﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2018v3.1" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2019-07-02T13:23:43-07:00</ReturnTs>
    <TaxPeriodEndDt>2018-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmName>
        <BusinessNameLine1Txt>TIBBITTS &amp; ASSOCIATES PLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>233 HUBBARD STREET</AddressLine1Txt>
        <CityNm>ALLEGAN</CityNm>
        <StateAbbreviationCd>MI</StateAbbreviationCd>
        <ZIPCd>49010</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2018-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>382453558</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>WINGS OF HOPE HOSPICE AND PALLIATIVE CARE INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>WING</BusinessNameControlTxt>
      <PhoneNum>2696868659</PhoneNum>
      <USAddress>
        <AddressLine1Txt>530 LINN STREET</AddressLine1Txt>
        <CityNm>ALLEGAN</CityNm>
        <StateAbbreviationCd>MI</StateAbbreviationCd>
        <ZIPCd>49010</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>DIANE BARTON</PersonNm>
      <PersonTitleTxt>PRESIDENT</PersonTitleTxt>
      <PhoneNum>2696868659</PhoneNum>
      <SignatureDt>2019-05-28</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>JANA L TIBBITTS</PreparerPersonNm>
      <PTIN>P00428500</PTIN>
      <PhoneNum>2696732222</PhoneNum>
      <PreparationDt>2019-07-02</PreparationDt>
      <SelfEmployedInd>X</SelfEmployedInd>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>47.225.136.240</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2019-07-02</IPDt>
      <IPTm>13:23:37</IPTm>
      <IPTimezoneCd>PD</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>5EF1E4838FAC347F0A63253EF07C3D0819C72F40</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>5EF1E4838FAC347F0A63253EF07C3D0819C72F40</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2018</TaxYr>
    <BuildTS>2019-02-21 02:37:17Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="IRS990-01" referenceDocumentId="IRS990ScheduleO-01" referenceDocumentName="IRS990ScheduleO ReasonableCauseExplanation" softwareId="18007482">
      <PrincipalOfficerNm>DIANE BARTON</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>530 LINN STREET</AddressLine1Txt>
        <CityNm>ALLEGAN</CityNm>
        <StateAbbreviationCd>MI</StateAbbreviationCd>
        <ZIPCd>49010</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>2816235</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>alleganhospice.com</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1983</FormationYr>
      <LegalDomicileStateCd>MI</LegalDomicileStateCd>
      <ActivityOrMissionDesc>HOSPICE CARE WINGS OF HOPE HOSPICE AND PALLIATIVE CARE, INC PROVIDES COMPASSIONATE CARE IN THE LATER STAGES OF LIFE AND SUPPORT THROUGH THE GRIEF EXPERIENCE FOR INDIVIDUALS AND FAMILIES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>9</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>9</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>48</TotalEmployeeCnt>
      <TotalVolunteersCnt>58</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>379443</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>407223</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>2163609</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>2260940</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>3508</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>362</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>110472</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>102341</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>2657032</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>2770866</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1811636</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1765628</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>58780</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>962230</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>1112174</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>2773866</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>2877802</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-116834</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-106936</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1294295</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1193364</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>252519</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>258524</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>1041776</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>934840</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>HOSPICE CARE WINGS OF HOPE HOSPICE AND PALLIATIVE CARE, INC PROVIDES COMPASSIONATE CARE IN THE LATER STAGES OF LIFE AND SUPPORT THROUGH THE GRIEF EXPERIENCE FOR INDIVIDUALS AND FAMILIES.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>65204</ExpenseAmt>
      <GrantAmt>0</GrantAmt>
      <RevenueAmt>0</RevenueAmt>
      <Desc>BEREAVEMENT SERVICES: HOSPICE PROVIDES A WIDE RANGE OF BEREAVEMENT AND GRIEF COUNSELING SERVICES TO FAMILIES</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>2126945</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>0</RevenueAmt>
        <Desc>PATIENT CARE: HOSPICE PROVIDES SPECIALIZED HEALTHCARE FOR INDIVIDUALS NEARING THE END OF THEIR LIVES. THE FOCUS OF PALLIATIVE SERVICES ON COMFORT RATHER THAN CURE. TO ENSURE THE BEST QUALITY OF LIFE, ALL NEEDS OF THE PATIENTS ARE ADDRESSED, BEGINNING WITH PHYSICAL COMFORT, FREEDOM FROM PAIN AND OTHER SYMPTOMS. THE EMOTIONAL AND SPIRITUAL WELL BEING OF THE PATIENT ARE ALSO PRIMARY CONCERNS. IN 2018 HOSPICE SERVED 252 PATIENTS.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>147303</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>0</RevenueAmt>
        <Desc>COMMUNITY OUTREACH: WINGS OF HOPE HOSPICE IS TRANSFORMING THE WAY THE COMMUNITY VIEWS DEATH AND DYING BY SHARPENING THEIR UNDERSTANDING OF HOSPICE. WE WANT EVERYONE IN ALLEGAN COUNTY TO APPRECIATE THE UNIQUE ROLE WINGS OF HOPE HOSPICE SERVES IN MEETING THE NEEDS OF END-OF-LIFE PATIENTS, AND TO CHOOSE HOSPICE EARLIER, SO THE BENEFITS TO THE PATIENT AND FAMILY CAN RESULT IN SUBSTANTIALLY IMPROVED QUALITY OF LIFE FOR EVERYONE. AS THE AREA'S EXPERT IN PROVIDING CARE TO TERMINALLY ILL PATIENTS, WE WILL EDUCATE THE COMMUNITY TO APPRECIATE HOSPICE AS A GIFT OF TIME, DIGNITY, COMFORT AND HOPE. OUR STAFF AND VOLUNTEERS MEET WITH AREA BUSINESSES, CHURCHES, CIVIC GROUPS, NURSING HOMES, IN SHORT, WHEREVER WE CAN HELP UNDERSTAND DEATH, DYING, AND THE ROLE OF HOSPICE TO SUPPORT A MORE ABUNDANT LIFE FOR END OF LIFE PATIENTS.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>50339</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>0</RevenueAmt>
