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            <State>VA</State>
            <ZIPCode>23230</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Linen Services</DescriptionOfServices>
        <Compensation>203200</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <RelatedOrganizations>123386</RelatedOrganizations>
      <GovernmentGrants>14503</GovernmentGrants>
      <TotalContributions>137889</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Patient Service Revenue</Description>
        <TotalRevenueColumn>49594533</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>49594533</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>49594533</TotalProgramServiceRevenue>
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        <TotalRevenueColumn>217362</TotalRevenueColumn>
        <ExclusionAmount>217362</ExclusionAmount>
      </InvestmentIncome>
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        <Other>222282</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
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      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-222282</TotalRevenueColumn>
        <ExclusionAmount>-222282</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>Cafeteria Income</Description>
        <TotalRevenueColumn>133724</TotalRevenueColumn>
        <ExclusionAmount>133724</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Patient Pharmacy Income</Description>
        <TotalRevenueColumn>136606</TotalRevenueColumn>
        <ExclusionAmount>136606</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Cash Discounts</Description>
        <TotalRevenueColumn>143609</TotalRevenueColumn>
        <ExclusionAmount>143609</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>86606</TotalRevenueColumn>
        <ExclusionAmount>86606</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>500545</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>50228047</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>49594533</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>495625</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>4174</Total>
        <ProgramServices>4174</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>481207</Total>
        <ManagementAndGeneral>481207</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>16291582</Total>
        <ProgramServices>12914975</ProgramServices>
        <ManagementAndGeneral>3376607</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>409936</Total>
        <ProgramServices>324972</ProgramServices>
        <ManagementAndGeneral>84964</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1967611</Total>
        <ProgramServices>1559802</ProgramServices>
        <ManagementAndGeneral>407809</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1426986</Total>
        <ProgramServices>1131228</ProgramServices>
        <ManagementAndGeneral>295758</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>54861</Total>
        <ProgramServices>2063</ProgramServices>
        <ManagementAndGeneral>52798</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>20703</Total>
        <ProgramServices>4325</ProgramServices>
        <ManagementAndGeneral>16378</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>7097</Total>
        <ManagementAndGeneral>7097</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>4972211</Total>
        <ProgramServices>3710053</ProgramServices>
        <ManagementAndGeneral>1262158</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>111967</Total>
        <ProgramServices>1643</ProgramServices>
        <ManagementAndGeneral>110324</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>6041774</Total>
        <ProgramServices>5020149</ProgramServices>
        <ManagementAndGeneral>1021625</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>66273</Total>
        <ProgramServices>14198</ProgramServices>
        <ManagementAndGeneral>52075</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>747061</Total>
        <ProgramServices>71865</ProgramServices>
        <ManagementAndGeneral>675196</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>109511</Total>
        <ProgramServices>19897</ProgramServices>
        <ManagementAndGeneral>89614</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>636107</Total>
        <ManagementAndGeneral>636107</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>2594257</Total>
        <ManagementAndGeneral>2594257</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>156651</Total>
        <ManagementAndGeneral>156651</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Provision for Doubtful Accounts</Description>
        <Total>6554781</Total>
        <ProgramServices>6554781</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Association Dues</Description>
        <Total>62922</Total>
        <ProgramServices>18309</ProgramServices>
        <ManagementAndGeneral>44613</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Educational Training</Description>
        <Total>42405</Total>
        <ProgramServices>3237</ProgramServices>
        <ManagementAndGeneral>39168</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Taxes, Licenses, Fees</Description>
        <Total>1228580</Total>
        <ProgramServices>879153</ProgramServices>
        <ManagementAndGeneral>349427</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>387714</Total>
        <ProgramServices>138220</ProgramServices>
        <ManagementAndGeneral>249494</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>44376371</Total>
        <ProgramServices>32373044</ProgramServices>
        <ManagementAndGeneral>12003327</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1294</BOY>
        <EOY>56979</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>5910745</BOY>
        <EOY>6844389</EOY>
      </SavingsAndTempCashInvestments>
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        <BOY>5000790</BOY>
        <EOY>5816112</EOY>
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      <OtherNotesLoansReceivableNet>
        <BOY>422733</BOY>
        <EOY>420000</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>401351</BOY>
        <EOY>362314</EOY>
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        <BOY>104513</BOY>
