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        <AddressLine1>2000 Foundation Way Room No 2310</AddressLine1>
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        <Compensation>628457</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Hospitalist Medicine Physicians of Berkeley County PLLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 645037</AddressLine1>
            <City>Cincinnato</City>
            <State>OH</State>
            <ZIPCode>45264</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Contracted Hospitalists</DescriptionOfServices>
        <Compensation>552120</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>28</NumberOfContractorsGT100K>
      <RelatedOrganizations>152685</RelatedOrganizations>
      <GovernmentGrants>6593</GovernmentGrants>
      <NoncashContributions>2177</NoncashContributions>
      <TotalContributions>159278</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Patient Services</Description>
        <TotalRevenueColumn>139174941</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>139174941</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Wellness Center</Description>
        <TotalRevenueColumn>742226</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>742226</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Patient Pharmacy</Description>
        <TotalRevenueColumn>775666</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>775666</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>140692833</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1193640</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1193640</RelatedOrExemptFunctionIncome>
      </InvestmentIncome>
      <GrossRents>
        <Real>60938</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>60938</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>60938</TotalRevenueColumn>
        <ExclusionAmount>60938</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <LessCostOthBasisSalesExpenses>
        <Other>511688</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>-511688</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-511688</TotalRevenueColumn>
        <ExclusionAmount>-511688</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>Partnership Passthrough Income</Description>
        <TotalRevenueColumn>752164</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>752164</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Cafeteria Income</Description>
        <TotalRevenueColumn>348926</TotalRevenueColumn>
        <ExclusionAmount>348926</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Cash Discounts</Description>
        <TotalRevenueColumn>327421</TotalRevenueColumn>
        <ExclusionAmount>327421</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>316226</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>316226</RelatedOrExemptFunctionIncome>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>1744737</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>143339738</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>142202699</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>752164</UnrelatedBusinessRevenue>
        <ExclusionAmount>225597</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>314403</Total>
        <ProgramServices>314403</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>543411</Total>
        <ManagementAndGeneral>543411</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>47989739</Total>
        <ProgramServices>39809109</ProgramServices>
        <ManagementAndGeneral>8180630</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>1455764</Total>
        <ProgramServices>1207605</ProgramServices>
        <ManagementAndGeneral>248159</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>7353313</Total>
        <ProgramServices>6133679</ProgramServices>
        <ManagementAndGeneral>1219634</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>4231125</Total>
        <ProgramServices>3509861</ProgramServices>
        <ManagementAndGeneral>721264</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>125148</Total>
        <ProgramServices>293</ProgramServices>
        <ManagementAndGeneral>124855</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>57266</Total>
        <ManagementAndGeneral>57266</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>13274</Total>
        <ManagementAndGeneral>13274</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>16142870</Total>
        <ProgramServices>11950711</ProgramServices>
        <ManagementAndGeneral>4192159</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>355458</Total>
        <ProgramServices>7608</ProgramServices>
        <ManagementAndGeneral>347850</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>26179498</Total>
        <ProgramServices>23850068</ProgramServices>
        <ManagementAndGeneral>2329430</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>288383</Total>
        <ProgramServices>78979</ProgramServices>
        <ManagementAndGeneral>209404</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>2221311</Total>
        <ProgramServices>403234</ProgramServices>
        <ManagementAndGeneral>1818077</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>340065</Total>
        <ProgramServices>168790</ProgramServices>
        <ManagementAndGeneral>171275</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>2225477</Total>
        <ProgramServices>589</ProgramServices>
        <ManagementAndGeneral>2224888</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>6775945</Total>
        <ManagementAndGeneral>6775945</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>1022153</Total>
        <ManagementAndGeneral>1022153</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Provision for Doubtful Accounts</Description>
        <Total>14563488</Total>
        <ProgramServices>14563488</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Association Dues</Description>
        <Total>138865</Total>
        <ProgramServices>47716</ProgramServices>
        <ManagementAndGeneral>91149</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Educational Training</Description>
        <Total>137194</Total>
        <ProgramServices>7711</ProgramServices>
        <ManagementAndGeneral>129483</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Taxes, Licenses, Fees</Description>
        <Total>4377957</Total>
