<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-05-14T11:49:28-04:00</ReturnTs>
    <TaxPeriodEndDt>2023-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>550657218</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>HESS STEWART &amp; CAMPBELL PLLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>940 4TH AVE STE 250</AddressLine1Txt>
        <CityNm>HUNTINGTON</CityNm>
        <StateAbbreviationCd>WV</StateAbbreviationCd>
        <ZIPCd>257011455</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>550564945</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>UNIVERSITY PHYSICIANS &amp; SURGEONS</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>UNIV</BusinessNameControlTxt>
      <PhoneNum>3046911650</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1001 TENTH AVENUE</AddressLine1Txt>
        <CityNm>HUNTINGTON</CityNm>
        <StateAbbreviationCd>WV</StateAbbreviationCd>
        <ZIPCd>25701</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>JOHN M STRAUB</PersonNm>
      <PersonTitleTxt>CFO</PersonTitleTxt>
      <PhoneNum>3046911650</PhoneNum>
      <SignatureDt>2024-05-14</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>JOHN</PersonFirstNm>
        <PersonLastNm>STRAUB</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>CHARLES M MORRIS CPA</PreparerPersonNm>
      <PTIN>P01354970</PTIN>
      <PhoneNum>3045236464</PhoneNum>
      <PreparationDt>2024-05-14</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="12">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc10">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>MARSHALL HEALTH</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>BETH HAMMERS</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1001 TENTH AVENUE</AddressLine1Txt>
        <CityNm>HUNTINGTON</CityNm>
        <StateAbbreviationCd>WV</StateAbbreviationCd>
        <ZIPCd>25701</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>247374854</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.MARSHALLHEALTH.ORG/</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1976</FormationYr>
      <LegalDomicileStateCd>WV</LegalDomicileStateCd>
      <ActivityOrMissionDesc>UNIVERSITY PHYSICIANS &amp; SURGEONS, INC. IS A NOT-FOR-PROFIT ORGANIZATION INCORPORATED IN THE STATE OF WEST VIRGINIA. THE MEMBERSHIP OF THE ORGANIZATION CONSISTS OF PHYSICIANS WHO ARE FACULTY MEMBERS OF THE MARSHALL UNIVERSITY SCHOOL OF MEDICINE (MUSOM). REVENUES OF THE ORGANIZATION ARE USED FOR THE PUBLIC PURPOSE OF FURTHERING THE GOALS AND OBJECTIVES OF THE MUSOM AND ARE DERIVED PRINCIPALLY FROM BILLINGS FOR MEDICAL SERVICES FURNISHED BY THE ORGANIZATION'S MEMBERSHIP WITHIN THE SCOPE OF THEIR DUTIES AS FACULTY OF THE MUSOM.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>10</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>0</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>2151</TotalEmployeeCnt>
      <TotalGrossUBIAmt>242224</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>2836045</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>1717281</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>215687246</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>228765615</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>6696692</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>2163758</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>1475104</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>1408292</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>226695087</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>234054946</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>418695</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>55233</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>176361326</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>195715814</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>40121956</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>42277336</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>216901977</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>238048383</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>9793110</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-3993437</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>151420649</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>158195383</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>87645124</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>96436454</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>63775525</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>61758929</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>TO SUPPORT THE CLINICAL, EDUCATIONAL, RESEARCH AND SERVICES MISSIONS OF THE JOAN C. EDWARDS SCHOOL OF MEDICINE IN ORDER TO BUILD A HEALTHIER TOMORROW.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>220845416</ExpenseAmt>
      <GrantAmt>55233</GrantAmt>
      <RevenueAmt>228765615</RevenueAmt>
      <Desc>THE CORPORATION SUPPORTED THE FACULTY PHYSICIANS OF THE SCHOOL OF MEDICINE IN THEIR PROVISION OF MEDICAL SERVICES WITH APPROXIMATELY 556,000 PATIENT ENCOUNTERS.</Desc>
      <TotalProgramServiceExpensesAmt>220845416</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc12">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc4">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc4">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc4">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc5">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc5">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc5">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc5">true</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc5">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc5">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc5">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc5">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc5">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc5">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc5">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc5">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc5">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc6">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc6">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc7">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="RetDoc8">true</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>false</InvestTaxExemptBondsInd>
      <EscrowAccountInd>false</EscrowAccountInd>
      <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc9">false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc9">false</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc9">true</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc9">false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc9">false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc9">false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd referenceDocumentId="RetDoc9">false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc11">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc11">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc11">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc11">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>253</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>2151</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>10</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>0</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>false</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>false</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>false</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>true</InvestmentInJointVentureInd>
