Form990
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
UNITED HOSPITAL CENTER INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
327 MEDICAL PARK DRIVE
 
Room/suite
City or town, state or country, and ZIP + 4
BRIDGEPORT, WV26330
D Employer identification number

55-0525724
E Telephone number

G Gross receipts $ 222,968,366
F Name and address of principal officer:
BRUCE CARTER
327 MEDICAL PARK DRIVE
BRIDGEPORT,WV26330
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.uhcwv.org
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1970
M State of legal domicile: WV
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: To enhance the health status of the citizens of North Central West Virginia by providing a broad range of state-of-the-art services for inpatient and outpatient care.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 20
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 20
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 2,137
6 Total number of volunteers (estimate if necessary) .... 6 211
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b  
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 633,258 601,847
9 Program service revenue (Part VIII, line 2g) ......... 201,519,162 206,125,326
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 10,566,645 12,831,967
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,103,815 2,250,947
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 214,822,880 221,810,087
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...   0
14 Benefits paid to or for members (Part IX, column (A), line 4) ....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 102,211,368 104,754,120
16a Professional fundraising fees (Part IX, column (A), line 11e)....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 82,340,178 111,249,386
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 184,551,546 216,003,506
19 Revenue less expenses. Subtract line 18 from line 12...... 30,271,334 5,806,581
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 533,031,484 541,643,733
21 Total liabilities (Part X, line 26)............ 299,547,943 304,941,526
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 233,483,541 236,702,207
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: To provide health care in North Central West Virginia and to enhance the
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 35,026,464 including grants of $   ) (Revenue $   )
UNITED HOSPITAL CENTER PROVIDED $35,026,464 IN UNCOMPENSATED CARE, WHICH REPRESENTED 17% OF THE TOTAL NET PATIENT SERVICE REVENUE. INCLUDED IN THE ABOVE AMOUNT WAS $13,678,823 OF CHARITY CARE FOR INDIVIDUALS THAT QUALIFIED FOR FINANCIAL ASSISTANCE AND $21,347,641 IN BAD DEBT ACCOUNT BALANCE WRITE-OFFS. UHC WROTE OFF 1796 ACCOUNTS TO CHARITY AND 7016 ACCOUNTS TO BAD DEBT RELATED TO PATIENTS THAT HAD MEDICARE COVERAGE.
4b (Code:   ) (Expenses $ 3,007,290 including grants of $   ) (Revenue $ 1,412,932 )
AS A PART OF UNITED HOSPITAL CENTER'S COMMITMENT TO ENSURING ACCESS TO PRIMARY CARE, A FAMILY MEDICINE RESIDENCY PROGRAM WAS ESTABLISHED IN 1974. THE PROGRAM IS ONE OF SIX AVAILABLE IN WEST VIRGINIA AND ACCOUNTED FOR APPROXIMATELY 20% OF ALL GRADUATES IN THESE PROGRAMS. THE THREE-YEAR PROGRAM OFFERS SIX RESIDENCY POSITIONS EACH YEAR AND HAS GRADUATED 200 RESIDENTS TO DATE, OF WHOM APPROXIMATELY 108 CURRENTLY PRACTICE IN WEST VIRGINIA. PATIENT VISITS TO THE UHC FAMILY MEDICINE CLINIC WERE 15,165
4c (Code:   ) (Expenses $ 3,748,228 including grants of $   ) (Revenue $   )
UNITED HOSPITAL CENTER SUPPORTS HEALTH ACCESS, A FREE HEALTHCARE CLINIC THAT IT HELPED TO ORGANIZE. THE CLINIC SERVES INDIGENT MEMBERS OF THE COMMUNITY. UNITED HOSPITAL CENTER PROVIDED FREE HEALTHCARE SERVICES AND SERVED 2746 PATIENTS SUPPORTED BY HEALTH ACCESS. FAMILY MEDICINE PHYSICIANS VOLUNTEER THEIR SERVICES AFTER HOURS TO THE HEALTH ACCESS CLINIC TO IMPROVE ACCESS TO HEALTH CARE SERVICES FOR HARRISON COUNTY CITIZENS WHO CAN NOT AFFORD TO HAVE HEALTH INSURANCE COVERAGE.
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
The United Hospital Center's respitory care, pharmacy, nursing departments and American Lung Association of West Virginia co-sponsored their American Lung Association of West Virginia co-sponsored their American Lung Association of West Virginia co-sponsored their American Lung Association of West Virginia co-sponsored their American Lung Association of West Virginia co-sponsored their American Lung Association of West Virginia co-sponsored their
(Code:   ) (Expenses $ 69,027 including grants of $   ) (Revenue $   )
IN AN EFFORT TO INFORM THE COMMUNITY ABOUT THE AVAILABILITY OF HEALTH SERVICES, UHC PUBLISHES AND DISTRIBUTES A HOME VISIT NEWSLETTER AND ANNUAL COMMUNITY REPORT UHC PUBLISHES AND DISTRIBUTES A HOME VISIT NEWSLETTER AND ANNUAL COMMUNITY REPORT UHC PUBLISHES AND DISTRIBUTES A HOME VISIT NEWSLETTER AND ANNUAL COMMUNITY REPORT UHC PUBLISHES AND DISTRIBUTES A HOME VISIT NEWSLETTER AND ANNUAL COMMUNITY REPORT UHC PUBLISHES AND DISTRIBUTES A HOME VISIT NEWSLETTER AND ANNUAL COMMUNITY REPORT UHC PUBLIS
(Code:   ) (Expenses $ 4,832 including grants of $   ) (Revenue $   )
United Hospital Associates participated in health fairs/screenings for the community citizens at various locations throughout North community citizens at various locations throughout North community citizens at various locations throughout North community citizens at various locations throughout North community citizens at various locations throughout North community citizens at various locations throughout North
(Code:   ) (Expenses $ 23,850 including grants of $   ) (Revenue $   )
United Hospital Center conducted, through the Education Department, a diabetes support group at which participants from various counties attended. support group at which participants from various counties attended. support group at which participants from various counties attended. support group at which participants from various counties attended. support group at which participants from various counties attended. support group at which participants from various counties attended.
(Code:   ) (Expenses $ 12,725 including grants of $   ) (Revenue $   )
UHC sponsors an annual Pathology Seminar that is organized by one of its staff pathologist. The cost to UHC this year was $12,725. The seminar has been very successful pathologist. The cost to UHC this year was $12,725. The seminar has been very successful pathologist. The cost to UHC this year was $12,725. The seminar has been very successful
(Code:   ) (Expenses $ 1,000 including grants of $   ) (Revenue $   )
United Hospital Center's Hospice and Home Health Departments conducted presentations at area nursing homes on End-of life care. The total cost was approximatly $1000 with an area nursing homes on End-of life care. The total cost was approximatly $1000 with an
(Code:   ) (Expenses $ 35,081 including grants of $   ) (Revenue $ 2,081 )
United Hsopital Center is one of the largest providers of obstetrical services in terms of deliveries and serves as a regional resource for obstetric services. in terms of deliveries and serves as a regional resource for obstetric services. in terms of deliveries and serves as a regional resource for obstetric services. in terms of deliveries and serves as a regional resource for obstetric services. in terms of deliveries and serves as a regional resource for obstetric services.
(Code:   ) (Expenses $ 247,313 including grants of $   ) (Revenue $ 86,319 )
TO ADDRESS OTHER HELATH MANPOWER SHORTAGES THROUGHOUT THE REGION, UNITED HOPITAL CENTER'S SCHOOL OF RADIOLOGICAL TECHNOLOGY GRADUATED TWELVE RADIOLOGY TECHNOLOGIST THIS YEAR. THE COST RADIOLOGICAL TECHNOLOGY GRADUATED TWELVE RADIOLOGY TECHNOLOGIST THIS YEAR. THE COST RADIOLOGICAL TECHNOLOGY GRADUATED TWELVE RADIOLOGY TECHNOLOGIST THIS YEAR. THE COST RADIOLOGICAL TECHNOLOGY GRADUATED TWELVE RADIOLOGY TECHNOLOGIST THIS YEAR. THE COST RADIOLOGICAL TECHNOLOGY GRADUATED TWELVE RADIOLOGY TECHNOLOGIST
(Code:   ) (Expenses $ 1,057 including grants of $   ) (Revenue $   )
HOSPITAL REPRESENTATIVES VOLUNTEER WITH THE HEALTH OCCUPATIONS STUDENT ASSOCIATION FOR THE UNITED TECHNICAL CENTER AND FAIRMONT STATE UNIVERSITY. UHC'S SCHOOL OF RADIOLOGIC TECHNOLOGY CONDUCTED UNITED TECHNICAL CENTER AND FAIRMONT STATE UNIVERSITY. UHC'S SCHOOL OF RADIOLOGIC TECHNOLOGY CONDUCTED UNITED TECHNICAL CENTER AND FAIRMONT STATE UNIVERSITY. UHC'S SCHOOL OF RADIOLOGIC TECHNOLOGY CONDUCTED UNITED TECHNICAL CENTER AND FAIRMONT STATE UNIVERSITY. UHC'S SCHOOL OF RADIOLOGIC TECHNOLOGY CONDUCT
