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      <MissionDesc>The Uniontown Hospitals vision is to make a healthy difference in the lives we touch. We will fulfill our vision by providing excellent customer service, promoting telework, maintaining competency, assuring productivity ensuring compliance, all the while, being mindful of our financial regulatory responsibilities.</MissionDesc>
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      <Desc>Outpatient Services - The Health Systems hospital based services are complemented by a full spectrum of outpatient services. These services include a state-of-the-art Outpatient Diagnostic Facility that opened in 2006. The outpatient center offers convenient services, including x-rays, bone density scans, ultrasounds, and digital mammography. The Hospital is the primary source of emergency care in the County with approximately 43,691 patient visits during 2023. Other traditional outpatient services include Laboratory, Radiology, and Same Day Surgery which accounted for 782,291 patient visits.</Desc>
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        <Desc>Inpatient Services - The Uniontown Hospital had 119 adult beds during 2023. The Hospital delivered state-of-the-art primary inpatient services to approx. 26,920 acute care days, 2,963 critical care days, 4,566 observation days during the period. Since 1903, the Hospital has been serving the greater Uniontown and Fayette County area, providing quality healthcare regardless of the persons ability to pay. The Hospital has earned several recognitions from HealthGrades, the nations leading independent healthcare ratings organization. The Hospital draws the majority of its patients from Fayette County. Although the population of the County has been decreasing, the demand for the Hospitals services remain due to the downsizing and service cuts at nearby facilities along with the growth in both the regions uninsured and elderly populations. The Uniontown Hospital offers lines of services that are unavailable elsewhere in Fayette County. In addition to being the primary source of orthopedic care, it was the only hospital to offer interventional cardiology and radiation oncology services.</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Nancy Decker</PersonNm>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael George DDS</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Malone</PersonNm>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Suzanne McMonagle</PersonNm>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>William Smith</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Malcolm Stone DMD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <IndivRcvdGreaterThan100KCnt>85</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>VA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Quest Diagnostics of Pennsylvania Inc</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>Fayette Emergency Medical Services</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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        <CompensationAmt>246002</CompensationAmt>
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      <ContractorCompensationGrp>
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          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>Harrisonburg</CityNm>
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        <CompensationAmt>196825</CompensationAmt>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>Fedora Intertech LLC</BusinessNameLine1Txt>
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      <GovernmentGrantsAmt>252968</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>81777</AllOtherContributionsAmt>
      <TotalContributionsAmt>334745</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>154587432</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>2692620</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1079455</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>39136</RelatedOrExemptFuncIncomeAmt>
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      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>15961</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>18611</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>II-B 1i</FormAndLineReferenceDesc>
        <ExplanationTxt>This amount is calculated based on information provided by the Hospital and Healthsystem Association of Pennsylvania and the American Hospital Association. The American Hospital Association estimates that 32 of the 2023 dues were allocated to lobbying expense. The Hospital and Health System Association of Pennsylvania estimates that during 2023, 28.34 of the dues paid should be allocated to lobbying expense. Uniontown Hospital does not participate in or intervene in including publishing or distributing of statements any political campaign on behalf of or in opposition to any candidate for public office.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>II-B 1g</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO of Uniontown Hospital as part of her duties, monitors legislation that may potentially affect Uniontown Hospital and voices his support or concerns regarding that legislation to legislators either in person, by phone, or by mail.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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        <BookValueAmt>3541482</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>33345715</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6637125</DepreciationAmt>
        <BookValueAmt>26708590</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2589193</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>739605</DepreciationAmt>
        <BookValueAmt>1849588</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>12462166</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5830289</DepreciationAmt>
        <BookValueAmt>6631877</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2498866</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>974016</DepreciationAmt>
