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        <ManagementAndGeneralAmt>82152</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>13590</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>9275</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>89184</ProgramServicesAmt>
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        <ProgramServicesAmt>317421</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>80589</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>523687</TotalAmt>
        <ProgramServicesAmt>523687</ProgramServicesAmt>
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        <EOYAmt>2537686</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>4560625</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>7098311</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>12487</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>313374</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc4">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
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        <BookValueAmt>36790</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>4611506</DepreciationAmt>
        <BookValueAmt>3112491</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>1647312</DepreciationAmt>
        <BookValueAmt>188299</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3337580</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>8626020</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>313374</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>313374</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>8312646</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>16819</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>16819</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>8329465</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>8300159</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>8300159</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>16819</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>16819</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>8316978</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSIDERATION HAS BEEN GIVEN TO UNCERTAIN TAX POSITIONS. THE FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED AFTER DECEMBER 31, 2016, REMAIN OPEN FOR POTENTIAL EXAMINATION BY MAJOR TAX JURISDICTIONS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc3">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO THE FILING OF THE 990 A DRAFT COPY OF THE RETURN IS PRESENTED TO THE BOARD FOR THE OPPORTUNITY TO DISCUSS, REVIEW AND MODIFY IF NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCLOSURE FORMS ARE REQUIRED TO BE COMPLETED AND ARE KEPT ON FILE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>