(Code:   ) (Expenses $ 165,168,659 including grants of $   ) (Revenue $   )
Provides healthcare services for the community and surrounding areas. The majority ofthe program services provided are to provide health care and health care maintenance for the comunity as both are to provide health care and health care maintenance for the comunity as both
(Code:   ) (Expenses $ 298 including grants of $   ) (Revenue $   )
The manager of Unihet Hpsotal Center's dietary department provided Registered Dietician services for Bicounty Nutrition, 10 weeks to 10K, Asthma Camp and Harrison services for Bicounty Nutrition, 10 weeks to 10K, Asthma Camp and Harrison
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
Along with three rural hospitals, United Hospital Center provides support to the West Virginia Chapter of Office Managers Association of Health Care Providers. The purpose of the organization Chapter of Office Managers Association of Health Care Providers. The purpose of the organization Chapter of Office Managers Association of Health Care Providers. The purpose of the organization
(Code:   ) (Expenses $ 11,980 including grants of $   ) (Revenue $   )
UNITED HOSPITAL CENTER HAS REPRESENTATIVES SERVING ON SEVERAL COMMUNITY BOARDS INCLUDING, BUT NOT LIMITED TO FAMILY SERVICES OF HARRISON & MARION COUNTIES, HARRISON COUNTY DROP-IN ADVISORY BOARD, BUT NOT LIMITED TO FAMILY SERVICES OF HARRISON & MARION COUNTIES, HARRISON COUNTY DROP-IN ADVISORY BOARD, BUT NOT LIMITED TO FAMILY SERVICES OF HARRISON & MARION COUNTIES, HARRISON COUNTY DROP-IN ADVISORY BOARD, BUT NOT LIMITED TO FAMILY SERVICES OF HARRISON & MARION COUNTIES, HARRISON COUNTY DROP-IN AD
(Code:   ) (Expenses $ 3,622 including grants of $   ) (Revenue $   )
UNITED HOSPITAL CENTER PROVIDES ADMINISTRATIVE FACILITIES FOR THE AMERICAN CANCER SOCIETY. IN ADDITION UHC ALLOWS SOME ORGANIZATIONS THE USE OF CLASSROOMS AT NO CHARGE. THE ORGANIZATIONS INCLUDE BUT NOT UHC ALLOWS SOME ORGANIZATIONS THE USE OF CLASSROOMS AT NO CHARGE. THE ORGANIZATIONS INCLUDE BUT NOT UHC ALLOWS SOME ORGANIZATIONS THE USE OF CLASSROOMS AT NO CHARGE. THE ORGANIZATIONS INCLUDE BUT NOT UHC ALLOWS SOME ORGANIZATIONS THE USE OF CLASSROOMS AT NO CHARGE. THE ORGANIZATIONS INCLUDE BUT N
(Code:   ) (Expenses $ 226,644 including grants of $   ) (Revenue $   )
UNITED HOSPITAL DONATES EXPIRED OR OPENED UNUSED PRODUCTS FOR DISTRIBUTION TO THIRD WORLD COUNTRIES SUCH AS AFRICA AND SOUTH AMERICA. A PORTION OF THIS YEAR'S CONTRIBUTION WAS SENT TO DOC TO DOC IN NEW YORK. AS AFRICA AND SOUTH AMERICA. A PORTION OF THIS YEAR'S CONTRIBUTION WAS SENT TO DOC TO DOC IN NEW YORK. AS AFRICA AND SOUTH AMERICA. A PORTION OF THIS YEAR'S CONTRIBUTION WAS SENT TO DOC TO DOC IN NEW YORK. AS AFRICA AND SOUTH AMERICA. A PORTION OF THIS YEAR'S CONTRIBUTION WAS SENT TO DOC TO
(Code:   ) (Expenses $ 4,878 including grants of $   ) (Revenue $   )
Family Medicine residents as well as managers of pharmacy, laboratory, cancer registry and radiology oncology departments volunteered time and conducted several and radiology oncology departments volunteered time and conducted several and radiology oncology departments volunteered time and conducted several
(Code:   ) (Expenses $ 10,120 including grants of $   ) (Revenue $   )
UHC'S FAMILY MEDICINE PROGRAM FACULTY AND RESIDENTS PREPARED AND TAUGHT CLASSES IN SEX EDUCATION FOR AREA SCHOOLS. TOTAL EXPENSE FOR THIS ACTIVITY WAS $8094 WITH 2320 PERSONS SERVED. FOR AREA SCHOOLS. TOTAL EXPENSE FOR THIS ACTIVITY WAS $8094 WITH 2320 PERSONS SERVED. FOR AREA SCHOOLS. TOTAL EXPENSE FOR THIS ACTIVITY WAS $8094 WITH 2320 PERSONS SERVED. FOR AREA SCHOOLS. TOTAL EXPENSE FOR THIS ACTIVITY WAS $8094 WITH 2320 PERSONS SERVED. FOR AREA SCHOOLS. TOTAL EXPENSE FOR THIS ACTIVITY WAS $8094
(Code:   ) (Expenses $ 2,500 including grants of $   ) (Revenue $   )
United Hospital Center Emergency department provided all the Medical tent services for the Greater Clarksburg 10k run and Cecil Jarvis Memorial Triatholon held in Clarksburg,WV Greater Clarksburg 10k run and Cecil Jarvis Memorial Triatholon held in Clarksburg,WV
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
THE HOSPITAL ALSO OFFERS ROTATIONS FOR STUDENTS IN THE FOLLOWING PROGRAMS: EMERGENCY MEDICAL PERSONNEL, MEDICAL RECORD TECHNOLOGY, PHARMACY, SAFETY ENGINEERING, MEDICAL STUDENTS FROM LEWISBURG MEDICAL RECORD TECHNOLOGY, PHARMACY, SAFETY ENGINEERING, MEDICAL STUDENTS FROM LEWISBURG MEDICAL RECORD TECHNOLOGY, PHARMACY, SAFETY ENGINEERING, MEDICAL STUDENTS FROM LEWISBURG MEDICAL RECORD TECHNOLOGY, PHARMACY, SAFETY ENGINEERING, MEDICAL STUDENTS FROM LEWISBURG MEDICAL RECORD TECHNOLOGY, PHARMACY, SAF
(Code:   ) (Expenses $ 1,443 including grants of $   ) (Revenue $ 1,100 )
THE OBSTETRICS DEPARTMENT ALSO CONDUCTS CHILDBIRTH CLASSES FOR EXPECTANT PARENTS. THESE CLASSES ARE FOR EXPECTANT MOTHERS AND COACHES TO PRACTICE TECHNIQUES FOR THE BEST POSSIBLE EXPERIENCE IN CHILDBIRTH. FOR EXPECTANT MOTHERS AND COACHES TO PRACTICE TECHNIQUES FOR THE BEST POSSIBLE EXPERIENCE IN CHILDBIRTH. FOR EXPECTANT MOTHERS AND COACHES TO PRACTICE TECHNIQUES FOR THE BEST POSSIBLE EXPERIENCE IN CHILDBIRTH. FOR EXPECTANT MOTHERS AND COACHES TO PRACTICE TECHNIQUES FOR THE BEST POSSIBLE EXPERI
4d Other program services. (Describe in Schedule O.)
(Expenses $ 165,825,029 including grants of $   ) (Revenue $ 89,500 )
4e Total program service expensesMediumBullet$ 207,607,011
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part V
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2...
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2...........
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
119
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
2,137
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
No
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
No
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
No
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
No
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
20
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
20
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
WV
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
DOUGLAS M COFFMAN VP FINANCECFO
327 MEDICAL PARK DRIVE
BRIDGEPORT,WV26330
(681) 342-1605
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) MR W HENRY LAWRENCE
Chairman
 2.00 X   X       0 0 0
(2) MS JOSIE FAIX
Vice Chairman
 2.00 X   X       0 0 0
(3) MR TOM AMAN
Treasurer
 2.00 X   X       0 0 0
(4) MR ROBERT KITTLE
Secretary
 2.00 X   X       0 0 0
(5) MR JEFFREY BARGER
Board Member
 2.00 X           0 0 0
(6) MS SUSAN COLLINS
Board Member
 2.00 X           0 0 0
(7) MRS ELLEN CONDRON
Board Member
 2.00 X           0 0 0
(8) DR PAUL DAVIS
Board Member
 2.00 X           0 0 0
(9) MR CHARLES FEATHERS
Board Member
 2.00 X           0 0 0
(10) MR JAMES GRIFFIN
Board Member
 2.00 X           0 0 0
(11) MICHAEL HESS MD
Board Member
 2.00 X           0 0 0
(12) MRS JEANNIE KALAYCIOGLU
Board Member
 2.00 X           0 0 0
(13) MR STEVE MCDANIEL
Board Member
 2.00 X           0 0 0
(14) MR THOMAS MICHEL
Board Member
 2.00 X           0 0 0
(15) REV W DELMA PARRIS
Board Member
 2.00 X           0 0 0
(16) MR LOUIS R SPATAFORE
Board Member
 2.00 X           0 0 0
(17) MS MELANIE SQUIRES
Board Member
 2.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) MS KATHY WAGNER
Board Member
 2 X                
(19) MRS KATHARYN WETZEL
Board Member
 2 X                
(20) REV ROBERT WILSON
Board Member
 2 X                
(21) BRUCE CARTER
President
 40     X       557,056   38,632
(22) MIKE TILLMAN
Vice President
 40     X       270,130   49,448
(23) GEOFF MARSHALL
Vice President
 40     X       174,278   42,313
(24) TIM ALLEN
Vice President
 40     X       187,706   45,262
(25) DOUG COFFMAN
Vice President
 40     X       256,547   34,195
(26) BRIAN COTTRILL
Vice President
 40     X       246,881   38,660
(27) MARK POVROZNIK
Vice President
 40     X       226,222   41,338
(28) JEFF BOYARD
Legal Counsel
 40       X     175,925   35,221
(29) VINCENT MIELE MD
Staff Physician
 40         X   681,158   25,913