        <EOY>114159</EOY>
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      <LandBuildingsEquipmentBasis>31454357</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>14248772</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>17158186</BOY>
        <EOY>17205585</EOY>
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      <InvestmentsProgramRelated>
        <BOY>6587889</BOY>
        <EOY>11777349</EOY>
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        <BOY>1683155</BOY>
        <EOY>1707434</EOY>
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        <EOY>44304321</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>6236759</BOY>
        <EOY>7966946</EOY>
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      <TaxExemptBondLiabilities>
        <BOY>12304687</BOY>
        <EOY>11899811</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>839898</BOY>
        <EOY>679373</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>955183</BOY>
        <EOY>1191377</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>20336527</BOY>
        <EOY>21737507</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>11871306</BOY>
        <EOY>17503991</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>137549</BOY>
        <EOY>137549</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>4925274</BOY>
        <EOY>4925274</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>16934129</BOY>
        <EOY>22566814</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>37270656</BOY>
        <EOY>44304321</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>5851676</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-218991</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="990A" softwareId="11000218" softwareVersion="2011.0.0">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
      <PublicSupportPertcentage170>0.00000</PublicSupportPertcentage170>
      <PublicSupportPercentage509>0.00000</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0.00000</InvestmentIncomePercentage>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B" softwareId="11000218" softwareVersion="2011.0.0">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="990C" softwareId="11000218" softwareVersion="2011.0.0">
      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>7097</DirectContactLegislatorsAmount>
      <TotalLobbyingExpendituresIIB>7097</TotalLobbyingExpendituresIIB>
      <Form990ScheduleCPartIV>
        <Identifier>II-B</Identifier>
        <ReturnReference>1g</ReturnReference>
        <Explanation>As a member of the WV Hospital Association and the American Hospital Assoiation, a portion of the dues paid have been identified by the above mentioned organizations as attributable to lobbying activities.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D" softwareId="11000218" softwareVersion="2011.0.0">
      <IncludedOnFS>false</IncludedOnFS>
      <Land>
        <OtherCostOrOtherBasis>417155</OtherCostOrOtherBasis>
        <BookValue>417155</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>16263752</OtherCostOrOtherBasis>
        <Depreciation>5212647</Depreciation>
        <BookValue>11051105</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>45647</OtherCostOrOtherBasis>
        <Depreciation>32413</Depreciation>
        <BookValue>13234</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>12325180</OtherCostOrOtherBasis>
        <Depreciation>7303566</Depreciation>
        <BookValue>5021614</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>2402623</OtherCostOrOtherBasis>
        <Depreciation>1700146</Depreciation>
        <BookValue>702477</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>17205585</TotalOfBookValueLandBuildings>
      <InvestmentsProgramRelated>
        <Description>Beneficial Interests in Perpetual Trusts</Description>
        <BookValue>4744893</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>Bond Fund</Description>
        <BookValue>7887</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>Other Investments</Description>
        <BookValue>994584</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>Funded Depreciation</Description>
        <BookValue>5299402</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>Self Insurance Fund</Description>
        <BookValue>730583</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <TotalOfBookValueProgramRelated>11777349</TotalOfBookValueProgramRelated>
      <OtherLiabilities>
        <Description>Capital Leases</Description>
        <Amount>145979</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Self Insurance Liabilities</Description>
        <Amount>629135</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Interest Rate Swaps</Description>
        <Amount>416263</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1191377</TotalOfAmounts>
      <TotalRevenue>50228047</TotalRevenue>
      <TotalExpenses>44376371</TotalExpenses>
      <ExcessOrDeficitForYear>5851676</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-326087</NetUnrealizedGLOnInvestments>
      <OtherAmount>107096</OtherAmount>
      <TotalAdjustments>-218991</TotalAdjustments>
      <ExcessOrDeficitPerFS>5632685</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>49990972</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-327049</NetUnrealizedGainsInvestments>
      <OtherRevenues>206506</OtherRevenues>
      <RevenueNotRptdF990>-120543</RevenueNotRptdF990>
      <RevenueSubtotal>50111515</RevenueSubtotal>
      <OtherRevenuesNotIncluded>116532</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>116532</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>50228047</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>44360595</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>-15776</OtherExpensesIncluded>
      <ExpensesNotRptdF990>-15776</ExpensesNotRptdF990>
      <ExpensesSubtotal>44376371</ExpensesSubtotal>
      <TotalExpensesPerForm990>44376371</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>The annual audit and financial statements of Jefferson Memorial Hospital are prepared on a consolidated basis as a member of the WV United Health System. The System accounts for uncertainty in income taxes using a recognition threshold of more-likely-than not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. There were no tax uncertainties that met the recognition threshold in 2011.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>XI</Identifier>
