﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v6.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-02-14T09:54:56-05:00</ReturnTs>
    <TaxPeriodEndDt>2024-09-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>231692578</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>SIMON LEVER LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>147 W AIRPORT RD</AddressLine1Txt>
        <CityNm>LITITZ</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>17543</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-10-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>232555373</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>THE CLINIC FOR SPECIAL CHILDREN INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>CLIN</BusinessNameControlTxt>
      <PhoneNum>7176879407</PhoneNum>
      <USAddress>
        <AddressLine1Txt>20 COMMUNITY LN</AddressLine1Txt>
        <CityNm>GORDONVILLE</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>17529</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MARK MARTIN</PersonNm>
      <PersonTitleTxt>TREASURER</PersonTitleTxt>
      <PhoneNum>7176879407</PhoneNum>
      <SignatureDt>2025-02-13</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>KIMBERLY D LYONS CPA</PreparerPersonNm>
      <PTIN>P01314903</PTIN>
      <PhoneNum>7175697081</PhoneNum>
      <PreparationDt>2025-02-14</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc7">
      <AddressChangeInd>X</AddressChangeInd>
      <PrincipalOfficerNm>HERMAN BONTRAGER</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>20 COMMUNITY LN</AddressLine1Txt>
        <CityNm>GORDONVILLE</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>17529</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>12186282</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.CLINICFORSPECIALCHILDREN.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1989</FormationYr>
      <LegalDomicileStateCd>PA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>SERVE CHILDREN AND ADULTS WHO SUFFER FROM GENETIC AND OTHER COMPLEX MEDICAL DISORDERS BY PROVIDING COMPREHENSIVE MEDICAL, LABORATORY, AND CONSULTATIVE SERVICES, AND BY INCREASING AND DISSEMINATING KNOWLEDGE OF SCIENCE AND MEDICINE.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>11</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>11</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>34</TotalEmployeeCnt>
      <TotalVolunteersCnt>300</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>6747909</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>8190751</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>2418952</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>2033857</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>560379</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>400280</CYInvestmentIncomeAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>9727240</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>10624888</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>4134529</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>4763855</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>99450</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>54600</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>600259</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1812400</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>2464517</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>6046379</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>7282972</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>3680861</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>3341916</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>19791375</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>23979478</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1276931</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>749176</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>18514444</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>23230302</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>SERVE CHILDREN AND ADULTS WHO SUFFER FROM GENETIC AND OTHER COMPLEX MEDICAL DISORDERS BY PROVIDING COMPREHENSIVE MEDICAL, LABORATORY, AND CONSULTATIVE SERVICES, AND BY INCREASING AND DISSEMINATING KNOWLEDGE OF SCIENCE AND MEDICINE.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>5941671</ExpenseAmt>
      <RevenueAmt>2033857</RevenueAmt>
      <Desc>CLINICAL, LABORATORY, AND RESEARCH SERVICES WERE PROVIDED FOR PATIENTS WITH MORE THAN 300 GENETIC CONDITIONS. CLINICAL OUTREACH SERVICES WERE ALSO PROVIDED TO ADDITIONAL RURAL AREAS ON A REGULAR BASIS.</Desc>
      <TotalProgramServiceExpensesAmt>5941671</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc8">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc4">true</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc4">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc4">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc5">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc6">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc6">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>19</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>34</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>true</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>false</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>11</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>11</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>CT</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>FL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>IL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>KY</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NJ</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>OH</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>PA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>SC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>VA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WI</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>ADAM HEAPS MS MBA</PersonNm>
        <PhoneNum>7176879407</PhoneNum>
        <USAddress>
          <AddressLine1Txt>20 COMMUNITY LN</AddressLine1Txt>
          <CityNm>GORDONVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17529</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN STRAUSS MD</PersonNm>
        <TitleTxt>MEDICAL DIR</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>393600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>62007</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VINCENT J CARSON MD</PersonNm>
