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        <BusinessNameLine1>West Virginia University Hospitals Inc</BusinessNameLine1>
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        <Explanation>The President CEO of WVU Hospitals, as part of his duties, monitors legislation that may potentially affect WVUH and voices his support or concerns regarding that legislation to legislators either in person, by phone, or by mail. It is estimated that during 2010 the CEO spent 8 hours of time lobbying.</Explanation>
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        <Explanation>Per estimates provided by the American Hospital Association, 24.42 of the 2010 dues were to allocated to lobbying expense this totals 15,988. The WV Hospital Association estimates that during 2010, 14.35 of the dues paid should be allocated to lobbying expense this total is 32,010. Fees paid to a public relations company during 2010 that should be allocated to lobbying totaled 4,000.</Explanation>
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      <TotRevenueEtcAuditedFinclStmt>625789000</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>12680000</NetUnrealizedGainsInvestments>
      <OtherRevenues>-3222474</OtherRevenues>
      <RevenueNotRptdF990>9457526</RevenueNotRptdF990>
      <RevenueSubtotal>616331474</RevenueSubtotal>
      <TotalRevenuePerForm990>616331474</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>576256000</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>-773081</OtherExpensesIncluded>
      <ExpensesNotRptdF990>-773081</ExpensesNotRptdF990>
      <ExpensesSubtotal>577029081</ExpensesSubtotal>
      <TotalExpensesPerForm990>577029081</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>The annual audit and financial statements of WVUH 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 2010.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>XI</Identifier>
        <ReturnReference>8</ReturnReference>
        <Explanation>The amount reported on Line 8 consists of 1,628,483 related organziation transfers and 4,543,617 obligation to the West Virginia University School of Medicine under the new Joint Operating Agreement discussed on Schedule O.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>XII</Identifier>
        <ReturnReference>2d</ReturnReference>
        <Explanation>The amount reported on line 2d consists of Contributions received totaling 532,048 that were posted to the balance sheet as doanted capital, 359,669 expenses related to rental income that had to be reclassified to the Revenue section of the 990 for presentation purposes, Investment Management fees totaling 3,047,093 that were included in realized gains losses on the financial statements and 2,294 of revenue from a federated campaign that is posted as an offset in an expense account</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>XII</Identifier>
        <ReturnReference>2d</ReturnReference>
        <Explanation>and a rounding adjustment of 709 due to financial statements being presented with truncated numbers.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>XIII</Identifier>
        <ReturnReference>2d</ReturnReference>
        <Explanation>The amount reported on line 2d consists of Unrealized gains 1,917,000 and 2,294 reported on the financial statements in expenses and reclassified to income for Form 990 presentation, Investment Management fees totaling 3,047,093 that were included in realized gains losses on the financial statements, and 359,669 expenses related to rental income that had to be reclassified to the Revenue section of the 990 for presentation purposes and a rounding adjustment of 363 due to financial</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>XIII</Identifier>
        <ReturnReference>2d</ReturnReference>
        <Explanation>statements being presented with truncated numbers.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="990H" softwareId="10000149" softwareVersion="2010.2.15">
      <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>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>15084450</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>15084450</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02780</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>144884839</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>124799060</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>20085779</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03700</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>1773282</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1526227</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>247055</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>161742571</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>126325287</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>35417284</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06530</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>207639</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>31215</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>176424</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>25048580</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>10270295</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>14778285</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02720</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>3976989</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7558</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3969431</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00730</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>29233208</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>10309068</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>18924140</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03480</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>190975779</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>136634355</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>54341424</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.10010</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <TotalCommunityBuildingExpense>1833</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>1833</NetCommunityBuildingExpense>
      </PhysicalImprovementsAndHousing>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>12788</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>12788</NetCommunityBuildingExpense>
      </CommunitySupport>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>20000</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>20000</NetCommunityBuildingExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <TotalCommunityBuildingExpense>765</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>765</NetCommunityBuildingExpense>
      </WorkforceDevelopment>
      <Other>
        <TotalCommunityBuildingExpense>612</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>7200</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>-6588</NetCommunityBuildingExpense>
      </Other>
      <Total>
        <TotalCommunityBuildingExpense>35998</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>7200</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>28798</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>13631556</BadDebtExpenseAmount>
      <AmountAttributableTo>1391308</AmountAttributableTo>
      <AmountReimbursedByMedicare>157339554</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>164445103</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-7105549</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>false</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>West Virginia University Hospitals</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1Medical Center Drive</AddressLine1>
          <City>Morgantown</City>
          <State>WV</State>
          <ZIPCode>26506</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Chestnut Ridge Center</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Cheat Lake Physicians</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>2</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Chestnut Ridge Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>930 Chestnut Ridge Road</AddressLine1>