1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 4,879,499   431,801
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet75
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
MOSITES CONSTRUCTION CO
4839 CAMBELLS RUN RD
PITTSBURGH,PA15205 		Construction 5,246,935
MIDWEST MECHANICAL CONTRACTORS
138 WYANDOTTE ST
KANSAS CITY,MO64145 		Construction 4,480,814
LIGHTHOUSE ELECTRIC
1957 RT 519 SOUTH
CANONSBURG,PA15317 		Construction 3,620,951
SPECTRA CONTRACT FLOORING
26 39TH STREET
PITTSBURGH,PA15201 		Construction 3,563,743
FRANKLIN INTERIOURS INC
2740 SMALLMAN STREET SUITE 600
PITTSBURGH,PA15222 		Professional 3,045,494
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet54
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 230,451
f All other contributions, gifts, grants, and
similar amounts not included above1f 		371,396
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 601,847
Program Service Revenue Business Code
2a Net Patient Service Revenue 621,500 206,060,299      
b Purchase Discounts 621,500 65,027      
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 206,125,326
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 12,831,967      
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 1,098,679  
b Less: rental expenses 1,158,279  
c Rental income or (loss) -59,600  
d Net rental income or (loss).......MediumBullet -59,600 -59,600    
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet        
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a 98,712
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 98,712 98,712    
Miscellaneous Revenue Business Code
11a Cafeteria 900,099 1,384,147 1,384,147    
b Radiology School Tuition 900,099 85,500 85,500    
c Prescription - Retail 900,099 202,770 202,770    
d All other revenue .... 539,418 539,418    
e Total. Add lines 11a–11d ......MediumBullet 2,211,835
12 Total revenue. See Instructions....MediumBullet 221,810,087 221,208,240    
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21    
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 2,094,745 0 2,094,745 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 78,695,431 74,177,747 4,517,684 0
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 3,200,166 2,914,159 286,007 0
9 Other employee benefits ....... 15,396,899 14,359,241 1,037,658 0
10 Payroll taxes ........... 5,366,879 4,927,616 439,263 0
11 Fees for services (non-employees):        
a Management ...... 1,412,897 1,412,897 0 0
b Legal ......... 53,692 53,692 0 0
c Accounting ........... 92,378 92,378 0 0
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 16,209,220 16,209,220 0 0
12 Advertising and promotion .... 481,093 481,093 0 0
13 Office expenses ....... 38,209,916 38,209,916 0 0
14 Information technology ...... 3,377,569 3,366,569 11,000 0
15 Royalties ..        
16 Occupancy ........... 4,182,787 4,182,787 0 0
17 Travel ............ 430,003 422,185 7,818 0
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 84,411 82,091 2,320 0
20 Interest ........... 3,041,582 3,041,582 0 0
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 14,705,216 14,705,216 0 0
23 Insurance .............. 1,960,028 1,960,028 0 0
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a Repairs & Maintenance 2,565,953 2,565,953 0 0
b Bad Debt 21,347,641 21,347,641 0 0
c Loss/Gain SWAP Valuation 3,095,000 3,095,000 0 0
d
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 216,003,506 207,607,011 8,396,495 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 8,306,766 1 7,322,054
2 Savings and temporary cash investments ....... 10,087,097 2 3,049,408
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 25,744,726 4 28,075,899
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 2,786,103 8 3,026,384
9 Prepaid expenses and deferred charges ............ 2,586,687 9 1,219,523
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 383,400,241
b Less: accumulated depreciation. ..... 10b 42,742,656 248,912,706 10c 340,657,585
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ......... 2,149,244 14 2,136,295
15 Other assets. See Part IV, line 11 ........... 232,458,155 15 156,156,585
16 Total assets. Add lines 1 through 15 (must equal line 34)... 533,031,484 16 541,643,733
Liabilities 17 Accounts payable and accrued expenses . 12,710,162 17 20,247,393
18 Grants payable ..........   18  
19 Deferred revenue ..........   19 897,651
20 Tax-exempt bond liabilities .......... 241,051,588 20 237,686,588
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 23,214,286 23 19,642,857
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 22,571,907 25 26,467,037
26 Total liabilities. Add lines 17 through 25..... 299,547,943 26 304,941,526
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 225,310,100 27 236,702,207
28 Temporarily restricted net assets ..... 8,173,441 28  
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 233,483,541 33 236,702,207
34 Total liabilities and net assets/fund balances ..... 533,031,484 34 541,643,733
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
221,810,087
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
216,003,506
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
5,806,581
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
233,483,541
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-2,587,915
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
236,702,207
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID: 10000104
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
UNITED HOSPITAL CENTER INC
 
