequent users of Emergency Rooms received assistance in scheduling office visits. 4.) Provide HIV primary care and decrease new HIV Infections addresses the community needs of Drugs/Prescription and Illicit and Unemployment/Jobs/Poverty. In 2014 the program increased access to care to the most vulnerable, provided 24/7 primary care, mental and dental health services, established an off-site satellite clinic, provided education to health care providers and the community and established a referral network to and from other medical care, case management and social service agencies. We addressed the community need of Cancer, Lung Cancer through growing the nurse navigator and survivorship program. The survivorship program in 2014 provided care plans for 30 patients as it started up and now sees 15-20 patients/week. The Healthy Kids Program addresses the community need of Obesity and in 2014 celebrated clinical outcomes of 96% of patients lowering their BMI from first to last office visit. Results for each of our Implementation Strategies and additional programs are described in detail in our 2014 Community Benefit Report and Report on 2014-2016 Implementation Strategies. The following program is not addressed by CAMC: High School Dropout. This issue is being addressed by United Way of Central WV, Kanawha County Schools and State Department of Education.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group - A Part V, Section B, line 16b website:</FormAndLineReferenceDesc>
        <ExplanationTxt>camc.org/charityanduninsuredpolicy</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group - A Part V, Section B, line 16c website:</FormAndLineReferenceDesc>
        <ExplanationTxt>camc.org/charityandunisuredpolicy</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group - A Part V, Section B, line 16i:</FormAndLineReferenceDesc>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group - A Part V, Section B, line 22d:</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients who qualify for charity care are given a 100% discount. If a patient does not qualify for charity care but is uninsured, a 50% discount from billed charges is given, which is greater than the highest negotiated commercial insurance discount.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility Reporting Group B</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group B consists of:</FormAndLineReferenceDesc>
        <ExplanationTxt>- Facility 4: CAMC Teays Valley Hospital</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group - B Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Community Needs Assessment process included: 1) Secondary County Health Data, 2) Putnam County Survey Results, 3) Putnam County Public Health Plan, and 4) Social Services Agengy Utilization. A comprehensive database of health related data and statistics is compiled/updated from numerous sources regarding the health of the citizens of Putnam County and incorporated into the document entitled Health Indicator Data Sheet. The findings are sorted into 23 categories for ease of reference and provide the following for each indicator: name, data link, Putnam County results, West Virginia results, United States results, comparative trends, notes, West Virginia county rank, United States state rank, and a comparison between the most current and the previous measurements. The Health Indicator Data Sheet is available at www.camc.org. Survey Data - The Putnam County Chamber of Commerce completed a survey to identify issues central to improving the overall quality of life for Putnam County. The survey was web-based and an email was sent to people within selected zip codes in the county. 330 Putnam County residents participated in the survey.The Public Heath Department identified priorities based on their client population and findings from WV DHHR for Putnam County were incorporated into the needs assessment. Putnam County United Way beneficiary utilization provided the services and number of beneficiaries. These assessment findings were analyzed to identify top issues for CAMC Teays Valley Hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group - B Part V, Section B, line 6a:</FormAndLineReferenceDesc>
        <ExplanationTxt>United Way of Central West Virginia; Henderson Insurance; Putnam County Commission; Putnam County Chamber of Commerce; Kroger; City of Hurricane; AEP Customer Solutions Center; Broadmore Senior Living.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group - B Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>The following programs are provided by CAMC Teays Valley Hospital that address community priorities and are identified as funds as part of operational planning by the CAMC Teays Valley Hospital Board of Trustees: Poverty-Children and Families, Physical Activity, High School Graduation, Cancer, Drug Use, Flu/Pneumonia. Community Benefit implementation strategies and examples of some of our 2014 outcomes include: A program to divert non-violent youth who abuse alcohol and drugs to a drug and alcohol free future addresses the community need of drug use. 2014 progress included provision of financial support for the program, serving on the Board of Trustees that manages the program with 15 youth successfully graduating from the program. In addition, education and events to keep school children drug free were held. CAMC Teays provided medical supplies for each Putnam County school classroom in 2014. All school staff were trained on their use. To address Physical Activity and Poverty, CAMC Teays provided nursing staff and supplies for Camp Kno Koma, a children's camp for diabetic children to ensure a safe camping experience for diabetic children and to provide diabetes education for the children. Also, CAMC Teays provides onsite orthopedic physician coverage for athletes, cheerleaders and band members for area high school sporting events. Results for each of our Implementation Strategies and additional programs are described in detail in our 2014 Community Benefit Report and Report on 2012-2014 Implementation Strategies. The following community priority needs are not addressed by CAMC Teays Valley Hospital: 1) Counseling Services-Issue addressed by services provided by other providers in the area. 2) 4th &amp; 8th grade reading and match proficiency-issue addressed by Putnam County Board of Education and Literacy Volunteers. 3) Births to Unmarried Teens-issues addressed by CAMC Women &amp; Children's Hospital to Putnam County population. 4) Drinking and Driving-Issue addressed by Students against Drunk Driving and Drug Court. 5) Stroke-Issue addressed by support from CAMC General Hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group - B Part V, Section B, line 16b website:</FormAndLineReferenceDesc>
