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        <TotalRevenueColumn>45389</TotalRevenueColumn>
        <ExclusionAmount>45389</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
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      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
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      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <TotalOtherRevenue>0</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>1464017</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>768946</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>45389</ExclusionAmount>
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      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>164529</Total>
        <ProgramServices>103700</ProgramServices>
        <ManagementAndGeneral>60829</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>556938</Total>
        <ProgramServices>490022</ProgramServices>
        <ManagementAndGeneral>66916</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>39353</Total>
        <ProgramServices>26678</ProgramServices>
        <ManagementAndGeneral>12675</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
        <Total>121898</Total>
        <ProgramServices>100314</ProgramServices>
        <ManagementAndGeneral>21584</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>57568</Total>
        <ProgramServices>47375</ProgramServices>
        <ManagementAndGeneral>10193</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>20096</Total>
        <ManagementAndGeneral>20096</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>10568</Total>
        <ManagementAndGeneral>10568</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>0</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>0</Total>
      </Occupancy>
      <Travel>
        <Total>24118</Total>
        <ProgramServices>14918</ProgramServices>
        <ManagementAndGeneral>9200</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>36985</Total>
        <ProgramServices>31734</ProgramServices>
        <ManagementAndGeneral>5251</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>17943</Total>
        <ProgramServices>7324</ProgramServices>
        <ManagementAndGeneral>10619</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Consultants</Description>
        <Total>57247</Total>
        <ProgramServices>25341</ProgramServices>
        <ManagementAndGeneral>31906</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Office supplies</Description>
        <Total>60735</Total>
        <ProgramServices>5280</ProgramServices>
        <ManagementAndGeneral>55455</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Locums tenens</Description>
        <Total>80298</Total>
        <ProgramServices>80298</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Medical, lab, &amp; xray supplies</Description>
        <Total>117919</Total>
        <ProgramServices>117919</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>309769</Total>
        <ProgramServices>155577</ProgramServices>
        <ManagementAndGeneral>145598</ManagementAndGeneral>
        <Fundraising>8594</Fundraising>
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      <TotalFunctionalExpenses>
        <Total>1675964</Total>
        <ProgramServices>1206480</ProgramServices>
        <ManagementAndGeneral>460890</ManagementAndGeneral>
        <Fundraising>8594</Fundraising>
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      <CashNonInterestBearing>
        <BOY>109869</BOY>
        <EOY>295</EOY>
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      <SavingsAndTempCashInvestments>
        <EOY>66992</EOY>
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      <PledgesAndGrantsReceivable>
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      <AccountsReceivable>
        <BOY>140975</BOY>
        <EOY>175385</EOY>
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      <ReceivablesFromOfficersEtc>
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      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
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      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>31487</BOY>
        <EOY>30951</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>10333</BOY>
        <EOY>0</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>499847</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>273601</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>263230</BOY>
        <EOY>226246</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>1773091</BOY>
        <EOY>1700335</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>978648</BOY>
        <EOY>1085031</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>3307633</BOY>
        <EOY>3285235</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>70035</BOY>
        <EOY>121255</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>75668</BOY>
        <EOY>48964</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>145703</BOY>
        <EOY>170219</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>2047778</BOY>
        <EOY>1870685</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>135504</BOY>
        <EOY>159300</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>978648</BOY>
        <EOY>1085031</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>3161930</BOY>
        <EOY>3115016</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>3307633</BOY>
        <EOY>3285235</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-211947</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>58650</ReconciliationUnrealizedInvest>
      <ReconcilationOtherChanges>106383</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="12000229" softwareVersion="2012v2.0">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="12000229" softwareVersion="2012v2.0">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="12000229" softwareVersion="2012v2.0">
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>187177</OtherCostOrOtherBasis>
        <Depreciation>35464</Depreciation>
        <BookValue>151713</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>207966</OtherCostOrOtherBasis>