Employer identification number

55-0525724
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.           0
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..           0
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
0 %
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)           0
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
0 %
16
16
 
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID: 10000104
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
UNITED HOSPITAL CENTER INC
 
Employer identification number

55-0525724
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
UNITED HOSPITAL CENTER INC
  		Employer identification number

55-0525724
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
UNITED HOSPITAL CENTER INC
  		Employer identification number

55-0525724
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
UNITED HOSPITAL CENTER INC
  		Employer identification number

55-0525724
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
UNITED HOSPITAL CENTER INC
 
Employer identification number

55-0525724
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
19,261
j
Total. lines 1c through 1i ...................................
19,261
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Pt II-B Line 1i   UHC is a member of the American Hospital Association(AHA),West Virginia Hospital Association (WVHA),National Hospice and Palliative Care Org(NHPCO),and West Virginia Council of Home Care Agencies (WVCHCA). A percentage of the membership dues to these organizations are allocated to influence legislation and government officials regarding positive changes in the Health Care Industry.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UNITED HOSPITAL CENTER INC
 
Employer identification number

55-0525724
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   19,818,729 19,818,729
b Buildings ................   243,466,150 7,347,852 236,118,298
c Leasehold improvements ............   87,992 13,673 74,319
d Equipment ................   119,290,615 35,381,131 83,909,484
e Other .................   736,755   736,755
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 340,657,585
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) Bond Principal - Current 2,972,034
(2) Self Insurance - Current 3,690,448
(3) Accrued Interest - Limited Use 25,000
(4) Bond Fund - Board Designated 8,572,035
(5) Funded Depreciation - Long-term Board Designated 115,805,053
(6) Self Insurance Fund - Board Designated 10,996,956
(7) Other Investments 577,427
(8) Other Non-Current Assets 13,262,632
(9) Deferred Compensation Annuity 255,000
Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 156,156,585
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
Estimated Malpractice Cost 3,690,448
Deferred Compensation Annuity 255,000
Deferred Taxes 1,868,500
Self Insurance Liability 6,753,089
Market Adjustment Debt Instrument 13,900,000




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 26,467,037
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Schedule D (Form 990) 2010

Additional Data


Software ID: 10000104
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UNITED HOSPITAL CENTER INC
 
Employer identification number

55-0525724
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
 
No
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		0 1,796 5,276,993   5,276,993 2.440 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		0 60,963 10,977,135   10,977,135 5.080 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		0 62,759 16,254,128   16,254,128 7.520 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		13 5,136 311,060 3,181 307,879 0.140 %
f Health professions education
(from Worksheet 5) .. 		    3,256,070 1,499,251 1,756,819 0.810 %
g Subsidized health services
(from Worksheet 6) .. 		    1,385   1,385 0 %
h Research (from Worksheet 7)            
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		5   7,617   7,617 0 %
jTotal Other Benefits ... 18 5,136 3,576,132 1,502,432 2,073,700 0.950 %
kTotal. Add lines 7d and 7j. .. 18 67,895 19,830,260 1,502,432 18,327,828 8.470 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing 0 0       0 %
2 Economic development 1   1,799   1,799 0 %
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy 1 2,746 3,748,228   3,748,228 1.740 %
8 Workforce development            
9 Other            
10 Total 2 2,746 3,750,027   3,750,027 1.740 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
8,107,675
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
 