        <BookValueAmt>1524850</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>40256387</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>Investments - CHART</Desc>
        <BookValueAmt>10442429</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>10442429</TotalBookValueProgramRltdAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Long Term Lease Liability</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Self Insurance Liability</Desc>
        <Amt>1311000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Interest Rate Swaps</Desc>
        <Amt>1779276</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other NC Liabilities</Desc>
        <Amt>2635901</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DB Pension Obligation</Desc>
        <Amt>5808839</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Taxes</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Deferred Comp</Desc>
        <Amt>194176</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>11729192</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>156136939</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>816387</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-6365888</OtherRevenueAmt>
      <RevenueNotReportedAmt>-5549501</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>161686440</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>21964</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>21964</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>161708404</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>165283062</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>165283062</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>6365888</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>6365888</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>171648950</TotalExpensesPerForm990Amt>
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        <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, BCHS, PHIC, HPN, and TMHS are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2023 and 2022.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>This amount shown on line 2d consists of 5,785,396 provision for doubtful accounts and 580,492 defined benefit cost reported as on offset to revenue on the financial statements but as an expense on the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>This amount consists of 21,964 of fundraising proceeds that are reported as revenue on the 990, but posted to net assets on the financials.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount shown on line 4b consists of 5,785,396 provision for doubtful accounts and 580,492 defined benefit cost that is reported as an offset to revenue on the financial statements but as an expense on the Form 990</ExplanationTxt>
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    </IRS990ScheduleD>
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        <GrossRevenueEvent1Amt>15615</GrossRevenueEvent1Amt>
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        <GrossRevenueEvent2Amt>9540</GrossRevenueEvent2Amt>
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        <GrossRevenueTotalEventsAmt>25155</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>3191</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>3191</DirectExpenseSummaryEventsAmt>
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    </IRS990ScheduleG>
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      <WrittenPolicyInd>true</WrittenPolicyInd>
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      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
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      <UnableToProvideCareInd>false</UnableToProvideCareInd>
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      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
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      <CostingMethodologyUsedGrp>
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      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
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          <CityNm>Uniontown</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
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        <StateLicenseNum>470901</StateLicenseNum>
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        <OwnWebsiteURLTxt>https//wvumedicine.org/wp-content/uploads/2022/08/Uniontown-Hospital-Community-Health-Needs-Assessme</OwnWebsiteURLTxt>
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        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
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        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>https//wvumedicine.org/wp-content/uploads/2020/03/Financial-Assistance-Application-Form-3-17-2020.pd</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
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        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>true</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Effective January 1, 2021, Uniontown Hospital became a member of the West Virginia United Health System. The West Virginia United Health System is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its service areas, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. Uniontown Hospital maintained their previously approved non-profit status with the IRS after joining the System.