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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>3896913</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3896913</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>3896913</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>5041</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5041</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>6155005</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3901954</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>3190874</TotalAmt>
        <ProgramServicesAmt>2696932</ProgramServicesAmt>
        <ManagementAndGeneralAmt>493942</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>731288</TotalAmt>
        <ProgramServicesAmt>610623</ProgramServicesAmt>
        <ManagementAndGeneralAmt>120665</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OccupancyGrp>
        <TotalAmt>111689</TotalAmt>
        <ProgramServicesAmt>99530</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12159</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>39709</TotalAmt>
        <ProgramServicesAmt>15358</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24351</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>947</TotalAmt>
        <ProgramServicesAmt>947</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>211236</TotalAmt>
        <ProgramServicesAmt>196403</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14833</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>25981</TotalAmt>
        <ProgramServicesAmt>21684</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4297</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTUAL SERVICES</Desc>
        <TotalAmt>410728</TotalAmt>
        <ProgramServicesAmt>333446</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77282</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>186421</TotalAmt>
        <ProgramServicesAmt>159441</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26980</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACEUTICALS</Desc>
        <TotalAmt>179257</TotalAmt>
        <ProgramServicesAmt>179257</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>114921</TotalAmt>
        <ProgramServicesAmt>102472</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12449</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>341279</TotalAmt>
        <ProgramServicesAmt>222544</ProgramServicesAmt>
        <ManagementAndGeneralAmt>118735</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>5544330</TotalAmt>
        <ProgramServicesAmt>4638637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>905693</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>725199</BOYAmt>
        <EOYAmt>609872</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>652268</BOYAmt>
        <EOYAmt>1732718</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>712510</BOYAmt>
        <EOYAmt>28718</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>181207</BOYAmt>
        <EOYAmt>508495</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>73000</BOYAmt>
        <EOYAmt>71500</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <EOYAmt>15090</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>14280</BOYAmt>
        <EOYAmt>31556</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>4730088</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1075430</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3798040</BOYAmt>
        <EOYAmt>3654658</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>6156504</BOYAmt>
        <EOYAmt>6652607</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>427337</BOYAmt>
        <EOYAmt>345020</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>32255</BOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>459592</BOYAmt>
        <EOYAmt>345020</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>5372181</BOYAmt>
        <EOYAmt>5982856</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>324731</BOYAmt>
        <EOYAmt>324731</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5696912</BOYAmt>
        <EOYAmt>6307587</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>6156504</BOYAmt>
        <EOYAmt>6652607</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>610675</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>175084</OtherCostOrOtherBasisAmt>
        <BookValueAmt>175084</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>3386555</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>385775</DepreciationAmt>
        <BookValueAmt>3000780</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>263064</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>99950</DepreciationAmt>
        <BookValueAmt>163114</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>905385</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>589705</DepreciationAmt>
        <BookValueAmt>315680</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3654658</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>6155005</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>6155005</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>6155005</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5544330</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>5544330</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>5544330</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN K FRILOUX</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>159900</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10544</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9665</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>180109</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN R KOEHLER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>212689</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12109</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16931</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>241729</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES M MONROE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>198576</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12156</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13076</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>223808</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NEIL R WANEE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>200520</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2539</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9996</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>213055</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Officer directors etc family relationship Part VI line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION LEASES THEIR ADMINISTRATION OFFICES FROM AN ENTITY PARTLY OWNED BY THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Committee meeting documentation Part VI line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO COMMITTEES WITH THE AUTHORITY TO MAKE DECISIONS FOR THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE 990 ARE MADE AVAILABLE FOR THE BOARD OF DIRECTORS FOR REVIEW AND DISCUSSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY AT THE ANNUAL MEETING IN JUNE. WHEN A CONFLICT OF INTEREST IS DISCLOSED, THE BOARD MEMBER MUST RESIGN IF IT IS IN CONFLICT WITH THE BOARDS BYLAWS. THE ORGANIZATION ALSO HAS A COMPLIANCE OFFICER THAT MONITORS COMPLIANCE WITH VARIOUS PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PUBLIC DOCUMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>