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        <ProgramServicesAmt>148</ProgramServicesAmt>
        <ManagementAndGeneralAmt>493</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>18615</TotalAmt>
        <ManagementAndGeneralAmt>18615</ManagementAndGeneralAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>11305</TotalAmt>
        <ProgramServicesAmt>11305</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>61381</TotalAmt>
        <ProgramServicesAmt>39613</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21768</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>146244</TotalAmt>
        <ProgramServicesAmt>98100</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48144</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>863441</TotalAmt>
        <ProgramServicesAmt>863441</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL EXPENSES</Desc>
        <TotalAmt>86548</TotalAmt>
        <ProgramServicesAmt>86548</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FUEL</Desc>
        <TotalAmt>69969</TotalAmt>
        <ProgramServicesAmt>69969</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>53117</TotalAmt>
        <ProgramServicesAmt>53117</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>81210</TotalAmt>
        <ProgramServicesAmt>57291</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23919</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>6301160</TotalAmt>
        <ProgramServicesAmt>5509756</ProgramServicesAmt>
        <ManagementAndGeneralAmt>791404</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <AccountsReceivableGrp>
        <BOYAmt>877760</BOYAmt>
        <EOYAmt>690234</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>50712</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>196036</BOYAmt>
        <EOYAmt>170663</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>5257118</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4697471</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1680082</BOYAmt>
        <EOYAmt>559647</EOYAmt>
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        <EOYAmt>1471256</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>356187</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>364511</BOYAmt>
        <EOYAmt>356187</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2431724</BOYAmt>
        <EOYAmt>1115069</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2431724</BOYAmt>
        <EOYAmt>1115069</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2796235</BOYAmt>
        <EOYAmt>1471256</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-179855</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-1136800</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>1</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </AcctCompileOrReviewBasisGrp>
      <FSAuditedInd>0</FSAuditedInd>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1278412</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1501705</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1861796</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1955876</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2194776</CurrentTaxYearAmt>
        <TotalAmt>8792565</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>3878272</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3091314</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3512179</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3059615</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3926444</CurrentTaxYearAmt>
        <TotalAmt>17467824</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>5156684</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4593019</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5373975</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5015491</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6121220</CurrentTaxYearAmt>
        <TotalAmt>26260389</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>26260389</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>18572</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1720</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>209</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>20501</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>18572</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1720</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>209</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>20501</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>355</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1470</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>90</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>468</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>85</CurrentTaxYearAmt>
        <TotalAmt>2468</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>5175611</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4596209</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5374274</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5015959</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6121305</CurrentTaxYearAmt>
        <TotalAmt>26283358</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99910</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99890</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00080</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00100</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS - 2016 AMOUNT: $ 1,339. MEDICAL RECORDS - 2015 AMOUNT: $ 355. 2016 AMOUNT: $ 131. 2017 AMOUNT: $ 90. 2018 AMOUNT: $ 468. 2019 AMOUNT: $ 85.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </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">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>98112</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>83584</DepreciationAmt>
        <BookValueAmt>14528</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>983378</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>837758</DepreciationAmt>
        <BookValueAmt>145620</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>4175628</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3776129</DepreciationAmt>
        <BookValueAmt>399499</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>559647</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>5257864</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>-863441</OtherRevenueAmt>
      <RevenueNotReportedAmt>-863441</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6121305</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>6121305</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5437719</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5437719</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>863441</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>863441</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>6301160</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE -863,441.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 863,441.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, REVIEWED BY THE MANAGEMENT TEAM, THEN MADE AVAILABLE TO THE BOARD PRIOR TO FILING. FINAL REVIEW AND APPROVAL FROM THE BOARD IS SET TO BE COMPLETED SHORTLY AFTER THE FILING DEADLINE DURING THE NEXT BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE PROVIDED THE CONFLICT OF INTEREST QUESTIONNAIRE PRIOR TO THE 3RD QUARTER BOARD MEETING (CALENDAR YEAR) AND REQUIRED TO COMPLETE AND SUBMIT IT AT THE MEETING TO BE KEPT ON RECORD WITH THE MEETING RECORDS. COMPLIANCE IS MONITORED BY THE COMPLIANCE OFFICER. ANY BOARD MEMBER FOUND TO HAVE A CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN DISCUSSION OR VOTE IN THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS DISCUSSED AS PART OF THE BUDGET APPROVAL PROCESS EVERY MAY AND DISCUSSIONS ARE DOCUMENTED IN THE MAY BOARD MINUTES. WHEN COMPENSATION CHANGES ARE MADE, COMPENSATION DATA FROM SURVEYS COLLECTED BY THE MANAGED SERVICE ORGANIZATION (MSO) HUMAN RESOURCES DEPARTMENT IS COLLECTED. THE DATA IS USED BY THE MSO HUMAN RESOURCE DIRECTOR AND DESIGNATED BOARD MEMBER WHO FORMALLY APPROVE THE ANNUAL COMPENSATION OF THE TOP MANAGEMENT OFFICIALS. THE MSO HUMAN RESOURCE DIRECTOR AND PROGRAM DIRECTOR DETERMINE ALL OTHER COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS THAT ARE REQUIRED TO BE MADE AVAILABLE FOR PUBLIC INSPECTION WILL BE PROVIDED UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>AVIATION CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,860,559. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,860,559. QUICK MED CLAIMS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 90,920. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,920.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>IMPAIRMENT OF ASSETS HELD FOR SALE -1,136,800.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>