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        <UnrelatedBusinessRevenueAmt>5069</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>147678</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>108132</TotalAmt>
        <ManagementAndGeneralAmt>108132</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9364169</TotalAmt>
        <ProgramServicesAmt>8887575</ProgramServicesAmt>
        <ManagementAndGeneralAmt>476594</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>169311</TotalAmt>
        <ProgramServicesAmt>164780</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4531</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3414306</TotalAmt>
        <ProgramServicesAmt>3240772</ProgramServicesAmt>
        <ManagementAndGeneralAmt>173534</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>583424</TotalAmt>
        <ProgramServicesAmt>553730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29694</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>6000</TotalAmt>
        <ManagementAndGeneralAmt>6000</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>549153</TotalAmt>
        <ProgramServicesAmt>467557</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81596</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>851</TotalAmt>
        <ProgramServicesAmt>701</ProgramServicesAmt>
        <ManagementAndGeneralAmt>150</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>590310</TotalAmt>
        <ProgramServicesAmt>533781</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56529</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>0</TotalAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>755188</TotalAmt>
        <ProgramServicesAmt>616274</ProgramServicesAmt>
        <ManagementAndGeneralAmt>138914</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>200822</TotalAmt>
        <ProgramServicesAmt>184994</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15828</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>3625</TotalAmt>
        <ProgramServicesAmt>425</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3200</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>71</TotalAmt>
        <ProgramServicesAmt>60</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>1429713</TotalAmt>
        <ManagementAndGeneralAmt>1429713</ManagementAndGeneralAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>215782</TotalAmt>
        <ProgramServicesAmt>183729</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32053</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>149355</TotalAmt>
        <ProgramServicesAmt>102324</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47031</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Provision for Doubtful Accounts</Desc>
        <TotalAmt>627818</TotalAmt>
        <ProgramServicesAmt>627818</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>68553</TotalAmt>
        <ProgramServicesAmt>68553</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Recruiting</Desc>
        <TotalAmt>48750</TotalAmt>
        <ProgramServicesAmt>41250</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7500</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Other Business Expense</Desc>
        <TotalAmt>57903</TotalAmt>
        <ProgramServicesAmt>8996</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48907</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>78132</TotalAmt>
        <ProgramServicesAmt>17789</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60343</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>18421368</TotalAmt>
        <ProgramServicesAmt>15701108</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2720260</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>465422</BOYAmt>
        <EOYAmt>377681</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>125</BOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>412275</BOYAmt>
        <EOYAmt>652509</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3265877</BOYAmt>
        <EOYAmt>2141720</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>54522</BOYAmt>
        <EOYAmt>62771</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>6925548</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5779091</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1640121</BOYAmt>
        <EOYAmt>1146457</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>3738818</BOYAmt>
        <EOYAmt>3478988</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <TotalAssetsGrp>
        <BOYAmt>9577160</BOYAmt>
        <EOYAmt>7860126</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1829346</BOYAmt>
        <EOYAmt>2679935</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>2239787</BOYAmt>
        <EOYAmt>2042266</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>531341</BOYAmt>
        <EOYAmt>480906</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>4600474</BOYAmt>
        <EOYAmt>5203107</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4976686</BOYAmt>
        <EOYAmt>2657019</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4976686</BOYAmt>
        <EOYAmt>2657019</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>9577160</BOYAmt>
        <EOYAmt>7860126</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-1838069</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-400731</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-80867</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A" softwareId="22015461" softwareVersionNum="22.0.1.0">
      <HospitalInd>X</HospitalInd>
      <FactsAndCircumstancesTestTxt>Part I Section A Line 3 Although the organization qualifies as a hospital under IRC section 170 B 1 A III as shown on Schedule A Item 3, the Organization does not qualify as a hospital for Schedule H or state of West Virginia purposes.</FactsAndCircumstancesTestTxt>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B" softwareId="22015461" softwareVersionNum="22.0.1.0">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D" softwareId="22015461" softwareVersionNum="22.0.1.0">
      <InclEscrowCustodialAcctLiabInd>false</InclEscrowCustodialAcctLiabInd>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>26375</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>26375</DepreciationAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>86167</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>81403</DepreciationAmt>
        <BookValueAmt>4764</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5066560</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4714665</DepreciationAmt>
        <BookValueAmt>351895</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1746446</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>956648</DepreciationAmt>
        <BookValueAmt>789798</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1146457</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Funded Depreciation and Investments</Desc>
        <BookValueAmt>3444916</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Other Board Designated Investments - Equity Method</Desc>
        <BookValueAmt>34072</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>3478988</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LT Lease Liability</Desc>
        <Amt>480906</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Self Insrurance Liability</Desc>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>480906</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>15823223</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-400731</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-539345</OtherRevenueAmt>
      <RevenueNotReportedAmt>-940076</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>16763299</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-180000</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-180000</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>16583299</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>18062024</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>18062024</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>359345</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>359345</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>18421369</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Most of the entities that comprise the System are tax-exempt organizations and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code. On such basis, they will not incur any liability for income taxes, except for possible unrelated business income. AHS, WVUIS and GHC are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2022 and 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Amount includes 539,345 of provision for bad debt included as an offset to revenue on the audited financial statements but is classified as an expense on Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Amount includes 180,000 of In-Kind Lease expense reported as an offset to revenue on the 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Amount includes 539,345 of provision for bad debt included as an offset to revenue on the audited financial statements but is classified as an expense on Form 990 and 180,000 of In-Kind Lease expense reported as an offset to revenue on the 990.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J" softwareId="22015461" softwareVersionNum="22.0.1.0">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Carrie Melanie McMillen</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>161764</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>21963</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>9126</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>5115</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>28145</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>226113</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Karyn Wallace</PersonNm>
