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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2952</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELLIZABETH MERRIAM</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>144531</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BHAVESH SHARMA</PersonNm>
        <TitleTxt>PHYSICAL THERAPIST</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>123198</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6011</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN SOUSA</PersonNm>
        <TitleTxt>VP NURSING</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>114375</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>889671</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>25313</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>14</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SHC SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 677896</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75243</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT RN'S</ServicesDesc>
        <CompensationAmt>750496</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BAKER HOMECARE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>485 CREEK STREET</AddressLine1Txt>
            <CityNm>WRENTHAM</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02093</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>139320</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JACKSON LEWIS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 416019</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02116</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL</ServicesDesc>
        <CompensationAmt>108828</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>42000</FundraisingAmt>
      <GovernmentGrantsAmt>151672</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>23556</AllOtherContributionsAmt>
      <TotalContributionsAmt>217228</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HOME HEALTH CARE</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>15068995</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15068995</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>15068995</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>131002</TotalRevenueColumnAmt>
        <ExclusionAmt>131002</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3612920</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>3649217</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-36297</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-36297</TotalRevenueColumnAmt>
        <ExclusionAmt>-36297</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>81970</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>42000</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>37283</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>44687</TotalRevenueColumnAmt>
        <ExclusionAmt>44687</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>15425615</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15068995</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>139392</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>188016</TotalAmt>
        <ManagementAndGeneralAmt>188016</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>10660157</TotalAmt>
        <ProgramServicesAmt>9482808</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1177349</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>216156</TotalAmt>
        <ProgramServicesAmt>189158</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26998</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1037253</TotalAmt>
        <ProgramServicesAmt>907700</ProgramServicesAmt>
        <ManagementAndGeneralAmt>129553</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>866854</TotalAmt>
        <ProgramServicesAmt>758584</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108270</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>65400</TotalAmt>
        <ManagementAndGeneralAmt>65400</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>161200</TotalAmt>
        <ManagementAndGeneralAmt>161200</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1604717</TotalAmt>
        <ProgramServicesAmt>1404288</ProgramServicesAmt>
        <ManagementAndGeneralAmt>200429</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>13259</TotalAmt>
        <ProgramServicesAmt>11603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1656</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <InformationTechnologyGrp>
        <TotalAmt>86599</TotalAmt>
        <ProgramServicesAmt>75783</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10816</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>541229</TotalAmt>
        <ProgramServicesAmt>473629</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67600</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>263886</TotalAmt>
        <ProgramServicesAmt>247395</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16491</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>100134</TotalAmt>
        <ProgramServicesAmt>87627</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12507</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>80489</TotalAmt>
        <ProgramServicesAmt>70436</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10053</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>787317</TotalAmt>
        <ProgramServicesAmt>688981</ProgramServicesAmt>
        <ManagementAndGeneralAmt>98336</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES</Desc>
        <TotalAmt>162180</TotalAmt>
        <ProgramServicesAmt>162180</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FUNDRAISING EXPENSE</Desc>
        <TotalAmt>5189</TotalAmt>
        <FundraisingAmt>5189</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PRINTING &amp; PUBLICATIONS</Desc>
        <TotalAmt>79</TotalAmt>
        <ProgramServicesAmt>69</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>16840114</TotalAmt>
        <ProgramServicesAmt>14560241</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2274684</ManagementAndGeneralAmt>
        <FundraisingAmt>5189</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>141669</BOYAmt>
        <EOYAmt>140826</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2774233</BOYAmt>
        <EOYAmt>2615581</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>104452</BOYAmt>
        <EOYAmt>55341</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1897490</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1740877</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>138990</BOYAmt>
        <EOYAmt>156613</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>7687015</BOYAmt>
        <EOYAmt>7296922</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>10846359</BOYAmt>
        <EOYAmt>10265283</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1579727</BOYAmt>
        <EOYAmt>1568429</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>839184</BOYAmt>
        <EOYAmt>799631</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1348917</BOYAmt>
        <EOYAmt>2348917</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>393872</BOYAmt>
        <EOYAmt>278146</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>4161700</BOYAmt>
        <EOYAmt>4995123</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>6459132</BOYAmt>
        <EOYAmt>5044630</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>110103</BOYAmt>
        <EOYAmt>110106</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>115424</BOYAmt>
        <EOYAmt>115424</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>6684659</BOYAmt>