        <Desc>EDUCATIONAL TRAINING OF VOLUNTEERS: PROVIDE EDUCATIONAL TRAINING FOR VOLUNTEERS OF HOSPICE CARE.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>50339</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcGrantAmt>0</TotalOtherProgSrvcGrantAmt>
      <TotalOtherProgSrvcRevenueAmt>0</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>2389791</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="IRS990ScheduleA-01" referenceDocumentName="IRS990ScheduleA">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="IRS990ScheduleB-01" referenceDocumentName="IRS990ScheduleB">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="IRS990ScheduleD-01" referenceDocumentName="IRS990ScheduleD">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="IRS990ScheduleD-01" referenceDocumentName="IRS990ScheduleD">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="IRS990ScheduleD-01" referenceDocumentName="IRS990ScheduleD">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="IRS990ScheduleD-01" referenceDocumentName="IRS990ScheduleD">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="IRS990ScheduleD-01" referenceDocumentName="IRS990ScheduleD">false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD-01" referenceDocumentName="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="IRS990ScheduleD-01" referenceDocumentName="IRS990ScheduleD">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="IRS990ScheduleD-01" referenceDocumentName="IRS990ScheduleD">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="IRS990ScheduleD-01" referenceDocumentName="IRS990ScheduleD">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="IRS990ScheduleD-01" referenceDocumentName="IRS990ScheduleD">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="IRS990ScheduleD-01" referenceDocumentName="IRS990ScheduleD">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD-01" referenceDocumentName="IRS990ScheduleD">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD-01" referenceDocumentName="IRS990ScheduleD">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="IRS990ScheduleG-01" referenceDocumentName="IRS990ScheduleG">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="IRS990ScheduleG-01" referenceDocumentName="IRS990ScheduleG">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="IRS990ScheduleG-01" referenceDocumentName="IRS990ScheduleG">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="IRS990ScheduleM-01" referenceDocumentName="IRS990ScheduleM">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="IRS990ScheduleM-01" referenceDocumentName="IRS990ScheduleM">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd>false</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>8</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>48</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <DAFExcessBusinessHoldingsInd>false</DAFExcessBusinessHoldingsInd>
      <TaxableDistributionsInd>false</TaxableDistributionsInd>
      <DistributionToDonorInd>false</DistributionToDonorInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>9</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>9</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>MI</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>WINGS OF HOPE HOSPICE AND PALLIATIV</PersonNm>
        <PhoneNum>2696868659</PhoneNum>
        <USAddress>
          <AddressLine1Txt>530 LINN STREET</AddressLine1Txt>
          <CityNm>ALLEGAN</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49010</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHERI SCHULTZ</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THERESA LYNN</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>108497</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10579</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE BARTON</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD GODFREY</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM CONNELL DVM</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PABLO MARTINEZ</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENIFER GARCIA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN KLOOZ</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARA BORRINK</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAWN SHERMAN</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>108497</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>10579</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <FederatedCampaignsAmt>40218</FederatedCampaignsAmt>
      <FundraisingAmt>242939</FundraisingAmt>
      <AllOtherContributionsAmt>124066</AllOtherContributionsAmt>
      <NoncashContributionsAmt>88756</NoncashContributionsAmt>
      <TotalContributionsAmt>407223</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1773101</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>549144</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COMMERCIAL INSURANCE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>73460</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>UNINSURED/UNREIMBURSED CARE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>-134765</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2260940</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>362</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>362</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>118522</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>242939</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>45369</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>73153</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>73153</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2188</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2188</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CONTRACTUAL SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>27000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27000</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>29188</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2770866</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2290128</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>73515</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>115872</TotalAmt>
        <ProgramServicesAmt>26163</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87142</ManagementAndGeneralAmt>
        <FundraisingAmt>2567</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1333862</TotalAmt>
        <ProgramServicesAmt>1072094</ProgramServicesAmt>
        <ManagementAndGeneralAmt>220081</ManagementAndGeneralAmt>
        <FundraisingAmt>41687</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>34436</TotalAmt>
