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        <ManagementAndGeneralAmt>5505</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>106771</ProgramServicesAmt>
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        <ProgramServicesAmt>8286</ProgramServicesAmt>
        <ManagementAndGeneralAmt>591</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>440739</ProgramServicesAmt>
        <ManagementAndGeneralAmt>428</ManagementAndGeneralAmt>
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        <TotalAmt>149125</TotalAmt>
        <ProgramServicesAmt>132375</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16522</ManagementAndGeneralAmt>
        <FundraisingAmt>228</FundraisingAmt>
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        <ProgramServicesAmt>265510</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CREDIT LOSS EXPENSE</Desc>
        <TotalAmt>215131</TotalAmt>
        <ProgramServicesAmt>215131</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL BILLING FEES</Desc>
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        <ManagementAndGeneralAmt>193080</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>1742938</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>515294</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>30731</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>6240045</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3569143</LandBldgEquipAccumDeprecAmt>
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        <EOYAmt>2670902</EOYAmt>
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        <EOYAmt>656373</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>6453479</EOYAmt>
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        <EOYAmt>307890</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>3117</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>259617</BOYAmt>
        <EOYAmt>311007</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>6109108</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>97416</BOYAmt>
        <EOYAmt>33364</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5813523</BOYAmt>
        <EOYAmt>6142472</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>6073140</BOYAmt>
        <EOYAmt>6453479</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>274550</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>54399</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1861602</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1960396</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2763111</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2202294</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2042898</CurrentTaxYearAmt>
        <TotalAmt>10830301</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1861602</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1960396</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2763111</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2202294</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2042898</CurrentTaxYearAmt>
        <TotalAmt>10830301</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>10830301</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>33219</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24055</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13213</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16994</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>42779</CurrentTaxYearAmt>
        <TotalAmt>130260</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>10960561</TotalSupportAmt>
      <PublicSupportCY170Pct>0.98810</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98970</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <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>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <InvestmentEarningsOrLossesAmt>12937</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>689737</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>676800</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>676800</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <ContributionsAmt>500000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>176800</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>676800</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>500000</BeginningYearBalanceAmt>
        <OtherExpendituresAmt>500000</OtherExpendituresAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>500000</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>500000</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.95000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.05000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>367250</OtherCostOrOtherBasisAmt>
        <BookValueAmt>367250</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>3277844</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1834558</DepreciationAmt>
        <BookValueAmt>1443286</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>944953</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>723219</DepreciationAmt>
        <BookValueAmt>221734</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>1011366</DepreciationAmt>
        <BookValueAmt>638632</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2670902</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENTS - BOARD DESIGNATED</Desc>
        <BookValueAmt>656373</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>656373</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>6414404</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>54399</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>11279</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>65678</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6348726</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>6348726</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>6085455</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>11279</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>11279</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>6074176</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>6074176</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>7500</CashGrantAmt>
        <ValuationMethodUsedDesc>CASH VALUE</ValuationMethodUsedDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>[PENDING EXPLANATION]</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CONSISTS OF NON COMPENSATED MEMBERS WHO ARE RESPONSIBLE FOR ELECTING THE BOARD OF DIRECTORS. THE MEMBERS CONSIST OF VOLUNTEERS AND EMPLOYEES OF THE ORGANIZATION. THE VOLUNTEERS ARE NOT COMPENSATED FOR THEIR PARTICIPATION. EMPLOYEES CHOOSE TO BECOME MEMBERS, THEY ARE NOT REQUIRED AND DO NOT RECEIVE COMPENSATION FOR THEIR PARTICIPATION AT MEMBER MEETINGS. MEMBERS DO NOT RECEIVE ANY DISTRIBUTIONS OF ASSETS OR INCOME FROM THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS ELECT THE BOARD OF DIRECTORS AT THE DECEMBER MEETING AND VOTE TO FILL THE EXPIRED TERMS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS IS ELECTED/REMOVED BY THE MEMBERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR PROVIDES A COPY OF THE FORM 990 TO MEMBERS OF THE BOARD PRIOR TO FILING THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DUTY TO DISCLOSE IS PLACED ON THE INTERESTED PERSON. IT IS THE INTERESTED PERSON'S OBLIGATION TO IDENTIFY ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST AND DISCLOSE TO THE BOARD OF DIRECTORS AT THE EARLIEST OPPORTUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USED COMPARABILITY DATA IN DETERMINING THE COMPENSATION OF THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS IS CONSISTENT WITH PRIOR YEAR</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>