        <ProgramServices>3032554</ProgramServices>
        <ManagementAndGeneral>1345403</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>1119879</Total>
        <ProgramServices>270323</ProgramServices>
        <ManagementAndGeneral>849556</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>137971986</Total>
        <ProgramServices>105356721</ProgramServices>
        <ManagementAndGeneral>32615265</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>43010</BOY>
        <EOY>284197</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>18960480</BOY>
        <EOY>29696025</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
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        <EOY>14632710</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>1336500</BOY>
        <EOY>655276</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>1777782</BOY>
        <EOY>1954541</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>359773</BOY>
        <EOY>354034</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>112412372</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>61157765</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>41817952</BOY>
        <EOY>51254607</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>13004060</BOY>
        <EOY>76010</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>2663680</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>4523141</BOY>
        <EOY>6265713</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>94664400</BOY>
        <EOY>107836793</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>9198849</BOY>
        <EOY>12206103</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>48383698</BOY>
        <EOY>53299806</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>11564203</BOY>
        <EOY>14690491</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>69146750</BOY>
        <EOY>80196400</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>25205594</BOY>
        <EOY>27326335</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>312056</BOY>
        <EOY>312058</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <EOY>2000</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>25517650</BOY>
        <EOY>27640393</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>94664400</BOY>
        <EOY>107836793</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>5367752</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-3245009</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">
      <TotalDirectLobbying>
        <FilingOrganizationsTotals>13274</FilingOrganizationsTotals>
      </TotalDirectLobbying>
      <TotalLobbyingExpenditures>
        <FilingOrganizationsTotals>13274</FilingOrganizationsTotals>
      </TotalLobbyingExpenditures>
      <OtherExemptPurposeExpenditures>
        <FilingOrganizationsTotals>105356721</FilingOrganizationsTotals>
      </OtherExemptPurposeExpenditures>
      <TotalExemptPurposeExpenditures>
        <FilingOrganizationsTotals>105369995</FilingOrganizationsTotals>
      </TotalExemptPurposeExpenditures>
      <LobbyingNontaxableAmount>
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      </LobbyingNontaxableAmount>
      <GrassrootsNontaxableAmount>
        <FilingOrganizationsTotals>250000</FilingOrganizationsTotals>
      </GrassrootsNontaxableAmount>
      <LobbyingNontaxableAmount2>
        <CurrentYearMinus3>1000000</CurrentYearMinus3>
        <CurrentYearMinus2>1000000</CurrentYearMinus2>
        <CurrentYearMinus1>1000000</CurrentYearMinus1>
        <CurrentYear>1000000</CurrentYear>
        <Total>4000000</Total>
      </LobbyingNontaxableAmount2>
      <LobbyingCeilingAmount>6000000</LobbyingCeilingAmount>
      <TotalLobbyingExpenditures2>
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        <CurrentYearMinus2>12507</CurrentYearMinus2>
        <CurrentYearMinus1>12820</CurrentYearMinus1>
        <CurrentYear>13274</CurrentYear>
        <Total>51461</Total>
      </TotalLobbyingExpenditures2>
      <GrassrootsNontaxableAmount2>
        <CurrentYearMinus3>250000</CurrentYearMinus3>
        <CurrentYearMinus2>250000</CurrentYearMinus2>
        <CurrentYearMinus1>250000</CurrentYearMinus1>
        <CurrentYear>250000</CurrentYear>
        <Total>1000000</Total>
      </GrassrootsNontaxableAmount2>
      <GrassrootsCeilingAmount>1500000</GrassrootsCeilingAmount>
      <Form990ScheduleCPartIV>
        <Identifier>II-A</Identifier>
        <ReturnReference>1b</ReturnReference>
        <Explanation>The amount listed is made up of the amount of West Virginia Hospital Association and American Hospital Association dues that the associations determined as attributable to lobbying expense.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D" softwareId="11000218" softwareVersion="2011.0.0">
      <IncludedOnFS>false</IncludedOnFS>
      <Land>
        <OtherCostOrOtherBasis>106462</OtherCostOrOtherBasis>
        <BookValue>106462</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>44197120</OtherCostOrOtherBasis>
        <Depreciation>14787723</Depreciation>
        <BookValue>29409397</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>59815587</OtherCostOrOtherBasis>
        <Depreciation>41647080</Depreciation>
        <BookValue>18168507</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>8293203</OtherCostOrOtherBasis>
        <Depreciation>4722962</Depreciation>
        <BookValue>3570241</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>51254607</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Unamortized Borrowing Costs</Description>
        <BookValue>420286</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Due from Affiliates</Description>
        <BookValue>4446235</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Estimated Third Party Payor Settlements</Description>
        <BookValue>51329</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Other Non-current Assets</Description>
        <BookValue>1347863</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>6265713</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Accrued wages, benefits and payroll taxes</Description>
        <Amount>5283299</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Malpractice Liability</Description>
        <Amount>670135</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Accrued pension benefits</Description>
        <Amount>1469225</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Accrued bond interest</Description>
