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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>4817245</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>472914</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>157784</PriorPeriodAdjustmentsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <HospitalInd>X</HospitalInd>
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        <BookValueAmt>167613</BookValueAmt>
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        <DepreciationAmt>2520619</DepreciationAmt>
        <BookValueAmt>2421558</BookValueAmt>
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        <DepreciationAmt>482187</DepreciationAmt>
        <BookValueAmt>468636</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <BookValueAmt>58140</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3115947</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>3879105</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>3879105</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>3879105</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3406191</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>3406191</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>3406191</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS PROVIDED TO AND REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANZATION REQUIRES ALL BOARD MEMBERS, OFFICERS AND EMPLOYEES TO FILL OUT A FORM ANNUALLY DECLARING ANY CONFLICTS OF INTEREST. BOARD MEMBERS COMPLETE THE CONFLICT OF INTEREST FORM AT THE ANNUAL MEETING; EMPLOYEES REVIEW THE CODE OF EHTICS ANNUALLY DURING EVALUATIONS. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST IS REQUIRED TO ABSTAIN FROM CONVERSATION AND VOTING ON THE ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE CEO IS REVIEWED ANNUALLY BY THE BOARD AND THE BOARD APPROVES ANY CHANGES IN COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE CFO AND OTHER KEY EMPLOYEES IS REVIEWED ANNUALLY BY THE CEO DURING THE ANNUAL EVALUATION PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
