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      <GamingGrossIncomeAmt>5275</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>460</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>4815</TotalRevenueColumnAmt>
        <ExclusionAmt>4815</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <ProgramServicesAmt>46393</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2280</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>125193</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>48749</ProgramServicesAmt>
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      <InterestGrp>
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        <Desc>BAD DEBT EXPENSE</Desc>
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        <ProgramServicesAmt>600000</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>EMPLOYEE TRAINING AND R</Desc>
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        <FundraisingAmt>9</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <ProgramServicesAmt>188</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>2000000</EOYAmt>
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        <EOYAmt>8948199</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>278741</EOYAmt>
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        <EOYAmt>10847268</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>1940451</ReconcilationRevenueExpnssAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>154598</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>521464</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1391382</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>125745</CurrentTaxYearAmt>
        <TotalAmt>2345000</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus2YearsAmt>33833750</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>40543837</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>42833564</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>42959309</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>87992</CurrentTaxYearMinus1YearAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISTIN ANSTEATT</PersonNm>
        <TitleTxt>APP SUPERVISOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>169652</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2066</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>171718</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MICHAEL TARANTINO</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>MEDICAL DIRECTOR AND MEMBER OF THE BOARD OF DIRECTORS</RelationshipDescriptionTxt>
        <TransactionAmt>338530</TransactionAmt>
        <TransactionDesc>MICHAEL TARANTINO PAYS THE ORGANIZATION FOR THE SHARING OF THE ORGANIZATIONS'S STAFF AND RESOURCES TO HANDLE THE BILLING OF HIS PRIVATE PRACTICE.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>NEW OFFICER POSITIONS WERE ADDED TO THE BY-LAWS, AND RESPONSIBILITIES CHANGED SLIGHTLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES A COPY OF FORM 990 TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION FOR THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES IS DETERMINED AND APPROVED BY THE EXECUTIVE COMMITTEE USING COMPARABLE IN WAGE SURVEYS FOR THE INDUSTRY. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DUES AND MEMBERSHIPS: PROGRAM SERVICE EXPENSES 25,915. MANAGEMENT AND GENERAL EXPENSES 6,121. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,036. STAFF DEVELOPMENT: PROGRAM SERVICE EXPENSES 4,313. MANAGEMENT AND GENERAL EXPENSES 5,503. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,816. PAYROLL PROCESSING EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,232. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,232. OTHER SERVICES: PROGRAM SERVICE EXPENSES 8,681. MANAGEMENT AND GENERAL EXPENSES 71,788. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,469.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, LINE 9: CHANGE IN PRESENTATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESENTATION OF THE SALE OF BLOOD FACTOR COGS WAS CHANGED IN THE CURRENT YEAR TO MATCH THE WAY IT IS REPORTED FOR AUDITED FINANCIAL STATEMENT PURPOSES. IN PRIOR YEARS, THE REVENUE WAS INCLUDED ON PAGE 9 BUT THE COGS WAS INCLUDED WITH EXPENSES ON PAGE 10. IN THE CURRENT YEAR, THE COGS WAS MOVED TO PAGE 9. BOTH REVENUE AND EXPENSE ARE NOW REPORTED ON REVENUE PAGE 9, LINE 10. AS A RESULT OF THIS PRESENTATION CHANGE, THERE APPEARS TO BE A SIGNIFICANT DECLINE IN REVENUES REPORTED ON PAGE 1, LINE 9. HOWEVER, THE GROSS RECEIPTS FOR THE CURRENT YEAR REPORTED ON PAGE 1, LINE G IS COMPARABLE TO PRIOR YEAR RETURNS. THIS IS A ONE TIME PRESENTATION ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