        <Amount>42066</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to third Party Payors</Description>
        <Amount>1658780</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Interest Rate Swaps</Description>
        <Amount>2946121</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Self Insurance Liability</Description>
        <Amount>2620865</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>14690491</TotalOfAmounts>
      <TotalRevenue>143339738</TotalRevenue>
      <TotalExpenses>137971986</TotalExpenses>
      <ExcessOrDeficitForYear>5367752</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-1802928</NetUnrealizedGLOnInvestments>
      <OtherAmount>-1442081</OtherAmount>
      <TotalAdjustments>-3245009</TotalAdjustments>
      <ExcessOrDeficitPerFS>2122743</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>142838878</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-348175</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>-348175</RevenueNotRptdF990>
      <RevenueSubtotal>143187053</RevenueSubtotal>
      <OtherRevenuesNotIncluded>152685</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>152685</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>143339738</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>139134516</TotExpensesEtcAuditedFinclStmt>
      <LossesReported>1462530</LossesReported>
      <OtherExpensesIncluded>-300000</OtherExpensesIncluded>
      <ExpensesNotRptdF990>1162530</ExpensesNotRptdF990>
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      <TotalExpensesPerForm990>137971986</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>The annual audit and financial statements of City 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 includes 249,806 Change in restricted net assets, 2,177 of comfort items contributed by City Foundation posted to balance sheet, Hospitalists Net AR of 63,736, 1,627,974 of related organization capitalization, and 2,000 capital stock transfered from WVUH-Enterprises that was merged into City Hospital January 31, 2011.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>XII</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>The amount shown consists of 152,685 contributions from City Foundation posted to balance sheet accounts.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>XIII</Identifier>
        <ReturnReference>2c</ReturnReference>
        <Explanation>The amount shown on line 2c 1,462,530 unrealized losses on debt instruments included in expense on audited financial statments but not taken as an expense on the Form 990.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>XIII</Identifier>
        <ReturnReference>2d</ReturnReference>
        <Explanation>The amount shown on line 2d consists of 300,000 contributions to City Foundation posted to balance sheet accounts.</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>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>3633885</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>3633885</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02940</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>22889483</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14352014</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>8537469</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06920</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>437640</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>420228</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>17412</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>26961008</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14772242</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12188766</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09870</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>248862</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>16790</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>232072</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00190</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>345536</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>137887</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>207649</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00170</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>22725</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>22725</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>617123</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>154677</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>462446</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00380</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>27578131</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14926919</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12651212</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.10250</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <TotalCommunityBuildingExpense>11386</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>11386</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </PhysicalImprovementsAndHousing>
      <EconomicDevelopment>
        <TotalCommunityBuildingExpense>4261</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>4261</NetCommunityBuildingExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>15589</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>15589</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CommunitySupport>
      <CoalitionBuilding>
        <TotalCommunityBuildingExpense>831</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>831</NetCommunityBuildingExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>4561</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>4561</NetCommunityBuildingExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <TotalCommunityBuildingExpense>4722</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>4722</NetCommunityBuildingExpense>
      </WorkforceDevelopment>
      <Total>
        <TotalCommunityBuildingExpense>41350</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>41350</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>6729788</BadDebtExpenseAmount>
      <AmountAttributableTo>179739</AmountAttributableTo>