            <City>Morgantown</City>
            <State>WV</State>
            <ZIPCode>26505</ZIPCode>
          </Address>
          <FacilityType>0</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Cheat Lake Physicians</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>608 Cheat Road</AddressLine1>
            <City>Morgantown</City>
            <State>WV</State>
            <ZIPCode>26508</ZIPCode>
          </Address>
          <FacilityType>Behavioral Health Facility</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>Part I line 3c</Identifier>
        <Explanation>WVU Hospital WVUH uses 200 Federal Poverty Guideline FPG to determine free care eligibilty. However, WVUH does not offer discounted care to individuals who fail the 200 FPG test.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I line 6a</Identifier>
        <Explanation>WVU Hospitals posts a summary of monies spent on community health improvements on our website at www.wvuh.com under general information.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I line 7 column f</Identifier>
        <Explanation>Total community benefit expense for 2010 is 190,975,779 and is 35.18 of total net expenses. To calculate net expense, bad debt of 34,181,435 was deducted from total expenses of 577,029,081 as shown in Part IX line 25 of the core Form 990, for a net expense of 542,847,646.</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, 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. Part II - SeeSchedule O for Part II descriptive answer.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>Bad Debt Expense at cost was calculated by multiplying bad debt expense of 34,181,435 by our cost to charge ratio of 39.88 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 13,631,556. Part III, 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 50,000. The total of that report was 3,448,736 which we then multiplied by our</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>cost to charge ratio of 39.88 for a total of 1,391,308. We feel that at a minimum the estimated bad debt attributable to patients eligible for charity care of 1,391,308 should be considered community benefit due to the fact that anyone with outstanding balances of 50,000 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 4</Identifier>
        <Explanation>WVU Hospitals footnote for accounts receivable - patients states Accounts receivable - patients are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon managments assessments of individual accounts. The allowance for doubtful accounts is estimated based upon a periodic review of the accounts receivable aging, payor classification, and application of historical write-off percentages.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 4</Identifier>
        <Explanation>WVUH 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. WVUH maintains allowances for potential credit losses and such losses have historically been within managements expectation.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 8</Identifier>
        <Explanation>The amount reported in Part III Line 6 164,445,103 was calculated using the total Medicare allowable cost from the Medicare cost report, less Medicare reimbursement of direct GME.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 8</Identifier>
        <Explanation>WVU Hospitals shortfall, 7,105,549, 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. WVUH has the only Level 1 Trauma Center in the area, and we serve an aging population that relies on WVUH to provide the most state-of-the-art care available in the area.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III line 9b</Identifier>
        <Explanation>WVUH 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 13g - WVUH also has brochures available at all registration areas explaining our financial assistance policy.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V</Identifier>
        <Explanation>Line 19d - Patients who have no third party coverage uninsured or uninsurable may be eligible for a 20 self pay discount if they meet certain requirements. All patient charges are based on state regulated rates.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V</Identifier>
        <Explanation>Line 21 - All patients taht do not qualify for charity care are charged an amount equal to gross charges regardless of payment method.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>The Planning and Marketing Department of West Virginia University Hospitals, Inc. WVUH engaged Lifton Associates, LLC to prepare a community health needs assessment, undertaken jointly with Monongalia General Hospital, during the summer and fall of 2010. The report was issued in January 2011. WVUH is developing its own community to prioritize health issues and impement strategies to address those issues. The plan will be implemented in late 2011.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>WVUH Planning and Marketing tracks needs throughout the year to determine if changes in the community warrant an immediate reaction from WVUH.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>WVUH considers several components in determining the health services needs of the communities it serves. The Primary Service Area PSA for WVUH includes Monongalia County, WV, Marion County, WV, Taylor County, WV and Preston County, WV. WVUH utilizes various resources to determine community needs including outside consultants, collaboration with various departments, and statistical measures including physician-to-population ratios from the American Medical Association and the U.S. Census Bureau,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>physician availability in the entire service area, and general health risks for our community 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>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, an assessment can then be made based on physician distribution and population estimates to determine where WVUH could deploy physicians and services to better care for residents of our Primary Service Area and other surrounding areas.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 2</Identifier>
        <Explanation>Furthermore, in accordance with the mission and values of WVUH, it is important to mention that this information is compiled to be a guide to help provide a quality health care system, including tertiary services, to the citizens of West Virginia and the surrounding area. Equally important, WVUH is committed by law and philosophy to be the primary clinical site for the education and research programs of the West Virginia University Health Sciences Center. Per Board of Directors action 12-14-01.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 3</Identifier>
        <Explanation>WVUH employs 10 financial counselors to meet with patients and discuss eligibility to qualify for charity care. WVUH provides brochures discussing charity care and the qualifications for receiving for receiving charity care. These brochures are available at each registration area in the facility. WVUH provides financial assistance to patients who do not qualify for any state or federal programs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 3</Identifier>
