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        <TotalRevenueColumn>537298</TotalRevenueColumn>
        <ExclusionAmount>537298</ExclusionAmount>
      </InvestmentIncome>
      <GrossAmountSalesAssets>
        <Securities>6886630</Securities>
        <Other>4017</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>7405596</Securities>
        <Other>1107</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>-518966</Securities>
        <Other>2910</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-516056</TotalRevenueColumn>
        <ExclusionAmount>-516056</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>Change in value of split interest</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>7</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>7</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>24491389</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>23510100</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>21242</ExclusionAmount>
      </TotalRevenue>
      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <OtherSalariesAndWages>
        <Total>11319735</Total>
        <ProgramServices>9974844</ProgramServices>
        <ManagementAndGeneral>1344891</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>284180</Total>
        <ProgramServices>223728</ProgramServices>
        <ManagementAndGeneral>60452</ManagementAndGeneral>
      </PensionPlanContributions>
      <PayrollTaxes>
        <Total>845555</Total>
        <ProgramServices>749532</ProgramServices>
        <ManagementAndGeneral>96023</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>6188</Total>
        <ManagementAndGeneral>6188</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>68924</Total>
        <ManagementAndGeneral>68924</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>97204</Total>
        <ProgramServices>97204</ProgramServices>
      </FeesForServicesOther>
      <Travel>
        <Total>61769</Total>
        <ProgramServices>45597</ProgramServices>
        <ManagementAndGeneral>16172</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>710747</Total>
        <ProgramServices>625457</ProgramServices>
        <ManagementAndGeneral>85290</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>1998666</Total>
        <ProgramServices>1898733</ProgramServices>
        <ManagementAndGeneral>99933</ManagementAndGeneral>
      </DepreciationDepletion>
      <OtherExpenses>
        <Description>Insurance</Description>
        <Total>2238096</Total>
        <ProgramServices>1883286</ProgramServices>
        <ManagementAndGeneral>354810</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Dietary</Description>
        <Total>1886606</Total>
        <ProgramServices>1886606</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Utilities</Description>
        <Total>1087152</Total>
        <ProgramServices>1042033</ProgramServices>
        <ManagementAndGeneral>45119</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Repairs &amp; maintenance</Description>
        <Total>1042878</Total>
        <ProgramServices>1017765</ProgramServices>
        <ManagementAndGeneral>25113</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>2702687</Total>
        <ProgramServices>2394065</ProgramServices>
        <ManagementAndGeneral>308622</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>24350387</Total>
        <ProgramServices>21838850</ProgramServices>
        <ManagementAndGeneral>2511537</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>8306022</BOY>
        <EOY>5786765</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>171510</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>1792179</BOY>
        <EOY>1686351</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>200943</BOY>
        <EOY>213015</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>284173</BOY>
        <EOY>102024</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>79365695</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>31279078</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>49209741</BOY>
        <EOY>48086617</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>18654453</BOY>
        <EOY>24806612</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>332070</BOY>
        <EOY>625855</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>78779581</BOY>
        <EOY>81478749</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2111510</BOY>
        <EOY>2098450</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>11264558</BOY>
        <EOY>11379334</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>36665000</BOY>
        <EOY>35525000</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>1697000</BOY>
        <EOY>1614500</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>249278</BOY>
        <EOY>109893</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>51987346</BOY>
        <EOY>50727177</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>26050135</BOY>
        <EOY>29939929</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>677100</BOY>
        <EOY>746643</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>65000</BOY>
        <EOY>65000</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>26792235</BOY>
        <EOY>30751572</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>78779581</BOY>
        <EOY>81478749</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>141002</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>3248176</ReconciliationUnrealizedInvest>
      <ReconcilationOtherChanges>570159</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>196638</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>184218</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>426574</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1332243</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>960047</CurrentTaxYear>
        <Total>3099720</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>22523520</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>22601926</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>23478229</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>23664598</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>23510093</CurrentTaxYear>
        <Total>115778366</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>22720158</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>22786144</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>23904803</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>24996841</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>24470140</CurrentTaxYear>
        <Total>118878086</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>118878086</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>536830</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>386167</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>475544</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>472990</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>537298</CurrentTaxYear>
