﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2012v2.3">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2013-11-01T15:45:03-05:00</Timestamp>
    <TaxPeriodEndDate>2013-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>FRIEND &amp; REAGAN PC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>305 EAST 5TH STREET</AddressLine1>
        <City>THE DALLES</City>
        <State>OR</State>
        <ZIPCode>97058</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>911806451</EIN>
      <Name>
        <BusinessNameLine1>WASCO COUNTY NURSING CARE INC</BusinessNameLine1>
      </Name>
      <NameControl>WASC</NameControl>
      <Phone>5412962156</Phone>
      <USAddress>
        <AddressLine1>1015 WEBBER</AddressLine1>
        <City>THE DALLES</City>
        <State>OR</State>
        <ZIPCode>97058</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>JOHN BYERS</Name>
      <Title>CHAIRMAN</Title>
      <Phone>5412962156</Phone>
      <DateSigned>2013-10-31</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>CAROL D FRIEND</Name>
      <Phone>5412962000</Phone>
      <DatePrepared>2013-10-31</DatePrepared>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="4">
    <IRS990 documentId="RetDoc4" referenceDocumentId="RetDoc5">
      <NameOfPrincipalOfficerPerson>JOHN W BYERS</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>305 E 5TH ST</AddressLine1>
        <City>THE DALLES</City>
        <State>OR</State>
        <ZIPCode>97058</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>6098478</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>N/A</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <ActivityOrMissionDescription>THE NON-PROFIT CORPORATION HAS BEEN ESTABLISHED TO MANAGE AND OPERATE A NURSING HOME.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>4</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>4</NbrIndependentVotingMembers>
      <TotalNbrEmployees>146</TotalNbrEmployees>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsCurrentYear>0</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>5896952</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>6062168</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>1221</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>2073</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>21380</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>34237</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>5919553</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>6098478</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>3156824</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>3085043</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>2355254</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>2379007</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>5512078</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>5464050</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>407475</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>634428</RevenuesLessExpensesCY>
      <TotalAssetsBOY>4867152</TotalAssetsBOY>
      <TotalAssetsEOY>5529005</TotalAssetsEOY>
      <TotalLiabilitiesBOY>493256</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>559179</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>4373896</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>4969826</NetAssetsOrFundBalancesEOY>
      <MissionDescription>THE NON-PROFIT CORPORATION HAS BEEN ESTABLISHED TO MANAGE AND OPERATE A NURSING HOME.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>5140113</Expense>
      <Description>THE NON-PROFIT CORPORATION HAS BEEN ESTABLISHED TO MANAGE AND OPERATE A NURSING HOME.</Description>
      <TotalProgramServiceExpense>5140113</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc2">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <SubjectToProxyTax>false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="RetDoc3">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc3">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc3">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc3">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc3">false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc3">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc3">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc3">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc3">false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc3">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc3">false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc3">false</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired>false</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity>false</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg>false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>20</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>146</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>4</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>4</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>false</ConflictOfInterestPolicy>
      <WhistleblowerPolicy>false</WhistleblowerPolicy>
      <DocumentRetentionPolicy>false</DocumentRetentionPolicy>
      <CompensationProcessCEO>false</CompensationProcessCEO>
      <CompensationProcessOther>false</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>OR</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>WASCO COUNTY NURSING CARE</NamePerson>
        <TelephoneNumber>5412962156</TelephoneNumber>
        <AddressUS>
          <AddressLine1>1015 WEBBER RD</AddressLine1>
          <City>THE DALLES</City>
          <State>OR</State>
          <ZIPCode>97058</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>JOHN W BYERS</NamePerson>
        <Title>BOARD CHAIR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>2400</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LINDA OMEG</NamePerson>
        <Title>VICE CHAIR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>2400</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL COURTNEY</NamePerson>
        <Title>SEC. TREAS.</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>2400</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CARLA CHAMBERLAIN</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>2400</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RON BELL</NamePerson>
        <Title>ADMINISTRATO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>121530</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>131130</TotalReportableCompFromOrg>
      <NumberIndividualsGT100K>1</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>false</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ProgramServiceRevenue>
        <Description>MEDICAID</Description>
        <TotalRevenueColumn>4064461</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4064461</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEDICARE PART A</Description>
        <TotalRevenueColumn>1110644</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1110644</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PRIVATE PATIENT SERVICES</Description>
        <TotalRevenueColumn>574920</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>574920</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>HMO</Description>
        <TotalRevenueColumn>248475</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>248475</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEDICARE PART B</Description>
