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            <BusinessNameLine1>US FOODSERVICE</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 644540</AddressLine1>
            <City>PITTSBURGH</City>
            <State>PA</State>
            <ZIPCode>15264</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>FOOD AND SUPPLIES</DescriptionOfServices>
        <Compensation>205276</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CONTINUUMCARE PHARMACY</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 245</AddressLine1>
            <City>BARBOURSVILLE</City>
            <State>WV</State>
            <ZIPCode>25504</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHARMACY SERVICES</DescriptionOfServices>
        <Compensation>181765</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CLASSIC FLOOR COVERINGS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>RT4 BOX 262</AddressLine1>
            <City>ELKINS</City>
            <State>WV</State>
            <ZIPCode>26241</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>FLOORING &amp; INSTALLATION</DescriptionOfServices>
        <Compensation>131557</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>DIXON HUGHES GOODMAN PLLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>48 DONLEY STREET SUITE 600 MARINA T</AddressLine1>
            <City>MORGANTOWN</City>
            <State>WV</State>
            <ZIPCode>26501</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ACCOUNTING/AUDITING SERVICES</DescriptionOfServices>
        <Compensation>121315</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <AllOtherContributions>4148</AllOtherContributions>
      <TotalContributions>4148</TotalContributions>
      <ProgramServiceRevenue>
        <Description>SKILLED/INTER. CARE</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>8627227</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>8627227</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>8627227</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>32880</TotalRevenueColumn>
        <ExclusionAmount>32880</ExclusionAmount>
      </InvestmentIncome>
      <GrossAmountSalesAssets>
        <Other>3191</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>127576</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>-124385</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-124385</TotalRevenueColumn>
        <ExclusionAmount>-124385</ExclusionAmount>
      </NetGainOrLossInvestments>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>14517</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>14517</RelatedOrExemptFunctionIncome>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>14517</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>8554387</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>8641744</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>-91505</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>6556</Total>
        <ProgramServices>6556</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>363303</Total>
        <ProgramServices>23000</ProgramServices>
        <ManagementAndGeneral>340303</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>3603201</Total>
        <ProgramServices>2968097</ProgramServices>
        <ManagementAndGeneral>635104</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>36000</Total>
        <ProgramServices>29655</ProgramServices>
        <ManagementAndGeneral>6345</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1443159</Total>
        <ProgramServices>1188786</ProgramServices>
        <ManagementAndGeneral>254373</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>21702</Total>
        <ProgramServices>17877</ProgramServices>
        <ManagementAndGeneral>3825</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>13692</Total>
        <ManagementAndGeneral>13692</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>121315</Total>
        <ManagementAndGeneral>121315</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>1861</Total>
        <ManagementAndGeneral>1861</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesOther>
        <Total>630320</Total>
        <ProgramServices>519219</ProgramServices>
        <ManagementAndGeneral>111101</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>12679</Total>
        <ProgramServices>10444</ProgramServices>
        <ManagementAndGeneral>2235</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>995243</Total>
        <ProgramServices>819819</ProgramServices>
        <ManagementAndGeneral>175424</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>34911</Total>
        <ProgramServices>28758</ProgramServices>
        <ManagementAndGeneral>6153</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>336763</Total>
        <ProgramServices>277405</ProgramServices>
        <ManagementAndGeneral>59358</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>8851</Total>
        <ProgramServices>7291</ProgramServices>
        <ManagementAndGeneral>1560</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>223797</Total>
        <ProgramServices>184350</ProgramServices>
        <ManagementAndGeneral>39447</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>255479</Total>
