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      <OtherSalariesAndWagesGrp>
        <TotalAmt>8596651</TotalAmt>
        <ProgramServicesAmt>6426373</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2170278</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1748689</TotalAmt>
        <ProgramServicesAmt>1307222</ProgramServicesAmt>
        <ManagementAndGeneralAmt>441467</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1301412</TotalAmt>
        <ProgramServicesAmt>1237485</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63927</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>53284</TotalAmt>
        <ProgramServicesAmt>53284</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>336086</TotalAmt>
        <ProgramServicesAmt>252065</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84021</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>243826</TotalAmt>
        <ProgramServicesAmt>233486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10340</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>44151</TotalAmt>
        <ProgramServicesAmt>41943</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2208</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>595811</TotalAmt>
        <ProgramServicesAmt>570544</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25267</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>62942</TotalAmt>
        <ProgramServicesAmt>49136</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13806</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>1858693</TotalAmt>
        <ProgramServicesAmt>1858693</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>290827</TotalAmt>
        <ProgramServicesAmt>278494</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12333</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UTILITIES AND TELEPHONE</Desc>
        <TotalAmt>260604</TotalAmt>
        <ProgramServicesAmt>249552</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11052</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>316169</TotalAmt>
        <ProgramServicesAmt>300361</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15808</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>15709145</TotalAmt>
        <ProgramServicesAmt>12858638</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2850507</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4982801</BOYAmt>
        <EOYAmt>5561788</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>5014186</BOYAmt>
        <EOYAmt>7121711</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>464896</BOYAmt>
        <EOYAmt>351410</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1218589</BOYAmt>
        <EOYAmt>1600040</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>65435</BOYAmt>
        <EOYAmt>81906</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>10358616</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2870067</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6977135</BOYAmt>
        <EOYAmt>7488549</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <EOYAmt>481120</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>18723042</BOYAmt>
        <EOYAmt>22686524</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>843849</BOYAmt>
        <EOYAmt>842659</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <UnsecuredNotesLoansPayableGrp>
        <EOYAmt>382128</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>843849</BOYAmt>
        <EOYAmt>1224787</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>17879193</BOYAmt>
        <EOYAmt>21461737</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>17879193</BOYAmt>
        <EOYAmt>21461737</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>18723042</BOYAmt>
        <EOYAmt>22686524</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>3582544</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1485063</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1485063</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>6606752</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1733980</DepreciationAmt>
        <BookValueAmt>4872772</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1837655</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1136087</DepreciationAmt>
        <BookValueAmt>701568</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>429146</OtherCostOrOtherBasisAmt>
        <BookValueAmt>429146</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>7488549</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>19291689</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>19291689</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>19291689</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15709145</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>15709145</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>15709145</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <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>LINDA HUTCHENS</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE</TitleTxt>
        <BaseCompensationFilingOrgAmt>717518</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>717518</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RONALD BILLIPS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>303556</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>303556</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW HAAG</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>216824</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>216824</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PHILLIP PETERSON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>293470</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>293470</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JONATHAN PIERCE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>257401</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>257401</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Member election for additional members Part VI line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS MAY ELECT NEW MEMBERS TO FILL VACANCIES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS THE FORM 990 BEFORE IT IS FILED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL MEMBERS OF THE BOARD OF DIRECTORS ARE COGNIZANT OF THE ACTIVITIES OF ALL OTHER MEMBERS AND WOULD BE AWARE OF ANY CONFLICTING ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS MONITORS AND REVIEWS COMPENSATION FOR EXECUTIVE OFFICER AND ALL OTHER KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS COMPENSASTION OF ALL KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL REPORTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>RESTRICTED ASSETS DECREASED $115,535</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>