        <TitleTxt>PEDIATRIC NE</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>245714</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52555</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA POSKITT DO</PersonNm>
        <TitleTxt>MEDICAL DIRE</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>216283</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41633</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIK PUFFENBERGER PHD</PersonNm>
        <TitleTxt>LABORATORY D</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>206340</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48319</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GRACE LOUDON MEIER MD</PersonNm>
        <TitleTxt>FAMILY MEDIC</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>204145</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42072</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADAM HEAPS MS MBA</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>149885</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35648</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KARLLA W BRIGATTI MS CGC</PersonNm>
        <TitleTxt>RESEARCH OPS</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>146338</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16091</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONNA L ROBINSON MSN CRNP</PersonNm>
        <TitleTxt>NURSE PRACTI</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>124844</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23119</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA M SEPELA</PersonNm>
        <TitleTxt>DEVELOPMENT</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>104610</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9389</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAN BERGEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HERMAN BONTRAGER</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELAM ESH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEON HOOVER</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEONARD HURST</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CINDY BO MBA</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN SALVIN 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>STEPHEN TIFFT 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>MARK MARTIN</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACOB PETERSHEIM</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GLEN ZIMMERMAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1791759</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>330833</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOOVER BUILDING SPECIALISTS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5010 HORSESHOE PK</AddressLine1Txt>
            <CityNm>HONEYBROOK</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19344</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>4253876</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>E3 DIAGNOSTICS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3333 N KENNICOTT AVE</AddressLine1Txt>
            <CityNm>ARLINGTON HEIGHTS</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60004</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>137889</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>537637</FundraisingAmt>
      <AllOtherContributionsAmt>7653114</AllOtherContributionsAmt>
      <NoncashContributionsAmt>1803468</NoncashContributionsAmt>
      <TotalContributionsAmt>8190751</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>COLLABORATION FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1510692</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1510692</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LAB FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>338025</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>338025</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLINIC FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>180412</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>180412</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>4728</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4728</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2033857</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>402090</TotalRevenueColumnAmt>
        <ExclusionAmt>402090</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>263129</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>263129</SecuritiesAmt>
        <OtherAmt>1810</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-1810</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1810</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-1810</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>1296455</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>537637</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>1296455</FundraisingDirectExpensesAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>10624888</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2032047</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>402090</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1173992</TotalAmt>
        <ProgramServicesAmt>933278</ProgramServicesAmt>
        <ManagementAndGeneralAmt>219087</ManagementAndGeneralAmt>
        <FundraisingAmt>21627</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2547291</TotalAmt>
        <ProgramServicesAmt>2128255</ProgramServicesAmt>
        <ManagementAndGeneralAmt>242766</ManagementAndGeneralAmt>
        <FundraisingAmt>176270</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>218074</TotalAmt>
        <ProgramServicesAmt>182558</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19921</ManagementAndGeneralAmt>
        <FundraisingAmt>15595</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>582504</TotalAmt>
        <ProgramServicesAmt>488705</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59041</ManagementAndGeneralAmt>
        <FundraisingAmt>34758</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>241994</TotalAmt>
        <ProgramServicesAmt>199765</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28943</ManagementAndGeneralAmt>
        <FundraisingAmt>13286</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>29019</TotalAmt>
        <ProgramServicesAmt>23956</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3470</ManagementAndGeneralAmt>