      <WrittenPolicyOrProcedureInd>true</WrittenPolicyOrProcedureInd>
      <StatesWhereCopyOfReturnIsFldCd>WV</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <OtherInd>X</OtherInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>THE ORGANIZATION</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>3046911650</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1001 TENTH AVE</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25701</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>VISHAL VERMA</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1151736</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>24083</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>376471</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NICOLAS PHAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1346449</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>105849</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24798</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NADIM BOU ZGHEIB</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1187787</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>69089</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>122529</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALI OLIASHIRAZI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>80.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>961500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>343113</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36600</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MUHAMMAD OMER JAMIL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1053728</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>22075</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19822</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL FERGUSON</PersonNm>
        <TitleTxt>FORMER DIREC</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>864912</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>98140</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24859</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH SHAPIRO</PersonNm>
        <TitleTxt>FORMER CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>352677</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>338671</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>162808</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MEHIAR EL-HAMDANI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>449240</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>249084</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33829</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BOBBY MILLER</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>364426</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>159886</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28475</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANA LYCANS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>477269</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>21660</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19811</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY DIAL</PersonNm>
        <TitleTxt>FORMER VICE-</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>474611</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>22523</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19872</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY ALBERICO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>415676</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>62822</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22401</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTA DENNING</PersonNm>
        <TitleTxt>FORMER DIREC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>396635</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>66908</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21704</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAULETTE WEHNER</PersonNm>
        <TitleTxt>SECRETARY/TR</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>204496</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>212280</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24028</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID JUDE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>315300</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>95344</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24401</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH EVANS</PersonNm>
        <TitleTxt>VICE-CHAIRMA</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>358491</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>53948</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21614</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN PETRANY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>183428</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>226180</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23141</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETH HAMMERS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>377561</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18300</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES BECKER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>249000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>79763</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18667</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN FLESHER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>269980</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>56426</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19235</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK STUDENY</PersonNm>
        <TitleTxt>FORMER DIREC</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>188081</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>130878</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19333</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JESSIE SHIELDS</PersonNm>
        <TitleTxt>FORMER DIREC</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>208576</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>50054</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14296</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN M STRAUB</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>254140</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14332</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHANNON BROWNING</PersonNm>
