As the healthcare landscape in West Virginia evolves, West Virginia's health professions programs are working closer together than ever to improve citizen's health and access to care. In particular, the state's three academic health centers, the Joan C. Edwards School of Medicine at Marshall University, the West Virginia School of Osteopathic Medicine, and the West Virginia University Health Sciences Center, continue to provide direct care to West Virginians, including in clinical areas that are limited or unavailable through the private sector, all the while providing professional education and conducting research on the state's health problems. The Rural Health Initiative (RHI) program is blossoming and enables the academic health centers to provide special experiences in rural and community health to students and resident physicians and involve them in creative approaches to improving citizens' health. Additionally, the RHI program provides grants to other health professions training programs, healthcare facilities, and nonprofit organizations to further enhance the rural health landscape across West Virginia. This report card provides information on major health sciences and rural health schools in West Virginia including: (1) Medical School Profiles; (2) Medical Licensure Examinations; (3) Medical Student Indebtedness; (4) Residency Training; (5) Medical School Graduate Retention; (6) Other Health Sciences Program Graduates; (7) Loans and Incentives; and (8) The Rural Health Initiative Program.