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        <RelatedOrExemptFunctionIncome>581202</RelatedOrExemptFunctionIncome>
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      <ProgramServiceRevenue>
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        <RelatedOrExemptFunctionIncome>1138691</RelatedOrExemptFunctionIncome>
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      <IncomeFromInvestBondProceeds>
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      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>7624</Real>
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      <RentalIncomeOrLoss>
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        <RelatedOrExemptFunctionIncome>7624</RelatedOrExemptFunctionIncome>
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      <NetGainOrLossInvestments>
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      <NetIncomeFromFundraisingEvents>
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      <NetIncomeFromGaming>
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      <GrantsToDomesticOrgs>
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      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
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      <ForeignGrants>
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      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
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      <CompCurrentOfficersDirectors>
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        <ManagementAndGeneral>404439</ManagementAndGeneral>
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      <CompDisqualPersons>
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        <ManagementAndGeneral>308435</ManagementAndGeneral>
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      <PensionPlanContributions>
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      <OtherEmployeeBenefits>
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        <ProgramServices>194323</ProgramServices>
        <ManagementAndGeneral>52433</ManagementAndGeneral>
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      <PayrollTaxes>
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        <ProgramServices>145566</ProgramServices>
        <ManagementAndGeneral>45573</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>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>107836</Total>
        <ProgramServices>60846</ProgramServices>
        <ManagementAndGeneral>46990</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>146925</Total>
        <ProgramServices>141823</ProgramServices>
        <ManagementAndGeneral>5102</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>19215</Total>
        <ProgramServices>8926</ProgramServices>
        <ManagementAndGeneral>10289</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>61557</Total>
        <ManagementAndGeneral>61557</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>135538</Total>
        <ProgramServices>124864</ProgramServices>
        <ManagementAndGeneral>10674</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>25043</Total>
        <ProgramServices>2358</ProgramServices>
        <ManagementAndGeneral>22685</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Other Expenses</Description>
        <Total>38935</Total>
        <ProgramServices>25573</ProgramServices>
        <ManagementAndGeneral>13362</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Maintenance</Description>
        <Total>112809</Total>
        <ProgramServices>98197</ProgramServices>
        <ManagementAndGeneral>14612</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Consumable Supplies</Description>
        <Total>226199</Total>
        <ProgramServices>218997</ProgramServices>
        <ManagementAndGeneral>7202</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CONTRACT SERVICES</Description>
        <Total>404008</Total>
        <ProgramServices>387488</ProgramServices>
        <ManagementAndGeneral>16520</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>72149</Total>
        <ProgramServices>21499</ProgramServices>
        <ManagementAndGeneral>50650</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>4603951</Total>
        <ProgramServices>3533428</ProgramServices>
        <ManagementAndGeneral>1070523</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>379590</BOY>
        <EOY>409200</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>51458</BOY>
        <EOY>52172</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>549767</BOY>
        <EOY>357860</EOY>
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      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>10186</BOY>
        <EOY>5917</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>440</BOY>
        <EOY>0</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>3516405</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1507449</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2083757</BOY>
        <EOY>2008956</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <EOY>0</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>3075198</BOY>
        <EOY>2834105</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>165747</BOY>
        <EOY>167971</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>998908</BOY>
        <EOY>944657</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>143845</BOY>
        <EOY>85448</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1308500</BOY>
        <EOY>1198076</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1766698</BOY>
        <EOY>1636029</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>1766698</BOY>
        <EOY>1636029</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>3075198</BOY>
        <EOY>2834105</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-130669</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="11000144" softwareVersion="2011v1.5">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>1906474</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2332638</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2308974</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2646147</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2744364</CurrentTaxYear>
        <Total>11938597</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit170>
      <ValueSrvcFcltsFurnishedByGovt>
        <Total>0</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
        <CurrentTaxYearMinus4Years>1906474</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2332638</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2308974</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2646147</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2744364</CurrentTaxYear>
        <Total>11938597</Total>
      </Total170>
      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>11938597</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>14136</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13755</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>7933</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4843</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9025</CurrentTaxYear>
        <Total>49692</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <Total>0</Total>
      </NetUBI>
      <OtherIncome170>
        <Total>0</Total>
      </OtherIncome170>
      <TotalSupport>11988289</TotalSupport>
      <PublicSupportPertcentage170>0.99590</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.99520</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="11000144" softwareVersion="2011v1.5">
      <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>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="11000144" softwareVersion="2011v1.5">
      <Land>
        <InvestmentCostOrOtherBasis>129059</InvestmentCostOrOtherBasis>
        <BookValue>129059</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>2451992</InvestmentCostOrOtherBasis>
        <Depreciation>699813</Depreciation>
        <BookValue>1752179</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <InvestmentCostOrOtherBasis>7500</InvestmentCostOrOtherBasis>
        <Depreciation>1500</Depreciation>
        <BookValue>6000</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <InvestmentCostOrOtherBasis>927854</InvestmentCostOrOtherBasis>
        <Depreciation>806136</Depreciation>
        <BookValue>121718</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>2008956</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Accrued Liabilities</Description>
        <Amount>85448</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>85448</TotalOfAmounts>
      <TotalRevenue>4473282</TotalRevenue>
      <TotalExpenses>4603951</TotalExpenses>
      <ExcessOrDeficitForYear>-130669</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>-130669</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>4473282</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>4473282</RevenueSubtotal>
      <TotalRevenuePerForm990>4473282</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>4603951</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>4603951</ExpensesSubtotal>
      <TotalExpensesPerForm990>4603951</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="11000144" softwareVersion="2011v1.5">
      <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>
        <BaseCompensationFilingOrg>209364</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>16238</OtherCompensationFilingOrg>
        <TotalCompensationFilingOrg>225602</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000144" softwareVersion="2011v1.5">
      <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 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: 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>
    </IRS990ScheduleO>
  </ReturnData>
</Return>