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            <CityNm>ST ALBANS</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25177</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENOVATION AND UPKEEP OF BUILDINGS</ServicesDesc>
        <CompensationAmt>242965</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>6819872</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>334266</AllOtherContributionsAmt>
      <TotalContributionsAmt>7154138</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>20914718</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20914718</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>20914718</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>688</TotalRevenueColumnAmt>
        <ExclusionAmt>688</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>CONTRACT SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>59821</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>59821</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>28357</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>28357</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>88178</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>28157722</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21002896</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>688</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>20315</TotalAmt>
        <ProgramServicesAmt>20315</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>11628</TotalAmt>
        <ProgramServicesAmt>11628</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>403566</TotalAmt>
        <ProgramServicesAmt>324588</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78978</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>12566396</TotalAmt>
        <ProgramServicesAmt>10107152</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2459244</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>566978</TotalAmt>
        <ProgramServicesAmt>456020</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110958</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1560146</TotalAmt>
        <ProgramServicesAmt>1254825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>305321</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1026978</TotalAmt>
        <ProgramServicesAmt>825998</ProgramServicesAmt>
        <ManagementAndGeneralAmt>200980</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2500827</TotalAmt>
        <ProgramServicesAmt>1336762</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1164065</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>2735</TotalAmt>
        <ProgramServicesAmt>2200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>535</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>758629</TotalAmt>
        <ProgramServicesAmt>610165</ProgramServicesAmt>
        <ManagementAndGeneralAmt>148464</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>167690</TotalAmt>
        <ProgramServicesAmt>134873</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32817</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>380803</TotalAmt>
        <ProgramServicesAmt>306280</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74523</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>158013</TotalAmt>
        <ProgramServicesAmt>127090</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30923</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>100676</TotalAmt>
        <ProgramServicesAmt>80974</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19702</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>75152</TotalAmt>
        <ProgramServicesAmt>75152</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>702100</TotalAmt>
        <ProgramServicesAmt>564699</ProgramServicesAmt>
        <ManagementAndGeneralAmt>137401</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>189405</TotalAmt>
        <ProgramServicesAmt>152338</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37067</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>4158907</TotalAmt>
        <ProgramServicesAmt>4158907</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>474747</TotalAmt>
        <ProgramServicesAmt>381839</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92908</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>373851</TotalAmt>
        <ProgramServicesAmt>373851</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>STUDENT LOAN REPAYMENTS</Desc>
        <TotalAmt>146650</TotalAmt>
        <ProgramServicesAmt>117951</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28699</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>411702</TotalAmt>
        <ProgramServicesAmt>330659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81043</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>26757894</TotalAmt>
        <ProgramServicesAmt>21754266</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5003628</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>97750</BOYAmt>
        <EOYAmt>711581</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>7328471</BOYAmt>
        <EOYAmt>8586915</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1080095</BOYAmt>
        <EOYAmt>462713</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1104057</BOYAmt>
        <EOYAmt>969137</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>283656</BOYAmt>
        <EOYAmt>335312</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>111856</BOYAmt>
        <EOYAmt>98225</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>12469797</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4824061</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6333670</BOYAmt>
        <EOYAmt>7645736</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>400000</BOYAmt>
        <EOYAmt>400000</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>574577</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>16739555</BOYAmt>
        <EOYAmt>19784196</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1265684</BOYAmt>
        <EOYAmt>1531629</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>206138</BOYAmt>
      </DeferredRevenueGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>1443848</BOYAmt>
        <EOYAmt>2431033</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>579029</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2915670</BOYAmt>
        <EOYAmt>4541691</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>13750648</BOYAmt>
        <EOYAmt>15150476</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>73237</BOYAmt>
        <EOYAmt>92029</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13823885</BOYAmt>
        <EOYAmt>15242505</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>16739555</BOYAmt>
        <EOYAmt>19784196</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1399828</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>18792</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>4192775</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4515359</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6802065</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5689172</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7154138</CurrentTaxYearAmt>
        <TotalAmt>28353509</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>4192775</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4515359</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6802065</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5689172</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7154138</CurrentTaxYearAmt>
