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        <ManagementAndGeneral>5346</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BED TAX</Description>
        <Total>748385</Total>
        <ManagementAndGeneral>748385</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES AND DR</Description>
        <Total>589516</Total>
        <ProgramServices>589516</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DEPARTMENTAL SUPPLY &amp; E</Description>
        <Total>389178</Total>
        <ProgramServices>330359</ProgramServices>
        <ManagementAndGeneral>58819</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>FOOD EXPENSE</Description>
        <Total>383732</Total>
        <ProgramServices>383732</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>255000</Total>
        <ManagementAndGeneral>255000</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>14461676</Total>
        <ProgramServices>12239579</ProgramServices>
        <ManagementAndGeneral>2222097</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>1218571</BOY>
        <EOY>2670535</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>1893841</BOY>
        <EOY>1502646</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>1555</BOY>
        <EOY>34287</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>37441</BOY>
        <EOY>45251</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>85268</BOY>
        <EOY>99757</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>18426876</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>14654535</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>4192420</BOY>
        <EOY>3772341</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>773784</BOY>
        <EOY>719235</EOY>
      </InvestmentsPubTradedSecurities>
      <TotalAssets>
        <BOY>8202880</BOY>
        <EOY>8844052</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1254796</BOY>
        <EOY>954845</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>100374</BOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>1176273</BOY>
        <EOY>1202166</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>2531443</BOY>
        <EOY>2157011</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>5612511</BOY>
        <EOY>6628057</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>35456</BOY>
        <EOY>35514</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>23470</BOY>
        <EOY>23470</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>5671437</BOY>
        <EOY>6687041</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>8202880</BOY>
        <EOY>8844052</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>1059994</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-44390</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>35014</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>33</InvestmentEarningsOrLosses>
        <EndOfYearBalance>35047</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>34996</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>18</InvestmentEarningsOrLosses>
        <EndOfYearBalance>35014</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>41590</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>149</InvestmentEarningsOrLosses>
        <OtherExpenditures>6743</OtherExpenditures>
        <EndOfYearBalance>34996</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>40944</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>646</InvestmentEarningsOrLosses>
        <EndOfYearBalance>41590</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <PermanentEndowmentEOYBalance>0.67000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.33000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>322500</OtherCostOrOtherBasis>
        <BookValue>322500</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>8928586</OtherCostOrOtherBasis>
        <Depreciation>7764640</Depreciation>
        <BookValue>1163946</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>8609196</OtherCostOrOtherBasis>
        <Depreciation>6528102</Depreciation>
        <BookValue>2081094</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>566594</OtherCostOrOtherBasis>
        <Depreciation>361793</Depreciation>
        <BookValue>204801</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>3772341</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>DUE TO THIRD-PARTY PAYORS</Description>
        <Amount>807318</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>SECURITY DEPOSIT LIABILITY</Description>
        <Amount>6450</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ASSET RETIREMENT OBLIGATION</Description>
        <Amount>388398</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1202166</TotalOfAmounts>
      <TotalRevenue>15521670</TotalRevenue>
      <TotalExpenses>14461676</TotalExpenses>
      <ExcessOrDeficitForYear>1059994</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-44390</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>-44390</TotalAdjustments>
      <ExcessOrDeficitPerFS>1015604</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>15925732</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-44390</NetUnrealizedGainsInvestments>
      <OtherRevenues>448452</OtherRevenues>
      <RevenueNotRptdF990>404062</RevenueNotRptdF990>
      <RevenueSubtotal>15521670</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>15521670</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>14910128</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>448452</OtherExpensesIncluded>
      <ExpensesNotRptdF990>448452</ExpensesNotRptdF990>
      <ExpensesSubtotal>14461676</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>14461676</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>ENDOWMENT FUNDS ARE TO BE USED FOR EDUCATIONAL PURPOSES, THE ORGANIZATION'S CHAPEL AND FURTHERING THE ORGANIZATION'S MISSION.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL EXPENSES NETTED WITH REVENUE ON 990 448,452.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL EXPENSES NETTED WITH REVENUE ON 990 448,452.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>JOSEPH BARRELL JR</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER AND PRESIDENT OF ARRELL CORPORATION, A VENDOR TO ORGANIZATION.</Relationship>
        <AmountOfTransaction>14948</AmountOfTransaction>
        <DescriptionOfTransaction>THE ORGANIZATION PURCHASED SERVICES FROM ARRELL CORPORATION FOR THE YEAR ENDED DECEMBER 31, 2011.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE ORGANIZATION PROVIDES A COPY OF THE FORM 990 TO THE BOARD MEMBERS AND REVIEWS THE FORM 990 IN AN OFFICIAL MEETING WITH ITS FINANCE COMMITTEE BEFORE SUBMISSION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>IF AN INDIVIDUAL ON THE BOARD HAS A CONFLICT OF INTEREST, THAT INDIVIDUAL MUST ABSTAIN FROM VOTING ON ANY MATTERS RELATED TO THAT CONFLICT. IN ANY MATTER THAT WOULD RESULT IN A CONFLICT OF INTEREST, SUCH INDIVIDUALS ARE NOT PERMITTED TO FACTOR IN THE DECISION-MAKING PROCESS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE BOARD CHAIRMAN ANNUALLY REVIEWS THE COMPENSATION OF THE ADMINISTRATOR BASED ON HER PERFORMANCE, AND THE MEMBERS OF THE BOARD REVIEW AND APPROVE THE ANNUAL BUDGET.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 18</ReturnReference>
        <Explanation>AN INTERESTED PARTY CAN MAKE A DIRECT REQUEST TO SEE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS. THE FINANCIAL STATEMENTS CAN ALSO BE FOUND ON THE MASSACHUSETTS ATTORNEY GENERAL'S PUBLIC CHARITIES WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>AN INTERESTED PARTY CAN MAKE A DIRECT REQUEST TO SEE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF THE ORGANIZATION. THE FORM 990 CAN ALSO BE FOUND ON THE MASSACHUSETTS ATTORNEY GENERAL'S PUBLIC CHARITIES WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -44,390.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>