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
82,845,627
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
86,263,143
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-3,417,516
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 UNITED HOSPITAL CENTER INC
327 MEDICAL PARK DRIVE
BRIDGEPORT,WV26330 		X X   X     X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:UNITED HOSPITAL CENTER INC
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for free care: 200%
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10   No
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14 Yes  
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16 Yes  
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21 Yes  
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?  
Name and address Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
Pt I Line 3c   UHC does maintain a formal Financial Asssitance/Charity Care policy. The Policy is distributed to all patiens upon registration to the hospital. Charity Care is provided to those patients where the household income (defined as income for the patient and any related guarantor as listed on the most recent Federal Tax Return) is at 200% or below federal poverty guidelines as published annually by the Community Service Administration in the Federal Register and where there are not substantial cash convertible assets or disposable income. Charity is predicted on the patient seeking Medicaid eligibility may be reevaluated each month or in connection with new services provided during the approved charity period (6 months).If a patient qualifies for Charity care assistance,100% of the billable charges are eliminated.
Pt I Line 6a   Community benefit reports are given upon request. In addition,the hospital produces periodic newsletters that summarize community benefits resulting from hospital services.
Pt I Line 7 col (f)   Percent of total expense is calculated using the Net Community Benefit Expense (column e) and dividing that by Total expense per Part 1. Line 18 of the Form 990.
Pt III Line 4   Accounts receivable, patients are reported at net realizable value. Accountsare written off when they are determined uncollectible based upon management'sassessment of individual accounts. The allowance for doubtful collectionsis estimated based upon periodic review of the accounts receivable aging, payor classifications and application of historical write-off percentages.The estimated cost of services provided that ultimately result in bad debt expense are estimated utilizing the cost-to-charge ratio as determined by the filed cost report for the corresponding tax year related to this Form 990.UHC's cost of providing services to those patients that utlimately result in bad debt expense should be considered a community benefit because we are relieving a government burden by providing care to these patients without consideration for that patient's ability to pay for the services.In the majority of cases, the determination of the patients ability to pay is not made until well after the services are rendered.
Pt III Line 8   The amount reported in Part III Line 6 as a Medicare payment shortfall of $3,417,516 was calculated using the total Medicare allowable cost from the Medicare cost report,less total Medicare payments, includin IME, GME, DSH, and cost report adjustments. UHC's shortfall of Medicard program reimbursements should be considered a community benefit becuase we are relieving a government burden by providing care in excess of our cost to these patients.
Pt III Line 9b   See Part 1 Line 3c
Pt V   Family Medicine Clinic and United Transitional Care Center
Pt V Sec B 11h   All patients provided services at UHC are charged the same amount for the same service received. Consideration for establishing new charges is based on the CMS Medicare CPT payment weights. The chargemaster at UHC (as is all WV hospitals) is approved on an annual basis by the WV Health Care Authority per legislative mandate.
Pt V Sec B 17e   In addition to items indicated in line 17(a) through line 17(d), UHC will attempt to contact all patients with private pay resonsiblity through a series of phone calls and patient statements. Patient with private pay resonsibilities have options of receiving early payment discounts, establishing payment plans, and a number of payment alternatives.UHC will typically attempt to resolve all private pay accounts for a period of 120 days before inititiating furthur collections activity as indicated in Part V, Line 16.
Pt V Sec B 19d   All patients provided services at UHC are charged the same amount for the same service received. Consideration for establishing new charges is based on the CMS Medicare CPT payment weights.The chargemaster at UHC (as is all WV hospitals) is approved on an annual basis by the WV Healthcare Authority per legislative mandate.
Pt V Sec B 21   All patients provided services at UHC are charged the same amount for the same service received, regardless ofsource of payment. The chargemaster at UHC (as is all WV hospitals) is approved on an annual basis by the WV Heath Care AUthority per legislative mandate. Patient with private pay responsibilities have options of receiving early payment discounts, establishing payment plans, and a number of payment alternatives.
Pt VI Line 2   As a sole community provider and rural referral center, UHC is vital provider of health care services to its community. We also have the responsibility to properly assess the community health and its needs. UHC staff members collaberate with other area health care providers, various service agencies,and local and state government agencies to address community health concerns. UHC utilizes various resources to determine community needs including consultants, collaboration with various departments, factors including physician to population ratios (from the American MedicalAssociation and the US Censes Bureau), physician availability in the entire service area, and general health risk for our community (from clinical diagnosis information gathered by the West Virginia Health Care Authority and Thomas Reuters Market Planner Plus).UHC performs an annual review of its service menu and its physician recruiting plan.
Pt VI Line 3   Financial Assistance signs are posted in all admission areas as well as ER and Family Medicine. In addition, registration gives all self-pay patients a charity application when admitted; there is a "Notice of Availability of Financial Assistance" on the statements that are mailed to thepatients.Collectors and patient representatives let the patients know about financialassistance availability when calling. In addition, UHC utilizes a third party that attempts to meet with uninsured patients to determine whether such patient qualifies for Medicaid and/orother forms of assitance under federal, state, or local government programs.
Pt VI Line 4   UHC defines its primary service area s Harrison and Doddridge Counties(WV).The primary service area is comprised of approximately 75,000 people. UHC's secondary service area includes Lewis, Upshur, Taylor, Gilmer, Braxton, Webster, Marion and Barbour counties. There are approximately 150,000 people in the secondary service area. Located is mostly rural West Virginia, over 15% of the residents located in the UHC service area fall below the Federal Poverty guidelines. Over 50% of the patients treated by UHC are Medicare eligible and over 15% of the patients treated are eligible for Medicaid assistance.
Pt II   UHC supports Health Access, a free healthcare clinic that it helped organize.The clinic serves indigent members of the community. UHC provided free healthcare worth more than $3 million to the clinic and its patients.Many hospital associated and medical staff, including residents, volunteer their time at the clinic. In addition, UHC conducts diabetes support groups and education for adults and youth. UHC staff interacts with several community organizations by donating time to serve as educators and community board members. UHC Respiratory care, pharmacy, and nursing departments along with the American Lung Association co-sponsor an annualstatewide asthma camp for children ages 8-13 to promote the development of self management skills.Family Medicine residents also conduct our local Shriner orthopedic screening clinic and also conduct weekly obstetric clinics at the Harrison and Doddridgecounty health departments. UHC also provides administrative facilities for American Cancer Society and provides classrooms for groups such as American Red Cross to hold blood drives. See Part III of Form 990 for further description of community buling programs that UHC participates in, funds, and/or supports.
Pt VI Line 5   UHC's board of directors is a community board, comprised of 20 members living in the UHC primary service area. Our medical staff is a opem medical staff comprised primarily of private groups and physicians. As physician recruiting has become more difficult in rural areas, UHC has also been forced to employ a number of physician specialist as well as partner with the WVU School of Medicine and its faculty plan to provide other necessary physician services.
Pt VI Line 6   The system maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. System management is focused in recruitment of staff and employees to meet the growing needs of the aging population in the System's service areas. Other hospitals in the System include West Virginia University Hospitals, a university medical center and the largest hopsital of the System,WVUH plays a significant role in improving the general health care of the community. Other memberhospitals of the system include City Hospital and Jefferson Memorial Hospital which are located in the Eastern Panhandle of West Virginia.
Pt VI Line 7   WV
Pt VI Line 7   WV
Schedule H (Form 990) 2010
Additional Data


Software ID: 10000104
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UNITED HOSPITAL CENTER INC
 
Employer identification number

55-0525724
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) BRUCE CARTER (i)
(ii)		 544,352
  		 