        <Total>2408829</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>536830</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>386167</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>475544</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>472990</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>537298</CurrentTaxYear>
        <Total>2408829</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>23256988</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>23172311</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>24380347</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>25469831</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>25007438</CurrentTaxYear>
        <Total>121286915</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98010</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.97550</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01990</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.02450</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>5179990</OtherCostOrOtherBasis>
        <BookValue>5179990</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>62227655</OtherCostOrOtherBasis>
        <Depreciation>25188706</Depreciation>
        <BookValue>37038949</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>6754199</OtherCostOrOtherBasis>
        <Depreciation>1967316</Depreciation>
        <BookValue>4786883</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>5203851</OtherCostOrOtherBasis>
        <Depreciation>4123056</Depreciation>
        <BookValue>1080795</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>48086617</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Occupancy deposits</Description>
        <Amount>49600</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Prepaid rent</Description>
        <Amount>60293</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>109893</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>28309724</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>3248176</NetUnrealizedGainsInvestments>
      <OtherRevenues>570159</OtherRevenues>
      <RevenueNotRptdF990>3818335</RevenueNotRptdF990>
      <RevenueSubtotal>24491389</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>24491389</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>24350387</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>24350387</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>24350387</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X, Line 2:</ReturnReference>
        <Explanation>The Organization has determined that it has no uncertain income tax positions as of September 30, 2013 and 2012. Also, the Organization does not anticipate any increase or decrease in unrecognized tax benefits during the next twelve months that would result in a material change in its financial position. The Organization's income tax returns for years ended after September 30, 2010 remain open for examination.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XI, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Unrealized gain on interest rate swap 570,159.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <HousingAllowanceOrResidence>X</HousingAllowanceOrResidence>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Wilson Sheldon Jr</NamePerson>
        <Title>CEO</Title>
        <BaseCompensationFilingOrg>175959</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>175959</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>North Carolina Medical Care Commission</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <CUSIPNumber>657902M41</CUSIPNumber>
        <DateIssued>2011-11-01</DateIssued>
        <IssuePrice>37745000</IssuePrice>
        <DescriptionOfPurpose>Refunding prior bond issue dated 10/16/03</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>2220000</AmountRetired>
        <TotalProceeds>37745000</TotalProceeds>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>0</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>Branch Bank &amp; Trust</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>7.000000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>0</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartVI>
        <Identifier>(3C) Term of Hedge</Identifier>
        <Explanation>Entered into two (2) year forward swap on September 27, 2012 effective September 1, 2014, for a seven (7) year term, ending November 1, 2021.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>The 990 is reviewed by the Chief Executive Officer, the Controller and Chairman of the board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The policy is signed each time a member joins the board. The organization relies on the integrity of the board members to monitor their independence.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15a</ReturnReference>
        <Explanation>The CEO's compensation is set by the compensation committee of the board who are independent.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The Organization is regulated by the Insurance Commission and the financial statements are part of the Disclosure required by them.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>All Other Functional Expenses</Identifier>
        <ReturnReference>Form 990, Part IX, line 24e</ReturnReference>
        <Explanation>Contract Medical Services: Program service expenses 698,298. Management and general expenses 0. Fundraising expenses 0. Total expenses 698,298. Prescription drugs, etc.: Program service expenses 454,914. Management and general expenses 0. Fundraising expenses 0. Total expenses 454,914. Supplies: Program service expenses 450,305. Management and general expenses 0. Fundraising expenses 0. Total expenses 450,305. Miscellaneous: Program service expenses 270,262. Management and general expenses 155,278. Fundraising expenses 0. Total expenses 425,540. Charitable care: Program service expenses 378,268. Management and general expenses 0. Fundraising expenses 0. Total expenses 378,268. Office expenses: Program service expenses 50,054. Management and general expenses 129,476. Fundraising expenses 0. Total expenses 179,530. Property Taxes: Program service expenses 38,013. Management and general expenses 0. Fundraising expenses 0. Total expenses 38,013. Telephone: Program service expenses 28,969. Management and general expenses 2,935. Fundraising expenses 0. Total expenses 31,904. Amortization of bond issue costs: Program service expenses 23,243. Management and general expenses 0. Fundraising expenses 0. Total expenses 23,243. Dues and Subscriptions: Program service expenses 1,739. Management and general expenses 20,933. Fundraising expenses 0. Total expenses 22,672.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 9:</ReturnReference>
        <Explanation>Unrealized gain/loss on interest rate swap 570,159.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>