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        <FundraisingAmt>22275</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PayrollTaxesGrp>
        <TotalAmt>30289</TotalAmt>
        <ProgramServicesAmt>22821</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5302</ManagementAndGeneralAmt>
        <FundraisingAmt>2166</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>58398</TotalAmt>
        <ProgramServicesAmt>7567</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48575</ManagementAndGeneralAmt>
        <FundraisingAmt>2256</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>23230</TotalAmt>
        <ProgramServicesAmt>12767</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10463</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>48014</TotalAmt>
        <ProgramServicesAmt>43213</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4801</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>72949</TotalAmt>
        <ProgramServicesAmt>69120</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3829</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>CLINIC MEDICATIONS</Desc>
        <TotalAmt>92364</TotalAmt>
        <ProgramServicesAmt>92364</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>IN KIND SERVICES</Desc>
        <TotalAmt>427931</TotalAmt>
        <ProgramServicesAmt>427931</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>IN KIND MEDICATIONS</Desc>
        <TotalAmt>578712</TotalAmt>
        <ProgramServicesAmt>578712</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER</Desc>
        <TotalAmt>81169</TotalAmt>
        <ProgramServicesAmt>24738</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56431</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1804162</TotalAmt>
        <ProgramServicesAmt>1573891</ProgramServicesAmt>
        <ManagementAndGeneralAmt>197879</ManagementAndGeneralAmt>
        <FundraisingAmt>32392</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>96166</BOYAmt>
        <EOYAmt>77895</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>7126</BOYAmt>
        <EOYAmt>19322</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3583</BOYAmt>
        <EOYAmt>122336</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>9015</BOYAmt>
        <EOYAmt>14043</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1321182</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>582954</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>613096</BOYAmt>
        <EOYAmt>738228</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>484902</BOYAmt>
        <EOYAmt>549926</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <TotalAssetsGrp>
        <BOYAmt>1213888</BOYAmt>
        <EOYAmt>1521750</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>21528</BOYAmt>
        <EOYAmt>59785</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>21528</BOYAmt>
        <EOYAmt>59785</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1057396</BOYAmt>
        <EOYAmt>1416067</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>134964</BOYAmt>
        <EOYAmt>45898</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1192360</BOYAmt>
        <EOYAmt>1461965</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1213888</BOYAmt>
        <EOYAmt>1521750</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>216588</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>53017</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1038793</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1134780</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1052043</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1164457</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1835382</CurrentTaxYearAmt>
        <TotalAmt>6225455</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>7642</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8768</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4145</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1928</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>36346</CurrentTaxYearAmt>
        <TotalAmt>58829</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>1046435</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1143548</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1056188</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1166385</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1871728</CurrentTaxYearAmt>
        <TotalAmt>6284284</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>6284284</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>10518</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11531</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11797</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16017</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13373</CurrentTaxYearAmt>
        <TotalAmt>63236</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>10518</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11531</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11797</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16017</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13373</CurrentTaxYearAmt>
        <TotalAmt>63236</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus1YearAmt>110504</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>130445</CurrentTaxYearAmt>
        <TotalAmt>240949</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>1056953</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1155079</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1067985</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1292906</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2015546</CurrentTaxYearAmt>
        <TotalAmt>6588469</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.95380</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.96670</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <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>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>51160</OtherCostOrOtherBasisAmt>
        <BookValueAmt>51160</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>882780</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>392535</DepreciationAmt>
        <BookValueAmt>490245</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>207432</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>190419</DepreciationAmt>
        <BookValueAmt>17013</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>179810</OtherCostOrOtherBasisAmt>
        <BookValueAmt>179810</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>738228</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENTS</Desc>
        <BookValueAmt>549926</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>549926</TotalBookValueSecuritiesAmt>
      <TotalRevEtcAuditedFinclStmtAmt>2073767</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>53017</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>53017</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2020750</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>2020750</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1804162</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>1804162</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>1804162</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1000</ContributionCnt>
        <NoncashContributionsRptF990Amt>578712</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>PROF MEDICAL SVCS</Desc>
        <ContributionCnt>24</ContributionCnt>
        <NoncashContributionsRptF990Amt>427931</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATIONS PROCESS TO REVIEW FORM 990-THE FINANCE COMMITTEE INITIALLY REVIEWS THE FORM 990. IT SI THEN REVIEWED BY THE ENTIRE GOVERNING BOARD AT THE NEXT SCHEDULED BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>ENFORCEMENT OF CONFLICT POLICY-EACH BOARD MEMBER COMPLETES A CONFILCT OF INTEREST FORM ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PROCESS FOR TOP OFFICIAL-EXECUTIVE DIRECTOR SALARY IS SET BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PROCESS FOR OFFICERS-STAFF SALARIES ARE SET BY THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION-GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>