  		12,704
  		37,179
  		1,453
  		595,688
  		659,392
 
(2) MIKE TILLMAN (i)
(ii)		 257,997
  		 
  		12,133
  		46,295
  		3,153
  		319,578
  		299,389
 
(3) GEOFF MARSHALL (i)
(ii)		 172,099
  		 
  		2,179
  		40,044
  		2,269
  		216,591
  		201,402
 
(4) TIM ALLEN (i)
(ii)		 172,707
  		 
  		14,999
  		40,993
  		4,269
  		232,968
  		209,928
 
(5) DOUG COFFMAN (i)
(ii)		 240,825
  		 
  		15,722
  		33,333
  		862
  		290,742
  		283,373
 
(6) BRIAN COTTRILL (i)
(ii)		 229,992
  		 
  		16,889
  		36,391
  		2,269
  		285,541
  		177,794
 
(7) MARK POVROZNIK (i)
(ii)		 208,207
  		 
  		18,015
  		38,263
  		3,075
  		267,560
  		230,625
 
(8) JEFF BOYARD (i)
(ii)		 160,746
  		 
  		15,179
  		32,952
  		2,269
  		211,146
  		197,225
 
(9) VINCENT MIELE MD (i)
(ii)		 662,390
  		 
  		18,768
  		23,705
  		2,208
  		707,071
  		730,532
 
(10) RICHARD KING MD (i)
(ii)		 540,449
  		 
  		16,407
  		23,657
  		2,269
  		582,782
  		621,611
 
(11) WILLIAM DOUKAS MD (i)
(ii)		 537,581
  		 
  		341
  		7,441
  		251
  		545,614
  		572,519
 
(12) CHRISTOPHER COURTNEY MD (i)
(ii)		 506,726
  		 
  		2,323
  		23,741
  		2,269
  		535,059
  		 
 
(13) RICHARD DOUGLAS MD (i)
(ii)		 497,739
  		 
  		2,030
  		19,419
  		1,772
  		520,960
  		522,577
 



Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
Pt I Line 6a   There are some officers and key employees of the hospital that are eligible for annual incentive bonus compensation if they meet goal and achievements that are set at the beginning of each year and are approved by the board of directors.The annual incnetive bonuses are only paid after achievements are assessed and only if the hospital achieves at least 80% of its budget operating margin. If the hospital has a negative operating margin, then annual incentive bonuses will not be rewarded.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
UNITED HOSPITAL CENTER INC
 
Employer identification number
55-0525724
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A WEST VIRGINIA HOSPITAL FINANCE AUTHORITY
  		62-1256910 956622XA7 06-08-2006 80,036,762 See Schedule O   X   X   X
B WEST VIRGINIA HOSPITAL FINANCE AUTHORITY
  		62-1256910 956622YE8 08-26-2008 46,420,000 See Schedule O   X   X   X
C WEST VIRGINIA HOSPITAL FINANCE AUTHORITY
  		62-1256910 956622YD0 08-29-2008 46,765,000 See Schedule O   X   X   X
D WEST VIRGINIA HOSPITAL FINANCE AUTHORITY
  		62-1256910 956622D27 12-17-2009 69,402,501 See Schedule O   X   X X  
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 2,840,000 2,840,000 525,000  
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 80,036,762 46,420,000 46,765,000 69,402,962
4 Gross proceeds in reserve funds . . 7,961,962     7,961,962
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 529,802 265,246 261,281 569,625
8 Credit enhancement from proceeds. 1,750,745      
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 77,756,215 46,154,754 46,503,719 60,871,375
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2010 2010 2010 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X X     X    
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X   X   X   X  
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X   X   X   X
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X   X   X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 1.920 % 1.920 % 1.920 % 1.920 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0.250 % 0.250 % 0.250 % 0.250 %
6 Total of lines 4 and 5 . . .. . . . . . 2.170 % 2.170 % 2.170 % 2.170 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue?   X X   X     X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X X   X     X
b Name of provider . UBS
  		UBS
  		UBS
  		 
 
c Term of hedge . . 0.35000000 0.35000000 0.35000000  
d Was the hedge superintegrated? .   X   X   X    
e Was a hedge terminated? .   X   X   X    
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X   X
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID: 10000104
Software Version:  