        <ExplanationTxt>camc.org/charityanduninsuredpolicy</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group - B Part V, Section B, line 16c website:</FormAndLineReferenceDesc>
        <ExplanationTxt>camc.org/charityanduninsuredpolicy</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group - B Part V, Section B, line 22d:</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients who qualify for charity care are given a 100% discount. If a patient does not qualify for charity care but is uninsured, a 50% discount from billed charges is given, which is greater than the highest negotiated commercial insurance discount.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>14</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CAMC LabWorks</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3004 Chesterfield</AddressLine1Txt>
            <CityNm>Charleston</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25304</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CAMC Imaging Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3416 MacCorkle Ave SE</AddressLine1Txt>
            <CityNm>Charleston</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25304</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Imaging Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CAMC Imaging Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>60 RHL Boulevard</AddressLine1Txt>
            <CityNm>South Charleston</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25309</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Imaging Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CAMC Urgent Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>314 Goff Mountain Road Suite 3</AddressLine1Txt>
            <CityNm>Cross Lanes</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25313</ZIPCd>
          </USAddress>
          <FacilityTxt>Urgent Care Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CAMC Phys Therapy &amp; Sport Med Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>200 Tracy Way</AddressLine1Txt>
            <CityNm>Charleston</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>253111258</ZIPCd>
          </USAddress>
          <FacilityTxt>Rehabilitation Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CAMC Wound Healing Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>600 Morris Street Suite 103</AddressLine1Txt>
            <CityNm>Charleston</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25301</ZIPCd>
          </USAddress>
          <FacilityTxt>Wound Healing Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CAMC Ambulatory Infusion Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3100 MacCorkle Ave Suite 101</AddressLine1Txt>
            <CityNm>Charleston</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25304</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Infusion Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Cardiac Imaging Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2930 Chesterfield Avenue</AddressLine1Txt>
            <CityNm>Charleston</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>253041066</ZIPCd>
          </USAddress>
          <FacilityTxt>Cardiac Imaging Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CAMC Occupational Lung Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>600 Morris Street Suite 100</AddressLine1Txt>
            <CityNm>Charleston</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25301</ZIPCd>
          </USAddress>
          <FacilityTxt>Occupational Lung Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Cardiac Imaging Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2335 Chesterfield Avenue</AddressLine1Txt>
            <CityNm>Charleston</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>253041066</ZIPCd>
          </USAddress>
          <FacilityTxt>Cardiac Imaging Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CAMC Solutions</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2568 Pennsylvania Avenue</AddressLine1Txt>
            <CityNm>Charleston</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>253024907</ZIPCd>
          </USAddress>
          <FacilityTxt>Pharmacy Compounding Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CAMC Pharmacy</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>314 Goff Mountain Road</AddressLine1Txt>
            <CityNm>Cross Lanes</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25702</ZIPCd>
          </USAddress>
          <FacilityTxt>Pharmacy</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Mary's Laboratory Service</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2900 First Ave Ste 607</AddressLine1Txt>
            <CityNm>Huntington</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25702</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CAMC Urgent Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>301 RHL Boulevard Suite 3</AddressLine1Txt>
            <CityNm>South Charleston</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25309</ZIPCd>
          </USAddress>