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The 2022 Community Health Needs Assessment CHNA was prepared by the West Virginia University Health Sciences Center - Health Affairs Institute. The CHNA process began with a thorough review of the previous cycles needs assessment report, and included review of publicly available secondary data related to counties within Uniontowns service area. These data included census data and County Health Rankings Data. Using these reports as a springboard, the leadership team started the initial discussion around critical health needs, changes in the community demographics over the previous few years, and lessons learned from the last CHNA cycles health topic prioritization and development of implementation activities. Primary data collection was comprised of surveying community members to gather perceptions of health issues, quality of life, and other related topics. Survey data was analyzed and presented back to the Uniontown leadership team, including community partners. This meeting was focused on reviewing the survey data, discussing community assets that impact population health in Uniontowns service area, as well as discussing the needs of those not well-represented in the survey data. At this meeting, the group worked to discuss possible strategies for each area of concern, as well as existing resources to address these needs. The CHNA can be found here https//wvumedicine.org/wp-content/uploads/2022/08/Uniontown-Hospital-Community-Health-Needs-Assessment-June-2022.pdf</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The existing secondary data, new survey data, community partner input, and lessons learned from the last CHNA cycle all factored into Uniontown leaderships prioritization decisions. The group considered the degree to which the hospital can realistically affect health outcomes for each topic, projects or programs already underway for each, as well as level of importance placed on each by the community relative to the reach of Uniontowns impact. Leadership paid particular attention to the demographics of senior respondents, feedback gathered about access to health care, as well as other areas and demographics they know to be of particular concern in their community. Within this discussion of where and how the hospital can realistically affect community wellbeing and health outcomes, what they could accomplish with collaboration with partners, the list of health concerns was organized into three that will be the focus moving forward with implementation planning. These three health concerns are substance use and mental health, obesity and co-morbid illness, and cancer.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Uniontown hospital leadership saw issues surrounding substance use and abuse and mental health remain at the top of the communitys concerns. In addition to participating in more clinical strategies such as a MOUD quality initiative to ensure connection to needed resources, exploration of telepsychiatry in the ED, and fostering stronger relationships with local clinical settings offering inpatient psychiatric beds, the hospital will provide community benefit via the following strategies. First, Uniontown Hospital plans to participate in the annual Compassion Not Judgment event on the annual International Overdose Awareness Day. This will educate the community around overdose awareness and reducing stigma of drug-related deaths. Uniontown Hospital has served as an official drug take back site during prior implementation cycles and will continue to do so, with greater concentration on promotion and community awareness. The program supports safe disposal of opioids and other substances, including old or unused prescription drugs. In partnership with Dog Tag radio show, Uniontown Hospital will provide expertise to bring awareness to mental health challenges facing the area veteran community. Lastly, Uniontown Hospital continues to review opportunities for their Social Workers to attend ASAM online training and plans to provide them the opportunity to complete this training.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Uniontown Hospitals CHNA leadership team has chosen to prioritize the topics of obesity and co-morbid disease due to strong feedback from the primary data collection and community meeting, evidence from secondary data regarding the area population, and experience in their own clinical and other professional settings. Through the hospitals Community Relations Department, the hospital will coordinate and sponsor annual series of community concerts that include promoting healthy behaviors and education specifically targeting the needs of the community, including engagement around healthy lifestyles and healthy eating. Uniontown Hospital will participate in four health fairs or other community education efforts each year to promote healthy lifestyles. Uniontown Hospital will participate in planning, assessment, and promotion of the BlueZones initiative. Lastly Uniontown Hospital will continue to support the Wednesday Walk Program, develop an outpatient Diabetes Education Program, and support the Fayette County Chamber of Commerces Fall Food Drive, providing access to nutritious food.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Cancer is a third topic that is an area of clear concern, and an area where Uniontown leadership saw opportunity to affect health outcomes. Uniontown has a history of partnering with the American Cancer Society via sponsorship and engagement to help provide community education around cancer prevention. Uniontown Hospital also plans to develop a program to engage with patients for lung cancer screenings.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 16j</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 16i, There are no groups with limited english proficiency that rise to the threshold required under IRC Section 501R. However, language translations of the financial assistance policy and application are available by request at the financial counseling department of the hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 16j</FormAndLineReferenceDesc>
        <ExplanationTxt>Notice of financial assistance programs are included in the Uniontown Hospital Service Directory and in the Patient Information Books in each inpatient room. There is a paragraph on the second patient statement discussing free or discounted services and directing patients to the proper location to see the FAP. Brochures are available in the emergency waiting room, Patient Financial Services and admissions office which discuss FAP.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Uniontown Hospital Line Part V, Section B, Line 24</FormAndLineReferenceDesc>