        <ReturnReference>8</ReturnReference>
        <Explanation>The amount on Line 8 consists of 223,628 related organization capitalization and 116,532 of capital campaign contributions from Jefferson Healthcare Foundation posted to balance sheet accounts.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>XII</Identifier>
        <ReturnReference>2d</ReturnReference>
        <Explanation>The amount shown on line 2d consists of 206,506 Loss of change in fair value of derivative financial instruments.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>XII</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>The amount shown on line 4b consists of 116,532 of capital campaign contributions from Jefferson Healthcare Foundation posted to balance sheet accounts.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>XIII</Identifier>
        <ReturnReference>2d</ReturnReference>
        <Explanation>The amount shown on line 2d consists of 206,506 Loss of change in fair value of derivative financial instruments and 222,282 Loss on disposal of assets.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="990H" softwareId="11000218" softwareVersion="2011.0.0">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
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        <PercentOfTotalExpense>0.03370</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
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        <NetCommunityBenefitExpense>2197431</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05810</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>170382</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>125208</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>45174</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
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        <NetCommunityBenefitExpense>3515782</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09300</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
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        <DirectOffsettingRevenue>1320</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>36218</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00100</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
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        <NetCommunityBenefitExpense>610333</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01610</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <CashAndInKindContributions>
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        <NetCommunityBenefitExpense>276</NetCommunityBenefitExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>648147</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1320</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>646827</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01710</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
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        <DirectOffsettingRevenue>7303851</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4162609</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.11010</PercentOfTotalExpense>
      </TotalCommunityBenefits>
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        <TotalCommunityBuildingExpense>9247</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>9247</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </CommunitySupport>
      <Total>
        <TotalCommunityBuildingExpense>9247</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>9247</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2166363</BadDebtExpenseAmount>
      <AmountAttributableTo>109939</AmountAttributableTo>
      <AmountReimbursedByMedicare>11528098</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>11672264</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-144166</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>false</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Jefferson Memorial Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>300 South Preston Street</AddressLine1>
          <City>Ranson</City>
          <State>WV</State>
          <ZIPCode>25438</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <TeachingHospital>X</TeachingHospital>
        <CriticalAccessHospital>X</CriticalAccessHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVI>
        <Identifier>Part I line 3c</Identifier>
        <Explanation>Jefferson Memorial Hospital JMH uses 200 Federal Poverty Guideline to determine free care eligibility. JMH does not offer discounted care to individuals who do not qualify for free care.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I line 6a</Identifier>
        <Explanation>Community Benefit amounts for Jefferson Memorial Hospital are reported on WV United Health Systems website www.wvunitedhealthsystem.org under community responsibility report.</Explanation>
      </Form990ScheduleHPartVI>
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        <Identifier>Part I line 7</Identifier>
        <Explanation>Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost. To calculate the Medicare allowable cost shown in Part III question 8 we used the allowable costs from the Medicare Cost report.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I line 7</Identifier>
        <Explanation>Column f - Total community benefit expense for 2011 is 11,466,460 and is 25.84 of total net expenses. To calculate net expense, bad debt of 6,554,781 was deducted from total expenses of 44,376,371 as shown in Part IX line 25 of the core Form 990.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part II</Identifier>
        <Explanation>Physical improvements and housing - Jefferson Memorial Hospital employees spent a weekday volunteering at two local social service agencies on behalf of the United Way of the Eastern Panhandle.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part II</Identifier>
