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        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VIRGINIA CLAIRMONT</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURIE CHRISTIAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEVERLY SMITH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1414216</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>940000</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <GovernmentGrantsAmt>2763782</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>4007895</AllOtherContributionsAmt>
      <NoncashContributionsAmt>737727</NoncashContributionsAmt>
      <TotalContributionsAmt>6771677</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>10037389</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10037389</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>5463396</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5463396</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>15500785</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>403582</TotalRevenueColumnAmt>
        <ExclusionAmt>403582</ExclusionAmt>
      </InvestmentIncomeGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1003466</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1003466</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1003466</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>23679510</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16504251</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>403582</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1414216</TotalAmt>
        <ProgramServicesAmt>1414216</ProgramServicesAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7769433</TotalAmt>
        <ProgramServicesAmt>7652184</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117249</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2626573</TotalAmt>
        <ProgramServicesAmt>2223260</ProgramServicesAmt>
        <ManagementAndGeneralAmt>403313</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1245335</TotalAmt>
        <ProgramServicesAmt>1245335</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>135133</TotalAmt>
        <ProgramServicesAmt>135133</ProgramServicesAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3179</TotalAmt>
        <ProgramServicesAmt>3179</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>52587</TotalAmt>
        <ProgramServicesAmt>52587</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>4200</TotalAmt>
        <ProgramServicesAmt>4200</ProgramServicesAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>431004</TotalAmt>
        <ProgramServicesAmt>431004</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>251792</TotalAmt>
        <ProgramServicesAmt>251042</ProgramServicesAmt>
        <ManagementAndGeneralAmt>750</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>85461</TotalAmt>
        <ProgramServicesAmt>85461</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1634</TotalAmt>
        <ProgramServicesAmt>1634</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>756109</TotalAmt>
        <ProgramServicesAmt>337510</ProgramServicesAmt>
        <ManagementAndGeneralAmt>418599</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>85751</TotalAmt>
        <ProgramServicesAmt>85751</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>4420248</TotalAmt>
        <ProgramServicesAmt>4420248</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY</Desc>
        <TotalAmt>4789250</TotalAmt>
        <ProgramServicesAmt>4766988</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22262</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIR AND MAINTENANCE</Desc>
        <TotalAmt>1023331</TotalAmt>
        <ProgramServicesAmt>1023331</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
        <TotalAmt>472723</TotalAmt>
        <ProgramServicesAmt>472723</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>296491</TotalAmt>
        <ProgramServicesAmt>296481</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>25864450</TotalAmt>
        <ProgramServicesAmt>24902267</ProgramServicesAmt>
        <ManagementAndGeneralAmt>962183</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>16842858</BOYAmt>
        <EOYAmt>2248901</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>449982</BOYAmt>
        <EOYAmt>515130</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1062777</BOYAmt>
        <EOYAmt>3050735</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <EOYAmt>37114</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>12500149</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7836148</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4150567</BOYAmt>
        <EOYAmt>4664001</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <EOYAmt>7730582</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>107359</BOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <EOYAmt>60027</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>22613543</BOYAmt>
        <EOYAmt>18306490</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1680200</BOYAmt>
        <EOYAmt>854496</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>172654</BOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>111537</BOYAmt>
        <EOYAmt>895236</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1964391</BOYAmt>
        <EOYAmt>1749732</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>20074931</BOYAmt>
        <EOYAmt>16556758</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>574221</BOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>20649152</BOYAmt>
        <EOYAmt>16556758</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>22613543</BOYAmt>
        <EOYAmt>18306490</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-2184940</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-1907454</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>9654598</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7352714</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9415872</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8042022</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6771677</CurrentTaxYearAmt>
        <TotalAmt>41236883</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>9654598</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7352714</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9415872</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8042022</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6771677</CurrentTaxYearAmt>
