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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <LeaseholdImprovementsGrp>
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      <TotalBookValueLandBuildingsAmt>733007</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED WAGES</Desc>
        <Amt>36750</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED VACATION</Desc>
        <Amt>4361</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED LIABILITIES</Desc>
        <Amt>5040</Amt>
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      <TotalLiabilityAmt>46151</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>1810350</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
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      <WrittenPolicyInd>1</WrittenPolicyInd>
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      <Percent200DInd>X</Percent200DInd>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
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      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
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        <DirectOffsettingRevenueAmt>419409</DirectOffsettingRevenueAmt>
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      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <ReimbursedByMedicareAmt>84063</ReimbursedByMedicareAmt>
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        <CostToChargeRatioInd>X</CostToChargeRatioInd>
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      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
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        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
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        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
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        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
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        <GrossChargesInd>0</GrossChargesInd>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>FINANCIAL STATEMENTS NOTE 4:ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES AND GOODS PROVIDED IS $50,340 NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS OF $10,311. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS CALCULATED BY MANAGEMENT AS A PERCENTAGE OF OUTSTANDING ACCOUNTS RECEIVABLE BASED ON PRIOR EXPERIENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 8 - MEDICARE EXPLANATIONALL OF THE SHORTFALL IS CONSIDERED COMMUNITY BENEFIT BECAUSE THE FACILITY PROVIDES CARE TO PATIENTS ON A SLIDING PAY SCALE BASED ON THEIR POVERTY LEVEL.THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT ON LINE 6 IS THE COST TO CHARGE RATIO, WHICH IS THE SAME METHODOLOGY USED ON THE MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 9B - COLLECTION PRACTICES EXPLANATIONTHERE IS BOARD APPROVAL FOR ANY INDIVIDUAL THAT QUALIFIES.</ExplanationTxt>
      </SupplementalInformationDetail>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE APPROPRIATE INDIVIDUALS RESPONSIBLE FOR THE ORGANIZATION WILL REVIEW THE 990 BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ENFORCEMENT OF CONFLICTS POLICY REVIEWED ANNUALLY WITH BOARD MEMBERS AND EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PROCESS FOR TOP OFFICIALS COMPENSATION IS DETERMINED BASED ON COMPARABLE INDUSTRY AND DEMOGRAPHICS. THE BOARD APPROVES COMPENSATION FOR TOP OFFICIALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND DETERMINED ON A CASE BY CASE BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>