        <TitleTxt>CMIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>161266</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>92298</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13550</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL MCCARTHY</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>112435</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>99484</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11509</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NATHAN WARD</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>201139</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11582</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL CHIRICO</PersonNm>
        <TitleTxt>CSO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>175303</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10500</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>F LAYTON COTTRILL</PersonNm>
        <TitleTxt>MARSHALL DES</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>21292</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>126748</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8371</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHEANNA SPENCE</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>78325</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4749</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>12855459</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>2807306</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1171587</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>347</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PST SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 742526</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303742526</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT ACCTNG</ServicesDesc>
        <CompensationAmt>4065061</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CERIDIAN INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 772830</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606772830</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HR/PAYROLL</ServicesDesc>
        <CompensationAmt>429556</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NELSON MULLINS RILEY &amp; SCARBOROUGH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>POST OFFICE DRAWER 11009</AddressLine1Txt>
            <CityNm>COLUMBIA</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29211</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>366461</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SPARK CHANGE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1406 NE 95TH STREET</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64155</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>337272</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HUNTINGTON CITY MISSION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>624 10TH ST</AddressLine1Txt>
            <CityNm>HUNTINGTON</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25701</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROJECT HOPE</ServicesDesc>
        <CompensationAmt>332561</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>17</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>1717281</AllOtherContributionsAmt>
      <TotalContributionsAmt>1717281</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH CARE SERVICES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>228523391</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>228523391</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY OPERATIONS</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>242224</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>242224</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>228765615</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1744973</TotalRevenueColumnAmt>
        <ExclusionAmt>1744973</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>963894</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>963894</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>963894</TotalRevenueColumnAmt>
        <ExclusionAmt>963894</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>13582113</SecuritiesAmt>
        <OtherAmt>156580</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>13245673</SecuritiesAmt>
        <OtherAmt>74235</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>336440</SecuritiesAmt>
        <OtherAmt>82345</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>418785</TotalRevenueColumnAmt>
        <ExclusionAmt>418785</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>FORFEITED RETIREMENT PREMIUMS</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>444398</TotalRevenueColumnAmt>
        <ExclusionAmt>444398</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>444398</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>234054946</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>228523391</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>242224</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3572050</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>55233</TotalAmt>
        <ProgramServicesAmt>55233</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4898704</TotalAmt>
        <ProgramServicesAmt>4555795</ProgramServicesAmt>
        <ManagementAndGeneralAmt>342909</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>160142512</TotalAmt>
        <ProgramServicesAmt>148932536</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11209976</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>6857068</TotalAmt>
        <ProgramServicesAmt>6377073</ProgramServicesAmt>
        <ManagementAndGeneralAmt>479995</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>14868005</TotalAmt>
        <ProgramServicesAmt>13827245</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1040760</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>8949525</TotalAmt>
        <ProgramServicesAmt>8323058</ProgramServicesAmt>
        <ManagementAndGeneralAmt>626467</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>832733</TotalAmt>
        <ManagementAndGeneralAmt>832733</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>91372</TotalAmt>
        <ManagementAndGeneralAmt>91372</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>13418371</TotalAmt>
        <ProgramServicesAmt>13212970</ProgramServicesAmt>
        <ManagementAndGeneralAmt>205401</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>1514963</TotalAmt>
        <ProgramServicesAmt>1408916</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106047</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>4893870</TotalAmt>
        <ProgramServicesAmt>4551299</ProgramServicesAmt>
        <ManagementAndGeneralAmt>342571</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>2209862</TotalAmt>
        <ProgramServicesAmt>2055172</ProgramServicesAmt>
        <ManagementAndGeneralAmt>154690</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>344055</TotalAmt>
        <ProgramServicesAmt>319971</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24084</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>2105587</TotalAmt>
        <ProgramServicesAmt>1958196</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147391</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>890673</TotalAmt>
        <ManagementAndGeneralAmt>890673</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2355932</TotalAmt>