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
UNITED HOSPITAL CENTER INC
 
Employer identification number

55-0525724
Identifier Return Reference Explanation
Pt VI-A, Line 2   It is the goal of UHC to maintain the highest of competence of its board of directors. As such from time to time certain members of the Board of Directors may also have a businessrelationship with the hospital. Ex: Lawyer whose law firm represents UHC or a bank officer in which UHC has a business account. All business relationships are disclosed in annual conflict if interest statements and the Boardmembers are encoraged of interest.
Pt VI-B, Line 11a   The annual form 990 is presented to the hospital's Finance Committee of the Board of Directors. The hospital's CFO presents the key sections of the Form 990 including sections with emphasis on officer compensation.
Pt VI-B, Line 12c   On an annual basis education is provided to all Officers and Board of Directors with respect to their fiduciary responsibilities and what may or may not be a conflict of interest. This education is provided by the hospitals in house general counsel. All officers and board of directors are required to complete an annual conflict of interest and disclosure statement. These statements are maintained by the hospitals in house general counseland specifically reviewed as necessary based on business presented to the Board of Directors.
Pt VI-B, Line 15   It is the compensation philosophy of UHC to pay fair and competitive wages to human resource department. In addition the organizations CEO and other officers and key employees an additional review is performed every two years by an independent consultant. Any recommended changes in compensation for the CEO and other officers or key employees must be approved by the Compensation Committee of the Board of Directors.In addition the minutes of such approval must be ratified by members of the board.
Pt VI-C, Line 19   All governing documents conflict of interest policy and financial statements are available to the public upon request.
Form 990, Part IV, Line 12A   The consolidated financial statements are audited at the system level. Even thought the audit is performed at the system level each hospital's Audit Finance Committee members participates in the annual planning with the independent auditors. In addition the to review the audit report SAS 114 SAS 115 and the Constructive Service Letterwith the auditors. The SAS 115 and CSL are detailed by hospitalwhere deficiencies are identified. The audit work itself is actually done at the individual facility level.
Form 990, Part VIII, Line 2a - 2e   Income from patient services other than medicare and medicaid enables the hospital to serve the remaining population. Medicare and Medicaid payments received enable the hospital to better serve the Medicare/Medicaid population of the surrounding communities.In order to keep patient costs to a minimum discounts are utilized when offered by the hospital vendors.
Form 990, Part XI, Line 2b   The consolidated financial statements are audited at the system level. Even thought the audit is performed at the system level each hospital's Audit Finance Committee members participates in the annual planning with the independent auditors. In addition the individual hospital's audit finance members have special meetingsto review the audit report SAS 114 SAS 115 and the Constructive Service Letter with the auditors. The SAS 115 and CSL are detailed by hospital where deficiencies are identified. The audit work itself is actually done at the individual facility level.
Schedule K Footnotes   INTRODUCTION.WEST VIRGINIA UNIVERSITY HOSPITALS, INC., EIN 55-0643304 ("WVUH"), CITY HOSPITAL, INC., EIN 55-0383321 ("CITY HOSPITAL"), THE CHARLES TOWN GENERAL HOSPITAL D/B/A JEFFERSON MEMORIAL HOSPITAL, EIN 55-0359755 ("JEFFERSON MEMORIAL GENERAL HOSPITAL"), CITY HOSPITAL FOUNDATION, INC., EIN 55-XXX-XX-XXXX ("CITY HOSPITAL FOUNDATION"), AND UNITED HOSPITAL CENTER, INC, EIN 55-0525724 ("UNITED HOSPITAL CENTER") ARE MEMBERS OF THE WEST VIRGINIA UNITED HEALTH SYSTEM OBLIGATED GROUP AND HAVE ISSUED TAX-EXEMPT BONDS UNDER WEST VIRGINIA UNITED HEALTH SYSTEM. HOWEVER, THESE BOND ISSUANCES WERE IN TURN REALLOCATED BY WEST VIRGINIA UNITED HEALTH SYSTEM TO ITS SYSTEM SUBSIDIARIES. FOR PURPOSES OF REPORTING BOND ISSUANCE ALLOCATIONS ON SCHEDULE K TO THE INTERNAL REVENUE SERVICE, UNITED HOSPITAL CENTER IS REPORTING BOND ALLOCATIONS ISSUED TO IT ON THE SCHEDULE K ATTACHED TO THIS TAX RETURN. WVUH, AS PARENT COMPANY TO CITY HOSPITAL, JEFFERSON MEMORIAL HOSPITAL AND CITY HOSPITAL FOUNDATION, IS REPORTING BOND ISSUANCES ALLOCATED TO WVUH AND ITS SUBSIDIARIES ON A CONSOLIDATED BASIS ON THE RETURN FILED BY SUCH TAXPAYER. SEVERAL BOND ISSUANCES WERE ISSUED IN SERIES AND EACH SERIES IS REPORTED IN THIS TAX RETURN SEPARATELY. FOR EACH SERIES IDENTIFIED IN SCHEDULE K, PART I, THE TAXPAYER WILL RECONCILE THE SERIES AMOUNT REPORTED IN THIS TAX RETURN AND THE TAX RETURN FILED BY WVUH TO THE APPLICABLE 8038 FILED WITH THE IRS FOR EACH BOND ISSUANCE. EACH BOND SERIES IS REPORTED ON THE APPROPRIATE FORM 990, SCHEDULE K, ONLY ONCE IN THIS MATTER.
Schedule K, Part I, Line A, Column (f)   THE 2006 SERIES A BONDS (ISSUE PRICE - $80,036,762, CUSIP 956622XA7) WERE ISSUED COLLECTIVELY WITH 2006 SERIES B BONDS (ISSUE PRICE - $46,150,000, CUSIP 956622WK6), 2006 SERIES C BONDS (ISSUE PRICE - $46,500,000, CUSIP 956622WL4) AND 2006 SERIES D BONDS (ISSUE PRICE - $60,375,000, CUSIP 956622WM2) TOTALING $233,061,762 (TOTAL ISSUE PRICE FOR ALL FOUR SERIES REPORTED ON FORM 8038 FOR JUNE 8, 2006 ISSUANCE). 2006 SERIES B BONDS WERE REFUNDED BY 2008 SERIES A BONDS AND ARE REPORTED ON SCHEDULE K, PART I, LINE B OF THIS TAX RETURN. 2006 SERIES C BONDS WERE REFUNDED BY 2008 SERIES B BONDS AND ARE REPORTED ON SCHEDULE K, PART I, LINE C OF THIS TAX RETURN. 2006 SERIES D BONDS WERE REFUNDED BY 2008 SERIES C BONDS, WHICH WERE REFUNDED BY 2009 SERIES C BONDS AND ARE REPORTED ON SCHEDULE K, PART I, LINE D OF THIS TAX RETURN. THE PURPOSE OF THE 2006 SERIES A BONDS, TOGETHER WITH THE 2006 SERIES B BONDS, THE 2006 SERIES C BONDS AND THE 2006 SERIES D BONDS, WAS TO FUND CONSTRUCTION OF NEW HOSPITAL FACILITIES OWNED BY UNITED HOSPITAL CENTER.
Schedule K, Part I, Line B, Column (f)   THE 2008 SERIES A BONDS (ISSUE PRICE - $46,420,000, CUSIP NUMBER 956622YE8) WERE ISSUED COLLECTIVELY WITH 2008 SERIES B BONDS (ISSUE PRICE - $46,765,000, CUSIP NUMBER 956622YD0), 2008 SERIES C BONDS (ISSUE PRICE - $60,725,000, CUSIP NUMBER 956622YF5) AND 2008 SERIES D BONDS (ISSUE PRICE - $27,115,000, CUSIP NUMBER 956622YG3) TOTALING $181,025,000 (TOTAL ISSUE PRICE FOR ALL FOUR REPORTED ON FORM 8038 FOR AUGUST 29, 2008 ISSUANCE). 2008 SERIES B BONDS ARE REPORTED ON SCHEDULE K, PART I, LINE C OF THIS TAX RETURN. 2008 SERIES C BONDS, WHICH WERE REFUNDED BY 2009 SERIES C BONDS AND ARE REPORTED ON SCHEDULE K, PART I, LINE D OF THIS TAX RETURN AND THE 2008 SERIES D BONDS WERE ALLOCATED TO WVUH AND ARE REPORTED ON THE TAX RETURN FILED BY SUCH TAXPAYER. THE PURPOSE OF THE 2006 SERIES A BONDS, TOGETHER WITH THE 2008 SERIES A BONDS (ORIGINALLY ISSUED AS 2006 SERIES B BONDS), THE 2008 SERIES B BONDS (ORIGINALLY ISSUED AS 2006 SERIES C BONDS) AND THE 2009 SERIES C BONDS (ORIGINALLY ISSUED AS 2006 SERIES D BONDS), WAS TO FUND CONSTRUCTION OF NEW HOSPITAL FACILITIES OWNED BY UNITED HOSPITAL CENTER.
Schedule K, Part I, Line C, Column (f)   THE 2008 SERIES B BONDS (ISSUE PRICE - $46,765,000, CUSIP NUMBER 956622YD0) WERE ISSUED COLLECTIVELY WITH 2008 SERIES A BONDS (ISSUE PRICE - $46,420,000, CUSIP NUMBER 956622YE8), 2008 SERIES C BONDS (ISSUE PRICE - $60,725,000, CUSIP NUMBER 956622YF5) AND 2008 SERIES D BONDS (ISSUE PRICE - $27,115,000, CUSIP NUMBER 956622YG3) TOTALING $181,025,000 (TOTAL ISSUE PRICE FOR ALL FOUR REPORTED ON FORM 8038 FOR AUGUST 29, 2008 ISSUANCE). 2008 SERIES A BONDS ARE REPORTED ON SCHEDULE K, PART I, LINE B OF THIS TAX RETURN. 2008 SERIES C BONDS, WHICH WERE REFUNDED BY 2009 SERIES C BONDS AND ARE REPORTED ON SCHEDULE K, PART I, LINE D OF THIS TAX RETURN AND THE 2008 SERIES D BONDS WERE ALLOCATED TO WVUH AND ARE REPORTED ON THE TAX RETURN FILED BY SUCH TAXPAYER. THE PURPOSE OF THE 2006 SERIES A BONDS, TOGETHER WITH THE 2008 SERIES A BONDS (ORIGINALLY ISSUED AS 2006 SERIES B BONDS), THE 2008 SERIES B BONDS (ORIGINALLY ISSUED AS 2006 SERIES C BONDS) AND THE 2009 SERIES C BONDS (ORIGINALLY ISSUED AS 2006 SERIES D BONDS), WAS TO FUND CONSTRUCTION OF NEW HOSPITAL FACILITIES OWNED BY UNITED HOSPITAL CENTER.
Schedule K, Part I, Line D, Column (f) -   THE 2009 C SERIES BONDS WERE ISSUED AS ONE SERIES BUT WERE ALLOCATED WITHIN THE OBLIGATED GROUP TO WVUH AND CITY HOSPITAL (ISSUE PRICE - $31,894,128.04) AND UNITED HOSPITAL CENTER (ISSUE PRICE - $69,402,501.06). THE TOTAL ISSUE PRICE FOR THE 2009 SERIES C BONDS WAS $101,296,629.10 (CONSISTENT WITH TOTAL ISSUE PRICE REPORTED ON FORM 8038 FOR DECEMBER 17, 2009 ISSUANCE, CUSIP 956622D27). THE PORTION OF THE 2009 SERIES C BONDS ALLOCATED TO WVUH AND ITS SUBSIDIARY IS REPORTED ON THE TAX RETURN FILED BY SUCH TAXPAYER.THE PURPOSE OF THE 2006 SERIES A BONDS, TOGETHER WITH THE 2008 SERIES A BONDS (ORIGINALLY ISSUED AS 2006 SERIES B BONDS), THE 2008 SERIES B BONDS (ORIGINALLY ISSUED AS 2006 SERIES C BONDS) AND THE 2009 SERIES C BONDS (ORIGINALLY ISSUED AS 2006 SERIES D BONDS), WAS TO FUND CONSTRUCTION OF NEW HOSPITAL FACILITIES OWNED BY UNITED HOSPITAL CENTER.
Form 990, Part III, Line 4d   THE UNITED HOSPITAL CENTER'S RESPITORY CARE, PHARMACY, NURSING DEPARTMENTS AND 0. 0. 0. IN AN EFFORT TO INFORM THE COMMUNITY ABOUT THE AVAILABILITY OF HEALTH SERVICES, 69027. 0. 0. UNITED HOSPITAL ASSOCIATES PARTICIPATED IN HEALTH FAIRS/SCREENINGS FOR THE 4832. 0. 0. UNITED HOSPITAL CENTER CONDUCTED, THROUGH THE EDUCATION DEPARTMENT, A DIABETES 23850. 0. 0. UHC SPONSORS AN ANNUAL PATHOLOGY SEMINAR THAT IS ORGANIZED BY ONE OF ITS STAFF 12725. 0. 0. UNITED HOSPITAL CENTER'S HOSPICE AND HOME HEALTH
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID: 10000104
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UNITED HOSPITAL CENTER INC
 