      <AmountReimbursedByMedicare>46584639</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>49660257</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-3075618</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>false</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>City Hospital Inc</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2000 Foundation Way Suite 2310</AddressLine1>
          <City>Martinsburg</City>
          <State>WV</State>
          <ZIPCode>25401</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVI>
        <Identifier>Part I line 3c</Identifier>
        <Explanation>City Hospital Inc. CHI uses 200 Federal Poverty Guideline to determine free care eligibility. However, City Hospital 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 City Hospital, Inc are reported on WV United Health Systems website www.wvunitedhealthsystem.org under community responsibility report.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <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 at cost, Unreimbursed Medicaid and other means-tested government programs at cost. To calculate the Medicare allowable cost shown on Part III question 8 we used the allowable cost from the Medicare Cost Report.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I line 7</Identifier>
        <Explanation>Column f - Total community benefit expense for 2011 is 27,578,131 and is 22.35 of total net expenses. To calculate net expense, bad debt of 14,563,488 was deducted from total expenses of 137,971,986 as shown in Part IX line 25 of the core Form 990.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part II</Identifier>
        <Explanation>Physical improvements and housing - City Hospital employees spent a weekday volunteering at two local social service agencies on behalf of the United Way of the Eastern Panhandle. City Hospital also provided the kick-off breakfast for all 500 volunteers throughout the Eastern Panhandle.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part II</Identifier>
        <Explanation>Economic Development - In 2011,hospital representatives participated as members of the Berkeley County Development Authority and Board Members of the Martinsburg Berkeley County Chamber of Commerce.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part II</Identifier>
        <Explanation>Community Support - City Hospital supports and participates in many health related community activities by providing judges for science fairs at the local schools. We have teams that participate in the annual March of Dimes Walk, American Cancer Society Relay for Life in Berkeley County and various other fundraising events for local, health related, non-profit organizations. Many employees serve as volunteer board of directors for 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 - CHI staff participate in the Health Human Services Council as well as Healthier Berkeley County. All of these entities focus on improving community access to health care, human services in general, and determine ways to encourage healthy lifestyles.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part II</Identifier>
        <Explanation>Community Health Improvement Advocacy - CHI is a partner in the MAPP project which is a collaborative initiative to assess community social service needs and develop a plan to tackle these issues. In 2011, CHI also began data collection through 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. CHI also has a representative on the Berkeley County Board of Health.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part II</Identifier>
        <Explanation>Workforce Development - CHI participates in activities sponsored by the Martinsburg Berkeley County Chambers Workforce Development Committee. CHI is a major sponsor of the Womens Network, an organization, established by the Berkeley County Chamber, which sponsors womens professional activities, social networking and professional development seminars. A representative from CHI also serves on the Blue Ridge Community Technical College Board of Governors.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part II</Identifier>
        <Explanation>CHI 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>City Hospitals 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. 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. City Hospital grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor agreements, primarily with Medicare, Medicaid, and various commercial insurance companies. CHI maintains allowances for potential credit losses and such losses have historically been within managements expectations.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>Part III, Line 2 - Bad Debt Expense at cost was calculated by multiplying bad debt expense of 14,563,488 by our cost-to-charge ratio of 46.21 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 6,729,788. Line 3 - Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 444,407, which was then multiplied by the cost-to-charge ratio of 46.21 for a total of 179,739.</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 179,739 should be considered community benefit due to the fact that a patient with an outstanding balance of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process. In our Charity Care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 8</Identifier>
        <Explanation>Part III Line 6 was calculated using total cost from the Medicare Cost Report less Medicare reimbursement of direct GME. City Hospitals shortfall of 3,075,618 on Medicare program should be considered a community benefit because we are relieving a government burden by providing care in excess of our cost to these patients.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 9b</Identifier>
        <Explanation>CHI 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 10 - City Hospital offers discounted care only to individuals who qualify for free care. CHI does offer a prompt pay discount to Self-Pay patients with no third-party coverage that meet certain criteria.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V</Identifier>