        <ProgramServices>210448</ProgramServices>
        <ManagementAndGeneral>45031</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>110407</Total>
        <ProgramServices>90947</ProgramServices>
        <ManagementAndGeneral>19460</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>PROVIDER/OTHER TAXES</Description>
        <Total>399722</Total>
        <ProgramServices>399722</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EDUCATION AND TRAINING</Description>
        <Total>889</Total>
        <ProgramServices>732</ProgramServices>
        <ManagementAndGeneral>157</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>7205</Total>
        <ProgramServices>5933</ProgramServices>
        <ManagementAndGeneral>1272</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>8627055</Total>
        <ProgramServices>6789039</ProgramServices>
        <ManagementAndGeneral>1838016</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1403530</BOY>
        <EOY>1005677</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>146571</BOY>
        <EOY>125702</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>882366</BOY>
        <EOY>1165005</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>5141</BOY>
        <EOY>9909</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>105089</BOY>
        <EOY>109120</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>6888062</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>4807501</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2049354</BOY>
        <EOY>2080561</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>1137617</BOY>
        <EOY>555635</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>35693</BOY>
        <EOY>551919</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>5765361</BOY>
        <EOY>5603528</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>677847</BOY>
        <EOY>567292</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>3478324</BOY>
        <EOY>3430000</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>25292</BOY>
        <EOY>14954</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>4181463</BOY>
        <EOY>4012246</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1583898</BOY>
        <EOY>1591282</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>1583898</BOY>
        <EOY>1591282</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>5765361</BOY>
        <EOY>5603528</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-72668</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>80052</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>1861</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>1861</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF OTHER LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1I:</ReturnReference>
        <Explanation>THE ORGANIZATION PAYS DUES TO THE WEST VIRGINIA HEALTH CARE ASSOCIATION (WVHCA) AND THE AMERICAN HEALTH CARE ASSOCIATION (AHCA). WVHCA AND AHCA REPORT THE PERCENTAGE OF THE DUES USED FOR LOBBYING PURPOSES.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>287874</OtherCostOrOtherBasis>
        <BookValue>287874</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>4664187</OtherCostOrOtherBasis>
        <Depreciation>3514476</Depreciation>
        <BookValue>1149711</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>1781531</OtherCostOrOtherBasis>
        <Depreciation>1293025</Depreciation>
        <BookValue>488506</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>154470</OtherCostOrOtherBasis>
        <BookValue>154470</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>2080561</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>BOND ISSUE COSTS, NET-2010</Description>
        <BookValue>149685</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEBT SERVICE RESERVE - 2010</Description>
        <BookValue>334320</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>BOND PRINCIPAL &amp; INTEREST FUNDS - 2010</Description>
        <BookValue>67894</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ESCROW ACCOUNT - 2010 ISSUE</Description>
        <BookValue>20</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>551919</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>PATIENT TRUST FUND</Description>
        <Amount>14954</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>14954</TotalOfAmounts>
      <TotalRevenue>8554387</TotalRevenue>
      <TotalExpenses>8627055</TotalExpenses>
      <ExcessOrDeficitForYear>-72668</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>80052</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>80052</TotalAdjustments>
      <ExcessOrDeficitPerFS>7384</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>8758824</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>80052</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>80052</RevenueNotRptdF990>
      <RevenueSubtotal>8678772</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-124385</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-124385</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>8554387</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>8751440</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>124385</OtherExpensesIncluded>
