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        <ManagementAndGeneralAmt>37888</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>3540</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3540</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>15979</TotalAmt>
        <ProgramServicesAmt>7816</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6600</ManagementAndGeneralAmt>
        <FundraisingAmt>1563</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>14955</TotalAmt>
        <ProgramServicesAmt>13460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1495</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>40384</TotalAmt>
        <ProgramServicesAmt>22675</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17709</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>904</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>904</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1910</TotalAmt>
        <ProgramServicesAmt>1910</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>66381</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66381</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>71806</TotalAmt>
        <ProgramServicesAmt>64625</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7181</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>8233</TotalAmt>
        <ProgramServicesAmt>7410</ProgramServicesAmt>
        <ManagementAndGeneralAmt>823</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Pharmaceuticals</Desc>
        <TotalAmt>66674</TotalAmt>
        <ProgramServicesAmt>66674</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>31827</TotalAmt>
        <ProgramServicesAmt>31827</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Dental Services</Desc>
        <TotalAmt>18259</TotalAmt>
        <ProgramServicesAmt>18259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Contract Labor</Desc>
        <TotalAmt>76390</TotalAmt>
        <ProgramServicesAmt>68751</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7639</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>26380</TotalAmt>
        <ProgramServicesAmt>5938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19266</ManagementAndGeneralAmt>
        <FundraisingAmt>1176</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>1140658</ProgramServicesAmt>
        <ManagementAndGeneralAmt>265748</ManagementAndGeneralAmt>
        <FundraisingAmt>2739</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1934505</BOYAmt>
        <EOYAmt>366404</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1241247</BOYAmt>
        <EOYAmt>396143</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>113808</BOYAmt>
        <EOYAmt>145748</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <EOYAmt>11970</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3012003</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>105266</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2734495</BOYAmt>
        <EOYAmt>2906737</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>895086</BOYAmt>
        <EOYAmt>2254200</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>6919141</BOYAmt>
        <EOYAmt>6081202</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>67448</BOYAmt>
        <EOYAmt>53993</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2200000</BOYAmt>
        <EOYAmt>1692311</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2267448</BOYAmt>
        <EOYAmt>1746304</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1617386</BOYAmt>
        <EOYAmt>2112348</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>3034307</BOYAmt>
        <EOYAmt>2222550</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4651693</BOYAmt>
        <EOYAmt>4334898</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>6919141</BOYAmt>
        <EOYAmt>6081202</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-316795</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </AcctCompileOrReviewBasisGrp>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA-01" softwareId="23017509">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>178541</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>295070</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>564246</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3805179</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>782824</CurrentTaxYearAmt>
        <TotalAmt>5625860</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TaxRevLeviedOrgnztnlBnft170Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>178541</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>295070</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>564246</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3805179</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>782824</CurrentTaxYearAmt>
        <TotalAmt>5625860</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>5625860</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>13602</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>29536</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25789</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>98671</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>94291</CurrentTaxYearAmt>
        <TotalAmt>261889</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <TotalAmt>0</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <TotalAmt>0</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>5887749</TotalSupportAmt>
      <PublicSupportCY170Pct>0.95550</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.88300</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <PublicSupportTotal509Amt>0</PublicSupportTotal509Amt>
      <PublicSupportCY509Pct>0</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0</InvestmentIncomeCYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB-01">
      <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="IRS990ScheduleD-01" softwareId="23017509">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>364500</OtherCostOrOtherBasisAmt>
        <BookValueAmt>364500</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2564819</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>92972</DepreciationAmt>
        <BookValueAmt>2471847</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>82684</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>12294</DepreciationAmt>
        <BookValueAmt>70390</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2906737</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>1102850</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>10500</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>10500</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1092350</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>1092350</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1419645</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>10500</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>10500</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>1409145</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>1409145</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleM documentId="IRS990ScheduleM-01">
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="23017509">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The finalized 990 is presented to the board for review before signing and filing</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents available upon request</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>