        <EOYAmt>5270160</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>10846359</BOYAmt>
        <EOYAmt>10265283</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-1414499</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <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>25344</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>284518</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>256860</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>285675</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>217228</CurrentTaxYearAmt>
        <TotalAmt>1069625</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>13212327</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14210705</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15805802</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15310407</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15068995</CurrentTaxYearAmt>
        <TotalAmt>73608236</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>13237671</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14495223</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16062662</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15596082</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15286223</CurrentTaxYearAmt>
        <TotalAmt>74677861</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>74677861</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>126995</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>139767</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>133662</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>141447</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>131002</CurrentTaxYearAmt>
        <TotalAmt>672873</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>126995</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>139767</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>133662</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>141447</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>131002</CurrentTaxYearAmt>
        <TotalAmt>672873</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>102270</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>109231</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>116230</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>116550</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>81970</CurrentTaxYearAmt>
        <TotalAmt>526251</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>13466936</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14744221</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16312554</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15854079</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15499195</CurrentTaxYearAmt>
        <TotalAmt>75876985</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98420</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98210</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00890</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01050</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>GROSS RECEIPTS FROM FUNDRAISING - 2013 AMOUNT: $ 102,270. 2014 AMOUNT: $ 109,231. 2015 AMOUNT: $ 116,230. 2016 AMOUNT: $ 116,550. 2017 AMOUNT: $ 81,970.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>115424</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>115424</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>115424</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>115424</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>115424</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>115424</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>115424</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>115424</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>115424</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>115424</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>64625</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>52341</DepreciationAmt>
        <BookValueAmt>12284</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1538391</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1411626</DepreciationAmt>
        <BookValueAmt>126765</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>294474</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>276910</DepreciationAmt>
        <BookValueAmt>17564</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>156613</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD-PARTY PAYORS</Desc>
        <Amt>278146</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>278146</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>15425615</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>15425615</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>15425615</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16840114</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>16840114</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>16840114</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION IS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PUBLIC CHARITY, THE ASSOCIATION IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON INCOME EARNED IN ACCORDANCE WITH THEIR TAX EXEMPT PURPOSES. UNRELATED BUSINESS INCOME IS SUBJECT TO STATE AND FEDERAL INCOME TAX. MANAGEMENT HAS EVALUATED THE ASSOCIATION'S TAX POSITION AND CONCLUDED THAT IT HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. MANAGEMENT BELIEVES THE ASSOCIATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>GOLF TOURNAMENT</Event1Nm>
        <GrossReceiptsEvent1Amt>121470</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>42000</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>79470</GrossRevenueEvent1Amt>
        <CashPrizesEvent1Amt>4850</CashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>25804</RentFacilityCostsEvent1Amt>
        <OtherDirectExpensesEvent1Amt>6629</OtherDirectExpensesEvent1Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>2500</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>2500</GrossRevenueOtherEventsAmt>
        <GrossReceiptsTotalAmt>123970</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>42000</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>81970</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>4850</CashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>25804</RentFcltyCostsTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>6629</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>37283</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>44687</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VICE PRESIDENT BUSINESS DEVELOPMENT IS A CONTRACT EMPLOYEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS REVIEWED BY THE VICE PRESIDENT OF FINANCE WHO THEN SUBMITTED A NARRATIVE EXPLAINING THE FORM 990 ALONG WITH A COPY OF THE FORM 990 TO ALL BOARD MEMBERS. THE MEMBERS OF THE BOARD OF DIRECTORS APPROVED THE FORM 990 FOR FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES ARE INITIALLY REQUIRED TO DISCLOSE ANY INTERESTS THAT MAY CAUSE CONFLICT UPON BEING HIRED. AFTER THE INITIAL DISCLOSURE, EMPLOYEES ARE RESPONSIBLE FOR UPDATING THE APPROPRIATE PERSON WITHING THE ORGANIZATION IF A SITUATION ARISES THAT COULD CAUSE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS INCLUDES REVIEW OF COMPARABILITY DATA. COMPENSATION DECISIONS ARE REVIEWED BY MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS WITH FINAL COMPENSATION AMOUNTS SUBJECT TO APPROVAL OF THE BOARD CHAIRMAN. COMPENSATION POLICIES ARE ALSO REVIEWED AND ESTABLISHED BY MEMBERS OF THE ORGANIZATION'S BOARD FOR OTHER KEY MANAGEMENT PERSONNEL OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>