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        <Fundraising>0</Fundraising>
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      <Travel>
        <Total>138841</Total>
        <ProgramServices>70102</ProgramServices>
        <ManagementAndGeneral>68739</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <DepreciationDepletion>
        <Total>196750</Total>
        <ProgramServices>118424</ProgramServices>
        <ManagementAndGeneral>78326</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <Insurance>
        <Total>35984</Total>
        <ProgramServices>17541</ProgramServices>
        <ManagementAndGeneral>18443</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>Miscellaneous</Description>
        <Total>2195</Total>
        <ProgramServices>2195</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>10862341</Total>
        <ProgramServices>8116754</ProgramServices>
        <ManagementAndGeneral>2745587</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>60796</BOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>334406</BOY>
        <EOY>701769</EOY>
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      <PledgesAndGrantsReceivable>
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        <EOY>57182</EOY>
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      <AccountsReceivable>
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        <EOY>1072592</EOY>
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      <PrepaidExpensesDeferredCharges>
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      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>4739284</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2285763</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2456725</BOY>
        <EOY>2453521</EOY>
      </LandBuildingsEquipmentBasisNet>
      <TotalAssets>
        <BOY>4153432</BOY>
        <EOY>4285064</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>479245</BOY>
        <EOY>313718</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>21438</BOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>500683</BOY>
        <EOY>313718</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>3652749</BOY>
        <EOY>3971346</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>3652749</BOY>
        <EOY>3971346</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>4153432</BOY>
        <EOY>4285064</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>167104</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>151493</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="00000002" softwareId="10000104">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>2719532</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3332162</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3138994</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4027117</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5670177</CurrentTaxYear>
        <Total>18887982</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>2719532</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3332162</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3138994</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4027117</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5670177</CurrentTaxYear>
        <Total>18887982</Total>
      </Total170>
      <PublicSupportTotal170>18887982</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>9611</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>35182</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>35182</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>37474</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>15234</CurrentTaxYear>
        <Total>132683</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>4051030</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3380053</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3573220</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4242161</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5344034</CurrentTaxYear>
        <Total>20590498</Total>
      </OtherIncome170>
      <TotalSupport>39611163</TotalSupport>
      <PublicSupportPertcentage170>0.47680</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.44890</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <PublicSupportTotal509>0</PublicSupportTotal509>
      <PublicSupportPercentage509>0</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0</InvestmentIncomePercentage>
      <FactsAndCircumstancesTest>OTHER INCOME PART II, LINE 10; DESCRIPTION: PROGRAM GENERATED INCOME FROM HEALTH CARE SERVICES; 2006: 4051030.; 2007: 3380053.; 2008: 3573220.; 2009: 4242161.; 2010: 5344034.;</FactsAndCircumstancesTest>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="00000003" softwareId="10000104">
      <Land>
        <OtherCostOrOtherBasis>146498</OtherCostOrOtherBasis>
        <BookValue>146498</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>2990009</OtherCostOrOtherBasis>
        <Depreciation>1586506</Depreciation>
        <BookValue>1403503</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>1602777</OtherCostOrOtherBasis>
        <Depreciation>699257</Depreciation>
        <BookValue>903520</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>2453521</TotalOfBookValueLandBuildings>
      <TotalRevenue>11029445</TotalRevenue>
      <TotalExpenses>10862341</TotalExpenses>
      <ExcessOrDeficitForYear>167104</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>167104</ExcessOrDeficitPerFS>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="00000004">
      <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>
      <Form990ScheduleJPartII>
        <NamePerson>BETTIE KNIGHT MD</NamePerson>
        <BaseCompensationFilingOrg>182927</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>182927</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARGARET A GRAY DPA</NamePerson>
        <BaseCompensationFilingOrg>142353</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>142353</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="00000005" softwareId="10000104">
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 11a</Identifier>
        <Explanation>The 990 is review by the CEO along with the CFO, presented</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>to the board for approval.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>This Policy is communicated to the employees in writing</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>in the employee hand book.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 15</Identifier>
        <Explanation>Employees are evaluated on an annual basis by the CEO and</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>approved by the board of directors.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>