        <Depreciation>146797</Depreciation>
        <BookValue>61169</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>104704</OtherCostOrOtherBasis>
        <Depreciation>91340</Depreciation>
        <BookValue>13364</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>226246</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Beneficial Interest - Perp. Char. Trust</Description>
        <BookValue>1085031</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>1085031</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Simplified employee pension cont payable</Description>
        <Amount>17284</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Accrued Expenses</Description>
        <Amount>31680</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>48964</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>1661456</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>58650</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>41000</DonatedSrvcAndUseOfFacilities>
      <OtherRevenues>106383</OtherRevenues>
      <RevenueNotRptdF990>206033</RevenueNotRptdF990>
      <RevenueSubtotal>1455423</RevenueSubtotal>
      <OtherRevenuesNotIncluded>8594</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>8594</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>1464017</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>1708370</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>41000</DonatedServicesUseOfFacilities>
      <ExpensesNotRptdF990>41000</ExpensesNotRptdF990>
      <ExpensesSubtotal>1667370</ExpensesSubtotal>
      <OtherExpensesNotIncluded>8594</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>8594</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>1675964</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XII, Line 4b</Identifier>
        <ReturnReference>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</ReturnReference>
        <Explanation>FUNDRAISING EXPENSE $8594</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XI, Line 4b</Identifier>
        <ReturnReference>Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S</ReturnReference>
        <Explanation>FUNRAISING EXPENSE $8594</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XI, Line 2d</Identifier>
        <ReturnReference>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</ReturnReference>
        <Explanation>BENEFICIAL INTEREST IN PERPETUAL CHARITA $106383</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Increases</ReturnReference>
        <Explanation>Beneficial Interest in Perpetual Charitable Trust = $106383</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>Workers comp insurance: Column (A) - Total = $10146; Column (B) - Program Services = $4761; Column (C) - Management &amp; General = $5385; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>Utilities: Column (A) - Total = $21082; Column (B) - Program Services = $14547; Column (C) - Management &amp; General = $6535; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>TELEPHONE: Column (A) - Total = $18771; Column (B) - Program Services = $10023; Column (C) - Management &amp; General = $8748; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>Staff development: Column (A) - Total = $19693; Column (B) - Program Services = $16219; Column (C) - Management &amp; General = $3474; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>repairs &amp; maintenance: Column (A) - Total = $20509; Column (B) - Program Services = $2130; Column (C) - Management &amp; General = $18379; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>Postage &amp; freight: Column (A) - Total = $7200; Column (B) - Program Services = $2948; Column (C) - Management &amp; General = $4252; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>MISCELLANEOUS: Column (A) - Total = $52809; Column (B) - Program Services = $35345; Column (C) - Management &amp; General = $17464; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>Licenses &amp; permits: Column (A) - Total = $1258; Column (B) - Program Services = $1258; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>Laundry: Column (A) - Total = $590; Column (B) - Program Services = $590; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>Investment Management Fee: Column (A) - Total = $10335; Column (B) - Program Services = $0; Column (C) - Management &amp; General = $10335; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>Fundraising: Column (A) - Total = $8594; Column (B) - Program Services = $0; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $8594</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>Equipment lease: Column (A) - Total = $3603; Column (B) - Program Services = $784; Column (C) - Management &amp; General = $2819; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>Dispensary supplies: Column (A) - Total = $27289; Column (B) - Program Services = $27289; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>Contracted physician services: Column (A) - Total = $5829; Column (B) - Program Services = $5829; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>CONTRACT LABOR: Column (A) - Total = $33854; Column (B) - Program Services = $33854; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>Billing service fees: Column (A) - Total = $56371; Column (B) - Program Services = $0; Column (C) - Management &amp; General = $56371; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>Bank Charges: Column (A) - Total = $9573; Column (B) - Program Services = $0; Column (C) - Management &amp; General = $9573; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e: Other Expenses</ReturnReference>
        <Explanation>ADVERTISING: Column (A) - Total = $2263; Column (B) - Program Services = $0; Column (C) - Management &amp; General = $2263; Column (D) - Fundraising = $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>PRINT COPIES OF GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY COULD BE PICKED UP AT OFFICE HEADQUARTERS. FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC HOWEVER PERTINENT ANNUAL FINANCIAL RESULTS ARE REPORTED IN THE ORGANIZATION'S ANNUAL REPORT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR DISCUSSION, REVIEW AND APPROVAL BEFORE FILING.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>