        <Explanation>Line 21 - City Hospital charges all patients an amount equal to gross charges regardless of payment method.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>City Hospital Inc is a part of WVUH-East, Inc. a healthcare system serving the Eastern Panhandle of WV. The West Virginia University Hospitals, East WVUH-East Marketing Department considers several components in assessing how the organization determines the need of the communities it serves. Through outside consultants to collaborating with various departments, a needs assessment takes into account several factors including physician to population ratios, physician availability in the entire service area, and general health risks for our community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>The Primary Service Area PSA for CHI includes Berkeley and Jefferson Counties in WV with Morgan County, WV being a secondary service area. This data is then analyzed to provide general estimates to guide CHI and WVUH-East to where they could better care for reseidents 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 and the general health risk for our community comes from clinical diagnosis information gathered by the West Virginia Health Care Authority and Thomson Reuters Market Planner Plus.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>We also conduct market research to ask consumers how they perceive the health system and where they go for health care services. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>WVUH-East is working with other local organizations in a project known as MAPP Mobilizing for Action through Planning and Partnerships to create and implement a community health improvement plan.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 3</Identifier>
        <Explanation>City Hospital employs 4 financial analysts to meet with patients to discuss financial eligibility for our charity care program. City Hospital has the qualification requirements, as well as, applications for charity care available at all registration areas. Patients that do not qualify for state or federally funded programs can apply for the charity care program at City Hospital.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>City Hospital is a non-profit acute care hospital located in Berkeley County, WV population 104,169 in the city of Martinsburg, WV. Martinsburg is the largest city in the Eastern Panhandle, and the 8th largest municipality in the state of West Virginia, with a total population of 17,227 residents. The Primary Service Area for City Hospital consists of Berkeley County, WV and Jefferson County, WV, with an extended service area including Morgan County, WV. The 2010 market share for City Hospitals Primary Service Area is 41.61 with 16.8 of those patients covered by Medicaid and 8.6 uninsured. Jefferson Memorial Hospital, a non-profit critical access hospital under common management, is located within the Primary Service Area and War Memorial Hospital, a non-profit critical access hospital, operated by Valley Health System, is located in the extended service area of Morgan County, WV.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>Berkeley County has a population of 104,169, with an average household income of 38,763 and an unemployment rate of 8.1. Currently, 11.5 of the people in Berkeley County live below the 2010 Federal Poverty Guideline according to the U.S. Census Bureau 2010 census. Jefferson Countys population is 53,498, with an average household income of 44,347 and an unemployment rate of 5.9. 10.3 of Jefferson County residents live below the 2010 Federal Poverty Guideline.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>In WVUH-Easts extended service area, Morgan County has a population of 17,541, with an average household income of 35,016 and an unemployment rate of 9.0. 10.4 of Morgan County residents currently live below 2010 Federal Poverty Guidelines.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>The CHI board of directors is a community board, with fourteen of the fifteen members living in or around Martinsburg, WV. The remaining board member lives in Morgantown, WV and has connections with CHI 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>CHI extends privileges to all qualified medical staff in Berkeley County and surrounding communities to meet its healthcare needs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>CHI allocates available funding to capital purchases and expanding services to improve patient care, support medical education in Berkeley County and surrounding counties in West Virginia and bordering states.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>In 2009, CHI began 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, CHI offered Discounted Mammogram Clinics in April and October 2011 cash, no insurance. The clinics were successful in serving over 100 patients at City Hospital. The Rotary Health Fair, held in April, provided a full blood work-up at cost. Nearly 500 individuals took advantage of these screenings.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>Our Mini-Medical School Program, which is held 6 times per year in Berkeley 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 75 - 100 in Berkeley County.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 6</Identifier>
        <Explanation>CHI is a part of the WV United Health System. CHI 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 service areas. Other hospitals in the System include United Health Center, which is more centrally located in the state, Jefferson Memorial Hospital which is located in the Eastern Panhandle of WV, Camden-Clark Medical Center located in Parkersburg, WV and West Virginia University Hospitals located in Morgantown, WV.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="990I" softwareId="11000218" softwareVersion="2011.0.0">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>City Hospital Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2000 Foundation Way Suite 2310</AddressLine1>
          <City>Martinsburg</City>
          <State>WV</State>
          <ZIPCode>25401</ZIPCode>
        </AddressUS>
        <EINOfRecipient>311118075</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>300000</AmountOfCashGrant>
        <PurposeOfGrant>Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>WVUH-East Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2000 Foundation Way Suite 2310</AddressLine1>
          <City>Martinsburg</City>
          <State>WV</State>
          <ZIPCode>25401</ZIPCode>
        </AddressUS>
        <EINOfRecipient>202337985</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>12003</AmountOfCashGrant>
