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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>-1296352</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus1YearAmt>1954182</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>951881</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>50183</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>1588647</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>2183</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>2377513</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>9234970</TotalAmt>
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      <PublicSupportPY509Pct>0.99700</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="990B">
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        <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>
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        <BookValueAmt>139228</BookValueAmt>
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      <EquipmentGrp>
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        <BookValueAmt>17414</BookValueAmt>
      </EquipmentGrp>
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      <TotalRevenuePerForm990Amt>1395858</TotalRevenuePerForm990Amt>
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      <TotalExpensesPerForm990Amt>2692210</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENTIRE BOARD REVIEWS THE FORM 990 AND IT IS ACCEPTED AND APPROVED PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>IMMEDIATELY UPON BECOMING AWARE THAT SUCH A CONFLICT MAY EXIST, A BOARD MEMBER MUST DISCLOSE THE EXISTENCE OF THE POTENTIAL CONFLICT TO THE REMAINING BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>KEY STAFF POSITIONS INCLUDE THAT OF THE MEDICAL DIRECTOR AND EXECUTIVE DIRECTOR. THESE POSITIONS WILL BE COMPENSATED AT 95-110% OF MEDIAN RATE FOR LIKE POSITIONS IN SIMILARLY SIZED NONPROFIT ORGRANIZATION IN THE AREA. PREVAILING MARKET SALARIES WILL BE DETEREMINED YEARLY IN ORDER TO ADJUST COMPENSATION, FUNDS ALLOWING. THE BOARD OF DIRECTORS WILL HAVE FINAL APPROVAL OF PAY FOR THE MEDICAL DIRECTOR AND EXECUTIVE DIRECTOR. EMPLOYEES IN EITHER POSITION ARE ABLE TO SUBMIT A WRITTEN APPEAL ADDRESSING DECISIONS MADE BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FORM 990, PART VI, LINE 15A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REASONABLE REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>