        <FundraisingAmt>1593</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>29633</TotalAmt>
        <ProgramServicesAmt>3577</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25818</ManagementAndGeneralAmt>
        <FundraisingAmt>238</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>54600</TotalAmt>
        <FundraisingAmt>54600</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <OfficeExpensesGrp>
        <TotalAmt>232574</TotalAmt>
        <ProgramServicesAmt>133691</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19369</ManagementAndGeneralAmt>
        <FundraisingAmt>79514</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>81423</TotalAmt>
        <ProgramServicesAmt>67215</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9738</ManagementAndGeneralAmt>
        <FundraisingAmt>4470</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>220100</TotalAmt>
        <ProgramServicesAmt>181692</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26324</ManagementAndGeneralAmt>
        <FundraisingAmt>12084</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>39083</TotalAmt>
        <ProgramServicesAmt>32263</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4674</ManagementAndGeneralAmt>
        <FundraisingAmt>2146</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>3575</TotalAmt>
        <ProgramServicesAmt>3575</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>242801</TotalAmt>
        <ProgramServicesAmt>200432</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29039</ManagementAndGeneralAmt>
        <FundraisingAmt>13330</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>76931</TotalAmt>
        <ProgramServicesAmt>63506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9201</ManagementAndGeneralAmt>
        <FundraisingAmt>4224</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>LAB SUPPLIES</Desc>
        <TotalAmt>670711</TotalAmt>
        <ProgramServicesAmt>670711</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CLINIC SUPPLIES</Desc>
        <TotalAmt>282356</TotalAmt>
        <ProgramServicesAmt>282356</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ORGANIZATIONAL EXPENSE</Desc>
        <TotalAmt>203279</TotalAmt>
        <ProgramServicesAmt>158279</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30842</ManagementAndGeneralAmt>
        <FundraisingAmt>14158</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER FUNDRAISING COSTS</Desc>
        <TotalAmt>147280</TotalAmt>
        <FundraisingAmt>147280</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>205752</TotalAmt>
        <ProgramServicesAmt>187857</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12809</ManagementAndGeneralAmt>
        <FundraisingAmt>5086</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>7282972</TotalAmt>
        <ProgramServicesAmt>5941671</ProgramServicesAmt>
        <ManagementAndGeneralAmt>741042</ManagementAndGeneralAmt>
        <FundraisingAmt>600259</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1050843</BOYAmt>
        <EOYAmt>922571</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3854438</BOYAmt>
        <EOYAmt>2395301</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>308727</BOYAmt>
        <EOYAmt>301017</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>296782</BOYAmt>
        <EOYAmt>403484</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>99358</BOYAmt>
        <EOYAmt>110106</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>12752019</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1648405</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>7027671</BOYAmt>
        <EOYAmt>11103614</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>7153556</BOYAmt>
        <EOYAmt>8743385</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>19791375</BOYAmt>
        <EOYAmt>23979478</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1182908</BOYAmt>
        <EOYAmt>540770</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>94023</BOYAmt>
        <EOYAmt>137586</EOYAmt>
      </DeferredRevenueGrp>
      <UnsecuredNotesLoansPayableGrp>
        <EOYAmt>70820</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1276931</BOYAmt>
        <EOYAmt>749176</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>8536615</BOYAmt>
        <EOYAmt>19599016</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>9977829</BOYAmt>
        <EOYAmt>3631286</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>18514444</BOYAmt>
        <EOYAmt>23230302</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>19791375</BOYAmt>
        <EOYAmt>23979478</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>3341916</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1260131</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>110902</DonatedServicesAndUseFcltsAmt>
      <OtherChangesInNetAssetsAmt>2909</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1373499</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5665569</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5097407</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6747909</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8190751</CurrentTaxYearAmt>
        <TotalAmt>27075135</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1373499</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5665569</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5097407</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6747909</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8190751</CurrentTaxYearAmt>
        <TotalAmt>27075135</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>735148</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>26339987</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>245224</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>440779</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>377917</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>475311</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>402090</CurrentTaxYearAmt>
        <TotalAmt>1941321</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>913413</CurrentTaxYearMinus4YearsAmt>
        <TotalAmt>913413</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus2YearsAmt>868720</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1316531</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1296455</CurrentTaxYearAmt>