        <Explanation>Our charity care eligibility guidelines are also listed on our website at www.wvuh.com under the Patient and Visitor section. WVUH also has contracted a third party organization to be on-site to help patients, that qualify for charity care, Medicaid, or other types of financial assistance , complete the required applications and provide the correct documentation to receive these benefits.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>WVUH serves the entire state of West Virginia and portions of the neighboring states of Maryland and Pennsylvania. WVUH considers its Primary Service Area PSA to include Monongalia County, WV, Marion County, WV, Taylor County, WV and Preston County, WV. The 2009 market share for our PSA is 40.5 with 19.01 of those patients covered by Medicaid and 7.86 uninsured. Non-Profit competitors within our PSA include Monongalia General Hospital and Fairmont General Hospital. Non-Profit competitors within our overall services area, including Pennsylvania include Charleston Area Medical Center CAMC and University of Pittsburgh Medical Center UPMC.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>Per 2010 U.S. Census information, Monongalia County has a population of 87,016, an average household income of 53,262, and an unemployment rate of 6.2. 21.9 of residents were below teh federal poverty guideline for 2010 FPG 2010. Marion Countys population is 59,214, average household income of 48,006 and unemployment rate of 7.9. 17.1 of Marion County residents fell below FPG 2010. Taylor COunty has a population of 13,834, average household income of 45,672, and unemployment of 7.3.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>17.1 of Taylor County residents were below FPG 2010. Preston Countys population is 30,347, with an average household income of 46,584 and an unemployment rate of 7.6. 15.1 of Preston County residents fell below the federal poverty guidelines for 2010.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>WVUH offers a comprehensive range of healthcare, from well-child visits with a pediatrician to life-saving surgery. While our central mission is to provide state-of-the-art care to the people of West Virginia and the surrounding areas, the excellence of our services brings people from every U.S. state, and our international program serves patients from countries around the world.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>WVUH also provides support throughout the entire state of West Virginia by making sure that health care is available to all, regardless of income or health insurance by supporting important educational and social welfare activities within our immediate community and to the entire state of West Virginia and surrounding areas and by providing financial support to the health professions education programs of West Virginia University.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>In 2010 31.7 of West Virginia residents suffered from obesity, according to a study by the Center for Disease Control and Prevention. Obesity is defined as a body mass index BMI of 30 or greater. Obesity is a major risk factor for cardiovascular disease, certain types of cancer, and Type 2 Diabetes. WVUH participates in many different programs that address obesity throughout West Virginia</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>The Coronary Artery Risk Detection in Appalachian Communities CARDIAC, Healthy Hearts A Web-based Instructional Module for Children on Cardiovascular Health, Choosy Kids, Helping Educators Attack CVD Risk Factors Together HEART, The Dr. Dean Ornish Program, and the WV Healthy Lifestyles Act on Education Practices and Childhood Obesity. WVUH physicians also participate in day camps that promote healthy activities to children in our community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>West Virginia is also faced with high rates of death due to cancer adn cardiovascular disease. WVUH operates the Mary Babb Randolph Cancer Center MBRCC, this center is West Virginias premier cancer facility with a national reputation of excellence in cancer treatment, prevention and research. MBRCC is recognized by the American College of Surgeons Commission on Cancer for providing the best in cancer care.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>The WVU Heart Institute offers a comprehensive cardiac care program. The WVU Heart Institute team uses the most current diagnostic procedures to detect and evaluate mild to life-threatening heart problems. Our board-certified cardiac experts include medical and interventional cardiologists, surgeons, cardiac electro-physiologists and others who treat people with all types of heart problems-from congenital heart issues to heart attacks.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 4</Identifier>
        <Explanation>We offer both traditional and the latest, minimally invasive interventions, followed by cardiac rehabilitation and heart disease management programs. After surgery or other procedures, we work with the primary care doctor to facilitate patient rehabilitation.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>WVUHs board of directors is a community board, with ten of the seventeen members living in or around Morgantown, WV. The seven remaining board members live outside the PSA for WVUH, but still live within our overall service area. Having members living outside the PSA allows us to be more aware of the healthcare needs in other areas of West Virginia. Sixteen of the seventeen board members are neither employees nor independent contractors of WVUH, nor family members thereof.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>As a university medical center WVUH only extends medical privileges to faculty of the West Virginia University School of Medicine. WVUH allocates available funding to capital purchases and expanded services to improve patient care, support of medical education at West Virginia University, and research through support of the Mary Babb Randolph Cancer Center. WVU Hospital is responsible for providing educational and clinical facilities primarily for the Universitys Schools of Health, Science, Dentistry and Medicine.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>WVUH offers diabetes education to the public. The American Diabetes Association awarded the Diabetes Education Center a three-year certificate of recognition for offering of high quality diabetes self-management education. This certification was re-designated in 2010. The certification ensures that our program meets the national standards for diabetes self-management education programs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>Many WVUH providers and students volunteer their time 1,680 hours of on-site care in 2010 at Milan Puskar Health Right, a community health clinic, which provides care at no cost to uninsured or underinsured low-income residents. In addition WVUH partners with the Morgantown Rotary Club each year to provide health screenings to the community, WVUH participates in Monongalia Countys Partners in Education program with local elementary schools and holds various health fairs in the community each</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI Line 5</Identifier>
        <Explanation>year to promote awareness of health risks prevalant in our area.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="990I" softwareId="10000149" softwareVersion="2010.2.15">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>United Way</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>278-C Spruce St</AddressLine1>
          <City>Morgantown</City>
          <State>WV</State>
          <ZIPCode>26505</ZIPCode>
        </AddressUS>
        <EINOfRecipient>550462065</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>26250</AmountOfCashGrant>
        <AmountOfNonCashAssistance>5221</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>Education, Planning, Training, Board Meetings</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>WVU Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1 Waterfront Place</AddressLine1>
          <City>Morgantown</City>
          <State>WV</State>
          <ZIPCode>26507</ZIPCode>
        </AddressUS>
        <EINOfRecipient>556017181</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>2610663</AmountOfCashGrant>
        <PurposeOfGrant>Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>American Heart Assocaition</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 12110</AddressLine1>
          <City>Charleston</City>
          <State>WV</State>
          <ZIPCode>25304</ZIPCode>
        </AddressUS>
        <EINOfRecipient>135613797</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Morgantown Board of Parks &amp; Recreation Commission</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 590</AddressLine1>