        <ProgramServicesAmt>2191017</ProgramServicesAmt>
        <ManagementAndGeneralAmt>164915</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>4117153</TotalAmt>
        <ProgramServicesAmt>3828952</ProgramServicesAmt>
        <ManagementAndGeneralAmt>288201</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICATIONS AND SUPPLIES</Desc>
        <TotalAmt>5863026</TotalAmt>
        <ProgramServicesAmt>5863026</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT</Desc>
        <TotalAmt>1572558</TotalAmt>
        <ProgramServicesAmt>1462479</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110079</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>1379482</TotalAmt>
        <ProgramServicesAmt>1282918</ProgramServicesAmt>
        <ManagementAndGeneralAmt>96564</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROFESSIONAL DUES</Desc>
        <TotalAmt>687699</TotalAmt>
        <ProgramServicesAmt>639560</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48139</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>238048383</TotalAmt>
        <ProgramServicesAmt>220845416</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17202967</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>10868</BOYAmt>
        <EOYAmt>10387</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>10928462</BOYAmt>
        <EOYAmt>14616220</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>10499149</BOYAmt>
        <EOYAmt>9341746</EOYAmt>
      </AccountsReceivableGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>8258392</BOYAmt>
        <EOYAmt>11003795</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>813031</BOYAmt>
        <EOYAmt>667963</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2168272</BOYAmt>
        <EOYAmt>1501000</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>50251572</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>16903363</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>35196133</BOYAmt>
        <EOYAmt>33348209</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>49793115</BOYAmt>
        <EOYAmt>49039248</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>6231224</BOYAmt>
        <EOYAmt>6418057</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>27522003</BOYAmt>
        <EOYAmt>32248758</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>151420649</BOYAmt>
        <EOYAmt>158195383</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>33382967</BOYAmt>
        <EOYAmt>33201963</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>3357120</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>12336904</BOYAmt>
        <EOYAmt>11792190</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>4971005</BOYAmt>
        <EOYAmt>5432128</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>10754961</BOYAmt>
        <EOYAmt>13724194</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>26199287</BOYAmt>
        <EOYAmt>28928859</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>87645124</BOYAmt>
        <EOYAmt>96436454</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>61475687</BOYAmt>
        <EOYAmt>61044713</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>2299838</BOYAmt>
        <EOYAmt>714216</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>63775525</BOYAmt>
        <EOYAmt>61758929</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>151420649</BOYAmt>
        <EOYAmt>158195383</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-3993437</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>2130656</NetUnrlzdGainsLossesInvstAmt>
      <InvestmentExpenseAmt>-153815</InvestmentExpenseAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc12">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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>
    <IRS990ScheduleC documentId="RetDoc4">
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>225304</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>225304</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>220620112</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>220845416</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>2000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>3000000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus1Amt>101175</CurrentYearMinus1Amt>
        <CurrentYearAmt>225304</CurrentYearAmt>
        <TotalAmt>326479</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>500000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>750000</GrassrootsCeilingAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MADE ITS FIRST SECTION 501(H) ELECTION IN ITS TAX YEAR ENDING JUNE 30, 2022. THE ELECTION HAS NOT BEEN REVOKED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc5">
      <AgentTrusteeEtcInd>false</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>true</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>13121570</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1068581</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>2190000</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>39795</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>11960356</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>16914092</BeginningYearBalanceAmt>
        <ContributionsAmt>2350000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-1583140</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>4507695</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>51687</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>13121570</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>15723684</BeginningYearBalanceAmt>
        <ContributionsAmt>1550046</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2837917</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>3140000</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>57555</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>16914092</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>18102705</BeginningYearBalanceAmt>
        <ContributionsAmt>3600000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1012978</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>6961970</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>30029</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>15723684</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>16614527</BeginningYearBalanceAmt>
        <ContributionsAmt>2330232</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>519999</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1336053</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>26000</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>18102705</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.45000</BoardDesignatedBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.55000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>261189</OtherCostOrOtherBasisAmt>
        <BookValueAmt>261189</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>31661807</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3906733</DepreciationAmt>
        <BookValueAmt>27755074</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2437492</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1820829</DepreciationAmt>
