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        <ManagementAndGeneral>83321</ManagementAndGeneral>
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      <FeesForServicesLegal>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>23675</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>78088</ManagementAndGeneral>
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      <FeesForServicesOther>
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        <ManagementAndGeneral>2753</ManagementAndGeneral>
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      <Advertising>
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        <ProgramServices>21413</ProgramServices>
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        <Fundraising>15999</Fundraising>
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        <ProgramServices>506339</ProgramServices>
        <ManagementAndGeneral>206645</ManagementAndGeneral>
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        <ProgramServices>6868</ProgramServices>
        <ManagementAndGeneral>14242</ManagementAndGeneral>
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      <Occupancy>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>1078551</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <ProgramServices>27178</ProgramServices>
        <ManagementAndGeneral>1688</ManagementAndGeneral>
        <Fundraising>2786</Fundraising>
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      <ConferencesMeetings>
        <Total>17939</Total>
        <ProgramServices>4171</ProgramServices>
        <ManagementAndGeneral>10701</ManagementAndGeneral>
        <Fundraising>3067</Fundraising>
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        <ProgramServices>191833</ProgramServices>
        <ManagementAndGeneral>277978</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>43596</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>Supplies</Description>
        <Total>2333210</Total>
        <ProgramServices>2284858</ProgramServices>
        <ManagementAndGeneral>48352</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>Equipment rental/maintenance</Description>
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        <ProgramServices>198663</ProgramServices>
        <ManagementAndGeneral>341954</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>Other expenses</Description>
        <Total>316544</Total>
        <ProgramServices>142353</ProgramServices>
        <ManagementAndGeneral>173179</ManagementAndGeneral>
        <Fundraising>1012</Fundraising>
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      <TotalFunctionalExpenses>
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        <ProgramServices>21816443</ProgramServices>
        <ManagementAndGeneral>3891149</ManagementAndGeneral>
        <Fundraising>179573</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>821631</EOY>
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      <SavingsAndTempCashInvestments>
        <BOY>6360702</BOY>
        <EOY>7297578</EOY>
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        <EOY>4106849</EOY>
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      <AccountsReceivable>
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        <EOY>2452183</EOY>
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      <InventoriesForSaleOrUse>
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        <EOY>175550</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>5750</BOY>
        <EOY>5000</EOY>
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      <LandBuildingsEquipmentBasis>13226310</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>5129524</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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        <EOY>8096786</EOY>
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        <EOY>1239604</EOY>
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      <IntangibleAssets>
        <BOY>12000</BOY>
        <EOY>12000</EOY>
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      <OtherAssetsTotal>
        <BOY>19098</BOY>
        <EOY>19098</EOY>
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      <TotalAssets>
        <BOY>19864534</BOY>
        <EOY>24226279</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>2034322</BOY>
        <EOY>2312837</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>2125020</BOY>
        <EOY>4205680</EOY>
      </DeferredRevenue>
      <TotalLiabilities>
        <BOY>4159342</BOY>
        <EOY>6518517</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>15705192</BOY>
        <EOY>17707762</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>15705192</BOY>
        <EOY>17707762</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>19864534</BOY>
        <EOY>24226279</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>1868524</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>134046</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>false</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="00000002" softwareId="10000104">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
      <PublicSupportTotal170>0</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <Total>0</Total>
      </GrossInvestmentIncome170>
      <PublicSupportPertcentage170>0</PublicSupportPertcentage170>
      <PublicSupportTotal509>0</PublicSupportTotal509>
      <PublicSupportPercentage509>0</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0</InvestmentIncomePercentage>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="00000003">
      <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="00000004" softwareId="10000104">
      <Land>
        <OtherCostOrOtherBasis>477313</OtherCostOrOtherBasis>
        <BookValue>477313</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>8683608</OtherCostOrOtherBasis>
        <Depreciation>2645082</Depreciation>
        <BookValue>6038526</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>3713794</OtherCostOrOtherBasis>
        <Depreciation>2305125</Depreciation>
        <BookValue>1408669</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>351595</OtherCostOrOtherBasis>
        <Depreciation>179317</Depreciation>
        <BookValue>172278</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>8096786</TotalOfBookValueLandBuildings>
      <TotalRevenue>27755689</TotalRevenue>
      <TotalExpenses>25887165</TotalExpenses>
      <ExcessOrDeficitForYear>1868524</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>113812</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>113812</TotalAdjustments>