        <TotalAmt>3481706</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>33411575</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>10317586</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.78830</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.77630</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENT REVENUE 3,481,706</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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="RetDoc3">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>6382647</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1541946</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>7924593</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>5613721</BeginningYearBalanceAmt>
        <ContributionsAmt>150</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>769568</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-792</OtherExpendituresAmt>
        <EndYearBalanceAmt>6382647</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>6560771</BeginningYearBalanceAmt>
        <ContributionsAmt>750</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-947800</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>5613721</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>5452642</BeginningYearBalanceAmt>
        <ContributionsAmt>600</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1107531</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>6560773</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>5064956</BeginningYearBalanceAmt>
        <ContributionsAmt>300</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>387386</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>5452642</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.79520</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.03550</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.16930</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>50031</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>1787361</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1837392</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>1222728</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>8536676</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>988432</DepreciationAmt>
        <BookValueAmt>8770972</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1155223</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>659973</DepreciationAmt>
        <BookValueAmt>495250</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>11103614</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>11997731</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1260131</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>110902</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>1810</OtherRevenueAmt>
      <RevenueNotReportedAmt>1372843</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>10624888</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>10624888</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7281873</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>1810</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>1810</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>7280063</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>2909</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>2909</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>7282972</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENDOWMENT FUND WAS ESTABLISHED TO SUPPORT THE ONGOING OPERATIONS OF THE CLINIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CLINIC REPORTS ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AS INTEREST EXPENSE AND PENALTIES EXPENSE, RESPECTIVELY. THERE WERE NO INTEREST OR PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF ASSETS 1,810</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF ASSETS 1,810</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE RECOVERY 2,909</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc4">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>true</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>LINDSLEY DEVELOPMENT CONSULTING</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>89 LEAMAN RD</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17603</ZIPCd>
        </USAddress>
        <ActivityTxt>SEEPART IV</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>3169711</GrossReceiptsAmt>
        <RetainedByContractorAmt>54600</RetainedByContractorAmt>
        <NetToOrganizationAmt>3115111</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>3169711</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>54600</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>3115111</TotalNetToOrganizationAmt>
      <LicensedStatesCd>CA</LicensedStatesCd>
      <LicensedStatesCd>CT</LicensedStatesCd>
      <LicensedStatesCd>IL</LicensedStatesCd>
      <LicensedStatesCd>KY</LicensedStatesCd>
      <LicensedStatesCd>MD</LicensedStatesCd>
      <LicensedStatesCd>NJ</LicensedStatesCd>
      <LicensedStatesCd>NY</LicensedStatesCd>
      <LicensedStatesCd>OH</LicensedStatesCd>
      <LicensedStatesCd>PA</LicensedStatesCd>
      <LicensedStatesCd>SC</LicensedStatesCd>
      <LicensedStatesCd>VA</LicensedStatesCd>
      <LicensedStatesCd>WI</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>AUCTIONS</Event1Nm>
        <GrossReceiptsEvent1Amt>1834092</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>537637</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>1296455</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>28444</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>49189</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>1218822</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>1834092</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>537637</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>1296455</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>28444</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>49189</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>1218822</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>1296455</DirectExpenseSummaryEventsAmt>
      </FundraisingEventInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE G, PAGE 1, PART I, LINE 2B, COLUMN (V)</FormAndLineReferenceDesc>
        <ExplanationTxt>LINDSLEY DEVELOPMENT CONSULTING FEES FOR CONSULTING SERVICES PROVIDED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE G, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>LINDSLEY DEVELOPMENT CONSULTING WAS PAID TO SERVE AS COUNSEL TO THE ORGANIZATION AS IT CONDUCTED A CAPITAL CAMPAIGN. LINDSLEY DEVELOPMENT CONSULTING DID NOT SOLICIT ANY OF THE CONTRIBUTIONS RECEIVED IN THE CAPITAL CAMPAIGN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc5">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN STRAUSS MD</PersonNm>