        <BookValueAmt>616663</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>15891084</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>11175801</DepreciationAmt>
        <BookValueAmt>4715283</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>33348209</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>CONTRACTS RECEIVABLE</Desc>
        <BookValueAmt>15968321</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INSURANCE RECOVERIES RECEIVABLE</Desc>
        <BookValueAmt>13709000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSET</Desc>
        <BookValueAmt>2567079</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INTANGIBLES, DEPOSITS &amp; OTHER ASSETS</Desc>
        <BookValueAmt>4358</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>32248758</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CONTINGENT PROFESSIONAL LIABILITY</Desc>
        <Amt>23938146</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>2577645</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPEB LIABILITY</Desc>
        <Amt>1817000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FICA TAX REFUND LIABILITY</Desc>
        <Amt>350168</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>245900</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>28928859</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>236185602</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>2130656</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>2130656</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>234054946</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>234054946</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>238048383</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>238048383</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>238048383</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART IV, LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAINTAINS FUNDS ON BEHALF OF THE MARSHALL UNIVERSITY SCHOOL OF MEDICINE. THESE FUNDS ARE UNCLAIMED MONIES FROM A LEGAL SETTLEMENT AGREEMENT WITH THE MANUFACTURER OF THE DIABETES DRUG, REZULIN, THAT WERE DISTRIBUTED TO THE ORGANIZATION TO BE HELD ON BEHALF OF THE MARSHALL UNIVERSITY SCHOOL OF MEDICINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS A BOARD DESIGNATED FUND HELD FOR THE PURPOSE OF FUNDING PROFESSIONAL LIABILITY CLAIMS. OTHER FUNDS ARE TEMPORARILY RESTRICTED FOR THE PURPOSES OF OB/GYN, DIABETES, ENDOCRINOLOGY, AND RURAL HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WERE NO UNCERTAIN TAX POSITIONS INDICATED IN THE AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc6">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BIG GREEN SCHOLARSHIP FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1360</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25715</ZIPCd>
        </USAddress>
        <CashGrantAmt>33333</CashGrantAmt>
        <PurposeOfGrantTxt>BANNER PROJECT/FLOOR</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WV MEDICAL PROFESSIONALS HEALTH</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>PROGRAM</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4013 BUCKHANNON PIKE</AddressLine1Txt>
          <CityNm>MOUNT CLARE</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26408</ZIPCd>
        </USAddress>
        <RecipientEIN>743226821</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SPIRIT OF WELLNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HUNTINGTON MUSEUM OF ART</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2033 MCCOY ROAD</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25701</ZIPCd>
        </USAddress>
        <CashGrantAmt>6900</CashGrantAmt>
        <PurposeOfGrantTxt>THE MUSEUM BALL</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>3</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION'S PURPOSE IS TO SUPPORT THE FACULTY PHYSICIANS OF THE MARSHALL UNIVERSITY SCHOOL OF MEDICINE. CONTRIBUTIONS TO MARSHALL UNIVERSITY ARE DESIGNATED FOR THIS PURPOSE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc7">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>true</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VISHAL VERMA</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1151736</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>24083</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>374949</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1522</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1526685</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>25605</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NICOLAS PHAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1346449</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>105849</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6498</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1364749</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>112347</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NADIM BOU ZGHEIB</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1187787</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>69089</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>118300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4229</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1306087</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>73318</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALI OLIASHIRAZI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>961500</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>343113</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>18300</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>979800</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>361413</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MUHAMMAD OMER JAMIL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>1053728</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>22075</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1522</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1072028</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>23597</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL FERGUSON</PersonNm>
        <TitleTxt>FORMER DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>864912</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>98140</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6559</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>883212</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>104699</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH SHAPIRO</PersonNm>