        <Explanation>Community Support - We sponsor and have a team participate in the annual March of Dimes Walk Jefferson County, American Cancer Society Relay for Life in Jefferson County and various other fundraising events for local, health related, non-profit organizations. Many WVUH-East employees serve as volunteer board directors on community non-profit organizations such as Hospice of the Panhandle, Boys Girls Club of the Eastern Panhandle, Eastern Panhandle Free Clinic and the United Way of the Eastern Panhandle.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part II</Identifier>
        <Explanation>Coalition building - JMH staff participate in the Health Human Services Council as well as Community Health Initiative -Healthier Jefferson County. These activities focus on improving community access to health care, human services in general, and determine ways to encourage healthy lifestyles. JMH also sponsored health and wellness events with the local schools and Jefferson County Parks Recreation.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part II</Identifier>
        <Explanation>Community health improvement advocacy - WVUH-East is also a partner in the MAPP project which is a collaborative initiative to assess community social services needs and develop a plan to tackle these issues. In 2011, Jefferson Memorial Hospital also began data collection thru a survey, focus groups and face-to-face interviews as part of a community health needs assessment to develop a plan to address health needs in the community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part II</Identifier>
        <Explanation>Workforce Development - WVUH-East is a major sponsor of the Womens Network, which is a new organization established by the Berkeley and Jefferson County Chambers. This group sponsors womens professional activities, social networking and professional development seminars. Jefferson Memorial Hospital also has agreements with area community colleges and universities to allow students to complete clinical rotations at the hospital.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>Jefferson Memorial Hospitals financial statements are prepared on a consolidated bases as a member of WV United Health System. The footnote for Accounts Receivable - Patients states Accounts receivable are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon managements assessment of individual accounts.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>The allowance for doubtful accounts is estimated based upon a periodic review of the accounts receivable aging, payor classifications, and application of historical write-off percentages.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>JMH grants credit without collateral to its patients, most of whom are local residents and are insured under third-party agreements, primarily with Medicare, Medicaid, and various commercial insurance companies. JMH maintians allowances for potential credit losses and such losses have historically been within managements expectations.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>Bad Debt Expense at Cost on Line 2 was calculated by multiplying bad debt expense of 6,554,781 by our cost-to-charge ratio of 60.10 for a total of 3,939,423 less DSH allocations to self-pay patient accounts of 1,773,060 for a total of 2,166,363.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>Estimated bad debt attributable to patients eligible for charity care on Line 3 was calculated by pulling all outstanding patient balances of 15,000 or greater from our patient accounting system. That report totaled 182,926 which was then multiplied by the cost-to-charge ratio of 60.10 for a total of 109,939.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>We feel that, at a minimum, the estimated bad debt attributable to patients eligible for charity care of 109,939 should be considered community benefit due to the fact that patients requiring such extensive care more than likely have suffered a catastrophic illness or injury and would have qualified for charity care if paperwork was completed.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 8</Identifier>
        <Explanation>The amount reported in Part III Line 6 11,672,264 was calculated using the total Medicare allowable cost from the Medicare cost report.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 8</Identifier>
        <Explanation>Jefferson Memorial Hospitals 144,166 shortfall of Medicare program reimbursement should be considered a community benefit because we are relieving a government burden by providing care in excess of our costs to these patients.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 9b</Identifier>
        <Explanation>Yes, JMH does have a debt collection policy. The policy does not yet address collection practices to be followed for patients who are known to qualify for charity care or financial assistance.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V</Identifier>
        <Explanation>Line 21 - JMH charges all patients with or without insurance gross charges for services rendered.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>Jefferson Memorial Hospital is a critical care hospital within the health care system of West Virginia University Hospitals, East WVUH-East. The WVUH-East Marketing Department considers several components in assessing how the organization determines the needs of the communities it serves. Through outside consultants to collaborating with various departments, a needs assessment takes into account several factors including physicians to population ratios, physician availability in the entire</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>service area, and the general health risks for our community. The Primary Service Area PSA for WVUH-East includes Berkeley and Jefferson Counties in West Virginia, with Morgan County, WV being a secondary service area. This data is then analyzed to provide general estimates to where WVUH-East could better care for the residents of West Virginias Eastern Panhandle.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>Sources utilized to help gather this information come from a variety of areas. Physician distribution and population data come from the American Medical Association and the U.S. Census Bureau, the general health risk for our community come from clinical diagnosis information gathered by the West Virginia Health Care Authority and Thomson Rueters Market Planner Plus. We also conduct market research to ask consumers how the perceive the health system and where they go for health care services.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>Once all the data is gathered to determine where residents of West Virginia are going for care and what types of services they are receiving, a needs assessment can then begin based on physician distribution and population estimates. WVUH-East is working with other local organizations in a project known as MAPP Mobilizing for Action through Planning and Partnership to create and implement a community health improvement plan.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 3</Identifier>