          <City>Morgantown</City>
          <State>WV</State>
          <ZIPCode>26507</ZIPCode>
        </AddressUS>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Monongalia County Habitiat for Humanity</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>209 Greenbag Road</AddressLine1>
          <City>Morgantown</City>
          <State>WV</State>
          <ZIPCode>26501</ZIPCode>
        </AddressUS>
        <EINOfRecipient>550701426</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>WVU Childrens Hospital</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 8200</AddressLine1>
          <City>Morgantown</City>
          <State>WV</State>
          <ZIPCode>26506</ZIPCode>
        </AddressUS>
        <EINOfRecipient>550643304</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>5500</AmountOfCashGrant>
        <PurposeOfGrant>Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>WV Center For Nursing</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1018 Kanawha Blvd East</AddressLine1>
          <City>Charleston</City>
          <State>WV</State>
          <ZIPCode>25301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>203711601</EINOfRecipient>
        <IRCSection>115</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Sundale Nursing Home</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>800 JD Anderson Drive</AddressLine1>
          <City>Morgantown</City>
          <State>WV</State>
          <ZIPCode>26505</ZIPCode>
        </AddressUS>
        <EINOfRecipient>550421569</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Friends of University Hospital</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 8075</AddressLine1>
          <City>Morgantown</City>
          <State>WV</State>
          <ZIPCode>26506</ZIPCode>
        </AddressUS>
        <EINOfRecipient>556011282</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>7734</AmountOfCashGrant>
        <PurposeOfGrant>Support</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>22</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>11</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>I</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>WVU Hospitals provides cash contributions to various charitable organziations that support education, healthcare, or community building activities. WVUH does not monitor the use of grants after awarded.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="990J" softwareId="10000149" softwareVersion="2010.2.15">
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <WrittenPolicyReTAndEExpenses>false</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Bruce McClymonds</NamePerson>
        <BaseCompensationFilingOrg>550484</BaseCompensationFilingOrg>
        <BonusFilingOrg>110081</BonusFilingOrg>
        <OtherCompensationFilingOrg>95138</OtherCompensationFilingOrg>
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        <TotalCompensationFilingOrg>855002</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>75595</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mary Jo Shanan</NamePerson>
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        <BonusFilingOrg>27527</BonusFilingOrg>
        <OtherCompensationFilingOrg>7156</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>15680</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>111</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>286025</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Richard King</NamePerson>
        <BaseCompensationFilingOrg>194901</BaseCompensationFilingOrg>
        <BonusFilingOrg>23996</BonusFilingOrg>
        <OtherCompensationFilingOrg>23840</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>17193</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>259930</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Robert Brandfass</NamePerson>
        <BaseCompensationFilingOrg>250453</BaseCompensationFilingOrg>
        <BonusFilingOrg>23836</BonusFilingOrg>
        <OtherCompensationFilingOrg>18003</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>16933</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>20281</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>329506</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>15145</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stephen Tancin</NamePerson>
        <BaseCompensationFilingOrg>211089</BaseCompensationFilingOrg>
        <BonusFilingOrg>27135</BonusFilingOrg>
        <OtherCompensationFilingOrg>12504</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>6265</DeferredCompFilingOrg>
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        <TotalCompensationFilingOrg>278768</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>4830</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Gary Murdock</NamePerson>
        <BaseCompensationFilingOrg>214404</BaseCompensationFilingOrg>
        <BonusFilingOrg>27588</BonusFilingOrg>
        <OtherCompensationFilingOrg>3006</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>14560</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>19992</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>279550</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>660</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Shane Rine</NamePerson>
        <BaseCompensationFilingOrg>67122</BaseCompensationFilingOrg>
        <BonusFilingOrg>8143</BonusFilingOrg>
        <OtherCompensationFilingOrg>31647</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>90</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>107002</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dorothy Oakes</NamePerson>
        <BaseCompensationFilingOrg>219276</BaseCompensationFilingOrg>
        <BonusFilingOrg>40400</BonusFilingOrg>
        <OtherCompensationFilingOrg>18457</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>14700</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13669</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>306502</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>14619</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Charlotte Bennett</NamePerson>
        <BaseCompensationFilingOrg>191125</BaseCompensationFilingOrg>
        <BonusFilingOrg>25614</BonusFilingOrg>
        <OtherCompensationFilingOrg>16866</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>12950</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21448</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>268003</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>12137</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Taylor Troischt</NamePerson>
        <BaseCompensationFilingOrg>224238</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>19508</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>243746</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Thomas McNeely</NamePerson>
        <BaseCompensationFilingOrg>172814</BaseCompensationFilingOrg>
        <BonusFilingOrg>538</BonusFilingOrg>
        <OtherCompensationFilingOrg>4102</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>17158</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>194612</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Christine Vaglienti</NamePerson>
        <BaseCompensationFilingOrg>168751</BaseCompensationFilingOrg>
        <BonusFilingOrg>9915</BonusFilingOrg>
        <NontaxableBenefitsFilingOrg>20584</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>199250</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Carol Woodward Game</NamePerson>
        <BaseCompensationFilingOrg>152922</BaseCompensationFilingOrg>
        <BonusFilingOrg>10559</BonusFilingOrg>
        <NontaxableBenefitsFilingOrg>21150</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>184631</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kimberly Clarke</NamePerson>
        <BaseCompensationFilingOrg>152194</BaseCompensationFilingOrg>
        <BonusFilingOrg>11595</BonusFilingOrg>