        <ExplanationTxt>All patients are charged an amount equal to gross charges regardless of payment method. Once FAP eligibility is confirmed, charge amounts are moved to Charity Care and no longer charged to the patient.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Uniontown Hospital Outpatient Diagnostic Center</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>150 Wayland Smith Drive Suite B</AddressLine1Txt>
            <CityNm>Uniontown</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15401</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Center</FacilityTxt>
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      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>Uniontown Hospital uses 200 Federal Poverty Guideline FPG to determine free care eligibility. However, Uniontown does not offer discounted care to individuals who fail the 200 FPG test.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Uniontown Hospital, Inc., community benefit numbers are reported in total with other hospitals within the West Virginia United Health System. The most recent amounts can be found on WVU Medicines website here https//wvumedicine.org/about/leadership-and-more/community-benefit/</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>West Virginia United Health System reports summarized community benefits online https//wvumedicine.org/about/leadership-and-more/community-benefit/</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Net community benefit expense for 2023 is 12,344,255 and is 7.44 of total net expenses. To calculate net expense, bad debt of 5,785,396 was deducted from total expenses of 171,648,950 as shown in Part IX line 25 of the core Form 990, for a net expense of 165,863,554.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>No community building activities to report for 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt Expense at cost was calculated by multiplying bad debt expense of 5,785,396 by our cost to charge ratio of 33.38 for a total of 1,931,165.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 65,773 which we then multiplied by our cost to charge ratio of 33.38 for a total of 21,955.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The estimated bad debt attributable to patients eligible for charity care of 21,955 should be considered community benefit due to the fact that anyone with outstanding balances of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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. Regardless, that bad debt should be considered community benefit as we provide services to those in need regardless of their ability to pay.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient accounts receivables are primarily paid by federal and state governmental authorities under the Medicare and Medicaid programs, managed health plans, commercial insurance companies, workers compensation programs, employers and patients. Patient accounts receivable are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions. The System does not believe there are any significant concentrations of revenues from any particular payor that would subject the System to any significant credit risks in the collection of patient accounts receivable. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. Changes in general economic conditions, patient accounting service center operations, payor mix, payor claim processing could affect collections of accounts receivable, cash flows and results of operations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The System performs periodic assessments to determine if an allowance for expected credit losses is necessary. The System considers its incurred loss experience and adjusts for known and expected events and other circumstances. In estimating its expected credit losses, the System may consider changes in the length of time its receivables have been outstanding, changes in credit ratings for payors, requests from payors to alter payment terms due to financial difficulty, and notices of payor bankruptcies or payors entering receivership. Because the Systems accounts receivable is typically paid for by highly solvent, creditworthy payors, such as Medicare, Medicaid, other governmental programs, and highly regulated commercial insurers on behalf of the patient, the Systems credit losses are immaterial to the consolidated financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The mix of accounts receivable at December 31, 2023 and 2022, from patients and third-party payors is as follows For the year-end December 31, 2023 Medicare - 25, Medicaid - 13, Blue Cross - 21, Commercial, managed care and other - 39, Patients - 2, totaling 100. For the year-end December 31, 2022 Medicare - 27, Medicaid - 16, Blue Cross - 19, Commercial, managed care and other - 35, Patients - 3, totaling 100.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount reported in Part III Line 6 60,861,418 was calculated using the total Medicare allowable cost from the Medicare cost report, less Medicare reimbursement of direct GME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Uniontown Hospital does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity, the patient will not be sent to bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The West Virginia United Health System leadership team develops an operating plan every year. This operating plan establishes several priorities for the Uniontown Hospital, all of which are focused on meeting the ever changing healthcare needs of the community. The leadership team develops this operating plan with knowledge gathered from direct contact from patients patient satisfaction surveys outside consultants professional health care groups such as the Hospital Association of Pennsylvania and the Healthcare Financial Management Association and research obtained from various sources including the federal and state government and various other outreach programs and sources.