        <Explanation>JMH employs 2 financial analysts to meet with patients to discuss financial eligibility for our charity care program. JMH has applications for charity and the qualification requirements for receiving charity available at all registration areas for both facilities. Patients who do not qualify for state or federal funded programs can apply for the charity care program at WVUH-East.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>Jefferson Memorial Hospital is a non-profit critical access hospital located in Jefferson County, WV population 53,498 in the city of Ranson with a total population of 3,000 residents. Jefferson Memorial Hospital along with City Hospital located in Martinsburg makes up West Virginia University Hospitals - East WVUH-East which is a part of West Virginia United Health Systems.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>WVUH-East provides the majority of inpatient services for the population in our PSA. The PSA for WVUH-East includes Berkeley and Jefferson Counties in WV. The 2010 market share for Jefferson Memorials Primary Service Area is 10.67 with 19.3 of those patients covered by Medicaid and 10.9 of the patients are uninsured. City Hospital, Inc. a non-profit acute care hospital under common management, is within the PSA and War Memorial Hospital, a non-profit critical access hospital,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>operated by Valley Health System, is in the secondary service area.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>Jefferson County, WV population is 53,498, with an average household income of 44,374 and an unemployment rate of 5.9. Currently, 10.3 of Jefferson county residents live below the poverty line according to the US Census Bureau 2010 census. Berkeley County has a population of 104,169, an average household income of 38,763 and an unemployment rate of 8.1.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>11.5 of Berkeley County residents in 2010 lived below the poverty line. In the extended service area, Morgan County has a population of 17,541, with an average household income of 35,016 and unemployment of 9.0. 10.4 of Morgan County residents currently live below the poverty line.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>The JMH board of directors is a community board, with fourteen of the fifteen members living in or around Jefferson County. The remaining board member lives in Morgantown, WV and has connections with JMH through the WV United Health System. Having members living outside our PSA allows us to be more aware of the healthcare needs in other areas of West Virginia. None of the board members are neither employees nor contractors of the organization, nor family members thereof.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>JMH extends privileges to all qualified medical staff in Jefferson County and surrounding communities to meet its healthcare needs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>JMH allocates available funding to capital purchases and expanded services to improve patient care, support medical education in Jefferson County and surrounding counties in West Virginia and bordering states.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>In 2009, WVUH-East started offering discounted screening in response to a struggling economy. Recognizing that individuals were putting off scheduling routine, preventive testing such as mammograms and blood work, WVUH-East offered Discounted Mammogram Clinics in April and October 2011 cash, no insurance. The clinics were successful in serving over 50 patients at Jefferson Memorial Hospital.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>Our Mini-Medical School Program, which is held twice a year in Jefferson County, is a community health education program featuring local physicians and topics that address health needs in our communities. The program is jointly sponsored by WVUH-East and the WVU Robert C. Byrd Health Sciences Center Eastern Division. It is offered free to the community with an average attendance of 20 - 30 in Jefferson County.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 6</Identifier>
        <Explanation>JMH is a part of the WV United Health System. JMH plays a significant role in improving the general health care of the community. The strategic plan of the System states intent to build a regional health care delivery system in its services area, defined above, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 6</Identifier>
        <Explanation>System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems services areas. Other hospitals in the System include United Health Center, which is more centrally located in the state, City Hospital, Inc. which is located in the Eastern Panhandle of West Virginia, West Virginia University Hospital located in Morgantown, WV, and Camden-Clark Medical Center in Parkersburg, WV.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="990J" softwareId="11000218" softwareVersion="2011.0.0">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Christina Coad</NamePerson>
        <BaseCompensationFilingOrg>231934</BaseCompensationFilingOrg>
        <BonusFilingOrg>10807</BonusFilingOrg>
        <OtherCompensationFilingOrg>1314</OtherCompensationFilingOrg>
        <TotalCompensationFilingOrg>244055</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KC Nau MD</NamePerson>
        <BaseCompensationFilingOrg>200429</BaseCompensationFilingOrg>
        <BonusFilingOrg>34401</BonusFilingOrg>