        <ProgramServicesAmt>26089</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7297</ManagementAndGeneralAmt>
        <FundraisingAmt>1050</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>165109</TotalAmt>
        <ProgramServicesAmt>126998</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33316</ManagementAndGeneralAmt>
        <FundraisingAmt>4795</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>116349</TotalAmt>
        <ProgramServicesAmt>88146</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24654</ManagementAndGeneralAmt>
        <FundraisingAmt>3549</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>38113</TotalAmt>
        <ProgramServicesAmt>38113</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>44579</TotalAmt>
        <ProgramServicesAmt>33773</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9446</ManagementAndGeneralAmt>
        <FundraisingAmt>1360</FundraisingAmt>
      </OfficeExpensesGrp>
      <TravelGrp>
        <TotalAmt>6268</TotalAmt>
        <ProgramServicesAmt>4279</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1470</ManagementAndGeneralAmt>
        <FundraisingAmt>519</FundraisingAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>21403</TotalAmt>
        <ProgramServicesAmt>16216</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4535</ManagementAndGeneralAmt>
        <FundraisingAmt>652</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>15388</TotalAmt>
        <ProgramServicesAmt>11658</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3261</ManagementAndGeneralAmt>
        <FundraisingAmt>469</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>WORKERS COMPENSATION</Desc>
        <TotalAmt>19464</TotalAmt>
        <ProgramServicesAmt>14747</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4124</ManagementAndGeneralAmt>
        <FundraisingAmt>593</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>STAFF DEVELOPMENT</Desc>
        <TotalAmt>5541</TotalAmt>
        <ProgramServicesAmt>4198</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1174</ManagementAndGeneralAmt>
        <FundraisingAmt>169</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE/PAGER</Desc>
        <TotalAmt>18310</TotalAmt>
        <ProgramServicesAmt>13872</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3880</ManagementAndGeneralAmt>
        <FundraisingAmt>558</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>POSTAGE</Desc>
        <TotalAmt>10158</TotalAmt>
        <ProgramServicesAmt>7696</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2152</ManagementAndGeneralAmt>
        <FundraisingAmt>310</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>932950</TotalAmt>
        <ProgramServicesAmt>905749</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26699</ManagementAndGeneralAmt>
        <FundraisingAmt>502</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2877802</TotalAmt>
        <ProgramServicesAmt>2389791</ProgramServicesAmt>
        <ManagementAndGeneralAmt>429231</ManagementAndGeneralAmt>
        <FundraisingAmt>58780</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>137630</BOYAmt>
        <EOYAmt>266596</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>125834</BOYAmt>
        <EOYAmt>126781</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>9301</BOYAmt>
        <EOYAmt>13070</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>512998</BOYAmt>
        <EOYAmt>290329</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>5761</BOYAmt>
        <EOYAmt>6660</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>719059</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>244361</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>488161</BOYAmt>
        <EOYAmt>474698</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>14610</BOYAmt>
        <EOYAmt>15230</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1294295</BOYAmt>
        <EOYAmt>1193364</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>252519</BOYAmt>
        <EOYAmt>258524</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>252519</BOYAmt>
        <EOYAmt>258524</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>1024475</BOYAmt>
        <EOYAmt>911770</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>17301</BOYAmt>
        <EOYAmt>23070</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1041776</BOYAmt>
        <EOYAmt>934840</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1294295</BOYAmt>
        <EOYAmt>1193364</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-106936</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA-01" softwareId="18007482">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
      <PublicSupportCY170Pct>0</PublicSupportCY170Pct>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>386926</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>419761</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>401635</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>379443</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>407223</CurrentTaxYearAmt>
        <TotalAmt>1994988</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>1439980</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1620342</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2155840</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2163609</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2260940</CurrentTaxYearAmt>
        <TotalAmt>9640711</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <TotalAmt>0</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <TaxRevLeviedOrgnztnlBnft509Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft509Grp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>1826906</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2040103</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2557475</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2543052</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2668163</CurrentTaxYearAmt>
        <TotalAmt>11635699</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>11635699</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>4375</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1273</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2221</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3508</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>362</CurrentTaxYearAmt>
        <TotalAmt>11739</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>4375</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1273</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2221</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3508</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>362</CurrentTaxYearAmt>
