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      <PayrollTaxesGrp>
        <TotalAmt>82262</TotalAmt>
        <ProgramServicesAmt>67307</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14955</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>5178</TotalAmt>
        <ManagementAndGeneralAmt>5178</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>27731</TotalAmt>
        <ManagementAndGeneralAmt>27731</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>26893</ManagementAndGeneralAmt>
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        <TotalAmt>82909</TotalAmt>
        <ProgramServicesAmt>82909</ProgramServicesAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>63370</TotalAmt>
        <ProgramServicesAmt>8328</ProgramServicesAmt>
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      <OccupancyGrp>
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        <ManagementAndGeneralAmt>14889</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>118660</TotalAmt>
        <ProgramServicesAmt>117374</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1286</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>4420</ProgramServicesAmt>
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        <ProgramServicesAmt>128</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20229</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>25051</TotalAmt>
        <ProgramServicesAmt>15007</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10044</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PATIENT CARE</Desc>
        <TotalAmt>1292682</TotalAmt>
        <ProgramServicesAmt>1292682</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>20300</TotalAmt>
        <ManagementAndGeneralAmt>20300</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>284386</EOYAmt>
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        <EOYAmt>506949</EOYAmt>
      </SavingsAndTempCashInvstGrp>
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        <EOYAmt>466106</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>21821</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>501478</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>307205</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>214630</BOYAmt>
        <EOYAmt>194273</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>4829213</BOYAmt>
        <EOYAmt>5247350</EOYAmt>
      </InvestmentsPubTradedSecGrp>
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        <BOYAmt>5789220</BOYAmt>
        <EOYAmt>6699064</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>207316</BOYAmt>
        <EOYAmt>269246</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>207316</BOYAmt>
        <EOYAmt>269246</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>5581904</BOYAmt>
        <EOYAmt>6429818</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5581904</BOYAmt>
        <EOYAmt>6429818</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>5789220</BOYAmt>
        <EOYAmt>6699064</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>709676</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>138238</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <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>356772</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>53947</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>53455</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>90075</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>96768</CurrentTaxYearAmt>
        <TotalAmt>651017</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>356772</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>53947</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>53455</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>90075</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>96768</CurrentTaxYearAmt>
        <TotalAmt>651017</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>651017</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>84943</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>98843</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>98573</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>120255</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>183387</CurrentTaxYearAmt>
        <TotalAmt>586001</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus3YearsAmt>8187</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>33503</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8757</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7109</CurrentTaxYearAmt>
        <TotalAmt>57556</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>1294574</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>11403510</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.50290</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.52570</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 1,800. 2023 AMOUNT: $ 4,557. 2024 AMOUNT: $ 2,154. GROSS FUNDRAISING INCOME - 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 8,187. 2022 AMOUNT: $ 31,703. 2023 AMOUNT: $ 4,200. 2024 AMOUNT: $ 4,955.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </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">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>70282</OtherCostOrOtherBasisAmt>
        <BookValueAmt>70282</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>394230</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>273188</DepreciationAmt>
        <BookValueAmt>121042</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>36966</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>34017</DepreciationAmt>
        <BookValueAmt>2949</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>194273</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>3935052</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>138238</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>16550</OtherRevenueAmt>
      <RevenueNotReportedAmt>154788</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3780264</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>26893</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>26893</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3807157</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3087138</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>16550</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>16550</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3070588</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>26893</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>26893</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3097481</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>U.S. GAAP, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES" REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLSOSURE IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES - FORM 990, PART VIII, LINE 8B 6,350. NON-CASH PRIZES FUNDRAISING EXPENSES - FORM 990, PART VIII, LINE 8B 10,200.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES - FORM 990, PART VIII, LINE 8B 6,350. NON-CASH PRIZES FUNDRAISING EXPENSES - FORM 990, PART VIII, LINE 8B 10,200.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>FISH BOIL</Event1Nm>
        <GrossReceiptsEvent1Amt>53089</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>48134</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>4955</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>10200</NonCashPrizesEvent1Amt>
        <OtherDirectExpensesEvent1Amt>6350</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>53089</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>48134</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>4955</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>10200</NonCashPrizesTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>6350</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>16550</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-11595</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND BOARD OF DIRECTORS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED ANNUALLY TO COMPLETE A DISCLOSURE OF THEIR CONFLICTS OF INTEREST AND SIGN A CONFLICT OF INTEREST STATEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE DIRECTOR SALARY IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNMENT DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR IS RESPONSIBLE FOR OVERSEEING THE AUDIT AND THE BOARD OF DIRECTORS IS RESPONSIBLE FOR SELECTING THE AUDITOR. NO SIGNIFICANT CHANGE FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>