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        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOAN MCGRATH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RUTH FISHBECK</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>107533</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8936</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STACEY TARBOX</PersonNm>
        <TitleTxt>FINANCE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>60737</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7397</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>168270</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>16333</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>17959</FundraisingAmt>
      <GovernmentGrantsAmt>801137</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>352414</AllOtherContributionsAmt>
      <TotalContributionsAmt>1171510</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENU</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>2667624</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2667624</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2667624</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>49320</TotalRevenueColumnAmt>
        <ExclusionAmt>49320</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>507509</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>354122</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>153387</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>153387</TotalRevenueColumnAmt>
        <ExclusionAmt>153387</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>14304</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>17959</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>14304</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>10801</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10801</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>10801</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4052642</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2678425</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>202707</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>184604</TotalAmt>
        <ManagementAndGeneralAmt>184604</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1729729</TotalAmt>
        <ProgramServicesAmt>1376441</ProgramServicesAmt>
        <ManagementAndGeneralAmt>289400</ManagementAndGeneralAmt>
        <FundraisingAmt>63888</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>33988</TotalAmt>
        <ProgramServicesAmt>28181</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4499</ManagementAndGeneralAmt>
        <FundraisingAmt>1308</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>220960</TotalAmt>
        <ProgramServicesAmt>168554</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44582</ManagementAndGeneralAmt>
        <FundraisingAmt>7824</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>141033</TotalAmt>
        <ProgramServicesAmt>102278</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34008</ManagementAndGeneralAmt>
        <FundraisingAmt>4747</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>100</TotalAmt>
        <ManagementAndGeneralAmt>100</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>36700</TotalAmt>
        <ManagementAndGeneralAmt>36700</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>17800</TotalAmt>
        <ManagementAndGeneralAmt>17800</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>8415</TotalAmt>
        <ProgramServicesAmt>8415</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>26436</TotalAmt>
        <ManagementAndGeneralAmt>26436</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>177436</TotalAmt>
        <ProgramServicesAmt>144547</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28588</ManagementAndGeneralAmt>
        <FundraisingAmt>4301</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>70846</TotalAmt>
        <ProgramServicesAmt>42508</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24796</ManagementAndGeneralAmt>
        <FundraisingAmt>3542</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>133623</TotalAmt>
        <ProgramServicesAmt>133623</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>25339</TotalAmt>
        <ProgramServicesAmt>25339</ProgramServicesAmt>
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      <InterestGrp>
        <TotalAmt>41</TotalAmt>
        <ProgramServicesAmt>25</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14</ManagementAndGeneralAmt>
        <FundraisingAmt>2</FundraisingAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>76928</TotalAmt>
        <ProgramServicesAmt>46157</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26925</ManagementAndGeneralAmt>
        <FundraisingAmt>3846</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>28152</TotalAmt>
        <ProgramServicesAmt>16891</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9853</ManagementAndGeneralAmt>
        <FundraisingAmt>1408</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PATIENT CARE SUPPLIES</Desc>
        <TotalAmt>416164</TotalAmt>
        <ProgramServicesAmt>416164</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>39781</TotalAmt>
        <ProgramServicesAmt>39781</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSE</Desc>
        <TotalAmt>8565</TotalAmt>
        <ManagementAndGeneralAmt>8565</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FUNDRAISING</Desc>
        <TotalAmt>5041</TotalAmt>
        <FundraisingAmt>5041</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>705</TotalAmt>
        <ProgramServicesAmt>705</ProgramServicesAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>3382386</TotalAmt>
        <ProgramServicesAmt>2549609</ProgramServicesAmt>
        <ManagementAndGeneralAmt>736870</ManagementAndGeneralAmt>
        <FundraisingAmt>95907</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1258612</BOYAmt>
        <EOYAmt>329494</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>43326</BOYAmt>
        <EOYAmt>1283</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>18284</BOYAmt>
        <EOYAmt>513739</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>311169</BOYAmt>
        <EOYAmt>299240</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>5960</BOYAmt>
        <EOYAmt>4889</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2632586</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1124454</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1478648</BOYAmt>
        <EOYAmt>1508132</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>1808880</BOYAmt>
        <EOYAmt>2044428</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>4924879</BOYAmt>
        <EOYAmt>4701205</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>156357</BOYAmt>
        <EOYAmt>198659</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>262540</BOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>298598</BOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>38052</BOYAmt>
        <EOYAmt>29370</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>755547</BOYAmt>
        <EOYAmt>228029</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3884495</BOYAmt>
        <EOYAmt>4228613</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>284837</BOYAmt>
        <EOYAmt>244563</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4169332</BOYAmt>
        <EOYAmt>4473176</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4924879</BOYAmt>
        <EOYAmt>4701205</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>670256</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-298406</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>-68006</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>472820</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>415251</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>610120</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>715182</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1171510</CurrentTaxYearAmt>
