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        <ProgramServicesAmt>147738</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116187</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>220389</TotalAmt>
        <ProgramServicesAmt>175774</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44615</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>136539</TotalAmt>
        <ProgramServicesAmt>136539</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CLIENT EXPENSES</Desc>
        <TotalAmt>67423</TotalAmt>
        <ProgramServicesAmt>61337</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6086</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSE/TAXES</Desc>
        <TotalAmt>41690</TotalAmt>
        <ProgramServicesAmt>21812</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19878</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>FOOD SERVICE</Desc>
        <TotalAmt>27035</TotalAmt>
        <ProgramServicesAmt>27035</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>16150</TotalAmt>
        <ProgramServicesAmt>619</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15531</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>16899394</TotalAmt>
        <ProgramServicesAmt>13992933</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2906461</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4113651</BOYAmt>
        <EOYAmt>3579991</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>150210</BOYAmt>
        <EOYAmt>291452</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>1974486</BOYAmt>
        <EOYAmt>2006499</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>128162</BOYAmt>
        <EOYAmt>101646</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>5487311</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2932892</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2747541</BOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>172042</BOYAmt>
        <EOYAmt>148444</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>9286092</BOYAmt>
        <EOYAmt>8682451</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>845289</EOYAmt>
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        <EOYAmt>27164</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1385269</BOYAmt>
        <EOYAmt>872453</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>7900823</BOYAmt>
        <EOYAmt>7809998</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>7900823</BOYAmt>
        <EOYAmt>7809998</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>9286092</BOYAmt>
        <EOYAmt>8682451</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-90825</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc5">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1566344</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1650337</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1436247</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1300180</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1473274</CurrentTaxYearAmt>
        <TotalAmt>7426382</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1566344</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1650337</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1436247</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1300180</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1473274</CurrentTaxYearAmt>
        <TotalAmt>7426382</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>7426382</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>3043</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1604</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1293</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1345</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1124</CurrentTaxYearAmt>
        <TotalAmt>8409</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>73205</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>27231</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>27507</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13243</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10038</CurrentTaxYearAmt>
        <TotalAmt>151224</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>7586015</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>87861774</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.97900</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.97760</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME 151,224</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>250701</OtherCostOrOtherBasisAmt>
        <BookValueAmt>250701</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2991855</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1353438</DepreciationAmt>
        <BookValueAmt>1638417</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>114260</DepreciationAmt>
        <BookValueAmt>206068</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1870197</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1443206</DepreciationAmt>
        <BookValueAmt>426991</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>54230</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>21988</DepreciationAmt>
        <BookValueAmt>32242</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2554419</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER CURRENT LIABILITIES</Desc>
        <Amt>27164</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>27164</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>16808569</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>16808569</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>16808569</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16899394</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>16899394</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>16899394</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc3">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <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>DR NOEL JEWELL</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>296755</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17805</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24173</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>338733</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>DRAFT OF THE FORM 990 IS PROVIDED TO THE GOVERNING BOARD OF DIRECTORS FOR REVIEW AND APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH BOARD MEMBER COMPLETES AND SIGNS A CONFLICT OF INTEREST FORM ANNUALLY. THE BOARD THEN REVIEWS THE FORMS AND ADDRESSES ANY CONFLICTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS AN ANNUAL PRESIDENT EVALUATION AND REVIEW COMMITTEE APPOINTED EACH YEAR FROM THE BOARD OF DIRECTORS. ONE MEMBER IS APPOINTED BY THE BOARD CHAIR PERSON, ONE BY THE CEO AND THE OTHER IS ELECTED BY THE BOARD OF DIRECTORS. THE EVALUATION COMMITTEE MAKES SALARY RECOMMENDATIONS TO THE BOARD OF DIRECTORS AS PART OF THEIR REPORT. THE PRESIDENT HAS AN EMPLOYMENT CONTRACT APPROVED BY THE BOARD OF DIRECTORS THAT IS UPDATED AND APPROVED ANYTIME THERE ARE ANY CHANGES. THE TERM IS USUALLY THREE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS SALARIES ARE SET BY THE PRESIDENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>