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      <OtherLiabilitiesGrp>
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        <EOYAmt>2355364</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>5009031</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>5009031</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>8311201</BOYAmt>
        <EOYAmt>7364395</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-1914838</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-1</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc6">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
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        <OtherCostOrOtherBasisAmt>1759265</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1759265</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>3489658</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2710243</DepreciationAmt>
        <BookValueAmt>779415</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2341862</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1494855</DepreciationAmt>
        <BookValueAmt>847007</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1198925</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>974073</DepreciationAmt>
        <BookValueAmt>224852</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3610539</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER CURRENT LIABILITIES</Desc>
        <Amt>2050736</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2050736</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <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>JOHN HUGHES</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>170222</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>750</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>170972</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>J MICHAEL HUGHES</PersonNm>
        <TitleTxt>PRESIDENT / CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>137750</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>750</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>138500</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, ITEM B</FormAndLineReferenceDesc>
        <ExplanationTxt>ORIGINAL RETURN INCORRECTLY CLASSIFIED 202,545 RECEIVED UNDER THE WORK QUALITY INCENTIVE PROGRAM UNDER PART VIII LINE 1E - 202,545 - GOVERNMENT GRANTS. AMENDED RETURN CORRECTS CLASSIFICATION FROM PART VIII LINE 1E TO PART VIII - LINE 2A PROGRAM SERVICE REVENUE - NURSING SERVICES. LINE 2A - INCREASED 202,545 FROM 12,197,309 TO 12,399,854.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>AMY HUGHES LEVEQUE J MICHAEL HUGHES /JOHN HUGHES PRES/CEO CEO PARENT / SIBLING JOHN HUGHES AMY H LEVEQUE/J MICHAEL HUGHES CFO SIBLING / PARENT J MICHAEL HUGHES AMY H LEVEQUE / JOHN HUGHES FORMER CEO PARENT</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>COPY OF FORM 990 PROVIDED TO PRESIDENT/CEO, PRIOR TO FILING, FOR REVIEW AND APPROVAL</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICY IS REVIEWED ANNUALLY AND DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST DISCLOSURE FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF CEO IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND ANY INCREASES ARE APPROVED BY THE BOARD. THE CHARIMAN WHO IS ALSO THE CEO DOES NOT PARTICIPATE IN THE REVIEW AND APPROVAL PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR ALL CORPORATE EMPLOYEES AND FACILITY DEPARTMENT HEADS ARE REVIEWED ANNUALLY BY THE PRESIDENT/CEO AND THE CFO. ALL OTHER EMPLOYEES COMPENSATION IS CONTROLLED BY RATE RANGE SCHEDULES BY JOB CLASSIFICATION AND YEARS OF SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PUBLIC DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>BOOK / TAX DEPRECIATION DIFFERENCE -1</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>