          <FacilityTxt>Urgent Care Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>Utilized Worksheet 2 to determine cost-to-charge ratio.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Community Building Activities:</FormAndLineReferenceDesc>
        <ExplanationTxt>Community-building activites include programs and services that address root causes of health problems. Examples include CAMC's membership in the Partners in Health Network, Inc. ("Partners"), members of which comprise a network of mostly small and rural hospitals, clinics and health departments who work together to address quality and educational needs for improving care management, assistance with NCQA accreditation for patient centered medical homes and improved quality through addressing sepsis. Access to health care for 5,000 working uninsured individuals in central and southern West Virginia is provided through Partners' Community Access Program. Additionally, CAMC provides students enrolled in post-secondary education with related on-the-job training that is required for their graduation. Health Fairs for the community focusing on adults and children provide screening and health information to identify and address health issues.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>This is the bad debt expense from the audited financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>To estimate the amount of the bad debt expense attributable to patients eligible under the charity care policy, one month of actual bad debt written off was reviewed. Sixty three percent of this was for uninsured patients. A sample of 100 of the uninsured patients from the month was taken and entered into a credit worthy calculator to determine that 97% of the patients met the income eligibility guidelines under the charity care policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>There is no footnote describing bad debt, however, private pay accounts and amounts for deductibles and co-insurance that are deemed uncollectable that do not appear to meet the charity care guidelines, are written off as bad debt expense and appear as a deduction from patient service revenue in the audited financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMC treats any government reimbursement that is insufficient to cover allocated costs as being a community benefit. CAMC chooses to serve the community by participating in the Medicare program and accepting Medicare reimbursement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMC's collection policy makes provisions for patients who qualify for charity care or financial assistance. Patients who receive charity assistance must meet the following requirements: income at 200% or less of Federal poverty income and resource guidelines, insufficient assets to pay for the care, and not eligible for any public programs. Patients without third-party coverage who do not qualify for charity are given a 50% discount from charges (which is greater than any commercial discount). In addition to charity and uninsured discounts, CAMC provides assistance with payment plans, government programs, and an Employee Assistance Program.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMC supports and strengthens its key communities through a systematic approach that begins with our mission, vision and values. Annually during our strategic planning process we review the community health needs assessment findings and priorities to develop our community strategy. This strategy is based on issues identified through the needs assessment process and supplemented with findings from our internal Environmental Analysis. Communities are identified, strategies are identified and plans are funded, implemented, tracked and measured. Our Board approves the plan and reviews plan progress annually. Because of the size and scope of our services, the approach we use to identify our key communities is based on the strategy, key stakeholder needs, and our capacity. Our community for the KCCHI work groups is Kanawha County as determined by the KCCHI mission. For our CAMC community strategy, community is based on the need identified and population to be addressed. We develop Health Indicator Data Sheets for each of our service area counties and identify key issues to address for all or part of our service area. For example, our Perinatal Telemedicine Project includes 14 rural counties and our Child Advocacy Center and HIV program serve our entire service area. Each strategy is deployed through a planning process that addresses key stakeholder needs and is evaluated based on predetermined criteria for outcomes expected. Cycles of learning have ensured the Civic Affairs Council monetary contributions support community organizations in the service area that are clearly aligned with our community strategy. In addition to addressing community needs and contributing financially, our leadership team serves in key leadership roles for community activities, programs and organizations as well as supports the workforce in participating in many community benefit activities such as Day of Caring and HealthFest.CAMC Teays has a separate CHNA process as described in their Community Benefit report (available at www.camc.org).In addition, CAMC and CAMC Teays Valley Hospital develops County Profiles for each service area county to identify health risks and priorities for the counties. Service line data is also reviewed for areas that may need community health intervention.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMC informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under CAMC's charity care policy during the registration process. Brochures are available at each registration point with contact information and phone numbers for Financial Counselors. CAMC Financial Counselors are located in each Emergency Department and Admitting area. During registration, if a patient is uninsured, they may be referred to a Financial Counselor who provides education about Charity Care, Medicaid Eligibility and Federal Disability. WV state employees are also on site at each hospital to accept and process Medicaid applications and notify patients if they qualify.