      <ExpensesNotRptdF990>124385</ExpensesNotRptdF990>
      <ExpensesSubtotal>8627055</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>8627055</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>LOSS ON SALE OF ASSETS INCLUDED IN EXPENSES ON AUDITED FINANCIAL STATEMENTS LOSS ON EARLY EXTINGISHMENT OF DEBT</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>LOSS ON SALE OF ASSETS INCLUDED IN EXPENSES ON AUDITED FINANCIAL STATEMENTS LOSS ON EARLY EXTINGISHMENT OF DEBT</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Explanation>PART X, LINE 2: EFFECTIVE JANUARY 1, 2009, THE ORGANIZATION ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S (FASB) AUTHORITATIVE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR THE RECOGNITION AND MEASUREMENT OF UNCERTAINTIES IN INCOME TAXES FOR ENTITES INCLUDING NOT-FOR-PROFIT ORGANIZATIONS. IN ACCORDANCE WITH THE PROVISIONS OF ASC 740, INCOME TAXES, AS AMENDED BY ACCOUNTING STANDARDS UPDATE 2009-6, IMPLEMENTATION GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AND DISCLOSURE AMENDMENTS FOR NONPUBLIC ENTITES, THE ORGANIZATION'S TAX POSITIONS MUST MEET A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT IN ORDER FOR THE BENEFIT OF THOSE TAX POSITIONS TO BE RECOGNIZED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. TAX POSITIONS INCLUDE, AMONG OTHER THINGS, THE ORGANIZATION'S STATUS AS A TAX-EXEMPT, NOT-FOR-PROFIT ORGANIZATION AND WHETHER ALL OF THE ORGANIZATION'S INCOME IS EXEMPT FROM INCOME TAX. THE ADOPTION OF THIS ACCOUNTING STANDARD DID NOT HAVE A MATERIAL IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2009.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: WHILE THE CEO POSITION EXISTED, THE CEO WAS MADE AWARE OF SUGGESTIONS FOR CONTRIBUTIONS. THE CEO, IN CONSULTATION WITH VARIOUS BOARD MEMBERS, CONSIDERED THE SUGGESTIONS AND MADE A DETERMINATION WHETHER OR NOT TO MAKE THE CONTRIBUTION. CONTRIBUTIONS MADE WERE REPORTED TO THE BOARD AT THE NEXT REGULARLY SCHEDULED MEETING. EFFECTIVE MARCH 2011, THE PROCEDURE WAS CHANGED. MANAGEMENT REPORTS ALL DONATIONS OF $100 OR MORE TO THE FINANCE COMMITTEE AND ALL DONATIONS OF $500 OR MORE MUST BE APPROVED BY THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS. RECORDS ARE MAINTAINED IN ASSOCIATION WITH THE GENERAL LEDGER RELATED TO CONTRIBUTIONS MADE.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>1</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4A</ReturnReference>
        <Explanation>CAROL MORRIS: $40,685.83</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>RANDOLPH COUNTY BUILDING COMMISSION</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>556000391</IssuerEIN>
        <CUSIPNumber>752606BD4</CUSIPNumber>
        <DateIssued>1920-11-10</DateIssued>
        <IssuePrice>3345000</IssuePrice>
        <DescriptionOfPurpose>REFUND 1998 ISSUE</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>3277698</AmountRetired>
        <AmountBondDefeased>3277698</AmountBondDefeased>
        <TotalProceeds>3345000</TotalProceeds>
        <IssuanceCostsFromProceeds>66500</IssuanceCostsFromProceeds>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>REV BASIL HENSLEY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>CHAPLAIN</Relationship>
        <AmountOfTransaction>23000</AmountOfTransaction>
        <DescriptionOfTransaction>CHAPLAIN AGREEMENT</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MARY S BOYD MD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>MEDICAL DIRECTOR</Relationship>
        <AmountOfTransaction>6300</AmountOfTransaction>
        <DescriptionOfTransaction>MEDICAL DIRECTOR AGREEMENT</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>AN ELECTRONIC COPY OF THE FORM IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. IMPORTANT ITEMS AND ELEMENTS CHANGED FROM PRIOR YEAR ARE HIGHLIGHTED. APPROXIMATELY ONE WEEK IS PROVIDED FOR BOARD MEMBERS TO REVIEW AND SUBMIT QUESTIONS AND CONCERNS VIA TELEPHONE OR E-MAIL. WHEN ALL QUESTIONS AND CONCERNS HAVE BEEN ADDRESSED AND ANY RESULTING CHANGES HAVE BEEN MADE, THE RETURN IS FINALIZED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>DURING THE YEARLY AUDIT PROCESS, THE CONFLICT OF INTEREST POLICY IS MAILED TO THE BOARD MEMBERS FOR REVIEW AND REQUIRES THEIR SIGNATURE AND DISCLOSURE OF ANY CONFLICTS. THE POLICY IS ALSO EXPLAINED AND REINFORCED DURING THE BOARD MEETING WHEN THE FORM 990 IS REVIEWED BY THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>ARNETT &amp; FOSTER CPAS, PLLC PERFORMS AN ANALYSIS COMPARING FACILITY WAGES WITH WAGE INFORMATION PROVIDED BY STATE SURVEY OF WAGE SCALES AND AREA/INDUSTRY INFORMATION PROVIDED BY THE WEST VIRGINIA HEALTH CARE ASSOCIATION. BASED ON THIS ANALYSIS, THE ORGANIZATION'S FINANCE COMMITTEE MAKES A RECOMMENDATION OF ANY COMPENSATION CHANGES TO THE BOARD. THE BOARD DISCUSSES THE RECOMMENDATIONS AND VOTES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ON FILE WITH THE WEST VIRGINIA HEALTH CARE AUTHORITY AND ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO PUBLISHED IN THE LOCAL NEWSPAPERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 80,052.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>