        <TotalAmt>41236883</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>41236883</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>23100</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9600</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9600</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10000</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>403582</CurrentTaxYearAmt>
        <TotalAmt>455882</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>114278</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>136849</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>253710</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>209129</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1003466</CurrentTaxYearAmt>
        <TotalAmt>1717432</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>43410197</TotalSupportAmt>
      <PublicSupportCY170Pct>0.94990</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.97840</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>280000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>280000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>769746</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>329648</DepreciationAmt>
        <BookValueAmt>440098</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>4744895</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4278044</DepreciationAmt>
        <BookValueAmt>466851</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2751634</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2150397</DepreciationAmt>
        <BookValueAmt>601237</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>3953874</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1078059</DepreciationAmt>
        <BookValueAmt>2875815</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4664001</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIA</Desc>
        <Amt>63497</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PAYROLL</Desc>
        <Amt>441727</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED COMPENSATED ABSENCES</Desc>
        <Amt>390012</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>895236</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>23679510</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>23679510</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>23679510</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>25864450</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>25864450</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>25864450</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JACQUELYNN RHYMER-GEORGE</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>147701</BaseCompensationFilingOrgAmt>
        <DeferredCompRltdOrgsAmt>150000</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>147701</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>150000</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHAVEL KAREL</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>274959</BaseCompensationFilingOrgAmt>
        <DeferredCompRltdOrgsAmt>275000</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>274959</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>275000</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COLLEEN BOWLES</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>181808</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>181808</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT GOOD</PersonNm>
        <TitleTxt>CDO</TitleTxt>
        <BaseCompensationFilingOrgAmt>187141</BaseCompensationFilingOrgAmt>
        <DeferredCompRltdOrgsAmt>215000</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>187141</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>215000</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNETTA ALEXANDER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>166115</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>166115</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARMINE H HENDRICKS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>175145</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>175145</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MASSERAE SPRAUVE-WEBSTER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>170962</BaseCompensationFilingOrgAmt>
        <DeferredCompRltdOrgsAmt>175000</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>170962</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>175000</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TARAH GRAHAM-HODGE</PersonNm>
        <TitleTxt>CHRO</TitleTxt>
        <BaseCompensationFilingOrgAmt>110385</BaseCompensationFilingOrgAmt>
        <DeferredCompRltdOrgsAmt>125000</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>110385</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>125000</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>143289</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>FREDERIKSTED HEALTH CARE, INC.S ANNUAL 990 TAX RETURN IS DONE BY OUR INDEPENDENT AUDITING FIRM. THE FINAL PRODUCT WAS SHARED WITH THE CHIEF FINANCIAL OFFICER WHO SIGNED, FILED, AND SHARED COPIES WITH THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING IS DONE EACH YEAR AT THE ANNUAL MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>INITIALLY, ALL SALARIES ARE DETERMINED BY COMPARING PARALLEL POSITIONS WITHIN THE VIRGIN ISLANDS WHILE WITHIN THE AGENCYS FISCAL CONSTRAINTS.THE SALARIES ARE APPROVED BY THE BOARD OF DIRECTORS. THE CHIEF EXECUTIVE OFFICER HAS THE RESPONSIBILITY TO HIRE THE TOP MANAGEMENT OFFICIALS AT THE SALARY DETERMINED BY THE BOARD. THE BOARD HAS THE RESPONSIBILITY TO EVALUATE THE CEO ANNUALLY AND TO DETERMINE HIS/HER SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>INITIALLY, ALL SALARIES ARE DETERMINED BY COMPARING PARALLEL POSITIONS WITHIN THE VIRGIN ISLANDS WHILE WITHIN THE AGENCYS FISCAL CONSTRAINTS.THE SALARIES ARE APPROVED BY THE BOARD OF DIRECTORS. THE CHIEF EXECUTIVE OFFICER HAS THE RESPONSIBILITY TO HIRE THE TOP MANAGEMENT OFFICIALS AT THE SALARY DETERMINED BY THE BOARD. THE BOARD HAS THE RESPONSIBILITY TO EVALUATE THE CEO ANNUALLY AND TO DETERMINE HIS/HER SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE IN TWO WAYS. THESE DOCUMENTS MAY BE REQUESTED FROM THE ORGANIZATIONS BUSINESS OFFICE OR THE INFORMATION IS ALSO AVAILABLE ON A WEBSITE FOR NON-PROFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>