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        <ProgramServicesAmt>1847148</ProgramServicesAmt>
        <ManagementAndGeneralAmt>202529</ManagementAndGeneralAmt>
        <FundraisingAmt>35605</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>77895</BOYAmt>
        <EOYAmt>122432</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>19322</BOYAmt>
        <EOYAmt>18716</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>122336</BOYAmt>
        <EOYAmt>153327</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>14043</BOYAmt>
        <EOYAmt>12976</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1342333</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>657510</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>738228</BOYAmt>
        <EOYAmt>684823</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>549926</BOYAmt>
        <EOYAmt>609772</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <TotalAssetsGrp>
        <BOYAmt>1521750</BOYAmt>
        <EOYAmt>1602046</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>59785</BOYAmt>
        <EOYAmt>71331</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>59785</BOYAmt>
        <EOYAmt>71331</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1416067</BOYAmt>
        <EOYAmt>1482396</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>45898</BOYAmt>
        <EOYAmt>48319</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1461965</BOYAmt>
        <EOYAmt>1530715</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1521750</BOYAmt>
        <EOYAmt>1602046</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>14183</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>54567</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1134780</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1052043</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1164457</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1835382</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1998339</CurrentTaxYearAmt>
        <TotalAmt>7185001</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>8768</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4145</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1928</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>36346</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>52472</CurrentTaxYearAmt>
        <TotalAmt>103659</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>1143548</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1056188</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1166385</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1871728</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2050811</CurrentTaxYearAmt>
        <TotalAmt>7288660</TotalAmt>
      </Total509Grp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>7288660</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>11531</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11797</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16017</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13373</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>45517</CurrentTaxYearAmt>
        <TotalAmt>98235</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>11531</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11797</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16017</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13373</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>45517</CurrentTaxYearAmt>
        <TotalAmt>98235</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus2YearsAmt>110504</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>130445</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3137</CurrentTaxYearAmt>
        <TotalAmt>244086</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>1155079</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1067985</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1292906</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2015546</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2099465</CurrentTaxYearAmt>
        <TotalAmt>7630981</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.95510</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.95380</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <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="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>51160</OtherCostOrOtherBasisAmt>
        <BookValueAmt>51160</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>903931</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>657510</DepreciationAmt>
        <BookValueAmt>246421</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>207432</OtherCostOrOtherBasisAmt>
        <BookValueAmt>207432</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>179810</OtherCostOrOtherBasisAmt>
        <BookValueAmt>179810</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>684823</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENTS</Desc>
        <BookValueAmt>609772</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>609772</TotalBookValueSecuritiesAmt>
      <TotalRevEtcAuditedFinclStmtAmt>2154032</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>54567</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>54567</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2099465</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>2099465</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2085282</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>2085282</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>2085282</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1000</ContributionCnt>
        <NoncashContributionsRptF990Amt>842081</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>PROF MEDICAL SVCS</Desc>
        <ContributionCnt>24</ContributionCnt>
        <NoncashContributionsRptF990Amt>423903</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATIONS PROCESS TO REVIEW FORM 990-THE FINANCE COMMITTEE INITIALLY REVIEWS THE FORM 990. IT SI THEN REVIEWED BY THE ENTIRE GOVERNING BOARD AT THE NEXT SCHEDULED BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>ENFORCEMENT OF CONFLICT POLICY-EACH BOARD MEMBER COMPLETES A CONFILCT OF INTEREST FORM ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PROCESS FOR TOP OFFICIAL-EXECUTIVE DIRECTOR SALARY IS SET BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PROCESS FOR OFFICERS-STAFF SALARIES ARE SET BY THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION-GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>