        <OtherCompensationFilingOrg>542</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>21020</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>185351</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>During 2010, certain individuals reported in Part VII participated in a nonqualified retirement plan. The following is a list of those individuals, plan types and amounts.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>Bruce McClymonds - 457F vestings -7,731 CAA 78,399 received a vesting from CAA of 68,224 included in 2010 form W-2 box 5.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>Steve Tancin - CAA 6,265 Received a CAA Vesting of 4,830 included in 2010 form W-2 box 5.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>Gary Murdock - CAA - 14,560 received a CAA Vesting of 660 included in 2010 form W-2 box 5.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>Robert Bradfass - CAA 13,546 WVUH portion, 3,387 WVUHS parent company portion, vestings of 12,116 3,029 respectively.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>Charlotte Bennett - CAA 12,950, vestings of 12,137.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>Dorothy Oakes - CAA 14,700, vestings of 14,619.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>Mary Jo Shahan - CAA 15,680.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>1a</ReturnReference>
        <Explanation>Gross up payments are made to pay the taxes on the life insurance premiums and personal use of the company vehicle for the CEO. While there was no formal written policy in place during 2010 to govern this practice, one is being developed for 2011. These are included in the Form 990 compensation, and they have been approved by the Board. This amount was also included in 2010 form W-2 Box 5 as taxable compensation.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>4a</ReturnReference>
        <Explanation>Shane Rine received severance payments totaling 107,002 during 2010 in accordance with an agreement between Mr. Rine and WVUH.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="990K:1" softwareId="10000149" softwareVersion="2010.2.15">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>West Virginia Hospital Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>621256910</IssuerEIN>
        <CUSIPNumber>956622US1</CUSIPNumber>
        <DateIssued>2003-09-04</DateIssued>
        <IssuePrice>23951029</IssuePrice>
        <DescriptionOfPurpose>2003 Series A - Refund a portion of 1993 Series Bonds</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>West Virginia Hospital Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>621256910</IssuerEIN>
        <CUSIPNumber>956622US1</CUSIPNumber>
        <DateIssued>2003-09-04</DateIssued>
        <IssuePrice>26260771</IssuePrice>
        <DescriptionOfPurpose>2003 Series B - Refund a portion of 1993 Series Bonds</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>West Virginia Hospital Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>621256910</IssuerEIN>
        <CUSIPNumber>956622US1</CUSIPNumber>
        <DateIssued>2003-09-04</DateIssued>
        <IssuePrice>45750000</IssuePrice>
        <DescriptionOfPurpose>2003 Series D - Fund renovation and equipping of hospital facilities</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>West Virginia Hospital Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>621256910</IssuerEIN>
        <CUSIPNumber>956622YG3</CUSIPNumber>
        <DateIssued>2008-08-29</DateIssued>
        <IssuePrice>27115000</IssuePrice>
        <DescriptionOfPurpose>2008 Series D - Refund the 2005 Series B Bonds</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>3800000</AmountRetired>
        <TotalProceeds>23951029</TotalProceeds>
        <IssuanceCostsFromProceeds>178527</IssuanceCostsFromProceeds>
        <CreditEnhancement>533198</CreditEnhancement>
        <OtherSpentProceeds>23239304</OtherSpentProceeds>
        <YearOfSubstCompletion>1988</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00001</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00001</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00002</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>false</PostIssuanceComplianceProcdrs>
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      <Form990ScheduleKPartIII>
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        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00001</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00001</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00002</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>false</PostIssuanceComplianceProcdrs>
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      <Form990ScheduleKPartIII>
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        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00010</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00001</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00011</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>false</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
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        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00001</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00001</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>false</PostIssuanceComplianceProcdrs>
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      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
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      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>UBS</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>0000000030.000000000000</TermOfHedge>
        <SuperintegratedHedge>true</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
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      <Form990ScheduleKPartIV>
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        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>MLCS</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>0000000030.000000000000</TermOfHedge>
        <SuperintegratedHedge>true</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="990K02:2" softwareId="10000149" softwareVersion="2010.2.15">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>West Virginia Hospital Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>621256910</IssuerEIN>
        <CUSIPNumber>956622YG3</CUSIPNumber>
        <DateIssued>2008-09-17</DateIssued>
        <IssuePrice>34350881</IssuePrice>
        <DescriptionOfPurpose>2008 Series E - Refund 2005 Series A Bonds</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>West Virginia Hospital Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>621256910</IssuerEIN>
        <CUSIPNumber>956622YW8</CUSIPNumber>
        <DateIssued>2009-02-26</DateIssued>
        <IssuePrice>45590000</IssuePrice>
        <DescriptionOfPurpose>2009 Series A - Refund 2003 C Bonds</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>West Virginia Hospital Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>621256910</IssuerEIN>
        <CUSIPNumber>956622YX6</CUSIPNumber>
        <DateIssued>2009-02-26</DateIssued>
        <IssuePrice>22385000</IssuePrice>
        <DescriptionOfPurpose>2009 Series B - Fund improvements and renovations at East Hospitals</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>West Virginia Hospital Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>621256910</IssuerEIN>
        <CUSIPNumber>956622D27</CUSIPNumber>
        <DateIssued>2009-12-17</DateIssued>
        <IssuePrice>31894128</IssuePrice>
        <DescriptionOfPurpose>2009 Series C - Fund improvements at WVUH East Hospitals UHC refunding</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>34369757</TotalProceeds>
        <AmountInReserveFund>3453965</AmountInReserveFund>
