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        <CompensationAmt>114310</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>11</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>RADIATION ONCOLOGY - N</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>5663792</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5663792</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID PAYM</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>2481314</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2481314</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>REIMB FOR PHARMACISTS</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>187053</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>187053</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESEARCH AND CLINICAL</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>116574</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>116574</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>8448733</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>64351</TotalRevenueColumnAmt>
        <ExclusionAmt>64351</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>291193</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>291193</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>291193</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>291193</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>8804277</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8739926</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>64351</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>193362</TotalAmt>
        <ManagementAndGeneralAmt>193362</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1454589</TotalAmt>
        <ProgramServicesAmt>1043723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>410866</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ManagementAndGeneralAmt>49641</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>280935</TotalAmt>
        <ProgramServicesAmt>221332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59603</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>70105</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39082</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>64294</TotalAmt>
        <ManagementAndGeneralAmt>64294</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>84073</TotalAmt>
        <ManagementAndGeneralAmt>84073</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>1507706</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40740</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>124905</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35689</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>398368</TotalAmt>
        <ProgramServicesAmt>398368</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>85</ProgramServicesAmt>
        <ManagementAndGeneralAmt>268</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>32077</TotalAmt>
        <ProgramServicesAmt>20403</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11674</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ManagementAndGeneralAmt>211336</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1309545</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>49819</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MAINTENANCE</Desc>
        <TotalAmt>1473994</TotalAmt>
        <ProgramServicesAmt>1255484</ProgramServicesAmt>
        <ManagementAndGeneralAmt>218510</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PUBLIC RELATIONS</Desc>
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        <ProgramServicesAmt>30</ProgramServicesAmt>
        <ManagementAndGeneralAmt>150848</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
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        <ProgramServicesAmt>72998</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>GRANT - RELATED EXPENSE</Desc>
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        <ProgramServicesAmt>18000</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>6332895</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>100</EOYAmt>
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        <EOYAmt>6989609</EOYAmt>
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        <EOYAmt>461745</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>486249</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>32134970</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>17094685</LandBldgEquipAccumDeprecAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>307576</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>114755</BOYAmt>
        <EOYAmt>103934</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>23389498</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>664856</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>9571989</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>18732</BOYAmt>
        <EOYAmt>202855</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>11086257</BOYAmt>
        <EOYAmt>10439700</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>12903524</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>46274</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>12949798</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>766811</ReconcilationRevenueExpnssAmt>
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      <OtherChangesInNetAssetsAmt>-1074578</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>250000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>250000</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>5503185</DepreciationAmt>
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      <TotalBookValueLandBuildingsAmt>15040285</TotalBookValueLandBuildingsAmt>
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        <Desc>FAIR VALUE OF INTEREST SWAP AGREEMENT</Desc>
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      <TotalLiabilityAmt>202855</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>8431385</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-154986</NetUnrealizedGainsInvstAmt>
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      <RevenueNotReportedAmt>-372892</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>8804277</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>8804277</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7819560</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>-217906</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>-217906</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>8037466</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBTS -217,906.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <DeferredCompensationFlngOrgAmt>8307</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>28150</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>201751</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LESLIE BOULAY</PersonNm>
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        <BonusFilingOrganizationAmount>4441</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>195166</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARCY GAZZARARI</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3638</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5225</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32013</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>172437</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>IBRAHIM ABDULHAY</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7553</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24945</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>213896</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
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        </IssuerName>
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        <BondIssuedDt>2008-06-01</BondIssuedDt>
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        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ECONOMIC DEVELOPMENT CORPORATION OF THE CITY OF FLINT</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>382273690</BondIssuerEIN>
        <BondIssuedDt>2013-07-12</BondIssuedDt>
        <IssuePriceAmt>4685000</IssuePriceAmt>
        <PurposeDesc>TO FINANCE EQUIPMENT</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>11500000</TotalProceedsAmt>
        <RefundingEscrowAmt>4397348</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>105000</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>6997652</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2009</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>4685000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>44685</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>4629315</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2013</SubstantialCompletionYr>
        <CurrentRefundingInd>0</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
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        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
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        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>1</Form8038TFiledInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS ARE GENESYS REGIONAL MEDICAL CENTER AND HURLEY MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PROVIDED IN THE ORGANIZATION'S BYLAWS, EACH CLASS OF MEMBERS SHALL HAVE THE AUTHORITY TO APPOINT AND REMOVE CERTAIN MEMBERS OF THE BOARD OF DIRECTORS; THE AT-LARGE DIRECTOR(S), AS THAT TERM IS DEFINED IN THE BYLAWS, MAY BE REMOVED BY BOTH CLASSES OF MEMBERS WITH OR WITHOUT CAUSE OR AS OTHERWISE PROVIDED IN THE BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS SHALL HAVE THE FULL AUTHORITY TO GOVERN THE AFFAIRS OF THE ORGANIZATION, EXCEPT FOR THOSE ACTIONS NOTED IN ARTICLE VIII THAT REQUIRE APPROVAL OF BOTH CLASSES OF MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS SENT TO THE EXECUTIVE DIRECTOR FOR REVIEW AND SIGNATURE. QUESTIONS ARE ADDRESSED TO THE GHCI FINANCE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPLIANCE OFFICER REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY. IF A CONFLICT AMONG THE BOARD CAN'T BE RESOLVED THE ISSUE IS SENT TO THE CEO'S OF THE MEMBER ORGANIZATIONS - HURLEY MEDICAL CENTER AND GENESYS REGIONAL MEDICAL CENTER - TO RESOLVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS REVIEWS AND HAS THE FINAL APPROVAL OR DISAPPROVAL FOR ALL COMPENSATION DECISIONS RECOMMENDED BY THE HUMAN RESOURCE COMMITTEE AND GHCI ADMINISTRATION. COMPENSATION DISCUSSION FOR SALARY DETERMINATION FOR KEY EMPLOYEES (ALL EMPLOYEES) COME FROM INDEPENDENT NATIONAL MARKET DATA ANALYSTS AND INDEPENDENT NATIONAL MARKET SALARY SURVEYS FROM GENESYS AND HURLEY HUMAN RESOURCE DEPARTMENTS. THIS DATA IS THEN ANALYZED THROUGH GENESYS AND HURLEY HUMAN RESOURCE DEPARTMENTS AND THEN DISCUSSED, DELIBERATED AT THE GHCI HUMAN RESOURCE COMMITTEE AND DOCUMENTED IN THE BOARD MINUTES, WITH BOTH GENESYS AND HURLEY REPRESENTATIVES PRESENT TO COME TO A DECISION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALWAYS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,469,105. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,469,105. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 38,601. MANAGEMENT AND GENERAL EXPENSES 40,740. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,341.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -184,123. DISTRIBUTIONS TO MEMBERS -900,000. UNREALIZED LOSS 9,545.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>