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        <ManagementAndGeneral>144527</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>24017</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>24017</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesOther>
        <Total>1588705</Total>
        <ProgramServices>1471820</ProgramServices>
        <ManagementAndGeneral>116885</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>814304</Total>
        <ProgramServices>685187</ProgramServices>
        <ManagementAndGeneral>129117</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <Occupancy>
        <Total>948439</Total>
        <ProgramServices>104304</ProgramServices>
        <ManagementAndGeneral>844135</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>129420</Total>
        <ProgramServices>57366</ProgramServices>
        <ManagementAndGeneral>72054</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <DepreciationDepletion>
        <Total>183147</Total>
        <ProgramServices>32136</ProgramServices>
        <ManagementAndGeneral>151011</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>29946</Total>
        <ProgramServices>21002</ProgramServices>
        <ManagementAndGeneral>8944</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>Miscellaneous</Description>
        <Total>1204</Total>
        <ProgramServices>1204</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>11472420</Total>
        <ProgramServices>7533641</ProgramServices>
        <ManagementAndGeneral>3938779</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <EOY>43738</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>701769</BOY>
        <EOY>1204204</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>57182</BOY>
        <EOY>61044</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>1072592</BOY>
        <EOY>1004410</EOY>
      </AccountsReceivable>
      <LandBuildingsEquipmentBasis>4834709</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2468910</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2453521</BOY>
        <EOY>2365799</EOY>
      </LandBuildingsEquipmentBasisNet>
      <TotalAssets>
        <BOY>4285064</BOY>
        <EOY>4679195</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>313718</BOY>
        <EOY>453563</EOY>
      </AccountsPayableAccruedExpenses>
      <TotalLiabilities>
        <BOY>313718</BOY>
        <EOY>453563</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>3971346</BOY>
        <EOY>4225632</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>3971346</BOY>
        <EOY>4225632</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>4285064</BOY>
        <EOY>4679195</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>254286</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="00000002" softwareId="11000175">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>3332162</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3138994</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4027117</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5670177</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>6010290</CurrentTaxYear>
        <Total>22178740</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>3332162</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3138994</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4027117</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5670177</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>6010290</CurrentTaxYear>
        <Total>22178740</Total>
      </Total170>
      <PublicSupportTotal170>22178740</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>35182</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>35182</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>37474</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>15234</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>64081</CurrentTaxYear>
        <Total>187153</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>3380053</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3573220</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4242161</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5344034</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5652335</CurrentTaxYear>
        <Total>22191803</Total>
      </OtherIncome170>
      <TotalSupport>44557696</TotalSupport>
      <PublicSupportPertcentage170>0.49780</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.47680</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <PublicSupportTotal509>0</PublicSupportTotal509>
      <PublicSupportPercentage509>0</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0</InvestmentIncomePercentage>
      <FactsAndCircumstancesTest>OTHER INCOME PART II, LINE 10; DESCRIPTION: PROGRAM GENERATED INCOME FROM HEALTH CARE SERVICES; 2007: 3380053.; 2008: 3573220.; 2009: 4242161.; 2010: 5344034.; 2011: 5652335.;</FactsAndCircumstancesTest>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="00000003" softwareId="11000175">
      <Land>
        <OtherCostOrOtherBasis>146498</OtherCostOrOtherBasis>
        <BookValue>146498</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>2990009</OtherCostOrOtherBasis>
        <Depreciation>1380138</Depreciation>
        <BookValue>1609871</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>1698202</OtherCostOrOtherBasis>
        <Depreciation>1088772</Depreciation>
        <BookValue>609430</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>2365799</TotalOfBookValueLandBuildings>
      <TotalRevenue>11726706</TotalRevenue>
      <TotalExpenses>11472420</TotalExpenses>
      <ExcessOrDeficitForYear>254286</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>254286</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>11726706</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>11726706</RevenueSubtotal>
      <TotalRevenuePerForm990>11726706</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>11472420</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>11472420</ExpensesSubtotal>
      <TotalExpensesPerForm990>11472420</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="00000004">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>MARGARET A GRAY DPA</NamePerson>
        <BaseCompensationFilingOrg>142150</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>12250</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>154400</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BETTIE KNIGHT MD</NamePerson>
        <BaseCompensationFilingOrg>184241</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>14915</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>199156</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="00000005" softwareId="11000175">
      <GeneralExplanation>
        <Identifier>Pt VI, Line 11a</Identifier>
        <Explanation>The 990 is review by the CEO along with the CFO, presented</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>to the board for approval.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 12c</Identifier>
        <Explanation>This Policy is communicated to the employees in writing</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>in the employee hand book.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 15</Identifier>
        <Explanation>Employees are evaluated on an annual basis by the CEO and</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>approved by the board of directors.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>