        <IssuanceCostsFromProceeds>390793</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>30538355</OtherSpentProceeds>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00001</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00001</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>false</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00001</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00001</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>false</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00001</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00001</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>false</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00001</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00001</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00002</TotalPrivateBusinessUse>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>UBS</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>0000000030.000000000000</TermOfHedge>
        <SuperintegratedHedge>true</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="990K03:3" softwareId="10000149" softwareVersion="2010.2.15"></IRS990ScheduleK>
    <IRS990ScheduleL documentId="990L" softwareId="10000149" softwareVersion="2010.2.15">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Donna Laurie</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family member of David Laurie, Board Member</Relationship>
        <AmountOfTransaction>12054</AmountOfTransaction>
        <DescriptionOfTransaction>Compensation</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="990M" softwareId="10000149" softwareVersion="2010.2.15">
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Medical Equipment</Description>
        <NumberOfContributions>7</NumberOfContributions>
        <NoncashContribsRptdF990>109001</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Cost</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O" softwareId="10000149" softwareVersion="2010.2.15">
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>3</ReturnReference>
        <Explanation>WVUH has contracted out the oversight duties of quality control, medical infomation, and medical staff affairs. The companys employees assigned to these duties by the company are licensed physicians and have the proper training and skills to perform these duties. These positions as well as the associated costs are Board approved.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>11b</ReturnReference>
        <Explanation>The Form 990 is prepared by the accounting department and then reviewed by the accounting manager. 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 CFO. Once approved at that level, it is then reviewed by the Audit Committee. After being approved by the audit committee, it is provided to all Board members for comments before being signed and submitted to the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>12c</ReturnReference>
        <Explanation>Annually, all Board Members, Vice Presidents, officers, and managers are required to disclose any relationships which may give rise to a conflict of interest. The responses are then input into spreadsheet format and given to the audit committee which is responsible for the ongoing monitoring of these responses. Any identified conflicts are reviewed by the Ethics Committee, the Ethics Committee makes a recommendation related to resolution or disciplinary actions. The recommendations are then provided to the President and/or Board of WVUH to accept, adopt, or institute. Nothing of concern has been brought to the Ethics Committee for review in 2010.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15ab</ReturnReference>
        <Explanation>The compensation of all executives is determined based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This data is then interpreted and provided to an independent compensation committee. The independent compensation committee then uses this data to determine a fair and reasonable compensation package. All relevant data as well as minutes from each meeting are retained.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>19</ReturnReference>
        <Explanation>The WV Healthcare Authority publishes the annual financial statements of WVUH in the local newspapers. All other financial and governing documents are available upon request at the WVUH Administration Office during normal business hours.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>4</ReturnReference>
        <Explanation>West Virginia University Hospitals, Inc, WVUH West Virginia University Medical Corporation d/b/a University Health Associates UHA, WV United Health System WVUHS, and WVU Board of Governors on behalf of West Virginia University and its School of Medicine WVUSM have entered into a Joint Operating Agreement in order to strengthen their support of the WVUSM and its faculty in their pursuit of educating and training the next generation of physicians and of conducting research that advances the science of medicine and its benefits to patients, the state of West Virginia, and the nation. UHA and WVUH therefore entered into a Joint Operating Agreement in order to further integrate their mission and purpose, management, clinical activities, economic and financial activities, and identities, so as to function as a single strategic and economic unit.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>4</ReturnReference>
        <Explanation>UHA and WVUH believe that greater integration will lead to a more complete and timely consideration of the best interest of the patients, students, and education programs in the decision-making process and provide comprehensive understanding of the financial impact of decision making across all departments and activities associated with Healthcare provided by WVUH and UHA.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VII</Identifier>
        <ReturnReference>1a</ReturnReference>
        <Explanation>WV United Health System WVUHS reimburses WVUH for a portion of Richard King and Robert Brandfass salaries and benefits as part of a shared employee agreement. WVUHS reimbursed WVUH 146,264 in 2010. The average numbers of hours per week reported for WVUH are only the hours for WVUH, average hours for WVUHS are reported on their Form 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part XI</Identifier>
        <ReturnReference>5</ReturnReference>
        <Explanation>The Amount shown on line 5, 5,022,118 is made up of Unrealized Gains on Investments of 11,194,218 less related organization capitalization transfers of 1,628,483 and obligation to the West Virginia University School of Medicine of 4,543,617 under the Joint Operating Agreement.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K - For purposes of reporting bond issuance allocations on Schedule K to the Internal Revenue Service, WVUH, as parent company to City Hospital, Jefferson Memorial Hospital and City Hospital Foundation, is reporting bond issuances allocated to WVUH and its subsidiaries on a consolidated basis on Schedule K attached to this tax return.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K - United Hospital Center is reporting bond allocations issued to it on the return filed by such taxpayer. Several bond issuances were issued in series and each series is reported in this tax return separately. For each series identified in Schedule K, Part I, the taxpayer will reconcile the series amount reported in this tax return and the tax return filed by United Hospital Center to the applicable 8038 filed with the IRS for each bond issuance. Each bond series is reported on the appropriate Form 990, Schedule K, only once in this matter.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part I, Line D, Column e - The 2008 Series D Bonds issue price 27,115,000, CUSIP number 956622YG3 were issued collectively with 2008 Series A Bonds issue price 46,420,000, CUSIP 956622YE8, 2008 Series B Bonds issue price 46,765,000, CUSIP number 956622YD0 and 2008 Series C Bonds issue price 60,725,000, CUSIP number 956622YF5 totaling 181,025,000 total issue price for all four reported on Form 8038 for August 29, 2008 issuance. 2008 Series A Bonds and 2008 Series B Bonds were allocated to United Health Center and will be reported on their Schedule K. 2008 Series C Bonds were refunded on December 19, 2009 by the 2009 Series C Bonds, which are reported on Schedule K 2nd Schedule K Part I, Line D, column e of this tax return.