      <ExcessOrDeficitPerFS>1982336</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>27869501</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>113812</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>113812</RevenueNotRptdF990>
      <RevenueSubtotal>27755689</RevenueSubtotal>
      <TotalRevenuePerForm990>27755689</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>25887165</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>25887165</ExpensesSubtotal>
      <TotalExpensesPerForm990>25887165</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="00000005">
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <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>RODERICK MANIFOLD</NamePerson>
        <BaseCompensationFilingOrg>227395</BaseCompensationFilingOrg>
        <BonusFilingOrg>10000</BonusFilingOrg>
        <DeferredCompFilingOrg>7695</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>10740</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>255830</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>238227</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RANDALL BASHORE</NamePerson>
        <BaseCompensationFilingOrg>394121</BaseCompensationFilingOrg>
        <BonusFilingOrg>10000</BonusFilingOrg>
        <DeferredCompFilingOrg>5666</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11056</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>420843</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>393395</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHARLES ALLBAUGH</NamePerson>
        <BaseCompensationFilingOrg>186773</BaseCompensationFilingOrg>
        <BonusFilingOrg>10000</BonusFilingOrg>
        <DeferredCompFilingOrg>6200</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11334</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>214307</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>192690</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID M CAMPANELLI</NamePerson>
        <BaseCompensationFilingOrg>183378</BaseCompensationFilingOrg>
        <BonusFilingOrg>37899</BonusFilingOrg>
        <DeferredCompFilingOrg>7320</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>14332</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>242929</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>276183</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BRIAN BLACKWELL</NamePerson>
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        <BonusFilingOrg>112570</BonusFilingOrg>
        <DeferredCompFilingOrg>9720</DeferredCompFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID A NEFF</NamePerson>
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        <BonusFilingOrg>39329</BonusFilingOrg>
        <DeferredCompFilingOrg>6700</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12102</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>225946</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>267219</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARIAN HAHESY-CALHOUN</NamePerson>
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        <BonusFilingOrg>17644</BonusFilingOrg>
        <DeferredCompFilingOrg>6720</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5890</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>207083</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN GALEN VILLANUEVA</NamePerson>
        <BaseCompensationFilingOrg>170749</BaseCompensationFilingOrg>
        <BonusFilingOrg>13636</BonusFilingOrg>
        <DeferredCompFilingOrg>6838</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7633</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>198856</TotalCompensationFilingOrg>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="00000006" softwareId="10000104">
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 11a</Identifier>
        <Explanation>A copy of the form 990 is provided to Board members</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>for review and input prior to being filed with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>Compliance is enforced at varying levels of disciplinary</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>actions for violations to be reported promptly to the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Executive Director or to the President of the Board</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>if the Executive Director has violated the policy.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 15</Identifier>
        <Explanation>The Executive Director is hired and evaluated annually</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>by the Board of Directors. All other employees are</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>hired by the Executive Director who determines their compensation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt XI</Identifier>
        <Explanation>Other changes in fund balances includes a re-statement</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>of prior year financial statements of net $20,234 revenue</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>and unrealized gains on investments in the current year of</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>$113,812. Unrealized gains and losses on investments are</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>not included in revenues for the 990 tax filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990EZ, Part I, Line 8</Identifier>
        <Explanation>REVENUE OTHER WHC STUDENT HEALTH REVENUE VENDING MACHINE INCOME</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990EZ, Part I, Line 16</Identifier>
        <Explanation>CONSULTING/CONTRACT - ADM CONSULTING/CONTRACT-PATIE DUES AND FEES-ADMINISTRAT DUES AND FEES-MEDICAL FRAME RELAY LINES - MEDIC INSURANCE-ADMINISTRATION INSURANCE-MEDICAL LIABILI MARKETING STAFF DEVELOPMENT-ADMINIS STAFF DEVELOPMENT-MEDICAL TAXES &amp; LICENSES-ADMIN TAXES &amp; LICENSES-MEDICAL UNCOLLECTIBLE PATIENT FEE ROUNDING</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990EZ, Part II, Line 24</Identifier>
        <Explanation>ACCOUNTS RECEIVABLE - NET GRANTS RECEIVABLE - NET OTHER RECEIVABLES INVENTORIES PREPAIDS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990EZ, Part II, Line 26</Identifier>
        <Explanation>ACCOUNTS PAYABLE &amp; ACCRUED EXPENSES BONDS, MORTGAGES &amp; OTHER NOTES UNEARNED GRANT ACCRUED SALARIES AND EXPENSES OBLIGATION-CAPITAL LEASE SALARY ADVANCE</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24f</Identifier>
        <Explanation>STAFF RECRUITMENT MARKETING DUES, FEES, &amp; SUBS TAXES AND LICENSES MEDICAL SUPPLIES</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>