        <OtherCompensationFilingOrg>2322</OtherCompensationFilingOrg>
        <TotalCompensationFilingOrg>237152</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Charles Keeling</NamePerson>
        <BaseCompensationFilingOrg>247620</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>258</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>16412</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>264290</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Gary Matthews</NamePerson>
        <BaseCompensationFilingOrg>135683</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>270</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>27280</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>163233</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Ray Bernard</NamePerson>
        <BaseCompensationFilingOrg>190948</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>198</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>19971</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>211117</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Ryan Nau</NamePerson>
        <BaseCompensationFilingOrg>198855</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>43</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>17723</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>216621</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Frew Nagatu</NamePerson>
        <BaseCompensationFilingOrg>134465</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>138</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>25780</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>160383</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O" softwareId="11000218" softwareVersion="2011.0.0">
      <GeneralExplanation>
        <Identifier>Form 990 Part IV</Identifier>
        <ReturnReference>24a</ReturnReference>
        <Explanation>Bond issuances allocated to Jefferson Memorial Hospital are being reported on Schedule K of West Virginia University Hospitals, Inc EIN 55-0643304. West Virginia University Hospitals, Inc is a 501c3 and is the parent hospital of Jefferson Memorial Hospital.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>11b</ReturnReference>
        <Explanation>The Form 990 is prepared by the WVUH accounting department and then reviewed by the WVUH-East controller. Upon approval, it is then reviewed by the WVUH-East Vice President of Finance. After approval by the VP of Finance, it is presented to all Board Members for final review and approval. After it is approved by the Board of Directors, it is signed and submitted to the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>12c</ReturnReference>
        <Explanation>Each board member is required to disclose, annually, any relationships which may give rise to a potential conflict of interest. These responses are processed and maintained by the WVUH-East Compliance Committee. All board members are to be willing to identify conflicts of interest and abstain from voting when apropriate.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15b</ReturnReference>
        <Explanation>Executive compensation is based upon the work of an independent salary consulting firm, which compiles data from comparable facilities in comparable geographic regions. The information is then used by the board of directors and compensation committee to set salaries. This work is documented and retained.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>19</ReturnReference>
        <Explanation>All financial and governing documents are maintained on site and made available to the public upon written request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>1ab</ReturnReference>
        <Explanation>One board member is considered not independent due to being an independent contractor affiliated with the hospitals of WVUH-East, Inc.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part XI</Identifier>
        <ReturnReference>5</ReturnReference>
        <Explanation>Other changes in net assets consists of 326,087 of net unrealized loss, 223,628 related organization capitalization and capital campaign contributions of 116,532 posted to Jefferson Memorial balance sheet.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III Program Service Accomplishments</Identifier>
        <ReturnReference>Line 4d Other Activities</ReturnReference>
        <Explanation>Program Service Expenses 19,301,873, Grants and allocations 4,147, Revenue 23,818,212 Jefferson Memorial Hospital JMH is a not-for-profit critical access hospital that operates twenty-four 24 hours a day, seven 7 days a week. The hospital offers acute care services, as well as emergency services. It serves as part of a regional health system, West Virginia University Hospitals-East, Inc. WVUH-East which serves Berkeley, Jefferson and Morgan Counties.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III Program Service Accomplishments</Identifier>
        <ReturnReference>Line 4d Other Activities</ReturnReference>
        <Explanation>Program Service Expenses 0, Grants and allocations 0, Revenue 0 The WVUH-East Board of Directors serves as the official Board for JMH. This Board includes representatives from the medical community, business and industry, labor, and advocates for the poor in Berkeley and Jefferson Counties. WVUs Vice President of Health Services in Morgantown and the Dean of the WVU School of Medicine-Eastern Division also serve as Board Directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III Program Service Accomplishments</Identifier>
        <ReturnReference>Line 4d Other Activities</ReturnReference>
        <Explanation>Program Service Expenses 0, Grants and allocations 0, Revenue 0 Other services provided by Jefferson Memorial Hospital, in addition to patient care, include a teaching program and a variety of community outreach involvement programs. In 2011, JMH continued to use surveying vendor Press Ganey. With over 900 hospitals in their database, this vendor offers comparison of JMH survey results to a much larger base of hospitals, creating more opportunities for future improvements.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III Program Service Accomplishments</Identifier>
        <ReturnReference>Line 4d Other Activities</ReturnReference>