        <TotalAmt>11739</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>25961</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>30564</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>28764</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>28480</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>29188</CurrentTaxYearAmt>
        <TotalAmt>142957</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <TotalAmt>11790395</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98690</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98770</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00100</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00130</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Pt III Ln 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Income Part III, Line 12 Description: MISCELLANEOUS INCOME 2014: 961. 2015: 3564. 2016: 1764. 2017: 1480. 2018: 2188. Description: REIMBURSED EXPENSES 2014: 0. 2015: 0. 2016: 0. 2017: 0. 2018: 0. Description: CONTRACTUAL SERVICES 2014: 25000. 2015: 27000. 2016: 27000. 2017: 27000. 2018: 27000.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB-01" />
    <IRS990ScheduleD documentId="IRS990ScheduleD-01" softwareId="18007482">
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>391056</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>247199</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>182857</DepreciationAmt>
        <BookValueAmt>455398</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>80804</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>61504</DepreciationAmt>
        <BookValueAmt>19300</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>474698</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN ASSETS HELD BY ACCF</Desc>
        <BookValueAmt>15230</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>15230</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>2824043</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>7808</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>45369</OtherRevenueAmt>
      <RevenueNotReportedAmt>53177</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2770866</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>2770866</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2930979</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>7808</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>45369</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>53177</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2877802</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>2877802</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI, Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT EXPENSES OF SPECIAL EVENTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT EXPENSES OF SPECIAL EVENTS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG-01">
      <FundraisingEventInformationGrp>
        <Event1Nm>AUCTION</Event1Nm>
        <GrossReceiptsEvent1Amt>225315</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>179155</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>46160</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>12401</OtherDirectExpensesEvent1Amt>
        <Event2Nm>CABARET</Event2Nm>
        <GrossReceiptsEvent2Amt>40370</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>40370</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>25044</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>5377</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>5377</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>428</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>271062</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>179155</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>91907</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>37873</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>37873</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>54034</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleM documentId="IRS990ScheduleM-01">
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>MISC AUCTION ITEMS</Desc>
        <ContributionCnt>446</ContributionCnt>
        <NoncashContributionsRptF990Amt>88756</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>SALE PRICE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="18007482">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR PERIOD ADJUSTMENT OF PAYROLL ACCRUAL</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>PRESIDENT AND EXECUTIVE DIRECTOR REVIEW FORM 990 PRIOR TO PRESIDENT SIGNING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT REGULARLY ENFORCED, IT IS DISCUSSED AND ENFORCED ON AN AS NEEDED BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS ANNUALLY REVIEWS THE EXECUTIVE DIRECTORS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>PERFORMANCE, ALONG WITH COMPENSATION OF OTHER NON-PROFITS OF SIMILAR SIZE AND MAKE A UNIFIED DETERMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHERS TOP MANAGERS: THE EXECUTIVE DIRECTOR AND DIRECTOR OF HUMAN RESOURCES EVALUATE THE MANAGERS PERFORMANCE AND MAKE LIKE COMPARISIONS THROUGH THE MICHIGAN NONPROFIT COMPENSATION AND BE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>AND BENEFITS SURVEY. A RECOMMENDATION IS THEN GIVEN TO THE EXECUTIVE FINANCE COMMITTEE FOR THEIR RECOMMENDATION AND IS THEN PRESENTED TO AND VOTED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ANNUAL REPORT AND FORM 990 ARE AVAILABLE ON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>EDUCATIONAL TRAINING OF VOLUNTEERS: 50339. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL SERVICES 12497. 0. 12497. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>REPAIRS &amp; MAINTENANCE 10283. 7791. 2179. 313.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>UTILITIES 6202. 4699. 1314. 189.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>PRINTING 17769. 17301. 468. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>DUES AND SUBSCRIPTIONS 11088. 4932. 6156. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL/PATIENT CARE 178598. 178598. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>ROOM &amp; BOARD 514968. 514968. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>MILEAGE 65534. 65534. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>ELECTRONIC MEDICAL RECORDS 15908. 15908. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>MARKETING 45289. 45289. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM EXPENSES 1895. 1895. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSES 46830. 46830. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS 2177. 2004. 173. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>STAFF RECRUITMENT 3912. 0. 3912. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>