        <PurposeOfGrant>Support</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>2</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>I</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>City Hospital provides physician support to UPC-East Services to help UPC-East Services meet the mission of both City Hopsital and WVUH-East Services. City Hospital also contributed suppport this year to City Hospital Foundation as part of a capital campaign drive that the Foundation is running. During 2011 City Hospital provided support to related parties to help further the exempt purpose of the organization.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <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>
      <Form990ScheduleJPartII>
        <NamePerson>Anthony Zelenka</NamePerson>
        <BaseCompensationFilingOrg>243890</BaseCompensationFilingOrg>
        <BonusFilingOrg>11770</BonusFilingOrg>
        <OtherCompensationFilingOrg>910</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>32238</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>288808</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Donna Clews</NamePerson>
        <BaseCompensationFilingOrg>148133</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>707</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>7752</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>156592</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Linda Campbell Jones</NamePerson>
        <BaseCompensationFilingOrg>214330</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>298</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>17507</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>232135</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jason T White</NamePerson>
        <BaseCompensationFilingOrg>202751</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>62</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>32238</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>235051</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Robert C Johnson Jr</NamePerson>
        <BaseCompensationFilingOrg>199225</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>48</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>28436</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>227709</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mark D Kovacs</NamePerson>
        <BaseCompensationFilingOrg>198181</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>45</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>33238</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>231464</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Donna Hupp Baker</NamePerson>
        <BaseCompensationFilingOrg>192270</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>258</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>10901</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>203429</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="990L" softwareId="11000218" softwareVersion="2011.0.0">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Panhandle Medical Associates</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Jeffrey B DeBord, DO</Relationship>
        <AmountOfTransaction>130400</AmountOfTransaction>
        <DescriptionOfTransaction>Payment for medical services</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>IV</Identifier>
        <ReturnReference>1</ReturnReference>
        <Explanation>Jeffrey B DeBord, DO owns greater than 5 of Panhandle Medical Associates. Panhandle Medical Associates provides contracted medical services to City Hospital Inc.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="990O" softwareId="11000218" softwareVersion="2011.0.0">
      <GeneralExplanation>
        <Identifier>Form 990 Part IV</Identifier>
        <ReturnReference>24a</ReturnReference>
        <Explanation>Bond issuances allocated to City Hospital, Inc 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 City Hospital, Inc.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>11a</ReturnReference>
        <Explanation>The Form 990 is prepared by the WVUH tax accountant and then reviewed by the WVUH-East Controller. Upon approval, it is then reviewed by the non-profit tax manager of our independent auditing firm. Once all review notes are cleared, it is presented to the WVUH-Easts Vice President of Finance for review. After gaining approval from the VP of Finance, it is then presented to all of the Board Members for a final review. Upon review 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>All Board Members are required to disclose, annually, any relationship which may lead 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 appropriate.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15b</ReturnReference>
        <Explanation>The compensation of all executives is determined through the use of an independent salary consulting firm compiling the compensation data of comparable organizations in comparable geographic locations. This data is then used by an independent compensation committee to set the compensation for each executive. The data and supporting documentation are retained and documented.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>19</ReturnReference>
        <Explanation>All financial and governing documents are retained onsite and are made available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part XI</Identifier>
        <ReturnReference>5</ReturnReference>
        <Explanation>The amount on line 5 Other changes in net assets or fund balance includes 1,802,928 of unrealized gains, 249,806 Change in restricted net assets, 2,177 contribution from City Foundation of comfort items for the oncology department posted to net assets on the financial statements and reported as contribution revenue on the Form 990, Hospitalists Net AR of 63,737, 1,627,973 of related organization capitalization, and 2,000 capital stock transfered from WVUH-Enterprises that was merged into City Hospital January 31, 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III Program Service Accomplishments</Identifier>
        <ReturnReference>Line 4d Other Activities</ReturnReference>
