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        <RelatedOrExemptFunctionIncome>5559266</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>18600</Total>
        <ManagementAndGeneral>18600</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>3934031</Total>
        <ProgramServices>3205860</ProgramServices>
        <ManagementAndGeneral>728171</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>30700</Total>
        <ProgramServices>24805</ProgramServices>
        <ManagementAndGeneral>5895</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1148728</Total>
        <ProgramServices>988866</ProgramServices>
        <ManagementAndGeneral>159862</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>352177</Total>
        <ProgramServices>294408</ProgramServices>
        <ManagementAndGeneral>57769</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>84291</Total>
        <ManagementAndGeneral>84291</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>18523</Total>
        <ManagementAndGeneral>18523</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>28100</Total>
        <ManagementAndGeneral>28100</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>425393</Total>
        <ProgramServices>398360</ProgramServices>
        <ManagementAndGeneral>27033</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>14027</Total>
        <ProgramServices>12550</ProgramServices>
        <ManagementAndGeneral>1477</ManagementAndGeneral>
      </Advertising>
      <InformationTechnology>
        <Total>178254</Total>
        <ManagementAndGeneral>178254</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>467398</Total>
        <ProgramServices>330690</ProgramServices>
        <ManagementAndGeneral>136708</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>12923</Total>
        <ProgramServices>11930</ProgramServices>
        <ManagementAndGeneral>993</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>186</Total>
        <ProgramServices>128</ProgramServices>
        <ManagementAndGeneral>58</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>207923</Total>
        <ProgramServices>2303</ProgramServices>
        <ManagementAndGeneral>205620</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>603444</Total>
        <ProgramServices>248950</ProgramServices>
        <ManagementAndGeneral>354494</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>148376</Total>
        <ProgramServices>125351</ProgramServices>
        <ManagementAndGeneral>23025</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Supplies</Description>
        <Total>645623</Total>
        <ProgramServices>634451</ProgramServices>
        <ManagementAndGeneral>11172</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Professional Fees</Description>
        <Total>30914</Total>
        <ProgramServices>30313</ProgramServices>
        <ManagementAndGeneral>601</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Bad Debt</Description>
        <Total>123262</Total>
        <ProgramServices>123262</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Postage &amp; shipping</Description>
        <Total>21535</Total>
        <ProgramServices>7454</ProgramServices>
        <ManagementAndGeneral>14081</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>Equipment rental &amp; maintenance</Description>
        <Total>127195</Total>
        <ProgramServices>102033</ProgramServices>
        <ManagementAndGeneral>25162</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <AllOtherExpenses>
        <Total>114343</Total>
        <ProgramServices>68445</ProgramServices>
        <ManagementAndGeneral>45898</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>8735946</Total>
        <ProgramServices>6610159</ProgramServices>
        <ManagementAndGeneral>2125787</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
        <BOY>200064</BOY>
        <EOY>150851</EOY>
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      <SavingsAndTempCashInvestments>
        <BOY>121120</BOY>
        <EOY>123611</EOY>
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      <PledgesAndGrantsReceivable>
        <BOY>502650</BOY>
        <EOY>180520</EOY>
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      <AccountsReceivable>
        <BOY>422459</BOY>
        <EOY>238924</EOY>
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      <ReceivablesFromOfficersEtc>
        <BOY>0</BOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <BOY>0</BOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>0</BOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>250887</BOY>
        <EOY>76383</EOY>
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        <BOY>55715</BOY>
        <EOY>38159</EOY>
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      <LandBuildingsEquipmentBasisNet>
        <BOY>5724927</BOY>
        <EOY>5115993</EOY>
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        <BOY>0</BOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>0</BOY>
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      <IntangibleAssets>
        <BOY>0</BOY>
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      <TotalAssets>
        <BOY>7277822</BOY>
        <EOY>5924441</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>986677</BOY>
        <EOY>1296941</EOY>
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        <EOY>5000</EOY>
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        <BOY>4687538</BOY>
        <EOY>4566966</EOY>
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        <BOY>0</BOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>5679215</BOY>
        <EOY>5868907</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1582388</BOY>
        <EOY>33700</EOY>
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      <TemporarilyRestrictedNetAssets>
        <BOY>16219</BOY>
        <EOY>21834</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>1598607</BOY>
        <EOY>55534</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>7277822</BOY>
        <EOY>5924441</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-1543073</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
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      <Hospital170b1Aiii>X</Hospital170b1Aiii>
      <GeneralExplanation>The organization is a 501(3)(c) non-profit entity and per the IRS designation letter is described in section 509(a)(1) and 170(b)(1)A(iii) of the IRS code.</GeneralExplanation>
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        <InvestmentCostOrOtherBasis>297892</InvestmentCostOrOtherBasis>
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        <Depreciation>2259363</Depreciation>
        <BookValue>4257561</BookValue>
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        <Depreciation>0</Depreciation>
        <BookValue>0</BookValue>
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        <BookValue>560540</BookValue>
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        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
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      <TotalOfBookValueLandBuildings>5115993</TotalOfBookValueLandBuildings>
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      <LossesReported>0</LossesReported>
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      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>8735946</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>0</InvestmentExpensesNotIncluded2>
      <OtherExpensesNotIncluded>0</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>8735946</TotalExpensesPerForm990>
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      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
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      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Paul Homes MD</NamePerson>
        <BaseCompensationFilingOrg>195054</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <NamePerson>Steven Braatz MD</NamePerson>
        <BaseCompensationFilingOrg>236659</BaseCompensationFilingOrg>
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        <NamePerson>John Dozier MD</NamePerson>
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        <NamePerson>Paul Davainis MD</NamePerson>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>14823</DeferredCompFilingOrg>
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        <TotalCompensationFilingOrg>214378</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>221546</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Naomi Rea FNP</NamePerson>
        <BaseCompensationFilingOrg>143348</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8575</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>17270</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>169193</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>145979</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Albert Geugenburger</NamePerson>
        <BaseCompensationFilingOrg>47251</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <TotalCompensationFilingOrg>47251</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>101200</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dan Zanine</NamePerson>
        <BaseCompensationFilingOrg>22155</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>22155</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SchJ_P01_S00_L03</Identifier>
        <ReturnReference>Schedule J, Part I, Line 3</ReturnReference>
        <Explanation>Salary and compensation schedules of similar organizations are consulted for comparable wage scales. CEO salary is established in a written contract signed by governing board.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="R000005" softwareId="10000077" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11a</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11a</ReturnReference>
        <Explanation>E-mailed and/or provide copy at Monthly Meeting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>Disclosure completed annually by officers and directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>Salary and compensation schedules of similar organizations are consulted for comparable wage scales. CEO salary is established in a written contract signed by governing board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>Copy provided for public inspection in administrative office.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <ReasonableCauseExplanation documentId="R000006" softwareId="10000077" softwareVersion="v1.00">
      <Explanation>Return in not late an automatic extension was filed and approved by the IRS till February 15, 2012. IRS does not require the return to be filed until March 31, 2012 due to an IRS system update.</Explanation>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>