        <TitleTxt>FORMER CHAIRMAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>352677</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>338671</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>144508</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>18300</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>497185</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>356971</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MEHIAR EL-HAMDANI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>449240</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>249084</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>15529</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>467540</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>264613</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BOBBY MILLER</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>364426</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>159886</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>10175</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>382726</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>170061</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANA LYCANS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>477269</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>21660</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1511</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>495569</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>23171</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LARRY DIAL</PersonNm>
        <TitleTxt>FORMER VICE-CHAIRMAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>474611</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>22523</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1572</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>492911</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>24095</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTHONY ALBERICO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>415676</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>62822</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4101</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>433976</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>66923</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISTA DENNING</PersonNm>
        <TitleTxt>FORMER DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>396635</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>66908</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17498</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4206</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>414133</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>71114</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAULETTE WEHNER</PersonNm>
        <TitleTxt>SECRETARY/TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>204496</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>212280</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10770</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>13258</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>215266</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>225538</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID JUDE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>315300</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>95344</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6101</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>333600</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>101445</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH EVANS</PersonNm>
        <TitleTxt>VICE-CHAIRMAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>358491</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>53948</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3314</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>376791</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>57262</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHEN PETRANY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>183428</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>226180</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7286</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>15855</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>190714</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>242035</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BETH HAMMERS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>377561</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18300</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>395861</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES BECKER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>249000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>79763</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5167</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>262500</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>84930</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN FLESHER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>269980</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>56426</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15779</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3456</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>285759</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>59882</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK STUDENY</PersonNm>
        <TitleTxt>FORMER DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>188081</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>130878</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11285</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>8048</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>199366</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>138926</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JESSIE SHIELDS</PersonNm>
        <TitleTxt>FORMER DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>208576</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>50054</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11081</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3215</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>219657</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>53269</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN M STRAUB</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>254140</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14332</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>268472</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHANNON BROWNING</PersonNm>
        <TitleTxt>CMIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>161266</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>92298</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6050</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>168766</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>98348</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL MCCARTHY</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>112435</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>99484</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5216</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6293</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>117651</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>105777</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NATHAN WARD</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>201139</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11582</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>212721</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL CHIRICO</PersonNm>
        <TitleTxt>CSO</TitleTxt>