        <TotalAmt>28353509</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>28353509</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>2993</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2636</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>704</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>683</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>688</CurrentTaxYearAmt>
        <TotalAmt>7704</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>51194</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>194615</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2507763</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>255995</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>88178</CurrentTaxYearAmt>
        <TotalAmt>3097745</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>31458958</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>89236191</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.90130</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.89460</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2018 AMOUNT: $ 8,694. 2019 AMOUNT: $ 194,615. 2020 AMOUNT: $ 2,507,763. 2021 AMOUNT: $ 255,995. 2022 AMOUNT: $ 88,178. ELECTRONIC HEALTH RECORDS INCENTIVE REVENUE - 2018 AMOUNT: $ 42,500.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>140700</OtherCostOrOtherBasisAmt>
        <BookValueAmt>140700</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>4468310</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1241425</DepreciationAmt>
        <BookValueAmt>3226885</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3808465</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2038564</DepreciationAmt>
        <BookValueAmt>1769901</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2450557</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1483647</DepreciationAmt>
        <BookValueAmt>966910</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1601765</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>60425</DepreciationAmt>
        <BookValueAmt>1541340</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>7645736</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>579029</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>579029</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>24857757</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>24857757</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>3299965</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>3299965</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>28157722</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>23896431</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>23896431</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>2861463</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>2861463</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>26757894</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE MANAGEMENT OF THE ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION. MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD MAINTAINED ITS TAX EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD INCLUDED IN EXPENSES ON FORM 990 2,487,612. BAD DEBT EXPENSE INCLUDED IN EXPENSES ON FORM 990 373,851. GRANTS REPORTED AS OTHER INCREASE TO NET ASSETS ON FINANCIAL STATEMENTS 438,502.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE OFFSETTING REVENUE ON FINANCIAL STATEMENTS 373,851. COST OF GOODS SOLD OFFSETTING INCOME ON FINANCIAL STATEMENT 2,487,612.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WV ALLIANCE OF RECOVERY RESIDE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1116 SMITH STREET</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25301</ZIPCd>
        </USAddress>
        <RecipientEIN>842900907</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>INSTITUTION SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>5</RecipientCnt>
        <CashGrantAmt>9000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RYAN MORRISON MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>248000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>13180</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12400</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12969</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>286549</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JESSICA MCCOLLEY DO</PersonNm>
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        <BaseCompensationFilingOrgAmt>238029</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>11953</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12975</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>274354</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>ELIZABETH MCCLELLAN MD</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
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        <PersonNm>GRACE FALBO MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BARBARA MICHAEL MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CABIN CREEK HEALTH CENTER, INC. (CCHC) IS A FEDERALLY QUALIFIED HEALTH CENTER WITH A NETWORK OF SIX PRIMARY CARE CENTERS AND SIX SCHOOL BASED HEALTH CENTERS LOCATED THROUGHOUT WEST VIRGINIA. THE NETWORK CONSISTS OF THE CABIN CREEK HEALTH CENTER LOCATED IN DAWES; THE RIVERSIDE HEALTH CENTER LOCATED ON THE CAMPUS OF RIVERSIDE HIGH SCHOOL WHICH ALSO SERVES AS A SCHOOL BASED HEALTH CENTER; THE CLENDENIN HEALTH CENTER LOCATED IN CLENDENIN; THE SISSONVILLE HEALTH CENTER LOCATED IN SISSONVILLE; AND THE SUNNYSIDE HEALTH CENTER AND KANAWHA CITY HEALTH CENTER LOCATED IN CHARLESTON. EACH OF THESE HEALTH CENTERS IS OPERATIONAL FIVE DAYS A WEEK. IN ADDITION CCHC OPERATES PART TIME SCHOOL BASED HEALTH CENTERS AT THE SISSONVILLE, HERBERT HOOVER, AND RIVERSIDE HIGH SCHOOLS AND EAST BANK MIDDLE SCHOOL. THE COMMUNITIES SERVED BY CCHC HAVE SOME OF THE HIGHEST RATES IN THE NATION OF ADULT AND CHILD POVERTY AND CHRONIC MEDICAL CONDITIONS, INCLUDING DIABETES, CHRONIC PAIN, COPD, OBESITY, AND HEART DISEASE. WEST VIRGINIA HAS THE HIGHEST RATE OF DISABILITY IN THE COUNTRY AND SOUTHERN WV IS HIGHER THAN THE REST OF THE STATE. WV ALSO HAS AMONG THE HIGHEST RATES OF THE NATION FOR BEHAVIORAL RISK FACTORS, E.G. TOBACCO USE, LACK OF PHYSICAL ACTIVITY, AND POOR NUTRITION. CCHC CARES FOR A HIGH NUMBER OF PATIENTS WITH COMPLEX POORLY CONTROLLED HEALTH PROBLEMS ALONG WITH HIGH RATES OF BEHAVIORAL RISK.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AUDIT FIRM PREPARES THE FORM 990, THE CEO REVIEWS THE RETURN AND THEN SIGNS IT. THE BOARD REVIEWS THE RETURN PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM WITHIN TWO WEEKS OF HAVING BEEN MADE A MEMBER OF THE BOARD. EACH BOARD MEMBER IS REQUIRED TO COMPLETE THE CONFLICT OF INTEREST POLICY ANNUALLY ON NOVEMBER 15TH EACH YEAR. THE FORMS ARE FILED AND MAINTAINED BY THE DIRECTOR OF HUMAN RESOURCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD DETERMINES THE SALARIES BY WORKING WITH AN OUTSIDE CPA USING A SURVEY OF COMPARATIVE NONPROFITS, ESPECIALLY FQHC'S. THE CPA HELPS ANALYZE THE DATA WITH THE COMPENSATION COMMITTEE TO DETERMINE THE SALARIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZING DOCUMENTS ARE MAINTAINED AT THE ADMINISTRATION OFFICE AND ARE READILY AVAILABLE TO THE PUBLIC UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS OBTAINABLE FROM ANY CCHS LOCATION. FINANCIAL STATEMENTS ARE OBTAINABLE FROM THE ADMINISTRATION OFFICE AND ARE FILED WITH VARIOUS FEDERAL AND STATE AGENCIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSETS RELEASED FROM RESTRICTION 18,792.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