        <TotalRevenueColumn>63668</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>63668</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>6062168</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>2073</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2073</RelatedOrExemptFunctionIncome>
      </InvestmentIncome>
      <OtherRevenueMisc>
        <Description>W/C REFUND</Description>
        <TotalRevenueColumn>23120</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>23120</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>PRIOR YEAR REV</Description>
        <TotalRevenueColumn>6704</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>6704</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS</Description>
        <TotalRevenueColumn>3195</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3195</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>1218</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1218</RelatedOrExemptFunctionIncome>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>34237</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>6098478</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>6098478</RelatedOrExemptFunctionIncome>
      </TotalRevenue>
      <OtherSalariesAndWages>
        <Total>2614009</Total>
        <ProgramServices>2614009</ProgramServices>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>7125</Total>
        <ProgramServices>7125</ProgramServices>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>203009</Total>
        <ProgramServices>203009</ProgramServices>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>260900</Total>
        <ProgramServices>260900</ProgramServices>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>301843</Total>
        <ManagementAndGeneral>301843</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>750</Total>
        <ManagementAndGeneral>750</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>5177</Total>
        <ManagementAndGeneral>5177</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>9600</Total>
        <ManagementAndGeneral>9600</ManagementAndGeneral>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>17412</Total>
        <ProgramServices>17412</ProgramServices>
      </OfficeExpenses>
      <Occupancy>
        <Total>188688</Total>
        <ProgramServices>188688</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>6167</Total>
        <ManagementAndGeneral>6167</ManagementAndGeneral>
      </Travel>
      <DepreciationDepletion>
        <Total>134912</Total>
        <ProgramServices>134912</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>211951</Total>
        <ProgramServices>211951</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>PURCHASED SERVICES</Description>
        <Total>448065</Total>
        <ProgramServices>448065</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROVIDER TAX</Description>
        <Total>431977</Total>
        <ProgramServices>431977</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>422047</Total>
        <ProgramServices>422047</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CONSULTANTS</Description>
        <Total>78291</Total>
        <ProgramServices>78291</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>122127</Total>
        <ProgramServices>121727</ProgramServices>
        <ManagementAndGeneral>400</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>5464050</Total>
        <ProgramServices>5140113</ProgramServices>
        <ManagementAndGeneral>323937</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1316054</BOY>
        <EOY>1756496</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>589627</BOY>
        <EOY>76681</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>709978</BOY>
        <EOY>880684</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>34781</BOY>
        <EOY>151849</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>3387183</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>723888</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2216712</BOY>
        <EOY>2663295</EOY>
      </LandBuildingsEquipmentBasisNet>
      <TotalAssets>
        <BOY>4867152</BOY>
        <EOY>5529005</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>488947</BOY>
        <EOY>549088</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>1817</BOY>
        <EOY>1817</EOY>
      </DeferredRevenue>
      <OtherLiabilities>
        <BOY>2492</BOY>
        <EOY>8274</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>493256</BOY>
        <EOY>559179</EOY>
      </TotalLiabilities>
      <DoNotFollowSFAS117>X</DoNotFollowSFAS117>
      <PaidInCapSrplsLandBldgEqpFund>
        <BOY>610973</BOY>
        <EOY>570973</EOY>
      </PaidInCapSrplsLandBldgEqpFund>
      <RetainedEarningsEndowmentEtc>
        <BOY>3762923</BOY>
        <EOY>4398853</EOY>
      </RetainedEarningsEndowmentEtc>
      <TotalNetAssetsFundBalances>
        <BOY>4373896</BOY>
        <EOY>4969826</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>4867152</BOY>
        <EOY>5529005</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>634428</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-38498</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>false</FSAudited>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc2">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>5868258</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>5643460</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>6936010</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5896953</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>6062168</CurrentTaxYear>
        <Total>30406849</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>5868258</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>5643460</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>6936010</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5896953</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>6062168</CurrentTaxYear>
        <Total>30406849</Total>
      </Total170>
      <PublicSupportTotal170>30406849</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>17313</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>4270</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1760</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1221</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2073</CurrentTaxYear>
        <Total>26637</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>17602</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>25210</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>18505</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>21380</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>34237</CurrentTaxYear>
        <Total>116934</Total>
      </OtherIncome170>
      <TotalSupport>30550420</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>6098478</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.99530</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.99430</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <OtherLiabilities>
        <Description>PATIENT TRUST LIABILITY</Description>
        <Amount>8274</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>8274</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc5">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>REVIEWED BY CHAIRMAN BEFORE FILED</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>DOCUMENTS ARE AVAILABLE UPON REQUEST</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RECONCILIATION OF CHANGES - OTHER</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9</ReturnReference>
        <Explanation>BOOK / TAX DEPRECIATION DIFFERENCE -3</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>