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMC's community area of focus includes our Primary and Secondary Service area. Our PSA includes: Kanawha, Putnam, Fayette, Boone and Logan Counties. Our SSA is Jackson, Roane, Clay, Nicholas, Lincoln, Raleigh and Mercer Counties. Kanawha County constitutes a population of 195,508 (2013) with a median age of 44 and household median income of 39,761. The PSA/SSA population is 548,133, with a median age of 43 and median income of $36,060. Demographic, health and socioeconomic information is provided in detail in the 2013 Community Benefit Report and 2014-2016 Community Health Needs Assessment found on our camc.org website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMC's governing board is its Board of Trustees, a 17 member volunteer community board that meets WV state law requirements for nonprofit board membership including community representation. Admission to the medical staff is open to all qualified physicians in the area, consistent with the size and nature of the facility. Each CAMC hospital operates a full-time emergency room open to everyone, regardless of ability to pay. CAMC serves a broad cross-section of the community through research and charity care. CAMC applies any surplus funds toward improving facilities, equipment, patient care, medical training, research and education. CAMC's Community Health Improvement Services, Health Professions Education, Financial and In-kind Contributions, Community and Building Activities are detailed in the Community Benefit Report on our website at www.camc.org.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMC Health Education and Research Institute serves as the education and research arm of the CAMC Health System. The Institute promotes the health of the community by sponsoring health professional training programs training the region's health professionals, providing continuing education to health professionals in the community, region and state sponsoring management and leadership development programs, sponsoring community health education and prevention education programs for the community, conducting clinical and health services research targeted to improve health and health services delivery of our patients and community, pursuing special program funding and grants to support education and research programs, promoting economic development through its employment of approximately 80 full-time education, research and support staff and through its extramural and externally funded sponsored programs, promoting telehealth opportunities that link providers for health consultation and that improves access to health services to patients, creating linkages to education affiliates allowing approximately 800 learners to receive clinical training experiences at CAMC, sponsoring simulation training experiences for regional education affiliates, and promoting and sustaining networks and partnerships that improve access to clinical trials and research funding opportunities.The CAMC Foundation's mission is to support and promote CAMC's delivery of excellent and compassionate health services and CAMC's contribution to the quality of life and economic vitality of the region. This is accomplished through support of many services to CAMC patients and employees. Each year, the Foundation supports the Prevention First Program at CAMC Women and Children's Hospital. The Prevention First Program seeks to reduce medical costs, facilitate all aspects of health care, including support of the medical plan established by the primary care physician, while meeting the special needs of low-income children and families in the home environment. Specifically, the Prevention First Program promotes healthy outcomes that will decrease pre-term labor, infant mortality, unplanned C-Section rate, NICU/PICU length of stay and increase infant birth weight while promoting well-child care and immunizations. The Foundation also helps keep physicians and allied health care employees up-to-date by providing funding for many continuing education programs. Integrated Health Care Providers (IHCPI) is an affiliated company of the CAMC Health System existing to support the mission of CAMC in striving to provide the best healthcare to every patient every day. When the CAMC Health System identifies an essential physician need, an access issue for patients, or when the existing provider community cannot provide an essential service, IHCPI through its affiliation with the CAMC Health System works to fill the gaps. Currently, IHCPI operates the mission critical entity of the David Lee Cancer Center and a host of sub-specialty physician practices primarily operated to support the Level I trauma and tertiary care mission of CAMC. IHCPI practices see a disproportionate share of the underinsured in their practice locations. When many of the sub-specialists are not providing trauma support, they are providing access to care for many who cannot receive services locally such as pediatric dental and oral maxilla-facial care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7, Reports Filed With States</FormAndLineReferenceDesc>
        <ExplanationTxt>WV</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WV Health Right Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1520 Washington Street</AddressLine1Txt>
          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25311</ZIPCd>
        </USAddress>
        <RecipientEIN>311066881</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>145278</CashGrantAmt>
        <PurposeOfGrantTxt>General Program Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Charleston</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2300 MacCorkle Avenue SE</AddressLine1Txt>