Employer identification number

55-0525724
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) WV UNITED HEALTH SYSTEM

1000 TECHNOLOGY DRIVE

FAIRMONT,WV26554
55-1754713 		HEALTHCARE ACCESS WV 501(c)3 11a ALL
 
 
No
(2) WV UNIVERSITY HOSPITAL INC

PO BOX 8034

MORGANTOWN,WV26506
55-0643304 		PATIENT CARE WV 501(c)3 3 NA
 
 
No
(3) WV UNIVERSITY HOSPITALS EAST

2000 FOUNDATION WAY STE 2301

MARTINSBURG,WV25401
50-2337985 		HEALTHCARE ACCESS WV 501(c)3 11a NA
 
 
No
(4) CITY HOSPITAL INC

2000 FOUNDATION WAY STE 2301

MARTINSBURG,WV25401
55-0383321 		PATIENT CARE WV 501(c)3 3 NA
 
 
No
(5) JEFFERSON MEMORIAL HOSPITAL

2000 FOUNDATION WAY STE 2301

MARTINSBURG,WV25401
55-0359755 		PATIENT CARE WV 501(c)3 3 NA
 
 
No
(6) CITY HOSPITAL FOUNDATION

2000 FOUNDATION WAY STE 2301

MARTINSBURG,WV25401
31-1118075 		HOSPTIAL SUPPORT WV 501(c)3 11a NA
 
 
No
(7) WVUH-EAST SERVICES INC

2000 FOUNDATION WAY

MARTINSBURG,WV25401
31-1118076 		PATIENT CARE WV 501(c)3 3 NA
 
 
No
(8) UNITED PHYSICIANS CARE INC

686 SOUTH PIKE STREET

SHINNSTON,WV26431
55-0638563 		PATIENT CARE WV 501(c)3 3 NA
 
 
No
(9) UNITED HOSPITAL FOUNDATION INC

327 MEDICAL PARK DRIVE

BRIDGEPORT,WV26330
55-0621706 		HOSPITAL SUPPORT WV 501(c)3 11a NA
 
 
No
(10) WVU HEALTHCARE CO-OP

PO BOX 8059

MORGANTOWN,WV26506
55-0650441 		SUPPORT WV 501(c)3 11a NA
 
 
No
(11) UNITED SUMMIT CENTER INC

6 HOSPITAL PLAZA

CLARKSBURG,WV26301
55-0752788 		BEHAVIORAL HEALTH WV 501(c)3 3 NA
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) ALLIED HEALTH SERVICES INC
PO BOX 782
MORGANTOWN,WV26507
55-0652017 		MEDICAL LAB WV NA
  		C     0 %
(2) WV UNITED INSURANCE SERVICES INC
1000 TECHNOLOGY DRIVE STE 2320
FAIRMONT,WV26554
55-0756055 		Provider Network WV NA
  		C     0 %
(3) WVUH-EAST ENTERPRISES INC
2000 FOUNDATION WAY STE 2301
MARTINSBURG,WV25401
55-0653982 		NURSING HOME WV NA
  		C     0 %








Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) UNITED PHYSICIANS CARE INC

 blik 2,061,631 Cash
(2) WEST VIRGINIA UNITED HEALTH SYSTEM

 op 1,114,458 Cash
(3) UNITED SUMMIT CENTER INC

 ikn 230,381 Cash
(4) UNITED HEALTH FOUNDATION INC

 clnp 2,087,786 Cash
(5) ALLIED HEALTH SERVICES INC

 l 478,757 Cash
(6) WV UNITED INSURANCE SERVICES INC

 l 60,000 Cash
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID: 10000104
Software Version: