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            <ZIPCd>30353</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>lab diagnostic service</ServicesDesc>
        <CompensationAmt>253845</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Greenway Health</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 203658</AddressLine1Txt>
            <CityNm>dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>25320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>patient management systems</ServicesDesc>
        <CompensationAmt>168750</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>james nabors</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <ForeignAddress>
            <AddressLine1Txt>6501 red hook suite 201-PMB</AddressLine1Txt>
            <CityNm>st thomas</CityNm>
            <CountryCd>VI</CountryCd>
            <ForeignPostalCd>00802</ForeignPostalCd>
          </ForeignAddress>
        </ContractorAddress>
        <ServicesDesc>dental services</ServicesDesc>
        <CompensationAmt>123125</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>cohnreznick llp</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1301 Avenue of the Americas</AddressLine1Txt>
            <CityNm>new york</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10019</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>audit &amp; tax services</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
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      <NoncashContributionsAmt>338672</NoncashContributionsAmt>
      <TotalContributionsAmt>4201353</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1344884</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1344884</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>565476</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>412957</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>409381</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>409381</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
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        <ExclusionAmt>528</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>8735</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Miscellaneous</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>577</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>6943891</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>9263</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>170730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36216</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>2142846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>454543</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>423162</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89761</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>228815</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48537</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>229271</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>2323</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>97566</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26484</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>1081694</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16008</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>59698</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12663</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>88239</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18717</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>484</TotalAmt>
        <ProgramServicesAmt>484</ProgramServicesAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>432882</TotalAmt>
        <ProgramServicesAmt>316004</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116878</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>18785</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3985</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4404</ProgramServicesAmt>
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        <ProgramServicesAmt>49944</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18472</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>38960</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14410</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Bad Debts</Desc>
        <TotalAmt>507004</TotalAmt>
        <ProgramServicesAmt>507004</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Donated vaccines</Desc>
        <TotalAmt>338672</TotalAmt>
        <ProgramServicesAmt>338672</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Consumable supplies</Desc>
        <TotalAmt>259721</TotalAmt>
        <ProgramServicesAmt>214270</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45451</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>66353</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>59986</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12725</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>6139210</ProgramServicesAmt>
        <ManagementAndGeneralAmt>989653</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>305238</EOYAmt>
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      <AccountsReceivableGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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      <TotalAssetsGrp>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>21251</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>87918</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>1550282</EOYAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>2749584</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3303056</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3539106</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4201353</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>3539106</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>1860</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>895</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>528</CurrentTaxYearAmt>
        <TotalAmt>10975</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>4134</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>491</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6710</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9312</CurrentTaxYearAmt>
        <TotalAmt>21026</TotalAmt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part II, Line 10, Explanation of Other Income:</FormAndLineReferenceDesc>
        <ExplanationTxt>miscellaneous - 2012 Amount: $ 379. 2013 Amount: $ 4,134. 2014 Amount: $ 491. 2015 Amount: $ 6,710. 2016 Amount: $ 577. Insurance settlement - 2016 Amount: $ 8,735.</ExplanationTxt>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <OtherAssetsOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>507004</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>7128863</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Center has no unrecognized tax benefits at February 28, 2017. The Center's Federal and U.S. Virgin Islands income tax returns prior to fiscal year 2014 are closed and management continually evaluates expiring statutes of limitations, audits, proposed settlements, changes in tax law and new authoritative rulings. The Center recognizes interest and penalties associated with tax matters as operating expenses and includes accrued interest and penalties with accrued expenses in the statement of financial position.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>bad debt expense -507,004.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>bad debt expense 507,004.</ExplanationTxt>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>190534</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>barbara douglas</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>11375</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15571</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>226946</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Madel Vilegas</PersonNm>
        <TitleTxt>physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>165000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11375</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>614</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>176989</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>338672</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>fmv</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Column (b):</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS IN COLUMn B REPRESENT THE NUMBER OF CONTRIBUTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Gloria b. Callwood, vice chairperson, and Karl Callwood, MemBER, have a family relationship.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>the return is reviewed by the cfo and the finance committee prior to filing. a copy of the form 990 is distributed to the organization's board of directors before it is filed with the irs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>every officer, director, key employee and board member is required annually to disclose to the secretary of the board any interest that could give rise to conflicts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>the compensation committee performs an evaluation for the executive director, officers, and other key employees and determines salaries based on comparative salary surveys that benchmark similar positions based on the selected demographic/geographic parameters matching our area. the compensation committee would then present their recommendations to the board of directors at the board meeting, and be approved by the chairman.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>the organization makes its governing documents, conflict of interest policy and financial statements available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL SERVICES: Program service expenses 693,182. Management and general expenses 0. Fundraising expenses 0. Total expenses 693,182. OTHER CONSULTANT FEES: Program service expenses 388,512. Management and general expenses 16,008. Fundraising expenses 0. Total expenses 404,520.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SELECTION AND OVERSIGHT PROCESS DID NOT CHANGE FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Amended Return:</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 WAS AMENDED TO REFLECT FINAL AUDITED FINANCIAL STATEMENTS. THE FOLLOWING PARTS HAVE BEEN UPDATED TO REFLECT THIS: PART I, III, IV, VIII, X, XI, AND XII. ALSO, THE FOLLOWING SCHEDULES HAVE BEEN UPDATED: SCHEDULE A, D AND O.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST THOMAS EAST END MEDICAL CENTER FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4605 TUTU PARK MALL STE 207</AddressLine1Txt>
          <CityNm>ST THOMAS</CityNm>
          <StateAbbreviationCd>VI</StateAbbreviationCd>
          <ZIPCd>00805</ZIPCd>
        </USAddress>
        <EIN>660872226</EIN>
        <PrimaryActivitiesTxt>RAISE FUNDS FOR ST. THOMAS EAST END MEDICAL CENTER CORPORATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST THOMAS EAST END MEDICAL CENTER CORPORATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>