        <Explanation>Program Service Expenses 0, Grants and allocations 0, Revenue 0 In 2011, JMH completed renovations of the third floor and planned for a remodel of the surgery department. A spiritual care program was also established and volunteer chaplains were recruited to staff the service. Perhaps the biggest event for JMH in 2011 was the announcement of the purchase of 50 acres of land in Jefferson County that will be developed into a new medical campus.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990, Part III, Line 4d Program Service Expenses 19,301,873, Grants and allocations 4,147, Revenue 23,818,212 Jefferson Memorial Hospital JMH is a not-for-profit critical access hospital that operates twenty-four 24 hours a day, seven 7 days a week. The hospital offers acute care services, as well as emergency services. It serves as part of a regional health system, West Virginia University Hospitals-East, Inc. WVUH-East which serves Berkeley, Jefferson and Morgan Counties. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 The WVUH-East Board of Directors serves as the official Board for JMH. This Board includes representatives from the medical community, business and industry, labor, and advocates for the poor in Berkeley and Jefferson Counties. WVUs Vice President of Health Services in Morgantown and the Dean of the WVU School of Medicine-Eastern Division also serve as Board Directors. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 Other services provided by Jefferson Memorial Hospital, in addition to patient care, include a teaching program and a variety of community outreach involvement programs. In 2011, JMH continued to use surveying vendor Press Ganey. With over 900 hospitals in their database, this vendor offers comparison of JMH survey results to a much larger base of hospitals, creating more opportunities for future improvements. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 In 2011, JMH completed renovations of the third floor and planned for a remodel of the surgery department. A spiritual care program was also established and volunteer chaplains were recruited to staff the service. Perhaps the biggest event for JMH in 2011 was the announcement of the purchase of 50 acres of land in Jefferson County that will be developed into a new medical campus. Form 990 Part IV Line 24a Bond issuances allocated to Jefferson Memorial Hospital are being reported on Schedule K of West Virginia University Hospitals, Inc EIN 55-0643304. West Virginia University Hospitals, Inc is a 501c3 and is the parent hospital of Jefferson Memorial Hospital. Form 990 Part VI Section B Line 11b The Form 990 is prepared by the WVUH accounting department and then reviewed by the WVUH-East controller. Upon approval, it is then reviewed by the WVUH-East Vice President of Finance. After approval by the VP of Finance, it is presented to all Board Members for final review and approval. After it is approved by the Board of Directors, it is signed and submitted to the IRS. Form 990 Part VI Section B Line 12c Each board member is required to disclose, annually, any relationships which may give rise to a potential conflict of interest. These responses are processed and maintained by the WVUH-East Compliance Committee. All board members are to be willing to identify conflicts of interest and abstain from voting when apropriate. Form 990 Part VI Section B Line 15b Executive compensation is based upon the work of an independent salary consulting firm, which compiles data from comparable facilities in comparable geographic regions. The information is then used by the board of directors and compensation committee to set salaries. This work is documented and retained. Form 990 Part VI Section C Line 19 All financial and governing documents are maintained on site and made available to the public upon written request. Form 990 Part VI Section A Line 1ab One board member is considered not independent due to being an independent contractor affiliated with the hospitals of WVUH-East, Inc. Form 990 Part XI Line 5 Other changes in net assets consists of 326,087 of net unrealized loss, 223,628 related organization capitalization and capital campaign contributions of 116,532 posted to Jefferson Memorial balance sheet.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R" softwareId="11000218" softwareVersion="2011.0.0">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WVU Hospitals - East Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2000 Foundation Way Suite 2310</AddressLine1>
          <City>Martinsburg</City>
          <State>WV</State>
          <ZIPCode>25401</ZIPCode>
        </AddressUS>
        <EIN>202337985</EIN>
        <PrimaryActivities>Health System</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>WVU Hospitals Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WVU Hospitals Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO Box 8034</AddressLine1>
          <City>Morgantown</City>
          <State>WV</State>
          <ZIPCode>26506</ZIPCode>
        </AddressUS>
        <EIN>550643304</EIN>
        <PrimaryActivities>Patient Care</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>WV United Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WV United Health System Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 Technology Drive</AddressLine1>
          <City>Fairmont</City>
          <State>WV</State>
          <ZIPCode>26554</ZIPCode>
        </AddressUS>
        <EIN>550754713</EIN>
        <PrimaryActivities>Health System</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
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          <BusinessNameLine1>City Hospital Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2000 Foundation Way Suite 2310</AddressLine1>
          <City>Martinsburg</City>
          <State>WV</State>
          <ZIPCode>25401</ZIPCode>
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        <EIN>550383321</EIN>
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          <BusinessNameLine1>WVU Hospitals - East Inc</BusinessNameLine1>
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          <BusinessNameLine1>City Hospital Foundation</BusinessNameLine1>
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