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      <GrantsToDomesticIndividuals>
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      <PensionPlanContributions>
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        <ProgramServices>142416</ProgramServices>
        <ManagementAndGeneral>48723</ManagementAndGeneral>
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      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
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      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>0</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>107384</Total>
        <ProgramServices>102212</ProgramServices>
        <ManagementAndGeneral>5172</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>15993</Total>
        <ProgramServices>2899</ProgramServices>
        <ManagementAndGeneral>13094</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>125455</Total>
        <ProgramServices>124577</ProgramServices>
        <ManagementAndGeneral>878</ManagementAndGeneral>
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      <Insurance>
        <Total>19888</Total>
        <ProgramServices>4074</ProgramServices>
        <ManagementAndGeneral>15814</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Other Expenses</Description>
        <Total>73718</Total>
        <ProgramServices>9682</ProgramServices>
        <ManagementAndGeneral>64036</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Maintenance</Description>
        <Total>80176</Total>
        <ProgramServices>63995</ProgramServices>
        <ManagementAndGeneral>16181</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Consumable Supplies</Description>
        <Total>202564</Total>
        <ProgramServices>188955</ProgramServices>
        <ManagementAndGeneral>13609</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>CONTRACT SERVICES</Description>
        <Total>393867</Total>
        <ProgramServices>342644</ProgramServices>
        <ManagementAndGeneral>51223</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>139332</Total>
        <ProgramServices>42527</ProgramServices>
        <ManagementAndGeneral>96805</ManagementAndGeneral>
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        <ManagementAndGeneral>1029634</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>561155</EOY>
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      <SavingsAndTempCashInvestments>
        <EOY>0</EOY>
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        <EOY>63697</EOY>
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      <AccountsReceivable>
        <BOY>357860</BOY>
        <EOY>158899</EOY>
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      <ReceivablesFromOfficersEtc>
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      <ReceivablesFromDisqualPersons>
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      <OtherNotesLoansReceivableNet>
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      <InventoriesForSaleOrUse>
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        <EOY>5298</EOY>
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      <PrepaidExpensesDeferredCharges>
        <EOY>0</EOY>
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      <LandBuildingsEquipmentBasis>3553351</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1632904</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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      <InvestmentsPubTradedSecurities>
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      <InvestmentsOtherSecurities>
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      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
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      <IntangibleAssets>
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      <AccountsPayableAccruedExpenses>
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      <MortNotesPyblSecuredInvestProp>
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        <EOY>786034</EOY>
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      <TotalLiabilities>
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        <EOY>1010870</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>2709496</EOY>
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      <ReconcilationRevenueExpenses>62597</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="12000229" softwareVersion="2012v2.0">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
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        <CurrentTaxYearMinus3Years>2308974</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2646147</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2744364</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1972518</CurrentTaxYear>
        <Total>12004641</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <Total>0</Total>
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      <ValueSrvcFcltsFurnishedByGovt>
        <Total>0</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
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        <CurrentTaxYearMinus3Years>2308974</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2646147</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2744364</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1972518</CurrentTaxYear>
        <Total>12004641</Total>
      </Total170>
      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>12004641</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>13755</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>7933</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4843</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9025</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9054</CurrentTaxYear>
        <Total>44610</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <Total>0</Total>
      </NetUBI>
      <OtherIncome170>
        <Total>0</Total>
      </OtherIncome170>
      <TotalSupport>12049251</TotalSupport>
      <PublicSupportPertcentage170>0.99630</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.99590</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="12000229" softwareVersion="2012v2.0">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="12000229" softwareVersion="2012v2.0">
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        <InvestmentCostOrOtherBasis>129059</InvestmentCostOrOtherBasis>
        <BookValue>129059</BookValue>
      </Land>
      <Buildings>
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        <Depreciation>825268</Depreciation>
        <BookValue>1626724</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <InvestmentCostOrOtherBasis>7500</InvestmentCostOrOtherBasis>
        <Depreciation>1500</Depreciation>
        <BookValue>6000</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <InvestmentCostOrOtherBasis>964800</InvestmentCostOrOtherBasis>
        <Depreciation>806136</Depreciation>
        <BookValue>158664</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>1920447</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Accrued Liabilities</Description>
        <Amount>158850</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>158850</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>4015010</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>4015010</RevenueSubtotal>
      <TotalRevenuePerForm990>4015010</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>3952413</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>3952413</ExpensesSubtotal>
      <TotalExpensesPerForm990>3952413</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="12000229" softwareVersion="2012v2.0">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>James Koerner MD</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>291611</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>7300</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>298911</TotalCompensationFilingOrg>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>FOR THE EXECUTIVE DIRECTOR, ANNUAL REVIEW DOCUMENTS ARE COMPLETED BY THE EXECUTIVE COMMITTEE MEMBERS. EACH MEMBER PREPARES A RATING AND REVIEWS WITH THE ENTIRE BOARD IN EXECUTIVE SESSION. A RECOMMENDATION IS PREPARED BY THE EXECUTIVE COMMITTEE ANDPRESENTED TO THE ENTIRE BOARD FOR APPROVAL. FOR OTHER KEY EMPLOYEES COMPENSATION, COMPARABILITY DATA IS REVIEWED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>annual assurances in grant application and conflict of interest statements signed annually.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>Form 990 is reviewed by the executive director and compared to the audited financial statements. In the rare instance of any differences, the executive director reviews with the board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 1a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to Committee</ReturnReference>
        <Explanation>Per the operating by-laws of the organization, the Executive Committee shall consist of all Board Officers, with the Board Chairperson serving as Committee Chair. The Executive Committee shall act on behalf of the full Board between regular meetings and in emergency situations.</Explanation>
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    </IRS990ScheduleO>
  </ReturnData>
</Return>