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>As part of the Revenue Cycle policy entitled Service Assess it states under Patient Advocacy that the health care system will actively assist all individuals in seeking resolution to their financial obligations. This includes helping them understand what services are covered by their health insurance, providing assistance in obtaining health insurance and helping seek eligibility for financial assistance. Currently this program is called the Uniontown Hospital Community Charity Care UHC3. UHC3 is available to all residents of Fayette County and patients will be assisted by Financial Care Consultants that are part of the Patient Financial Services department. The Hospital has brochures located in its waiting rooms referencing all financial services and patient obligations. In addition, the Patient Access staff makes the brochures readily available to the population at the time of registration.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The Uniontown Hospital is a 130 bed community hospital which is located 50 miles southeast of Pittsburgh in the City of Uniontown, Fayette County. Since 1904 the Hospital has been serving the greater Uniontown and Fayette County area, providing quality healthcare regardless of a persons ability to pay. Census.gov estimates the population of Fayette County to be 123,915 as of July 1, 2023. The current unemployment rate is 5.0. Approximately 23.3 of the population is over 65 with 17.2 of the population below the poverty level and 25.8 of the population eligible for Medicaid.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The general health and well being of the community residents is central to the mission of Uniontown Hospital. The Hospital responds to the healthcare needs of the community with a number of community education and outreach programs. Additionally, numerous educational seminars, classes, and health fairs are offered free of charge to the public. The Hospital sponsors Blood Drives with the American Red Cross and outreach activities with organizations such as the American Heart Association and March of Dimes. Also, in June 2004 the Hospital joined forces with health organizations and other community groups to organize the Fayette County Community Health Improvement Partnership CHIP. CHIP has initiated numerous programs to reduce teen pregnancy and smoking, and several health issue related task forces. Under the auspice of CHIP is Fayette County STEPS initiative which is a national pilot program funded by the Centers for Disease Control which targets chronic disease prevention. The STEPS program builds partnerships among area school districts, workplaces, doctor offices, and neighborhood coalitions to educate and promote healthier lifestyles.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>On January 1, 2021, Uniontown Hospital became a member of the West Virginia United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its service areas, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. System hospitals include West Virginia University Hospitals, Inc. in Morgantown, WV, United Hospital Center in Bridgeport, WV, Camden-Clark Memorial Hospital in Parkersburg, WV, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Potomac Valley Hospital in Keyser, WV, St. Josephs Hospital of Buckhannon, Inc. in Buckhannon, WV, West Virginia Healthcare Cooperative, doing business as, Summersville Regional Medical Center in Summersville, WV, Braxton County Memorial Hospital in Gassaway, WV, Community Health Association, doing business as, Jackson General Hospital in Ripley, WV, Reynolds Memorial Hospital in Glen Dale, WV, Wetzel County Hospital in New Martinsville, WV, Barnesville Hospital Association in Barnesville, OH, Uniontown Hospital in Uniontown, PA, Wheeling Hospital, Inc. in Wheeling, WV, Harrison Community Hospital, Inc. in Cadiz, OH, GRMC, Inc. in Oakland, MD, Princeton Community Hospital Association, Inc. in Princeton, WV, Herbert J. Thomas Memorial Hospital Association, doing business as, Thomas Memorial Hospital in South Charleston, WV, Charleston Hospital, Inc., doing business as, St. Francis Hospital in Charleston, WV, and Grant Memorial Hospital, Inc. in Petersburg, WV.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to the above mentioned hospitals, the System includes physician practices of United Physicians Care, Inc., Camden-Clark Physician Corp, and Fayette Physician Network dba WVUHS Medical Group that operate in conjunction with the System hospitals along with United Summit Center, Inc. a behavioral health center located in Clarksburg, WV. The System also includes, WVUH-East, Inc. and Camden-Clark Health Services, Inc. which operate as management companies for their respective hospitals. University Healthcare Foundation, Inc. in Martinsburg, WV, United Health Foundation, Inc. in Bridgeport, WV, Camden-Clark Foundation, Inc. in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, Reynolds Memorial Foundation, Inc. in Glen Dale, WV, Barnesville Hospital Foundation in Barnesville, OH, and Harrison Community Hospital Foundation in Cadiz, OH which perform various fundraising activities for their respective hospitals. In 2020, the System formed WVUHS Home Care, LLC to provide Home Health and Hospice services to our service areas, supporting System hospitals by providing continuous care to our patients. Wheeling Hospital Ambulatory Surgical Center, LLC a surgical center located in Bridgeport, OH was acquired in 2021.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Uniontown Hospital provides cash contributions to charitable organizations that support healthcare or community building activities. Uniontown Hospital does not monitor the use of grants after awarded.</ExplanationTxt>
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        <PersonNm>William Johnson</PersonNm>
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        <PersonNm>Rob Popelas</PersonNm>
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        <PersonNm>Patrick Cramer</PersonNm>
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        <PersonNm>David Hess MD</PersonNm>
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        <PersonNm>Brandon Ball MD</PersonNm>
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        <PersonNm>Beth Carolla</PersonNm>
