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        <ManagementAndGeneral>13373</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <TotalFunctionalExpenses>
        <Total>6194731</Total>
        <ProgramServices>4182048</ProgramServices>
        <ManagementAndGeneral>2012683</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>11515</BOY>
        <EOY>92693</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
        <BOY>607283</BOY>
        <EOY>605946</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>113747</BOY>
        <EOY>10034</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>1961676</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>493452</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>883245</BOY>
        <EOY>1468224</EOY>
      </LandBuildingsEquipmentBasisNet>
      <TotalAssets>
        <BOY>1615790</BOY>
        <EOY>2176897</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>647940</BOY>
        <EOY>1330048</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>760489</BOY>
        <EOY>413007</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>1408429</BOY>
        <EOY>1743055</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>207361</BOY>
        <EOY>433842</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>207361</BOY>
        <EOY>433842</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>1615790</BOY>
        <EOY>2176897</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>250071</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-23590</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <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="10000104">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>817647</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>602629</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>756798</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>968164</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1482841</CurrentTaxYear>
        <Total>4628079</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>817647</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>602629</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>756798</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>968164</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1482841</CurrentTaxYear>
        <Total>4628079</Total>
      </Total170>
      <PublicSupportTotal170>4628079</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>3310</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1349</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2459</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2364</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>20546</CurrentTaxYear>
        <Total>30028</Total>
      </GrossInvestmentIncome170>
      <TotalSupport>4658107</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>15693589</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.99360</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.99710</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <PublicSupportTotal509>0</PublicSupportTotal509>
      <PublicSupportPercentage509>0</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0</InvestmentIncomePercentage>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="00000003" softwareId="10000104">
      <Land>
        <InvestmentCostOrOtherBasis>140192</InvestmentCostOrOtherBasis>
        <BookValue>140192</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>531988</InvestmentCostOrOtherBasis>
        <Depreciation>36820</Depreciation>
        <BookValue>495168</BookValue>
      </Buildings>
      <Equipment>
        <InvestmentCostOrOtherBasis>1289496</InvestmentCostOrOtherBasis>
        <Depreciation>456632</Depreciation>
        <BookValue>832864</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>1468224</TotalOfBookValueLandBuildings>
      <TotalRevenue>6444802</TotalRevenue>
      <TotalExpenses>6194731</TotalExpenses>
      <ExcessOrDeficitForYear>250071</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>250071</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>6444802</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>6444802</RevenueSubtotal>
      <TotalRevenuePerForm990>6444802</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>6194731</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>6194731</ExpensesSubtotal>
      <TotalExpensesPerForm990>6194731</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="00000004">
      <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>BARBARA LEVIN MD</NamePerson>
        <BaseCompensationFilingOrg>211946</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>7992</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6440</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>226378</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>249846</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOSHUA GETTINGER</NamePerson>
        <BaseCompensationFilingOrg>201582</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>8259</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6440</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>216281</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>214134</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TRACEY BEVERLEY</NamePerson>
        <BaseCompensationFilingOrg>190286</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>7195</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>168</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>197649</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>173103</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TOM COX</NamePerson>
        <BaseCompensationFilingOrg>151778</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>1064</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6421</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>159263</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>162171</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="00000005" softwareId="10000104">
      <GeneralExplanation>
        <Identifier>Pt VI-C, Line 19</Identifier>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 11a</Identifier>
        <Explanation>THE CEO AND FINANCE COMMITTEE REVIEWS THE FORM 990 AND THEN PRESENTS TO FULL BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 15</Identifier>
        <Explanation>STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>AND SALARY INCREASES ARE BOARD APPROVED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt XII, Line 2c</Identifier>
        <Explanation>THE CEO OVERSEES FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>ANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>REVIEWED BY THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>THE CEO AND MEDICAL DIRECTOR HAVE A PERSONAL RELATIONSHIP. THESE TWO</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>INDIVIDUALS ARE MARRIED AND REPORT TO THE GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PT XI, LINE 6</Identifier>
        <Explanation>PRIOR PERIOD ADJUSTMENT=(23,590)</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>