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U.S. Virgin Islands operates Medicaid under a federal block-grant cap (not standard FFP); the headline risk is the hard funding ceiling plus reduced federal match and the end of pandemic-era enhanced territory allotments.
IRS 990 filing-entity totals; hospital-affiliated centers may reflect a parent health system, not isolated FQHC operations.
U.S. Virgin Islands is part of our national directory. California and Texas have full deep-dive profiles — resilience grades, live jobs, salary data, and strategic intelligence.