        <BaseCompensationFilingOrgAmt>175303</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10500</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>185803</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>F LAYTON COTTRILL</PersonNm>
        <TitleTxt>MARSHALL DESIGNEE</TitleTxt>
        <BaseCompensationFilingOrgAmt>21292</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>126748</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>623</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>7748</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>21915</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>134496</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDITIONAL SALARY SUPPLEMENTS PAID BY THE CORPORATION MAY BE AUTHORIZED FROM CLINICAL SERVICE INCOME SUBJECT TO THE SPECIFIC WRITTEN RECOMMENDATION OF THE DEPARTMENT CHAIR AND WRITTEN APPROVAL OF THE DEAN. SUCH SUPPLEMENTS ARE SUBJECT TO THE AVAILABILITY OF FUNDS AND ARE THEREFORE, DISCRETIONARY IN NATURE AND ARE NOT GUARANTEED. THE PAYMENT OF SUCH A SUPPLEMENT DOES NOT GUARANTEE FURTHER SUPPLEMENTS OR AFFECT THE SALARY COMPONENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 4B: EFFECTIVE JULY 1, 2019, THE CORPORATION ESTABLISHED A NON-QUALIFIED EXECUTIVE BENEFIT PLAN FOR KEY EMPLOYEES KNOWN AS THE MARSHALL HEALTH CAPITAL ACCUMULATION PROGRAM (MHCAP). THE MHCAP IS BEING FUNDED VIA LIFE INSURANCE POLICIES, AND SPLIT DOLLAR LOAN AGREEMENTS HAVE BEEN ENTERED INTO WITH THE PARTICIPANTS COVERED UNDER THE PLAN. AS PART OF THE SPLIT DOLLAR LOAN AGREEMENTS, THE PARTICIPANTS HAVE ASSIGNED THE POLICIES TO THE CORPORATION AS COLLATERAL. THIS ASSIGNMENT SECURES REPAYMENT OF ANY ADVANCES AND ACCRUED INTEREST FOR THE POLICY PREMIUMS. THE LOANS BEAR INTEREST AT THE APPLICABLE FEDERAL RATE UNDER INTERNAL REVENUE CODE SECTION 1274(D) IN EFFECT ON THE DATE OF THE LOAN. THE RATE IS BASED ON THE PARTICIPANTS' LIFE EXPECTANCY AND THE COMPOUNDING PERIOD AS PROVIDED IN TREASURY REGULATION SECTION 1.7872-15. REPAYMENT OF THE LOANS OCCURS AT THE TIME OF DEATH OF THE PARTICIPANTS. REFER TO SCHEDULE L FOR MORE INFORMATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc8">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY COMMISSION OF CABELL COUNTY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>556000305</BondIssuerEIN>
        <BondIssuedDt>2019-12-20</BondIssuedDt>
        <IssuePriceAmt>14000000</IssuePriceAmt>
        <PurposeDesc>FINANCING THE CONSTRUCTION OF A NEW PARKING GARAGE</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>14000000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>191000</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>13340463</CapitalExpendituresAmt>
        <UnspentAmt>468537</UnspentAmt>
        <SubstantialCompletionYr>2021</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>COUNTY COMMISSION OF CABELL COUNTY FINANCING THE CONSTRUCTION OF A NEW PARKING GARAGE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>COUNTY COMMISSION OF CABELL COUNTY SCHEDULE K, PART II, LINE 12: UNSPENT PROCEEDS BOND WAS A DRAW DOWN LOAN WITH 468,537 UNSPENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc9">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>MARIA TRIA TIRONA</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>410000</OriginalPrincipalAmt>
        <BalanceDueAmt>1523270</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>VISHAL VERMA</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>291539</OriginalPrincipalAmt>
        <BalanceDueAmt>1270211</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>DANIEL BEALS</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>300000</OriginalPrincipalAmt>
        <BalanceDueAmt>1009396</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>ZEID KHITAN</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>200000</OriginalPrincipalAmt>
        <BalanceDueAmt>825496</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JUAN SANABRIA</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>150000</OriginalPrincipalAmt>
        <BalanceDueAmt>612594</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>ADEL FALTAOUS</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>150000</OriginalPrincipalAmt>
        <BalanceDueAmt>606806</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>YOUSEF SHWEIHAT</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>86108</OriginalPrincipalAmt>
        <BalanceDueAmt>605680</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JOSEPH SHAPIRO</PersonNm>
        <RelationshipWithOrgTxt>FORMER CHAIRMAN</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>88461</OriginalPrincipalAmt>
        <BalanceDueAmt>447262</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JENNIE YOOST</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>107999</OriginalPrincipalAmt>
        <BalanceDueAmt>441062</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>DAVID DENNING</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>100000</OriginalPrincipalAmt>
        <BalanceDueAmt>414697</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>NADIM BOU ZGHEIB</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>102692</OriginalPrincipalAmt>
        <BalanceDueAmt>413765</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>SUZANNE HOLROYD</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>41904</OriginalPrincipalAmt>
        <BalanceDueAmt>392911</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>RAJ KHANNA</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>38462</OriginalPrincipalAmt>
        <BalanceDueAmt>338425</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>MATTHEW BULLOCK</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>50000</OriginalPrincipalAmt>
        <BalanceDueAmt>245192</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>GHASSAN SALIM ISSA BANDAK</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>61923</OriginalPrincipalAmt>
        <BalanceDueAmt>217152</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>CHAD LAVENDER</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>50000</OriginalPrincipalAmt>
        <BalanceDueAmt>204197</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>MARC SUBIK</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>42308</OriginalPrincipalAmt>
        <BalanceDueAmt>196128</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JOHN JASKO</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>50000</OriginalPrincipalAmt>
        <BalanceDueAmt>183810</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>CARLOS RUEDA RIOS</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>45000</OriginalPrincipalAmt>
        <BalanceDueAmt>183773</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>HYLA HARVEY</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>35385</OriginalPrincipalAmt>
        <BalanceDueAmt>158518</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JAMES GIGANTELLI JR</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>25000</OriginalPrincipalAmt>
        <BalanceDueAmt>110833</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>VIKRAM SHIVKUMAR</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>40000</OriginalPrincipalAmt>