          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25304</ZIPCd>
        </USAddress>
        <RecipientEIN>550357039</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>285000</CashGrantAmt>
        <PurposeOfGrantTxt>Nursing and Pharmacy Program Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Kanawha Valley Community and Technical College</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2001 Union Carbide Drive</AddressLine1Txt>
          <CityNm>South Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25303</ZIPCd>
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        <RecipientEIN>352380021</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>344204</CashGrantAmt>
        <PurposeOfGrantTxt>Nursing Program Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Ronald McDonald House Charities of Southern West Virginia Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>302 30th Street SE</AddressLine1Txt>
          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25304</ZIPCd>
        </USAddress>
        <RecipientEIN>550631080</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>12090</CashGrantAmt>
        <PurposeOfGrantTxt>General Program Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>American Heart Association</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>162 Court Street</AddressLine1Txt>
          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25301</ZIPCd>
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        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>General Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Braxton County Memorial Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 Hoylman Drive</AddressLine1Txt>
          <CityNm>Gassaway</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26624</ZIPCd>
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        <RecipientEIN>550611919</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>200000</CashGrantAmt>
        <PurposeOfGrantTxt>General Program Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Buckskin Council BSA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2829 Kanawha Blvd E</AddressLine1Txt>
          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25311</ZIPCd>
        </USAddress>
        <RecipientEIN>550357013</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6500</CashGrantAmt>
        <PurposeOfGrantTxt>General Program Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Clay Center for the Arts</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25301</ZIPCd>
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        <RecipientEIN>550702471</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>General Program Support</PurposeOfGrantTxt>
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      <RecipientTable>
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        <USAddress>
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          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25301</ZIPCd>
        </USAddress>
        <RecipientEIN>550614854</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>General Program Support</PurposeOfGrantTxt>
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          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25304</ZIPCd>
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        <CashGrantAmt>44900</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Medical Scholarships</GrantTypeTxt>
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      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Employee Scholarships</GrantTypeTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMC provides nursing, allied health and medical student scholarships funded by the Foundation. An application portfolio is submitted by the candidate and reviewed and scored anonymously by the Foundation's Nursing Allied Health and Medical Student Scholarship committee co-chairs for subsequent scholarship award by the committee. CAMC provides employee and employee dependent scholarships. Candidates submit an application and required materials an a committee reviews applications based on scholarship guidelines and criteria and awards scholarships. Scholarship payments are submitted directly to the college or university on behalf of the recipient. CAMC provides support to the University of Charleston ("UC") nursing program and pharmacy school program. UC is a nonprofit, tax-exempt organization. UC provided CAMC with an acknowledgement letter along with a giving history report. CAMC provides assistance to various community programs which are reviewed by the Civic Affairs Council for award or at the discretion of the Chief Executive Officer.</ExplanationTxt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>37808</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>27810</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>360891</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kristi Snyder</PersonNm>
        <TitleTxt>VP Human Resources</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>157287</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>7740</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>439743</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Randall H Hodges</PersonNm>
        <TitleTxt>VP Administrator</TitleTxt>
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        <TotalCompensationFilingOrgAmt>562429</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Tierney DO</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Leon Ronen MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <TitleTxt>Physician</TitleTxt>
