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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY RYAN MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JON SHARZA MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOUG SINCLAIR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>87922</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>3005</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>147000</MembershipDuesAmt>
      <GovernmentGrantsAmt>256402</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>169106</AllOtherContributionsAmt>
      <TotalContributionsAmt>572508</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT SERVICE FEES</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>1180443</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1180443</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SERVICE AGREEMENTS</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>116202</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>116202</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1296645</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2438</TotalRevenueColumnAmt>
        <ExclusionAmt>2438</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>121762</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>121762</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>121762</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>1993353</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1418407</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2438</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>90927</TotalAmt>
        <ProgramServicesAmt>63647</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27280</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>1305543</TotalAmt>
        <ProgramServicesAmt>1263469</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42074</ManagementAndGeneralAmt>
      </CompDisqualPersonsGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>20605</TotalAmt>
        <ProgramServicesAmt>20254</ProgramServicesAmt>
        <ManagementAndGeneralAmt>351</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>119726</TotalAmt>
        <ProgramServicesAmt>113369</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6357</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>136785</TotalAmt>
        <ProgramServicesAmt>129521</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7264</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>2993</TotalAmt>
        <ManagementAndGeneralAmt>2993</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>106924</TotalAmt>
        <ProgramServicesAmt>33687</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73237</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>30248</TotalAmt>
        <ProgramServicesAmt>24147</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6101</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>508</TotalAmt>
        <ProgramServicesAmt>308</ProgramServicesAmt>
        <ManagementAndGeneralAmt>200</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>7494</TotalAmt>
        <ProgramServicesAmt>5255</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2239</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>6105</TotalAmt>
        <ProgramServicesAmt>1072</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5033</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>10036</TotalAmt>
        <ProgramServicesAmt>9831</ProgramServicesAmt>
        <ManagementAndGeneralAmt>205</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>27936</TotalAmt>
        <ProgramServicesAmt>24890</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3046</ManagementAndGeneralAmt>
      </TravelGrp>
      <InsuranceGrp>
        <TotalAmt>9716</TotalAmt>
        <ManagementAndGeneralAmt>9716</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>35836</TotalAmt>
        <ProgramServicesAmt>34620</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1216</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT</Desc>
        <TotalAmt>22720</TotalAmt>
        <ProgramServicesAmt>8503</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14217</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CREDIT LOSS</Desc>
        <TotalAmt>11871</TotalAmt>
        <ProgramServicesAmt>11871</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PERSONNEL</Desc>
        <TotalAmt>7048</TotalAmt>
        <ProgramServicesAmt>6116</ProgramServicesAmt>
        <ManagementAndGeneralAmt>932</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>190</TotalAmt>
        <ProgramServicesAmt>190</ProgramServicesAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1953211</TotalAmt>
        <ProgramServicesAmt>1750750</ProgramServicesAmt>
        <ManagementAndGeneralAmt>202461</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>648922</BOYAmt>
        <EOYAmt>409318</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <EOYAmt>53554</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>298168</BOYAmt>
        <EOYAmt>454133</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>9381</BOYAmt>
        <EOYAmt>5081</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>650</BOYAmt>
        <EOYAmt>650</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>12000</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>12000</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>7336</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>957121</BOYAmt>
        <EOYAmt>930072</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>75422</BOYAmt>
        <EOYAmt>99831</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>134776</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>234024</BOYAmt>
        <EOYAmt>7648</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>309446</BOYAmt>
        <EOYAmt>242255</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>647675</BOYAmt>
        <EOYAmt>687817</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>647675</BOYAmt>
        <EOYAmt>687817</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>957121</BOYAmt>
        <EOYAmt>930072</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>40142</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1441688</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>874329</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>802418</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1418939</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>572508</CurrentTaxYearAmt>
        <TotalAmt>5109882</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1441688</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>874329</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>802418</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1418939</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>572508</CurrentTaxYearAmt>
        <TotalAmt>5109882</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>5109882</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>289</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>459</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1050</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2438</CurrentTaxYearAmt>
        <TotalAmt>4236</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>500</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>522</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus1YearAmt>53218</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>121762</CurrentTaxYearAmt>
        <TotalAmt>176002</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>5290120</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>1396645</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.96590</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99810</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </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>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>12000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>12000</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE OBLIGATION</Desc>
        <Amt>7648</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>7648</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>2013004</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>19651</OtherRevenueAmt>
      <RevenueNotReportedAmt>19651</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1993353</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1993353</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1972862</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>19651</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>19651</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>1953211</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>1953211</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DONATED EQUIPMENT 19,651.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DONATED EQUIPMENT 19,651.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOCUMENTS MINUTES DURING MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 WAS REVIEWED BY MANAGEMENT PRIOR TO SUBMISSION. A COPY OF THE FULL 990 WAS PROVIDED TO EACH BOARD MEMBER AT THE BOARD MEETING PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL CONFLICT OF INTEREST POLICIES ARE GIVEN OUT TO ALL BOARD MEMBERS AND OFFICERS. THEY ARE REQUESTED TO RETURN IT ONLY IF THEY HAVE A CONFLICT TO NOTE OR IF ANYTHING HAS CHANGED SINCE THE PRIOR YEAR. THE ORGANIZATION WILL FOLLOW UP WITH SOMEONE WHO HAS HAD A PRIOR CONFLICT AND DOES NOT RETURN THE FORM AS TO WHETHER THE CONFLICT SITLL EXISTS OR NOT. ANY CONFLICTS MUST BE REPORTED TO THE BOARD AND THE INDIVIDUAL IS RECUSED FROM THE VOTING PROCESS RELATING TO THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION IS REVIEWED BY THE BOARD AND APPROVED BY MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE SELECTION AND OVERSIGHT OF THE AUDITORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