        <TotalAmt>3384883</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>3999764</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3977429</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3160457</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3008845</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2667624</CurrentTaxYearAmt>
        <TotalAmt>16814119</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>4472584</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4392680</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3770577</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3724027</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3839134</CurrentTaxYearAmt>
        <TotalAmt>20199002</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>20199002</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>26555</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>25988</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25081</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>32163</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>49320</CurrentTaxYearAmt>
        <TotalAmt>159107</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>26555</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>25988</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25081</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>32163</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>49320</CurrentTaxYearAmt>
        <TotalAmt>159107</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>29061</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13662</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>32258</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19510</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10801</CurrentTaxYearAmt>
        <TotalAmt>105292</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>4528200</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4432330</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3827916</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3775700</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3899255</CurrentTaxYearAmt>
        <TotalAmt>20463401</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98710</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98870</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00780</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00590</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>1803269</BeginningYearBalanceAmt>
        <ContributionsAmt>353779</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-117602</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>2039446</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1491039</BeginningYearBalanceAmt>
        <ContributionsAmt>80545</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>231685</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>1803269</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1149135</BeginningYearBalanceAmt>
        <ContributionsAmt>210741</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>131163</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>1491039</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>866341</BeginningYearBalanceAmt>
        <ContributionsAmt>101506</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>181288</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>1149135</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>970297</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-48071</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>55885</OtherExpendituresAmt>
        <EndYearBalanceAmt>866341</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.89504</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.07613</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.02883</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>40628</OtherCostOrOtherBasisAmt>
        <BookValueAmt>40628</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2338774</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>909373</DepreciationAmt>
        <BookValueAmt>1429401</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>253184</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>215081</DepreciationAmt>
        <BookValueAmt>38103</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1508132</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITY</Desc>
        <Amt>29370</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>29370</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>3750740</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-298406</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>14304</OtherRevenueAmt>
      <RevenueNotReportedAmt>-284102</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4034842</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>17800</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>17800</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>4052642</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3378890</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>14304</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>14304</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3364586</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>17800</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>17800</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3382386</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS EXPENSE 14,304.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS EXPENSE 14,304.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>SWIMATHON</Event1Nm>
        <GrossReceiptsEvent1Amt>17128</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>8648</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>8480</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>8480</OtherDirectExpensesEvent1Amt>
        <Event2Nm>TASTE OF AUTMN</Event2Nm>
        <GrossReceiptsEvent2Amt>12028</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>9176</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>2852</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>2852</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>3</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>3107</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>135</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>2972</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>2972</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>32263</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>17959</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>14304</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>14304</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>14304</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>0</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 FORM IS REVIEWED BY THE FINANCE COMMITTEE BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST STATEMENTS ARE COLLECTED AT THE BOARD'S JUNE MEETING. BOARD MINUTES REPORT ANY ABSTENTIONS FROM VOTING DUE TO CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPICE USES ANNUAL SALARY SURVEY INFORMATION FROM BOTH A NATIONAL SURVEY AND A SURVEY COMPLETED BY MEMBERS OF THE REGIONAL HOSPICE ALLIANCE. THIS INFORMATION IS USED TO BENCHMARK SALARY LEVELS FOR MANAGEMENT STAFF, INCLUDING THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, INCLUDING POLICIES ARE AVAILABLE UPON REQUEST. A SUMMARY OF THE YEAR'S FINANCIAL STATEMENT IS PUBLISHED IN THE ANNUAL REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES IN THE PROCESS FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
