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        <Desc>Equipment Rental</Desc>
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        <ProgramServicesAmt>5484147</ProgramServicesAmt>
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        <EOYAmt>20083</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>2251860</EOYAmt>
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        <EOYAmt>393799</EOYAmt>
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        <EOYAmt>3225454</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>1840532</EOYAmt>
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        <EOYAmt>1840532</EOYAmt>
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        <BOYAmt>5129981</BOYAmt>
        <EOYAmt>5065986</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>341808</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-103192</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>102897</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="00000002" softwareId="13000178">
      <HospitalInd>X</HospitalInd>
      <PublicSupportTotal170Amt>0</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <TotalAmt>0</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <PublicSupportCY170Pct>0</PublicSupportCY170Pct>
      <PublicSupportTotal509Amt>0</PublicSupportTotal509Amt>
      <PublicSupportCY509Pct>0</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0</InvestmentIncomeCYPct>
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      <ContributorInformationGrp>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <AgentTrusteeEtcInd>false</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>true</InclEscrowCustodialAcctLiabInd>
      <LandGrp>
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        <BookValueAmt>60499</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>1566092</DepreciationAmt>
        <BookValueAmt>1681755</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>3723521</DepreciationAmt>
        <BookValueAmt>782478</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>191801</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2716533</TotalBookValueLandBuildingsAmt>
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        <Desc>Due To Third Party Payers</Desc>
        <Amt>180385</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Fair Market Value of Swap Agreement</Desc>
        <Amt>213414</Amt>
      </OtherLiabilitiesOrgGrp>
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      <TotalRevEtcAuditedFinclStmtAmt>6536525</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-103192</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>57403</OtherRevenueAmt>
      <RevenueNotReportedAmt>-45789</RevenueNotReportedAmt>
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      <RevenueNotReportedFinclStmtAmt>79812</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>6662126</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>6329553</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>9238</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>9238</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>6320315</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>6320315</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Represents related party income of $53229 and rental expense of $4174</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Expenses - this represents related entity expense of $5064 and rental expense of $4174</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Represents $79812 contribution from related party (not controlling entity)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV Line 2b</FormAndLineReferenceDesc>
        <ExplanationTxt>Cash Held in Escrow Patient Trust</ExplanationTxt>
      </SupplementalInformationDetail>
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    <IRS990ScheduleO documentId="00000005" softwareId="13000178">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>line 9, other changes in net assets consist of the change in FMV of swap of $102897</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Board review of 990- prior to filing the 990, the finance committee will review and discuss the form.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Once done, there is a motion to approve and report to the full board for approval</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of interest- due to our rural area and the knowledge and backgrounds of our board memebers</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>conflicts of interest are known, if there is a discussion or motion required where a member</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>has a conflict of interest that person will either remove themselves from the</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>discussion and vote or obstain from voting</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Prior to finalizing our budget to top management, the finance and personal committees</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>meet to discuss compensation. There is a formal board approvalfor the administrator salary which is given during yearly review</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Our governing documents, conflict of interest policy and financial statements are available to the public by request in writing</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Prior to finalizing our budget to top management, the finance and personal committees</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>meet to discuss compensation. There is a formal board approvalfor the administrator salary which is given during yearly review</ExplanationTxt>
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          <AddressLine1>21 Danforth Street</AddressLine1>
          <City>Hoosick Falls</City>
          <State>NY</State>
          <ZIPCode>12090</ZIPCode>
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        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (c) 3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>yes</PublicCharityStatusTxt>
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      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
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      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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