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        <PersonNm>Lynn Matusik</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>During 2023, certain individuals reported in Part VII participated in a nonqualified retirement plan. The following is a list of those individuals, plan types and amounts. Carrie Willets - CAA deferred contributions in the amount of 82,680 Michael Grace - CAA deferred contributions from related party in the amount of 113,220 and David Hess - CAA deferred contributions from related party in the amount of 83,130.</ExplanationTxt>
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        <ExplanationTxt>Per the WVUHS Incentive Plan incentives are contingent on meeting a net earning target.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Incentive and bonuses are based on goals and productivity measures that are not contingent on revenue.</ExplanationTxt>
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        <IssuerName>
          <BusinessNameLine1Txt>Fayette County Hospital Authority</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>251512681</BondIssuerEIN>
        <CUSIPNum>312468BP5</CUSIPNum>
        <BondIssuedDt>2007-09-27</BondIssuedDt>
        <IssuePriceAmt>50000000</IssuePriceAmt>
        <PurposeDesc>Constructing New Patient Tower Refunding of 1996 series issuance</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>20505000</RetiredAmt>
        <TotalProceedsAmt>50000000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>450208</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>37500</CreditEnhancementAmt>
        <CapitalExpendituresAmt>38437991</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>11074301</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2010</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>PNC Bank NA</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>0000000013.340000000000</TermOfHedgePct>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>A rebate computation was completed on July 8, 2022. The review found that no rebate is due at this time. The next rebate computation is due June 1, 2027.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3a b</FormAndLineReferenceDesc>
        <ExplanationTxt>While there are management or service contracts that may result in Private Business Use in bond-financed property the review of such activity for 2023 was so minor that it did not reach the reporting threshold of 2/10th of a percent.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="990O" softwareId="23017659" softwareVersionNum="23.1.0.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 3,337,064, Grants and allocations 35,400, Revenue 1,422,202 Uniontown Hospital provides other services and received revenue during 2023 from anciliary services provided to those we serve.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization is a membership not a stock corporation under West Virginia State law. The Organizations sole coporate member is West Virginia United Health System, inc. a related not-for-profit organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>West Virginia United Health System, Inc., as the sole corporate member, also has the right to remove any member or members of the Corporations governing board, approve amendments to the articles of incorporation or bylaws of the Corporation, Approve the dissolution, merger of or with, or consolidation by the Corporation, Approve the sale, lease, exchange, mortgage, pledge or other disposition of all or substantially all of the Corporations assets, and Appoint and remove the President and Chief Executive Office President/CEO of the Corporation and consultation with the Corporations Board of Trustees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is prepared by the System Tax Team and provided to the Director of Finance and VP of Finance for review prior to being presented to all voting members of the Finance and Audit Committee for review. After review by the Finance and Audit Committee, a full copy of the 990 is made available to the entire Board of the Uniontown Hospital.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Business Ethics department of the organization periodically reviews all potential conflicts, transactions and relationships to see if substantive. All potential new conflicts are reviewed by the Business Ethics department and the concept is covered during annual training. The department will report actual or possible conflicts to the WVUHS Executive Committee of the Board for evaluation. The Committee shall determine whether a conflict exists. The Committee is empowered to take corrective action as necessary, including refraining from participation in certain Board decisions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organizations governing documents, conflicts of interest policy and financial statements are available by contacting the CEOs office or Finance dapartment. A copy will be mailed upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Other service expenses consist of the following items Consulting Professional fees, Contracted Labor Fees, Contract Labor - Patient Care, Lab Fees Non-Hosp Only, Collection Agency Fees, Medical Director Contracted, and Contracted Physician Expense. Consulting and Professional fees of 1,293,359 of which 1,011,497 is considered program service and 281,862 is considered management and general. Contracted Labor Fees of 3,878,062 of which 3,438,588 is considered program service and 439,474 is considered management and general. Contract Labor - Patient Care of 7,443,818 of which all is considered program service. Lab Fees Non-Hosp Only of 67 of which all is considered program service. Collection Agency Fees of 20,889 of which all is considered management and general. Medical Director Contracted of 163,286 of which all is considered program service. Contracted Physician Expense of 37,508 of which all is considered program service expense.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets is comprised of change in restricted assets of 28,200, JOA Contribution to SOM of 270,529, Pension Adjustment of 2,713,740, Proceeds from the Christmas Tree Raffle that were maintained in Unrestricted Net Assets of 12,424, Related Organization Capitalization net transfers of 2,710,593, and Rounding of 3.