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        <FormAndLineReferenceDesc>PART IV, SECTION C, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>DAVID L RAMSEY AND JAMES CAMPBELL ARE MEMBERS OF THE CHARLESTON AREA MEDICAL CENTER BOARD.</ExplanationTxt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <TotalExpensesPerForm990Amt>1176955</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>PART X, LINE 2: THE CORPORATION, WHICH IS NOT CLASSIFIED AS A PRIVATE FOUNDATION, IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER PROVISIONS OF THE INTERNAL REVENUE CODE SECTION 501 C 3 AND SIMILAR STATE STATUTES RELATED TO TAXEXEMPT ORGANIZATIONS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE MANAGEMENT OF THE CORPORATION TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION. MANAGEMENT HAS EVALUATED THE CORPORATION'S TAX POSITIONS AND CONCLUDED THAT THE CORPORATION HAD MAINTAINED ITS TAX EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATMENTS.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHELDA MARTIN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHAD HOVIS</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 4B: DAVID RAMSEY HAS BEEN PAID OUT HIS SERP. CHAD HOVIS IS APART OF THE DEFINED CONTRIBUTION SERP. A DEFINED CONTRIBUTION SERP IS OFFERED TO SELECT EXECUTIVES, WITH AN ANNUAL 10 PERCENT OF SALARY CONTRIBUTION. EACH ANNUAL CONTRIBUTION VESTS THE EARLIER OF 5 YEARS OR AGE 65. TAXES ARE ADVANCED FROM VESTED ACCOUNTS, WITH THE REMAINING BALANCE HELD UNTIL TERMINATION. ALL CONTRIBUTIONS ARE VESTED IN THE EVENT OF DEATH, DISABILITY, INVOLUNTARY TERMINATION WITHOUT CAUSE, OR VOLUNTARY TERMINATION FOR GOOD REASON FOLLOWING CHANGE OF CONTROL. UNVESTED CONTRIBUTIONS ARE FORFEITED FOR VOLUNTARY TERMINATION OR TERMINATION FOR CAUSE. UNDER THE EXECUFLEX BENEFIT PLAN 409A, EXECUTIVES RECEIVE 11 PERCENT OF THEIR SALARY IN FLEX ALLOWANCE. THIS FLEX ALLOWANCE IS USED TO ELECT EXECUTIVE BENEFITS. ANY REMAINING FLEX ALLOWANCE IS CREDITED TO A TAX DEFERRED CAPITAL ACCUMULATION ACCOUNT. THE MINIMUM VESTING PERIOD IS TWO YEARS, MAXIMUM AGE IS 68. A TWO YEAR NONCOMPETE AGREEMENT SUBSTANTIAL RISK OF FORFEITURE AGREEMENT APPLIES IF TERMINATION OF EMPLOYMENT OCCURS PRIOR TO THE VESTING DATE. CERTAIN PARTICIPANTS HAD AMOUNTS VESTED AND INCLUDED AS REPORTABLE COMPENSATION THIS YEAR, AS DETAILED: DAVE RAMSEY $154,224 &amp; CHAD HOVIS $29,414</ExplanationTxt>
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          <PersonNm>DAVID RAMSEY</PersonNm>
        </NameOfInterested>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SLATE OF OFFICERS ARE REVIEWED AND RECOMMENDED BY THE BOARD PRESIDENT DURING THE BOARDS ANNUAL MEETING. AFTER THE RECOMMENDATION, THE SLATE IS APPROVED BY A VOTE OF THE CURRENT DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 FOR CHARLESTON MEDICAL CENTER HOUSING CORPORATION, INC. IS PREPARED BY THE ACCOUNTING &amp; FINANCIAL REPORTING DEPARTMENT OF VANDALIA HEALTH, INC. THE FORM IS COMPLETED BY THE HOUSING CORPORATION ACCOUNTANT AND REVIEWED BY THE ACCOUNTING DEPARTMENT COORDINATOR AND THE CORPORATE DIRECTOR FOR ACCOUNTING &amp; FINANCIAL REPORTING. AFTER THOSE REVIEWS ARE COMPLETED, THE VICE PRESIDENT OF FINANCE OF CAMC AND TREASURER OF CHARLESTON MEDICAL CENTER HOUSING CORPORATION, CHAD HOVIS, COMPLETES THE FINAL REVIEW. THE BOARD OF DIRECTORS REVIEWS THE 990 DURING ITS ANNUAL MEETING AFTER THE 990 HAS BEEN COMPLETED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ACCORDANCE WITH THE CORPORATION'S POLICY ON CONFLICTS OF INTEREST, ANNUALLY EACH DIRECTOR MUST COMPLETE AND SIGN AN INDIVIDUAL DECLARATION ON CONFLICTS OF INTEREST CERTIFYING THAT HE OR SHE HAS READ THE POLICY AND DISCLOSED ANY OUTSIDE ACTIVITIES AND INTERESTS WHICH MAY CONFLICT WITH OR SUGGEST A POTENTIAL CONFLICT WITH THE BEST INTERESTS OF THE CORPORATION. THE INDIVIDUAL DECLARATIONS ARE REVIEWED BY THE PRESIDENT AND THE TREASURER, BOTH OF WHOM ASSIST THE BOARD AND ITS MEMBERS IN IDENTIFYING AND MANAGING CONFILICT ISSUES ARISING IN CONNECTION WITH THE OPERATION OF THE CORPORATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION DOES NOT ROUTINELY MAKE ITS ORGANIZING DOCUMENTS, CONFLICT OF INTEREST POLICY OR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE CORPORATION WILL MAKE STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGE IN THE OVERSIGHT PROCESS FROM THE PRIOR YEAR.</ExplanationTxt>
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          <AddressLine1Txt>PO BOX 1547</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
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        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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