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        <TotalAmt>53092</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>3347472</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3108823</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3973925</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4556989</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4245957</CurrentTaxYearAmt>
        <TotalAmt>19233166</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearMinus4YearsAmt>12758</CurrentTaxYearMinus4YearsAmt>
        <TotalAmt>12758</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>3364237</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3132290</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3986275</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4566444</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4249770</CurrentTaxYearAmt>
        <TotalAmt>19299016</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>19299016</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>23</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>28</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>51</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>23</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>28</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>51</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>3364260</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3132318</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3986275</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4566444</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4249770</CurrentTaxYearAmt>
        <TotalAmt>19299067</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>1.00000</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>1.00000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>88000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>88000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1734822</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1389550</DepreciationAmt>
        <BookValueAmt>345272</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>565922</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>488050</DepreciationAmt>
        <BookValueAmt>77872</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>511144</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>26868</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE PAYABLE</Desc>
        <Amt>1381</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>28249</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICER SIGNS FORM 990 - COPY IS AVAILABLE TO ALL BOARD MEMBERS TO REVIEW UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ON SITE WITH A 1.00 CHARGE PER PAGE FOR COPIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT-PHYSICAL THERAPI 102,650 0 0 CONTRACT-OCCUPATIONAL THE 87,753 0 0 PRESCRIPTION DRUGS 71,574 0 0 INCONTINENCE SUPPLIES 47,471 0 0 CONTRACT-SPEECH THERAPY 33,742 0 0 MEDICAL SUPPLIES 31,722 0 0 REPAIRS &amp; MAINTENANCE 5,117 22,179 0 SUPPLIES - HOUSEKEEPING 26,582 0 0 MEDICARE PART A BILLING 20,791 0 0 SUPPLIES - CARE RELATED 20,478 0 0 TELEPHONE 0 20,014 0 DIETARY - SUPPLIES 19,202 0 0 NON PRESCRIPTION DRUGS 17,681 0 0 FOOD SUPPLEMENTS 16,526 0 0 THERAPY CONSULTANT 12,000 0 0 SUPPLIES - LAUNDRY 8,876 0 0 TELEVISION 8,488 0 0 MEDICAL LAB TESTS 8,312 0 0 MEDCART SOFTWARE MAIN 7,750 0 0 CONSULTANT FEES - DIETARY 7,200 0 0 OXYGEN 5,875 0 0 CONSULTANT FEES - PHARMAC 5,550 0 0 PATIENT ACTIVITY SUPPLIES 5,029 0 0 VEHICLE - EXPENDIBLE SUPP 4,758 0 0 DATA PROCESSING FEES 0 4,627 0 DUES 0 4,112 0 LAUNDRY - EQUIPMENT RENTA 4,044 0 0 LINEN 3,765 0 0 VEHICLE - MAINTENANCE 3,426 0 0 VEHICLE - INSURANCE 2,813 0 0 XRAY 2,772 0 0 MEDICARE PART B BILLING 2,726 0 0 NURSES AIDE TRAINING 2,400 0 0 DUES-NONALLOWABLE 0 2,343 0 PURCHASED SERVICES 2,283 0 0 SUBSCRIPTIONS 0 1,794 0 INTERNET SERVICE 0 1,322 0 MEDICAL EQUIPMENT RENTAL 1,175 0 0 DIETARY - EQUIPMENT RENTA 1,054 0 0 CBC EXPENSE 0 912 0 BANK CHARGES 0 828 0 LICENSES 800 0 0 MEDICARE CONSULTANT 406 0 0 OFFICE EQUIPMENT MTCE 0 368 0 OTHER NONALLOWABLE 0 307 0 DIETARY - NON EXPENDIBLE 267 0 0 MISCELLANEOUS ADMIN. EXPE 0 230 0 SALES TAX EXPENSE 0 158 0 PERSONAL ITEMS 107 0 0 THERAPY SUPPLIES 46 0 0 TOTAL 603,211 59,194 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>BOOK / TAX DEPRECIATION DIFFERENCE -20</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>