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        <ManagementAndGeneralAmt>23410</ManagementAndGeneralAmt>
        <FundraisingAmt>7803</FundraisingAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>171571</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72375</ManagementAndGeneralAmt>
        <FundraisingAmt>8516</FundraisingAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>26703</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2967</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>148127</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8668</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>31184</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2256</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>11974</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1330</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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      <InsuranceGrp>
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        <ManagementAndGeneralAmt>30472</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>81742</ProgramServicesAmt>
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        <FundraisingAmt>18892</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Volunteer Support</Desc>
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        <ProgramServicesAmt>15058</ProgramServicesAmt>
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        <FundraisingAmt>79001</FundraisingAmt>
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        <EOYAmt>554979</EOYAmt>
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        <EOYAmt>272090</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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      <TotalAssetsGrp>
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        <EOYAmt>2328871</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>169784</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>1755677</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>309482</BOYAmt>
        <EOYAmt>403410</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2134425</BOYAmt>
        <EOYAmt>2159087</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2273863</BOYAmt>
        <EOYAmt>2328871</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>31474</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-6812</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus3YearsAmt>958002</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1987263</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2511096</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2685041</CurrentTaxYearAmt>
        <TotalAmt>8914420</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>958002</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1987263</CurrentTaxYearMinus2YearsAmt>
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        <TotalAmt>8914420</TotalAmt>
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      <PublicSupportTotal170Amt>8914420</PublicSupportTotal170Amt>
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        <CurrentTaxYearMinus4YearsAmt>1253</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>543</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4696</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>22028</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>42278</CurrentTaxYearAmt>
        <TotalAmt>70798</TotalAmt>
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      <UnrelatedBusinessNetIncm170Grp>
        <TotalAmt>0</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>7403</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3607</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>21211</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17361</CurrentTaxYearAmt>
        <TotalAmt>53177</TotalAmt>
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      <TotalSupportAmt>9038395</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>45121</GrossReceiptsRltdActivitiesAmt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part II, Line 10 Other Income</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION - MISC INCOME, COLUMN A - 3595.0, COLUMN B - 7403.0, COLUMN C - 3607.0, COLUMN D - 11704.0, COLUMN E - 17361.0, COLUMN F - 43670.0; DESCRIPTION - INSURANCE PROCEEDS, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 9507.0, COLUMN E - 0.0, COLUMN F - 9507.0;</ExplanationTxt>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="24020961" softwareVersionNum="2024v5.1">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>14977</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2621</DepreciationAmt>
        <BookValueAmt>12356</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>223499</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>48014</DepreciationAmt>
        <BookValueAmt>175485</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>75081</DepreciationAmt>
        <BookValueAmt>335987</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>523828</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Financial derivatives</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Certificates of Deposit</Desc>
        <BookValueAmt>272090</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <TotalBookValueSecuritiesAmt>272090</TotalBookValueSecuritiesAmt>
      <TotalRevEtcAuditedFinclStmtAmt>3463685</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-6812</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>892196</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>0</OtherRevenueAmt>
      <RevenueNotReportedAmt>885384</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2578301</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>7547</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>0</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>7547</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2585848</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3439023</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>892196</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>0</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>892196</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2546827</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>7547</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>7547</ExpensesNotRptFinclStmtAmt>
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        <CharitableContriEvent1Amt>170269</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>40381</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>475</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>375</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>10200</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>26987</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>183914</OtherDirectExpensesEvent1Amt>
        <GrossRevenueEvent2Amt>0</GrossRevenueEvent2Amt>
        <GrossRevenueOtherEventsAmt>0</GrossRevenueOtherEventsAmt>
        <GrossReceiptsTotalAmt>210650</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>170269</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>40381</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>475</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>375</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>10200</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>26987</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>183914</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>221951</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-181570</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="24020961" softwareVersionNum="2024v5.1">
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Equipment</Desc>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>137250</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization does not compensate any other officers or key employees. Therefore, this line was answered no in accordance with the instructions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has an executive committee that consists of the President, Vice President, Treasurer, Secretary, and Medical Committee Lead. This committee's authority includes but is not limited to: Bylaws, policy review, board selection, and governing processes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is prepared by an independent CPA firm and reviewed in detail by the organization's top management. The reviewed Form 990 is then provided to the board of directors prior to filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members and officers sign annual conflict of interest statements which are reviewed by the Board Chair and President. Should any potential conflicts of interest be disclosed, the board member or officer would be asked to refrain from participation in any deliberation or decision with regard to matters affected by the relationship.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee conducts an annual performance review. The Committee gathers information as from a variety of sources, self-evaluations, board evaluations, staff input, goals met, industry standards, compensation surveys, etc.) and prepares the evaluation report and compensation recommendation. The full board votes on the salary recommendation of the Executive Committee. A formal report is prepared for signature by the President and Board Chair. Contemporaneous substantiation of the deliberation and decision is documented in the board minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Income - Total Revenue: 17361, Related or Exempt Function Revenue: 17361, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>