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      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
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      <NoncashContributionsAmt>1797</NoncashContributionsAmt>
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        <BusinessCd>624100</BusinessCd>
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        <ManagementAndGeneralAmt>2774</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>6816</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>11</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>82879</ProgramServicesAmt>
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        <ProgramServicesAmt>87530</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DATA PROCESSING</Desc>
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        <ProgramServicesAmt>5040</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>299394</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
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        <ProgramServicesAmt>148035</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL AND MA</Desc>
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        <ProgramServicesAmt>87555</ProgramServicesAmt>
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        <FundraisingAmt>2074</FundraisingAmt>
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        <EOYAmt>812590</EOYAmt>
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        <EOYAmt>346638</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>47709</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>881126</EOYAmt>
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        <EOYAmt>202433</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>536170</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>3801744</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>361504</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>4163248</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4546907</BOYAmt>
        <EOYAmt>4699418</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>42336</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
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    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>5740</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
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      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
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      <TotalExemptPurposeExpendGrp>
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      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>472539</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
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      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
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      <AvgLobbyingNontaxableAmountGrp>
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        <CurrentYearMinus2Amt>420368</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>453303</CurrentYearMinus1Amt>
        <CurrentYearAmt>472539</CurrentYearAmt>
        <TotalAmt>1684247</TotalAmt>
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      <AvgTotalLobbyingExpendGrp>
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        <CurrentYearMinus2Amt>6219</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>5740</CurrentYearMinus1Amt>
        <CurrentYearAmt>5740</CurrentYearAmt>
        <TotalAmt>22483</TotalAmt>
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      <AvgGrassrootsNontaxableGrp>
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        <CurrentYearMinus2Amt>105092</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>113326</CurrentYearMinus1Amt>
        <CurrentYearAmt>118135</CurrentYearAmt>
        <TotalAmt>421062</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <ContributionsAmt>1573</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>15519</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>257163</OtherExpendituresAmt>
        <EndYearBalanceAmt>498783</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>8727</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>23038</OtherExpendituresAmt>
        <EndYearBalanceAmt>738854</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>82523</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>60825</OtherExpendituresAmt>
        <EndYearBalanceAmt>742756</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>548839</BeginningYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>125590</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>10119</OtherExpendituresAmt>
        <EndYearBalanceAmt>696286</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
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        <ContributionsAmt>46643</ContributionsAmt>
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        <OtherExpendituresAmt>42132</OtherExpendituresAmt>
        <EndYearBalanceAmt>548839</EndYearBalanceAmt>
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        <BookValueAmt>170733</BookValueAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>12877</RevenueNotReportedFinclStmtAmt>
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      <InvestmentExpensesNotIncld2Amt>12877</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>12877</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>6447106</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S INTENDED USE OF ENDOWMENT FUNDS IS TO USE THE INCOME AND GROWTH FOR GENERAL PURPOSES TO FURTHER THE MISSION OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>INCOME TAXES THE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE; THEREFORE, NO LIABILITY FOR FEDERAL INCOME TAXES HAS BEEN RECORDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBT -148,035.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <PersonNm>JAMES WHITWORTH</PersonNm>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2142</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>204942</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROD OSTERMILLER</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>147218</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4399</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2142</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>153759</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 TAX RETURN WAS APPROVED BY THE BOARD OF DIRECTORS BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS THE CONFLICT OF INTEREST POLICY ANNUALLY. BOARD MEMBERS DISCLOSE CONFLICTS OF INTEREST AS THEY ARISE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE DIRECTOR COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. OTHER OFFICERS AND MANAGER ARE COMPENSATED BASED UPON MANAGEMENT RECOMMENDATIONS AND APPROVED BY THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>