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part 1, Line D, Column e 2nd Schedule K - The 2009 C Series Bonds were issued as one series but were allocated within the Obligated Group to WVUH and City Hospital issue price - 31,894,128 and United Hospital Center issue price - 69,402,501. The total issue price for the 2009 Series C Bonds was 101,296,629 consistent with total issue price reported on Form 8038 for December 17, 2009 issuance, CUSIP 956622D27. The consolidated portion of the 2009 Series C Bonds allocated to WVUH is reported on Schedule K 2nd Schedule, Part I, Line D of this return. The United Hospital Center allocated portion of the 2009 Series C Bonds is reported on the tax return filed by such taxpayer.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part III, Line 3c All columns - Prior to each bond issuance the West Virginia United Health System engages bond council to review all managment and service contracts, leases and reserach agreements for all hospitals involved in the issunace.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part III, Line 7 All columns - While no policy was put in place during 2010, management is in the process of working with bond council to impliment a post-issuance complinace policy for the year 2012.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part I, Line D, Column f 2nd Schedule K -The purpose of the 2009 Series C Bonds was to a refund 2008 Series C Bonds and b fund capital renovations and improvements for hospital facilities owned by City Hospital and WVUH. The portion of the 2009 C Bonds used to refund the 2008 Series C Bonds was allocated to United Health Center and is reported on the tax return of such taxpayer.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part II, Line 7, Column A, B, C - Bond issuance costs reported on Form 8038 for the September 4, 2003 issuance equal 961,817, of which a 178,527 was allocated to 2003 Series A Bonds, b 195,743 was allocated to 2003 Series B Bonds, c 290,199 was allocated to 2003 Series C Bonds and d 297,348 was allocated to 2003 Series D Bonds.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part II, Line 8, Column A, B, C - Total credit enhancement costs reported on Form 8038 for the September 4, 2003 issuance equal 4,681,150, of which a 533,198 was allocated to 2003 Series A Bonds, b 584,618 was allocated to 2003 Series B Bonds, c 1,581,201 was allocated to 2003 Series C Bonds and d 1,982,133 was allocated to 2003 Series D Bonds.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part II, Line 7, Column D - Bond issuance costs reported on Form 8038 for the August 29, 2008 issuance equal 1,040,256, of which a 535,000 was allocated to the 2008 Series A Bonds and the 2008 Series B Bonds, which are reported by United Hospital Center, b 350,000 was allocated to 2003 Series C Bonds, which were refunded by the 2009 Series C Bonds and c 155,265 was allocated to 2008 Series D Bonds.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part II, Line 8, Column D - Credit enhancement costs reported on Form 8038 for the August 29, 2008 issuance equals 27,427, all of which was allocated to 2008 Series D Bonds, consistent with the amount identified above.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part II, Line 7, Column B C 2nd Schedule K - Bond issuance costs reported for the February 26, 2009 issuance equal 738,882, of which a 496,524 was allocated to 2009 Series A Bonds and b 242,358 was allocated to 2009 Series B Bonds.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part II, Line 8, Column B C 2nd Schedule K - Credit enhancement costs reported on Form 8038 for the February 26, 2009 issuance equal 660,355, of which a 442,892 was allocated to 2009 Series A Bonds and b 217,463 was allocated to 2009 Series B Bonds.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part II, Line 7, Column D 2nd Schedule K - Bond issuance costs reported on Form 8038 for the December 17, 2009 issuance equal 1,237,133, of which a 663,475 was allocated to WVUH for the 2009 Series C Bonds and b 573,658 was allocated to United Hospital Center and is reported on the tax return of such taxpayer.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part II, Line 10, Column A 2nd Schedule K - The difference between the total issue price reported on Line 3 for the 2008 E Bonds of 34,350,881 varies from the total of Lines 4 through 12 by 18,876. This variance consists of investment proceeds from debt service reserve fund equal to 18,876.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part II, Line 10, Column C 2nd Schedule K - The difference between the total issue price reported on line 3 for the 2009 B Bonds of 22,385,000 varies from the sum of Lines 4 through 12 by 58,558. This variance is due to a the transfer of 53,652 due to overfunding of costs of issuance fund, which was subsequently transferred to the project fund for capital expenditures that had not been expended as of the end of fiscal year 2009 and b 4,906 in investment proceeds received by WVUH in 2009.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part II, Line 10, Column D 2nd Schedule K - The difference between the total issue price reported on Line 3 for the 2009 C Bonds of 31,894,128 varies from the sum of Lines 4 through 12 by 137,455. This variance is due to overfunding of refunding escrow fund, which was subsequently transferred to the project fund for capital expenditures that had not been expended as of the end of fiscal year 2009.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part II, Line 13, Column B 2nd Schedule K - The 2009 Series B Bonds were issued on February 26, 2009 and the final allocation of the capital expenditures was not substantially complete as of the end of fiscal year 2010.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part II, Line 13, Column C 2nd Schedule K- The 2009 Series C Bonds were issued on December 17, 2009 and the final allocation of the capital expenditures was not substantially complete as of the end of fiscal year 2010.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K Part III, Line 3c, All Columns - Prior to each bond issuance, WVUH, City Hospital, City Hospital Foundation and Jefferson Memorial Hospital engage bond counsel to review management and services contracts, leases and research agreements in anticipation of such bond issuance.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part III, Line 4, All Columns - Although the series of bonds are separately reported on Part I and Part II of this Schedule K, private use calculations were completed based on the total amount of the issuance, as reported to the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Schedule K, Part III, LIne 7, All Columns - WV United Health System is in the process of creating and implimenting a post-issuance compliance policy for all System entities, this policy will be put in place during 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III Program Service Accomplishments</Identifier>
        <ReturnReference>Line 4d Other Activities</ReturnReference>
        <Explanation>Program Service Expenses 32,069,048, Grants and allocations 0, Revenue 50,045,537 Hematology/Oncology - The Hematology and Oncology Department of WVU Hospitals diagnose and treat all adult malignant disorders and diseases of the blood, including anemia, leukemia, lymphoma, and bleeding problems. Our doctors, nurses, and staff offer state-of-the-art care in a personalized and compassionate environment. Our services include evaluating and diagnosing cancer and blood disorders, cancer chemotherapy, targeted therapies, and immunotherapy.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part III Program Service Accomplishments</Identifier>
        <ReturnReference>Line 4d Other Activities</ReturnReference>
