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        <CurrentTaxYearMinus2YearsAmt>10000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1705000</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>351000</CurrentTaxYearAmt>
        <TotalAmt>3044116</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>3044116</PublicSupportTotal170Amt>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1696080</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1717235</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2004173</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2862830</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2631298</CurrentTaxYearAmt>
        <TotalAmt>10911616</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>13955732</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>27002</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.21810</PublicSupportCY170Pct>
      <PrivateFoundation170Ind>X</PrivateFoundation170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME 8,280,318</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1613438</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1613438</BookValueAmt>
      </LandGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>5557067</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1305146</DepreciationAmt>
        <BookValueAmt>4251921</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>5865359</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>USDA NOTE</Desc>
        <Amt>6237202</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LOAN PAYABLE E KIMBALL</Desc>
        <Amt>143539</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>6380741</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>NO REVIEW WAS OR WILL BE CONDUCTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO THE PUBLIC</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>BILLING SERVICES 223,600 0 0 PHYSCIAN SERVICES 67,286 0 0 PHYSCIAN SERVICES- DERM 74,690 0 0 MEDICAL STAFF LEASE 1,240,589 0 0 RE MGMT SERVICES 120,420 0 0 SCHEDULERS 55,400 0 0 RADIOLOGY SERVICES 15,310 0 0 SUBCONTRACTORS COS 1,200 0 0 CREDENTIALING 56,000 0 0 PHYSCIAN SERVICES 66,020 0 0 TOTAL 1,920,515 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>