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        <TitleTxt>Physician</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The CAMCHSI Board of Directors Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMCHSI companies and executives. The Committee uses the data to determine the total compensation of the CAMC's CEO and the other executives. The data is reviewed every two years or when a new person comes into an executive role.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Supplemental Executive Retirement Plan ("SERP"). Participants are key officers of CAMCHSI and subsidiaries. Terms &amp; Conditions of SERP Plan: Defined Benefit. Vest at age 60, or later,if one time postponement is made prior to age 59. Deferred vesting date cannot be earlier than age 65 or later than age 68. Benefit at age 60 with 30 years of service is computed as the difference between 55% of Final Average Total compensation and sum of retirement benefits paid from: CAMC Health System, Inc. Qualified Retirement Plan, Non-Qualified Retirement Benefit Restoration Plan and 50% of projected age 62 Primary Social Security Benefit. Eligible to receive SERP benefits upon earliest of: normal retirement or date elected, if extended; death; disability; involuntary termination without cause. Early retirement at age 55 with at least 5 years of service reduced 1.83% for each year of service less than 30 and .5% reduction for each month prior to Normal Retirement Date (age 60). Taxes due upon distribution. Subject to the Substantial Risk of Forfeiture. CEO Supplemental Executive Retirement Plan ("SERP"): Participant-CEO Terms and Conditions of CEO SERP Plan: Defined Contribution. Vest at age 65. Benefit at age 65 projected as the difference between 60% of Final 5 Year Average Total compensation and sum of retirement benefits paid from: CAMC Health System, Inc. Qualified Retirement Plan and 50% of projected age 65 Primary Social Security Benefit. Actual benefits will depend upon simulated investment results based on investment options selected by participant. Eligible to receive SERP benefits upon earliest of: deferred vesting date; death; disability; involuntary termination without cause. Taxes due upon vesting. Subject to the Substantial Risk of Forfeiture.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the CAMC Health System, Inc. Board of Directors Compensation Committee.</ExplanationTxt>
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    </IRS990ScheduleJ>
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          <BusinessNameLine1Txt>Wachovia</BusinessNameLine1Txt>
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        <TermOfGICPct>23.000000000000</TermOfGICPct>
        <RegulatorySafeHarborStsfdInd>1</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>1</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>1</GrossProceedsInvestedInGICInd>
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          <BusinessNameLine1Txt>Wachovia</BusinessNameLine1Txt>
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        <TermOfGICPct>23.000000000000</TermOfGICPct>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>1</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Date Rebate Computation Performed</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer Name: West Virginia Hospital Finance Authority Date the Rebate Computation was Performed: 08/18/2014 Issuer Name: West Virginia Hospital Finance Authority Date the Rebate Computation was Performed: 08/18/2014 Issuer Name: West Virginia Hospital Finance Authority Date the Rebate Computation was Performed: 08/18/2014</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K Supplental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Part I. Line A (F) Description of purpose: The proceeds for the 2008A Bonds were used to (i) currently refund the Series 1995A Bonds originally issued on 9/26/95, (ii) pay the costs of certain capital expenditures made, or to be made, by CAMC, refinance a bank loan, and (iii) pay the costs of issuing the Series 2008A Bonds, including certain fees of the bank. Part I Line B (F) Description of purpose: The proceeds for the 2009A Bonds were used to (i) currently refund the outstanding principal amount of the 2002 Series A and B Bonds originally issued on 9/24/02, (ii) pay a portion of a termination payment as a result of termination of hedge agreement in connection with the 2002 Bonds (an extraordinary working capital expenditure), (iii) fund a debt service reserve fund, and (iv) pay the costs of issuing the 2009 Bonds. Part I Line C (F) Description of purpose: The proceeds for the 2014A Bonds were used to (i) currently refund and extinguish a portion of the Series 2009 A Bonds issued 9/10/2009 and (ii) pay the costs of issuing the 2014 A Bonds. Part I Line D (F) Description of purpose: The proceeds of the 2008A Bonds were to refund a portion of a $30,000,000 temporary note used to finance the acquisition, construction and improvement of facility and to finance a project acquisition fund. Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings. Working capital expenditures reported in Part II, Line 9, Column B consist of a swap termination payment. Part II, line 11, column B: Form 8038 reported that $148,894,025 of proceeds was to be used to retire the prior debt. The actual amount required for that purpose was $146,196,700. The remainder was deposited to a project fund and spent on capital expenditures eligible for tax-exempt financing. Part III has been completed for the column B bonds only with respect to the new money portion of the issue, as the refunding portion refunded pre-2003 debt. Part III has been completed for the column C bonds exactly the same as for the column B bonds, since the column C bonds current refunded a portion of the column B bonds. Part IV, Line 6, columns A, B, and D: Such amounts were appropriately yield restricted.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
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        <NameOfInterested>
          <PersonNm>Rick Crotty</PersonNm>