        <Explanation>Program Service Expenses 22,862,059, Grants and allocations 0, Revenue 42,882,293 Cardiology - The WVU Heart Institutes cardiac team uses the most current diagnostic procedures to detect and evaluate mild to life-threatening heart problems in our new, state-of-the-art facility. WVU Heart Institute uses a 64-Slice CT Scanner to provide detailed images of the hearts anatomy and coronary circulation. Our pediatric cardiologists offer world-class experience and compassionate care. We provide diagnostic and treatment services for all forms of congential heart defects, arrhythmias, acquired heart disease, hypercholesterolemia, and cardiomyopathies.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R" softwareId="10000149" softwareVersion="2010.2.15">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>West Virginia United Health System</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 Technology Drive</AddressLine1>
          <City>Fairmont</City>
          <State>WV</State>
          <ZIPCode>26554</ZIPCode>
        </AddressUS>
        <EIN>550754713</EIN>
        <PrimaryActivities>Healthcare access</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>11 a</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>West Virginia University 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>Healthcare access</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>11 a</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>City Hospital Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2000 Foundation Way Suite 2310</AddressLine1>
          <City>Martinsburg</City>
          <State>WV</State>
          <ZIPCode>25401</ZIPCode>
        </AddressUS>
        <EIN>550383321</EIN>
        <PrimaryActivities>Patient Care</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
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          <BusinessNameLine1>Jefferson Memorial Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2000 Foundation Way Suite 2310</AddressLine1>
          <City>Martinsburg</City>
          <State>WV</State>
          <ZIPCode>25401</ZIPCode>
        </AddressUS>
        <EIN>550359755</EIN>
        <PrimaryActivities>Patient Care</PrimaryActivities>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
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          <AddressLine1>2000 Foundation Way Suite 2310</AddressLine1>
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          <State>WV</State>
          <ZIPCode>25401</ZIPCode>
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        <EIN>311118075</EIN>
        <PrimaryActivities>Support City Hospital</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>11 a</PublicCharityStatus>
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        <ControlledOrg>false</ControlledOrg>
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          <AddressLine1>2000 Foundation Way Suite 2310</AddressLine1>
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          <State>WV</State>
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        <EIN>550768901</EIN>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>WVUH-East Services Corp</BusinessNameLine1>
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          <AddressLine1>2000 Foundation Way Suite 2310</AddressLine1>
          <City>Martinsburg</City>
          <State>WV</State>
          <ZIPCode>25401</ZIPCode>
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        <EIN>311118076</EIN>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>United Summit Center</BusinessNameLine1>
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          <AddressLine1>6 Hospital Plaza</AddressLine1>
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          <State>WV</State>
          <ZIPCode>26301</ZIPCode>
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        <EIN>550752788</EIN>
        <PrimaryActivities>Behavioral Health</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
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        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>United Hospital Center Inc</BusinessNameLine1>
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          <AddressLine1>327 Medical Park Drive</AddressLine1>
          <City>Bridgeport</City>
          <State>WV</State>
          <ZIPCode>26330</ZIPCode>
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        <EIN>550525724</EIN>
        <PrimaryActivities>Patient Care</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>United Physicians Care Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>686 South Pike Street</AddressLine1>
          <City>Shinnston</City>
          <State>WV</State>
          <ZIPCode>26431</ZIPCode>
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        <EIN>550638563</EIN>
        <PrimaryActivities>Patient Care</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>United Health Foundation</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>327 Medical Park Drive</AddressLine1>
          <City>Bridgeport</City>
          <State>WV</State>
          <ZIPCode>26330</ZIPCode>
        </AddressUS>
        <EIN>550621706</EIN>
        <PrimaryActivities>Hospital Support</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WVU Health Care Cooperative</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO Box 8059</AddressLine1>
          <City>Morgantown</City>
          <State>WV</State>
          <ZIPCode>26506</ZIPCode>
        </AddressUS>
        <EIN>550650441</EIN>
        <PrimaryActivities>Support</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>Healthnet Inc</BusinessNameLine1>
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          <AddressLine1>419 Brooks Street</AddressLine1>
          <City>Charleston</City>
          <State>WV</State>
          <ZIPCode>25301</ZIPCode>
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        <EIN>550681969</EIN>
        <PrimaryActivities>Support</PrimaryActivities>
        <LegalDomicileState>WV</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Allied Health Services Inc</BusinessNameLine1>
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          <AddressLine1>PO Box 782</AddressLine1>
          <City>Morgantown</City>
          <State>WV</State>
          <ZIPCode>26507</ZIPCode>
        </AddressUS>
        <EIN>550652017</EIN>
        <PrimaryActivity>Medical Lab</PrimaryActivity>
        <LegalDomicileState>WV</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C Corp</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>West Virginia United Insurance Services Inc</BusinessNameLine1>
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          <AddressLine1>1000 Technology Drive Suite 2320</AddressLine1>
          <City>Fairmont</City>
          <State>WV</State>
          <ZIPCode>26554</ZIPCode>
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        <EIN>550756055</EIN>
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        <LegalDomicileState>WV</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C Corp</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WVUH-East Enterprises Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2000 Foundation Way Suite 2310</AddressLine1>
          <City>Martinsburg</City>
          <State>WV</State>
          <ZIPCode>25401</ZIPCode>
        </AddressUS>
        <EIN>550653982</EIN>
        <PrimaryActivity>Medical Equip.</PrimaryActivity>
        <LegalDomicileState>WV</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C Corp</TypeOfEntity>
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      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
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          <BusinessNameLine1>Allied Health Services Inc</BusinessNameLine1>
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        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Allied Health Services Inc</BusinessNameLine1>
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        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Allied Health Services Inc</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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        <AmountInvolved>26664</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
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  </ReturnData>
</Return>