        <TitleTxt>Board Member, President CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>287971</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>64732</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>450</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>37702</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>10740</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>401595</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Shahan</PersonNm>
        <TitleTxt>Former Interim CFO VP 2020</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>149600</CompensationBasedOnRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>149600</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Abel</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>305147</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>7285</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13725</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28257</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>354414</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lisa Price</PersonNm>
        <TitleTxt>Director Behavioral Health Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>129417</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10557</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>800</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6142</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26904</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>173820</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Long</PersonNm>
        <TitleTxt>Psychiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>138997</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>305</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4395</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16056</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>159753</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Monica Schoonover</PersonNm>
        <TitleTxt>Dir Res Occ Health Svcs</TitleTxt>
        <BaseCompensationFilingOrgAmt>114946</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7956</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>371</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3703</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28243</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>155219</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stephanie Smart</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>255958</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>59683</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>400</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>34875</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>28305</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>379221</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for CEOs is determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the committee, which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package offered does not exceed fair market value.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Mary Shahan is now serving as interim CFO for WVUH-East which is a related party to United Summit Center. Her compensation from related party is for her duties as interim CFO for WVUH-East.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals deferred compensation through CAA contributions in 2022 Karyn Wallace in the amount of 28,372 and Stephanie Smart in the amount of 25,578. These amounts were properly recorded in deferred compensation on the Form 990 Schedule J.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O" softwareId="22015461" softwareVersionNum="22.0.1.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 5,820,717, Grants and allocations 3,258,652, Revenue 4,260,733 Other Revenues are defined by community outreach, education and referrals for mental health and behavioral services in addition to COVID American Rescue Act staff support.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Who have acute and chronic psychiatric disabilities, developmental disabilities, substance abuse problems and to people who are in crisis in an effort to assist in the achievement of their fullest potential where there is a service need within the state of West Virginia and to the extent that we are economically capable.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Achievement of their fullest potential where there is a service need within the state of West Virginia and to the extent that we are economically capable.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Multitude of services including case management services, substance abuse, outpatient and medical services, crisis stabilization, supportive living services, and various other services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is prepared by the WVUHS tax services department. Upon completion, Form 990 is reviewed and approved by the USC manager of accounting and CEO and provided to the board of directors before the final version is filed with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of interest policy covers all members of the United Summit Centers board, committees, and all officers and is monitored by annual written information questionnaires which are reviewed and maintained by the executive director or designee. The executive team reviews each transaction that may have the potential or actual conflicts of interest. If potential or actual conflicts are identified past, present or future the persons determined to have a conflict is/are recused from deliberations and voting with regards to that issue. The identified conflicts of interest and appropriate recusals are documented in the minutes of each board meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organizations Form 990 is made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organizations governing documents, conflict of interest policy, and financial statements are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>The process for assuming responsibility for the audited financial statements and selection of an independent accountant did not change from the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets include 80,867 related organization capitalization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15 a b</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of the CEO is determined by the WV United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. A full compensation survey was completed in 2021 for 2022 compensation amounts. The compensation of all officers at the Vice President level and below 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.</ExplanationTxt>
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        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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          <CityNm>Barnesville</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43713</ZIPCd>
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        <EIN>340719172</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Belmont Community Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4697 Harrison Street</AddressLine1Txt>
          <CityNm>Bellaire</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43906</ZIPCd>
        </USAddress>
        <EIN>340714643</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Wheeling Hospital Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Medical Park Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Medical Park</AddressLine1Txt>
          <CityNm>Wheeling</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <EIN>550744690</EIN>
        <PrimaryActivitiesTxt>Church</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Wheeling Hospital Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Self Insurance Trust Agreement of Wheeling Hospital Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1 Medical Park</AddressLine1Txt>
          <CityNm>Wheeling</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <EIN>550676674</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type I</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>GRMC Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>251 North Fourth Street</AddressLine1Txt>
          <CityNm>Oakland</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21550</ZIPCd>
        </USAddress>
        <EIN>871846814</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Grant Memorial Hospital Inc</BusinessNameLine1Txt>
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          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26506</ZIPCd>
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        <EIN>881740605</EIN>
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        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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          <AddressLine1Txt>1085 Van Voorhis Dr Ste 500</AddressLine1Txt>
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          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26505</ZIPCd>
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        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Allied Health Sourcing Solutions</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26506</ZIPCd>
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        <EIN>842403526</EIN>
        <PrimaryActivitiesTxt>Supply Chain Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
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          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26507</ZIPCd>
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        <EIN>550652017</EIN>
        <PrimaryActivitiesTxt>Medical Lab</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>West Virginia United Insurance Services Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>3040 University Avenue Suite 3200</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26505</ZIPCd>
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        <PrimaryActivitiesTxt>Provider Network</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corp</EntityTypeTxt>
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      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>