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        <TransactionDesc>employed by organization</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Barbara Covelli</PersonNm>
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        <RelationshipDescriptionTxt>Family member of Glenn Crotty, Officer</RelationshipDescriptionTxt>
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        <TransactionDesc>employed by organization</TransactionDesc>
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      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Donna Bell</PersonNm>
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        <RelationshipDescriptionTxt>Family member of Steve Bell, Officer</RelationshipDescriptionTxt>
        <TransactionAmt>156967</TransactionAmt>
        <TransactionDesc>employed by organization</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Matthew Griffith</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Family member of James P. Griffith, MD, Trustee</RelationshipDescriptionTxt>
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        <TransactionDesc>employed by organization</TransactionDesc>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Gloria Jean Morgan</PersonNm>
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        <TransactionDesc>employed by organization</TransactionDesc>
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      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>John Snyder</PersonNm>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Christine Oskin</PersonNm>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>BBT</PersonNm>
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        <RelationshipDescriptionTxt>Relationship with Edwin H Welch, PhD, CAMC Trustee</RelationshipDescriptionTxt>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Kay Casto Cheney PLLC</PersonNm>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Ryan Tierney</PersonNm>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Bridget Tierney</PersonNm>
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        <TransactionDesc>employed by organization</TransactionDesc>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMC Health System, Inc. ("CAMCHSI") is CAMC's sole voting member.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMC Health System, Inc. ("CAMCHSI") is CAMC's sole voting member and has authority to elect all voting trustees of CAMC other than ex-officio trustees named in CAMC's governing documents. The sole voting member has the sole authority to amend CAMC's governing documents.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMCHSI is CAMC's sole voting member and has reserved powers under CAMC's governing documents, which provide that decisions of CAMC's governing body such as election of officers, approval of annual budgets and borrowings are subject to approval by the sole voting member. The sole voting member also has all approval powers provided to members of West Virginia nonprofit corporations under state law.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMC compiles necessary information for Form 990 through the efforts of various officers and trustees of the organization and its affiliates. The return is then prepared and reviewed by an external consultant firm. This firm then reviews the completed Form 990 with the CAMC Board of Trustees and its Audit Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Corporate officers including the President and Secretary develop the agendas for board meetings and identify and resolve potential conflict of interest issues relative to action items. Annual disclosure procedures are implemented and the board chair and Nominating Committee periodically review conflict situations. The organization's conflict of interest policy requires all disclosed conflicts to be reported by the Chief Compliance Officer to the CAMCHSI Management Compliance Committee. The Compliance Officer will inform the Board of Trustees Audit Committee at their next scheduled meeting of all such activities approved by the Management Compliance Committee. The Manager (the direct supervisor of a compmany representative) may concur with the Compliance Officer's decision or may ask that the Management Compliance Committee review the Conflict of Interest Form in question. The Management Compliance Committee will then review the conflict of interest in questions at the next meeting and their decision is final.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The CAMCHSI Board of Directors Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMC Health System, Inc. subsidiaries (including CAMC) and executives (including CAMC's CEO). The Committee uses the data to determine the total compensation of CAMC's CEO and other executive officers. This data is reviewed every two years or when a new person comes into a executive role.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMC is part of a consolidated financial audit for CAMC Health System, Inc. and Subsidiaries. Consolidated audited financial statements are available on-line at CAMC.org. They are also filed with the WV Health Care Authority where they are available on-line and in person. There is no formal method of making the Bylaws and Conflict of Interest Policy publicly available, but they are available upon request. The Articles of Incorporation are publicly available at the WV Secretary of State's Office.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Affiliate Receivable Balance 770,462. Increase/Decrease in beneficial interest in CAMC Foundation 680,763. Change in Temp Restricted Contributions -20,247. Affiliate Transfers: CAMC Health System, Inc. and Subsidiaries -6,468,386. Changes in non-controlling interest -306,340. Change in retirement obligation -447,160. Teays Valley Merger Net Assets 5,812,053.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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