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        <ManagementAndGeneralAmt>120719</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FOOD, SUPPLIES &amp; DRUGS</Desc>
        <TotalAmt>648967</TotalAmt>
        <ProgramServicesAmt>648967</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL BED ASSESSMENT</Desc>
        <TotalAmt>351526</TotalAmt>
        <ManagementAndGeneralAmt>351526</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UNIFORMS</Desc>
        <TotalAmt>11766</TotalAmt>
        <ProgramServicesAmt>11766</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES AND DUES</Desc>
        <TotalAmt>6244</TotalAmt>
        <ManagementAndGeneralAmt>6244</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>7462435</TotalAmt>
        <ProgramServicesAmt>5746032</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1716403</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>264528</BOYAmt>
        <EOYAmt>277207</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2409665</BOYAmt>
        <EOYAmt>2803240</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>658168</BOYAmt>
        <EOYAmt>827276</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>32844</BOYAmt>
        <EOYAmt>44610</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>9528037</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1359841</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8440980</BOYAmt>
        <EOYAmt>8168196</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>105841</BOYAmt>
        <EOYAmt>114451</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>11912026</BOYAmt>
        <EOYAmt>12234980</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>603045</BOYAmt>
        <EOYAmt>357534</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>5860482</BOYAmt>
        <EOYAmt>5679596</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>6463527</BOYAmt>
        <EOYAmt>6037130</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>5448499</BOYAmt>
        <EOYAmt>6197850</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5448499</BOYAmt>
        <EOYAmt>6197850</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>11912026</BOYAmt>
        <EOYAmt>12234980</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>749351</ReconcilationRevenueExpnssAmt>
      <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>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1072008</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>787586</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>519766</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>303666</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15650</CurrentTaxYearAmt>
        <TotalAmt>2698676</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>4180134</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6038176</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6845803</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6921915</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8035643</CurrentTaxYearAmt>
        <TotalAmt>32021671</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>5252142</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6825762</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7365569</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7225581</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8051293</CurrentTaxYearAmt>
        <TotalAmt>34720347</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>34720347</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>34065</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>45033</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12612</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>83042</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>124318</CurrentTaxYearAmt>
        <TotalAmt>299070</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>34065</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>45033</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12612</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>83042</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>124318</CurrentTaxYearAmt>
        <TotalAmt>299070</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>69</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>797</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>199</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearAmt>36175</CurrentTaxYearAmt>
        <TotalAmt>37240</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>5286276</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6871592</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7378380</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7308623</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8211786</CurrentTaxYearAmt>
        <TotalAmt>35056657</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99040</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99350</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00850</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00650</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, SECTION B, LINE 12:</FormAndLineReferenceDesc>
        <ExplanationTxt>GAIN ON INSURANCE PROCEEDS - $36,175</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>838534</OtherCostOrOtherBasisAmt>
        <BookValueAmt>838534</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>7968532</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>796853</DepreciationAmt>
        <BookValueAmt>7171679</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>676464</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>562988</DepreciationAmt>
        <BookValueAmt>113476</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>44507</OtherCostOrOtherBasisAmt>
        <BookValueAmt>44507</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>8168196</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>8211786</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>8211786</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>8211786</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7462435</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>7462435</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>7462435</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 1E</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSTRUCTION IN PROGRESS - $44,507</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BILL FELDER, CHAIRMAN, REVIEWS THE COMPLETED 990 AND SCHEDULES PRIOR TO BEING EFILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO COMPLETE CONFLICT OF INTEREST FORMS ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PERSONNEL COMMITEE OF BOARD OF DIRECTORS REVIEWS COMPENSATION OF EMPLOYEES ANNUALLY. CHAIRMAN, VICE CHAIRMAN, SECRETARY AND TREASURER ALL SERVE WITHOUT COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DOCUMENTS ARE AVAILABLE FOR INSPECTION TO THE PUBLIC DURING NORMAL BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DOCUMENTS ARE AVAILABLE FOR INSPECTION TO THE PUBLIC DURING NORMAL BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT HAS NOT CHANGED THEIR PROCESS FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>