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2023, West Virginia United Health System WVUHS, EIN 55-0754713, transitioned to a centralized accounts payable process in which WVUHS made the majority of vendor payments and then issued the required 1099s. WVUHS is reimbursed by the entities for their portion of payments made, vendor payments that meet the Top 5 Independent Contractor reporting requirements are reported in Part VII, Section B of the reporting entity.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>West Virginia United Health System</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 8034</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26506</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Healthcare Access</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>12 Type I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>University Healthcare Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>121 Administrative Drive</AddressLine1Txt>
          <CityNm>Martinsburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25401</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Hospital Support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>West Virginia University Hospitals - East Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>United Physicians Care Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>686 South Pike Street</AddressLine1Txt>
          <CityNm>Shinnston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26431</ZIPCd>
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        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>United Hospital Center Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <CityNm>Bridgeport</CityNm>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>United Summit Center</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>6 Hospital Plaza</AddressLine1Txt>
          <CityNm>Clarksburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26301</ZIPCd>
        </USAddress>
        <EIN>550752788</EIN>
        <PrimaryActivitiesTxt>Behavioral Health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>West Virginia University Hospitals Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Camden-Clark Health Services Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>800 Garfield Ave</AddressLine1Txt>
          <CityNm>Parkersburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26101</ZIPCd>
        </USAddress>
        <EIN>550769602</EIN>
        <PrimaryActivitiesTxt>Healthcare Access</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Camden-Clark Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>800 Garfield Ave</AddressLine1Txt>
          <CityNm>Parkersburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26101</ZIPCd>
        </USAddress>
        <EIN>550667789</EIN>
        <PrimaryActivitiesTxt>Hospital Support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Camden-Clark Health Services</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Camden-Clark Physician Corp</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>604 Ann Street</AddressLine1Txt>
          <CityNm>Parkersburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26101</ZIPCd>
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        <EIN>264058719</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Camden-Clark Health Services</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <ZIPCd>26506</ZIPCd>
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        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>West Virginia University Hospitals East</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>121 Administrative Drive</AddressLine1Txt>
          <CityNm>Martinsburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25401</ZIPCd>
        </USAddress>
        <EIN>202337985</EIN>
        <PrimaryActivitiesTxt>Healthcare Access</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12a</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>City Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2500 Hospital Drive</AddressLine1Txt>
          <CityNm>Martinsburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25401</ZIPCd>
        </USAddress>
        <EIN>550383321</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>West Virginia University Hospitals - East Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Jefferson Memorial Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>300 South Preston St</AddressLine1Txt>
          <CityNm>Ranson</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25438</ZIPCd>
        </USAddress>
        <EIN>550359755</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>West Virginia University Hospitals - East Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>United Hospital Center Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>327 Medical Park Drive</AddressLine1Txt>
          <CityNm>Bridgeport</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26330</ZIPCd>
        </USAddress>
        <EIN>550525724</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>West Virginia Health Care Cooperative Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>400 Fairview Heights Rd</AddressLine1Txt>
          <CityNm>Summersville</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26651</ZIPCd>
        </USAddress>
        <EIN>550650441</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Camden-Clark Memorial Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>800 Garfield Ave</AddressLine1Txt>
          <CityNm>Parkersburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26101</ZIPCd>
        </USAddress>
        <EIN>311524546</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Camden-Clark Health Services</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Potomac Valley Hospital of W Va Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 Pin Oak Lane</AddressLine1Txt>