        <Explanation>Program Service Expenses 51,597,389, Grants and allocations 314,403, Revenue 25,714,441 City Hospital, Inc. CHI is a not-for-profit facility that operates twenty-four hours a day, seven days a week. The hospital provides acute care services, as well as emergency and specialty patient care. CHI serves as part of a regional health system, WVUH-East which serves Berkeley, Jefferson and Morgan Counties. City Hospital serves as a clinical education site for WVU, the WV School of Osteopathic Medicine and other universities and community colleges in the area. The Erma Byrd Health Professions Education Center, which houses WVUs Robert C Byrd Health Sciences Center-Eastern Division, is also located on the City Hospital campus.</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 City Hospital has a Level III Trauma Center and a fully accredited Cancer Program which offers cancer drug trials through its affiliation with the Mary Babb Randolph Cancer Center in Morgantown, WV. CHIs state of the art imaging services include but are not limited to 64 slice CT, PET CT, SPECT CT, MRI, Open Bore MRI, ultrasound, and digital mammography.</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 A 28 million expansion project launched at City Hospital in 2009 brought a new cardiac catheterization lab to City Hospital in October 2010. Although the lab performed diagnostic catheterizations through December 2010, the lab expanded services in January 2011 to include elective primary coronary intervention PCI and emergent therapeutic cardiac catheterization STEMI. A new 20-bed ICU/CCU opened at the same time which included four cardiac beds to support the cath lab. The third component, a new Emergency Department that can accommodate up to 65,000 patients, opened in 2011 as well.</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 City Hospital, in addition to patient care, include a teaching program and a variety of community outreach involvement programs. In 2006, City Hospital changed surveying vendors to Press Ganey. With over 900 hospitals in their database, allowing for comparison to a much larger base of hospitals than with the prior vendor and creating more opportunities for future improvements. City Hospital also contracted with Custom Learning Systems to create an organizational culture that focuses on customer service.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990, Part III, Line 4d Program Service Expenses 51,597,389, Grants and allocations 314,403, Revenue 25,714,441 City Hospital, Inc. CHI is a not-for-profit facility that operates twenty-four hours a day, seven days a week. The hospital provides acute care services, as well as emergency and specialty patient care. CHI serves as part of a regional health system, WVUH-East which serves Berkeley, Jefferson and Morgan Counties. City Hospital serves as a clinical education site for WVU, the WV School of Osteopathic Medicine and other universities and community colleges in the area. The Erma Byrd Health Professions Education Center, which houses WVUs Robert C Byrd Health Sciences Center-Eastern Division, is also located on the City Hospital campus. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 City Hospital has a Level III Trauma Center and a fully accredited Cancer Program which offers cancer drug trials through its affiliation with the Mary Babb Randolph Cancer Center in Morgantown, WV. CHIs state of the art imaging services include but are not limited to 64 slice CT, PET CT, SPECT CT, MRI, Open Bore MRI, ultrasound, and digital mammography. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 A 28 million expansion project launched at City Hospital in 2009 brought a new cardiac catheterization lab to City Hospital in October 2010. Although the lab performed diagnostic catheterizations through December 2010, the lab expanded services in January 2011 to include elective primary coronary intervention PCI and emergent therapeutic cardiac catheterization STEMI. A new 20-bed ICU/CCU opened at the same time which included four cardiac beds to support the cath lab. The third component, a new Emergency Department that can accommodate up to 65,000 patients, opened in 2011 as well. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 Other services provided by City Hospital, in addition to patient care, include a teaching program and a variety of community outreach involvement programs. In 2006, City Hospital changed surveying vendors to Press Ganey. With over 900 hospitals in their database, allowing for comparison to a much larger base of hospitals than with the prior vendor and creating more opportunities for future improvements. City Hospital also contracted with Custom Learning Systems to create an organizational culture that focuses on customer service. Form 990 Part IV Line 24a Bond issuances allocated to City Hospital, Inc 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 City Hospital, Inc. Form 990 Part VI Section B Line 11a The Form 990 is prepared by the WVUH tax accountant and then reviewed by the WVUH-East Controller. Upon approval, it is then reviewed by the non-profit tax manager of our independent auditing firm. Once all review notes are cleared, it is presented to the WVUH-Easts Vice President of Finance for review. After gaining approval from the VP of Finance, it is then presented to all of the Board Members for a final review. Upon review by the Board of Directors, it is signed and submitted to the IRS. Form 990 Part VI Section B Line 12c All Board Members are required to disclose, annually, any relationship which may lead 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 appropriate. Form 990 Part VI Section B Line 15b The compensation of all executives is determined through the use of an independent salary consulting firm compiling the compensation data of comparable organizations in comparable geographic locations. This data is then used by an independent compensation committee to set the compensation for each executive. The data and supporting documentation are retained and documented. Form 990 Part VI Section C Line 19 All financial and governing documents are retained onsite and are made available to the public upon request. Form 990 Part XI Line 5 The amount on line 5 Other changes in net assets or fund balance includes 1,802,928 of unrealized gains, 249,806 Change in restricted net assets, 2,177 contribution from City Foundation of comfort items for the oncology department posted to net assets on the financial statements and reported as contribution revenue on the Form 990, Hospitalists Net AR of 63,737, 1,627,973 of related organization capitalization, and 2,000 capital stock transfered from WVUH-Enterprises that was merged into City Hospital January 31, 2011.</Explanation>
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