        <BalanceDueAmt>105174</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>KATHLEEN O'HANLON</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>50000</OriginalPrincipalAmt>
        <BalanceDueAmt>102618</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>CHRISTINE GILKERSON</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>25000</OriginalPrincipalAmt>
        <BalanceDueAmt>102098</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>ELLEN THOMPSON</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>25000</OriginalPrincipalAmt>
        <BalanceDueAmt>102098</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JARED BROWNFIELD</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>25000</OriginalPrincipalAmt>
        <BalanceDueAmt>102096</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>KELLY MELVIN</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>25001</OriginalPrincipalAmt>
        <BalanceDueAmt>70478</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>SEAN LOUDIN</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>17308</OriginalPrincipalAmt>
        <BalanceDueAmt>18055</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>11003795</TotalBalanceDueAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>NADIM BOU ZGHEIB FROM 102,692 413,765 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT SUZANNE HOLROYD FROM 41,904 392,911 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT RAJ KHANNA FROM 38,462 338,425 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT MATTHEW BULLOCK FROM 50,000 245,192 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT GHASSAN SALIM ISSA BANDAK FROM 61,923 217,152 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT CHAD LAVENDER FROM 50,000 204,197 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT MARC SUBIK FROM 42,308 196,128 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT JOHN JASKO FROM 50,000 183,810 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT CARLOS RUEDA RIOS FROM 45,000 183,773 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT HYLA HARVEY FROM 35,385 158,518 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT JAMES GIGANTELLI, JR. FROM 25,000 110,833 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT VIKRAM SHIVKUMAR FROM 40,000 105,174 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT KATHLEEN O'HANLON FROM 50,000 102,618 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT CHRISTINE GILKERSON FROM 25,000 102,098 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT ELLEN THOMPSON FROM 25,000 102,098 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT JARED BROWNFIELD FROM 25,000 102,096 ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT KELLY MELVIN FROM 25,001 70,478 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT SEAN LOUDIN FROM 17,308 18,055 FUND SPLIT-DOLLAR LIFE INSURANCE ( ) IN DEFAULT (X) APPROVED BY BOARD/COMMITTEE (X) WRITTEN AGREEMENT</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc10">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL DEPARTMENT HEADS OF THE ORGANIZATION HAVE THE RIGHT TO DETERMINE TWO MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF FINANCIAL OFFICER REVIEWS THE COMPLETED DRAFT OF THE FORM 990 PREPARED BY A CERTIFIED PUBLIC ACCOUNTING FIRM. ONCE THE RETURN IS APPROVED, IT IS SIGNED BY THE CFO AND COPIES ARE DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE SUBMITTING IT TO THE IRS, TIME PERMITTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR'S SALARY IS REVIEWED AND APPROVED BY THE DEAN OF MARSHALL UNIVERSITY'S SCHOOL OF MEDICINE IN HIS CAPACITY AS BOTH DEAN OF THE RELATED ORGANIZATION AND EX OFFICIO CHAIR OF THE ORGANIZATION'S BOARD OF DIRECTORS. COMPARATIVE SALARY INFORMATION FROM THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES' GROUP ON BUSINESS AFFAIRS AND GROUP ON FACULTY PRACTICE AS WELL AS THE MEDICAL GROUP MANAGEMENT ASSOCIATION IS EXAMINED BY THE DEAN. SALARIES OF ALL MAJOR CLINICAL DEPARTMENT CHAIRS, EXECUTIVE MANAGEMENT TEAM MEMBERS AND DEPARTMENTAL ADMINISTRATORS ARE ALSO REVIEWED AND APPROVED UTILIZING A SIMILAR PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR'S SALARY IS REVIEWED AND APPROVED BY THE DEAN OF MARSHALL UNIVERSITY'S SCHOOL OF MEDICINE IN HIS CAPACITY AS BOTH DEAN OF THE RELATED ORGANIZATION AND EX OFFICIO CHAIR OF THE ORGANIZATION'S BOARD OF DIRECTORS. COMPARATIVE SALARY INFORMATION FROM THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES' GROUP ON BUSINESS AFFAIRS AND GROUP ON FACULTY PRACTICE AS WELL AS THE MEDICAL GROUP MANAGEMENT ASSOCIATION IS EXAMINED BY THE DEAN. SALARIES OF ALL MAJOR CLINICAL DEPARTMENT CHAIRS, EXECUTIVE MANAGEMENT TEAM MEMBERS AND DEPARTMENTAL ADMINISTRATORS ARE ALSO REVIEWED AND APPROVED UTILIZING A SIMILAR PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS MAINTAINED AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES AND IS MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE FOR PUBLIC REVIEW, BUT ARE DISTRIBUTED AMONG THE DEPARTMENTS WITHIN THE ORGANIZATION. THE FINANCIAL STATEMENTS CAN BE ACCESSED BY LETTER, IN PERSON OR VIA WEB SEARCH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc11">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MARSHALL UNIVERSITY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 JOHN MARSHALL DRIVE</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25701</ZIPCd>
        </USAddress>
        <EIN>556000789</EIN>
        <PrimaryActivitiesTxt>HIGHER ED</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>2</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MOUNTAIN HEALTH CLINICAL SOLUTIONS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1002 THIRD AVENUE</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25701</ZIPCd>
        </USAddress>
        <EIN>834501745</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-161453</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>656088</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.60000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THREE GABLES SURGERY CENTER</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5897 COUNTY ROAD 107</AddressLine1Txt>
          <CityNm>PROCTORVILLE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45669</ZIPCd>
        </USAddress>
        <EIN>870648900</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>92360</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>3365679</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.41120</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MARSHALL PHARMACY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1600 MEDICAL CENTER DRIVE</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25701</ZIPCd>
        </USAddress>
        <EIN>863545212</EIN>
        <PrimaryActivitiesTxt>PHARMACIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>242224</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>10918220</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.45000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
    <AveragingAttachment documentId="RetDoc2">
      <ExplanationTxt>THE ORGANIZATION MADE ITS FIRST SECTION 501(H) ELECTION IN ITS TAX YEAR ENDING JUNE 30, 2022. THE ELECTION HAS NOT BEEN REVOKED.</ExplanationTxt>
    </AveragingAttachment>
  </ReturnData>
</Return>