          <CityNm>Keyser</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26726</ZIPCd>
        </USAddress>
        <EIN>550420956</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Joseph's Hospital of Buckhannon Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Amalia Drive</AddressLine1Txt>
          <CityNm>Buckhannon</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26201</ZIPCd>
        </USAddress>
        <EIN>550356996</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Joseph's Foundation of Buckhannon Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Amalia Drive</AddressLine1Txt>
          <CityNm>Buckhannon</CityNm>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Reynolds Memorial Hospital Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 Wheeling Ave</AddressLine1Txt>
          <CityNm>Glen Dale</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26038</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Braxton County Memorial Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 Hoylman Drive</AddressLine1Txt>
          <CityNm>Gassaway</CityNm>
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          <ZIPCd>26624</ZIPCd>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Community Health Association</BusinessNameLine1Txt>
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          <AddressLine1Txt>122 Pinnell Street</AddressLine1Txt>
          <CityNm>Ripley</CityNm>
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          <ZIPCd>25271</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Wetzel County Hospital Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>3 East Benjamin Drive</AddressLine1Txt>
          <CityNm>New Martinsville</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26155</ZIPCd>
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        <EIN>843480493</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WVUHS Home Care LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 8059</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26506</ZIPCd>
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        <EIN>852915642</EIN>
        <PrimaryActivitiesTxt>Home Health and Hospice Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>509a2</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Fayette Physician Network Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>500 West Berkeley Street</AddressLine1Txt>
          <CityNm>Uniontown</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15401</ZIPCd>
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        <EIN>455440305</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Wheeling Hospital Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>1 Medical Park</AddressLine1Txt>
          <CityNm>Wheeling</CityNm>
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          <ZIPCd>26003</ZIPCd>
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        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Harrison Community Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>951 E Market Street</AddressLine1Txt>
          <CityNm>Cadiz</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43907</ZIPCd>
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        <EIN>341571750</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Barnesville Hospital Association</BusinessNameLine1Txt>
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          <AddressLine1Txt>639 W Main Street</AddressLine1Txt>
          <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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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Belmont Community Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>4697 Harrison Street</AddressLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <EIN>340714643</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Wheeling Hospital Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Medical Park Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>1 Medical Park</AddressLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>Self Insurance Trust Agreement of Wheeling Hospital Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>1 Medical Park</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>GRMC Inc</BusinessNameLine1Txt>
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        <EIN>871846814</EIN>
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          <BusinessNameLine1Txt>Grant Memorial Hospital Inc</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Herbert J Thomas Memorial Hospital Association</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Princeton Community Hospital Association</BusinessNameLine1Txt>
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          <AddressLine1Txt>4605 MacCorkle Ave SW</AddressLine1Txt>
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          <AddressLine1Txt>PO Box 8034</AddressLine1Txt>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>WVUHS Specialty Pharmacy Services Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 8034</AddressLine1Txt>
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          <AddressLine1Txt>222 Nicolette Rd</AddressLine1Txt>
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          <BusinessNameLine1Txt>Camden-Clark Health Services</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>Allied Health Services Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO Box 782</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26507</ZIPCd>
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        <PrimaryActivitiesTxt>Linen Services</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Fayette Oncology Associates Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>600 Grant Street 58th FL</AddressLine1Txt>
          <CityNm>Pittsburgh</CityNm>
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          <ZIPCd>15219</ZIPCd>
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        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>277280</ShareOfTotalIncomeAmt>
        <OwnershipPct>0.50000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>