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      <OtherExpensesGrp>
        <Desc>PROVIDER TAX</Desc>
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      <OtherExpensesGrp>
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        <TotalAmt>173609</TotalAmt>
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      <InvestmentsPubTradedSecGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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      <OtherLiabilitiesGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>513597</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>4091082</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4042951</BOYAmt>
        <EOYAmt>4091082</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4574275</BOYAmt>
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      <ReconcilationRevenueExpnssAmt>-42326</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>90457</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <FSAuditedInd>false</FSAuditedInd>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="13000170" softwareVersion="2013v3.1">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
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        <CurrentTaxYearMinus3YearsAmt>5588535</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5208106</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1513510</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1888766</CurrentTaxYearAmt>
        <TotalAmt>19331716</TotalAmt>
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      <TaxRevLeviedOrgnztnlBnft170Grp>
        <TotalAmt>0</TotalAmt>
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      <GovtFurnSrvcFcltsVl170Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>5132799</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5588535</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5208106</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1513510</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1888766</CurrentTaxYearAmt>
        <TotalAmt>19331716</TotalAmt>
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      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>19331716</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>2200</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>16665</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>32954</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16049</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>958</CurrentTaxYearAmt>
        <TotalAmt>68826</TotalAmt>
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      <UnrelatedBusinessNetIncm170Grp>
        <TotalAmt>0</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
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        <CurrentTaxYearMinus4YearsAmt>10158</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11284</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8131</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>165</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4865</CurrentTaxYearAmt>
        <TotalAmt>34603</TotalAmt>
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      <TotalSupportAmt>19435145</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>8697858</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>1.00000</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="13000170" softwareVersion="2013v3.1">
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        <BookValueAmt>28997</BookValueAmt>
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        <DepreciationAmt>3102572</DepreciationAmt>
        <BookValueAmt>2692832</BookValueAmt>
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        <BookValueAmt>20789</BookValueAmt>
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        <DepreciationAmt>648343</DepreciationAmt>
        <BookValueAmt>153677</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>152978</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>128350</DepreciationAmt>
        <BookValueAmt>24628</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>2920923</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>iNVESTMENTS</Desc>
        <BookValueAmt>593404</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Resident Funds</Desc>
        <BookValueAmt>4410</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>597814</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PAYROLL &amp; TAXES</Desc>
        <Amt>153391</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>INTERIM WORKING FUND</Desc>
        <Amt>29769</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Resident Funds</Desc>
        <Amt>4410</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Rounding</Desc>
        <Amt>3</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Unbilled Insurance Liability</Desc>
        <Amt>52820</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>240393</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>6350347</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>90457</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>90457</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6259890</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>4858</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>4858</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>6264748</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>6302216</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>-4858</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>-4858</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>6307074</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>6307074</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEE MEALS INCOME $4858</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="13000170" softwareVersion="2013v3.1">
      <LoansBtwnOrgInterestedPrsnGrp>
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        <OriginalPrincipalAmt>35000</OriginalPrincipalAmt>
        <BalanceDueAmt>23765</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
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      <TotalBalanceDueAmt>23765</TotalBalanceDueAmt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="13000170" softwareVersion="2013v3.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>Once the 990 is completed the financial committee reviews and approves it.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>Board review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The board approves compensation for the Administrator.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>No documents available to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt Expense: Column (A) - Total = $33663; Column (B) - Program Services = $0; Column (C) - Management &amp; General = $33663; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>BANQUETS,GIFTS,BONUS: Column (A) - Total = $7628; Column (B) - Program Services = $0; Column (C) - Management &amp; General = $7628; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>DUES AND SUBSCRIPTIONS: Column (A) - Total = $2772; Column (B) - Program Services = $0; Column (C) - Management &amp; General = $2772; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>Housekeeping Supplies: Column (A) - Total = $10098; Column (B) - Program Services = $10098; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>LAB WORK AND X-RAYS: Column (A) - Total = $37505; Column (B) - Program Services = $37505; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>LAUNDRY SUPPLIES: Column (A) - Total = $49993; Column (B) - Program Services = $49993; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>LICENSES AND FEES: Column (A) - Total = $142801; Column (B) - Program Services = $0; Column (C) - Management &amp; General = $142801; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>MAINTENANCE &amp; REPAIRS: Column (A) - Total = $17278; Column (B) - Program Services = $17074; Column (C) - Management &amp; General = $204; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL DIRECTOR: Column (A) - Total = $19500; Column (B) - Program Services = $19500; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL RECORDS: Column (A) - Total = $487; Column (B) - Program Services = $0; Column (C) - Management &amp; General = $487; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>MINOR EQUIPMENT: Column (A) - Total = $2789; Column (B) - Program Services = $2789; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS: Column (A) - Total = $14813; Column (B) - Program Services = $5589; Column (C) - Management &amp; General = $9224; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>OXYGEN: Column (A) - Total = $20800; Column (B) - Program Services = $20800; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>PAPER PRODUCTS: Column (A) - Total = $22355; Column (B) - Program Services = $22355; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>PERSONAL CARE ITEMS: Column (A) - Total = $4834; Column (B) - Program Services = $4834; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>Postage and Shipping: Column (A) - Total = $3040; Column (B) - Program Services = $0; Column (C) - Management &amp; General = $3040; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>Printing and Publications: Column (A) - Total = $275; Column (B) - Program Services = $275; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>RX/OTC DRUGS: Column (A) - Total = $149306; Column (B) - Program Services = $149306; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLIES-OTHER: Column (A) - Total = $143662; Column (B) - Program Services = $125556; Column (C) - Management &amp; General = $18106; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>