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        <ProgramServicesAmt>67441</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11901</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>282124</TotalAmt>
        <ProgramServicesAmt>280854</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1270</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>401885</TotalAmt>
        <ProgramServicesAmt>252464</ProgramServicesAmt>
        <ManagementAndGeneralAmt>149421</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>43939</TotalAmt>
        <ManagementAndGeneralAmt>43939</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>99146</TotalAmt>
        <ProgramServicesAmt>44209</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54937</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>788866</TotalAmt>
        <ProgramServicesAmt>670536</ProgramServicesAmt>
        <ManagementAndGeneralAmt>118330</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>111937</TotalAmt>
        <ManagementAndGeneralAmt>111937</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Bank Service Fees</Desc>
        <TotalAmt>48295</TotalAmt>
        <ManagementAndGeneralAmt>48295</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Maintenance and Repairs</Desc>
        <TotalAmt>107089</TotalAmt>
        <ProgramServicesAmt>107089</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Pharmacy Costs</Desc>
        <TotalAmt>996826</TotalAmt>
        <ProgramServicesAmt>996826</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Clinical and Pharm Supplies</Desc>
        <TotalAmt>352000</TotalAmt>
        <ProgramServicesAmt>352000</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>560542</TotalAmt>
        <ProgramServicesAmt>432706</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127836</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>10760665</TotalAmt>
        <ProgramServicesAmt>9017502</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1743163</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4805051</BOYAmt>
        <EOYAmt>6369426</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1346381</BOYAmt>
        <EOYAmt>704002</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>120109</BOYAmt>
        <EOYAmt>29165</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>69286</BOYAmt>
        <EOYAmt>122245</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>239881</BOYAmt>
        <EOYAmt>243858</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>19992998</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4243434</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>10302956</BOYAmt>
        <EOYAmt>15749564</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1906735</BOYAmt>
        <EOYAmt>1691341</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>18790399</BOYAmt>
        <EOYAmt>24909601</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3049460</BOYAmt>
        <EOYAmt>2035204</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2176625</BOYAmt>
        <EOYAmt>6469133</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>5226085</BOYAmt>
        <EOYAmt>8504337</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>13564314</BOYAmt>
        <EOYAmt>16155264</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <EOYAmt>250000</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13564314</BOYAmt>
        <EOYAmt>16405264</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>18790399</BOYAmt>
        <EOYAmt>24909601</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>2840950</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>5380468</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4337948</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6393122</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10226750</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9557703</CurrentTaxYearAmt>
        <TotalAmt>35895991</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>5380468</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4337948</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6393122</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10226750</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9557703</CurrentTaxYearAmt>
        <TotalAmt>35895991</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>35895991</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearAmt>50187</CurrentTaxYearAmt>
        <TotalAmt>50187</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus2YearsAmt>5017</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>412603</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>38867</CurrentTaxYearAmt>
        <TotalAmt>456487</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>36402665</TotalSupportAmt>
      <PublicSupportCY170Pct>0.98610</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98600</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>24712</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>24712</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>15433771</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>2251277</DepreciationAmt>
        <BookValueAmt>13182494</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>4534515</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>1992157</DepreciationAmt>
        <BookValueAmt>2542358</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>15749564</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Right to use asset</Desc>
        <BookValueAmt>1691341</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1691341</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>13601615</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>13601615</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>13601615</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>10760665</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>10760665</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>10760665</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <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>DEBRA WEEKS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>373968</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>373968</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Committee meeting documentation Part VI line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS SECETARY DOCUMENTS ALL MEETINGS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Review by management prior to filing</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL CONFLICT OF INTEREST POLICY DECLARATION FORMS REVIEWED AND SIGNED BY THE BOARD MEMBERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE MADE AVAIABLE TO THE PUBLIC UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>FEES AND SERVICE EXPENSES ARE REPORTED ON 990</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other expenses Part IX line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER EXPENSES ARE LISTED IN SCHEDULES OF RETURN</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI response or note to any other line in Part VI</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR TOP MANAGEMENT OFFICIAL PERFORMANCE EVELUATIONS ARE PERFORMEDANNUALLY AND SALARY INCREASES ARE BOARD APPROVED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI response or note to any line in Part XI</FormAndLineReferenceDesc>
        <ExplanationTxt>REPRESENTS THE NET CHANGE IN NET ASSETS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>