        <TitleTxt>MEDICAL DIR THRU DEC</TitleTxt>
        <BaseCompensationFilingOrgAmt>393600</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>39360</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22647</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>455607</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VINCENT J CARSON MD</PersonNm>
        <TitleTxt>PEDIATRIC NEUROLOGIS</TitleTxt>
        <BaseCompensationFilingOrgAmt>245714</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24870</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27685</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>298269</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURA POSKITT DO</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>196283</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>15000</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>20660</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20973</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>257916</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIK PUFFENBERGER PHD</PersonNm>
        <TitleTxt>LABORATORY DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>206340</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>20634</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27685</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>254659</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GRACE LOUDON MEIER MD</PersonNm>
        <TitleTxt>FAMILY MEDICINE PHYS</TitleTxt>
        <BaseCompensationFilingOrgAmt>204145</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21099</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20973</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>246217</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADAM HEAPS MS MBA</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>149885</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15138</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20510</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>185533</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KARLLA W BRIGATTI MS CGC</PersonNm>
        <TitleTxt>RESEARCH OPS DIRECTO</TitleTxt>
        <BaseCompensationFilingOrgAmt>146338</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14634</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1457</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>162429</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc6">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>389498</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>SALES OF COMPARABLE ITEMS</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>257468</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>SELLING PRICE OF DONATED</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <RealEstateCommercialGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>29</ContributionCnt>
        <NoncashContributionsRptF990Amt>482609</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST OF DONATED PROPERTY</MethodOfDeterminingRevenuesTxt>
      </RealEstateCommercialGrp>
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>4548</ContributionCnt>
        <NoncashContributionsRptF990Amt>54985</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>SALES OF COMPARABLE ITEMS</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>TOOLS &amp; EQUIPME</Desc>
        <ContributionCnt>2529</ContributionCnt>
        <NoncashContributionsRptF990Amt>381382</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>SALES OF COMPARABLE ITEMS</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>FARM ITEMS</Desc>
        <ContributionCnt>482</ContributionCnt>
        <NoncashContributionsRptF990Amt>167468</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>SALES OF COMPARABLE ITEMS</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>BUGGY SHED</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>70058</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>SALES OF COMPARABLE ITEMS</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>true</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PAGE 1, PART I, LINE 32B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES THIRD PARTY VOLUNTEER GROUPS AND/OR HIRES AUCTIONEERS AND OTHER STAFF MEMBERS TO RUN AND COORDINATE THEIR SPECIAL EVENT AUCTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PAGE 2, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>PART 1, COLUMN B STATES THE FOLLOWING: - THE NUMBER OF CONTRIBUTIONS FOR LINES 9 AND 16 - THE NUMBER OF SPECIFIC ITEMS RECEIVED FOR LINES 19, 25, 26, AND 27</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>SERVE CHILDREN AND ADULTS WHO SUFFER FROM GENETIC AND OTHER COMPLEX MEDICAL DISORDERS BY PROVIDING COMPREHENSIVE MEDICAL, LABORATORY, AND CONSULTATIVE SERVICES, AND BY INCREASING AND DISSEMINATING KNOWLEDGE OF SCIENCE AND MEDICINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS MADE AVAILABLE TO OFFICERS AND TRUSTEES OF THE ORGANIZATION ELECTRONICALLY AND BY MAIL FOR REVIEW. ONCE ALL TRUSTEES AND OFFICERS HAVE REVIEWED THE FORM, THE RETURN IS SUBMITTED TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD DIRECTORS, EMPLOYEES, AND COMMITTEE MEMBERS ARE REQUIRED TO COMPLETE A QUESTIONNAIRE AND DISCLOSURE STATEMENT PROVIDED BY CSC AT THE TIME OF THEIR ASSOCIATION WITH CSC AND ANNUALLY THEREAFTER. AN ADDITIONAL DISCLOSURE STATEMENT IS REQUIRED TO BE FILED WHEN AN ACTUAL OR POTENTIAL CONFLICT ARISES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS DETERMINED THROUGH REVIEW OF COMPARABLE SALARIES IN OTHER SIMILAR ORGANIZATIONS TO DETERMINE SALARIES THAT ARE IN FAIR MARKET RANGE FOR THE REGION. BOARD MEMBERS REVIEW THE SALARY INFORMATION AS A GROUP AND ALL DISCUSSIONS ARE RECORDED IN THE BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS DETERMINED THROUGH REVIEW OF COMPARABLE SALARIES IN OTHER SIMILAR ORGANIZATIONS TO DETERMINE SALARIES THAT ARE IN FAIR MARKET RANGE FOR THE REGION. THE BOARD OF DIRECTORS DETERMINES THE SALARIES OF ALL KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CLINIC'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. A TOLL FREE TELEPHONE NUMBER IS LISTED ON ANY PUBLICATIONS ASKING FOR SUPPORT, SO THAT POTENTIAL DONORS MAY REQUEST THESE DOCUMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE RECOVERY 2,909</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>