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        <BOYAmt>1032123</BOYAmt>
        <EOYAmt>931656</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1280080</BOYAmt>
        <EOYAmt>1106212</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>526455</BOYAmt>
        <EOYAmt>504913</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>526455</BOYAmt>
        <EOYAmt>504913</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1806535</BOYAmt>
        <EOYAmt>1611125</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-21542</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="DOCIDSCHEDA">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3567649</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4402951</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3911994</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4582438</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4302732</CurrentTaxYearAmt>
        <TotalAmt>20767764</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>3567649</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4402951</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3911994</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4582438</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4302732</CurrentTaxYearAmt>
        <TotalAmt>20767764</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>20767764</PublicSupportTotal170Amt>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus2YearsAmt>5140</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>281486</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10380</CurrentTaxYearAmt>
        <TotalAmt>297006</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>21064770</TotalSupportAmt>
      <PublicSupportCY170Pct>0.9859</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98597</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <PublicSupportCY509Pct>0</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0</InvestmentIncomePYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="DOCIDSCHEDB">
      <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="DOCIDSCHEDD">
      <SolicitedAssetsSaleInd>false</SolicitedAssetsSaleInd>
      <AgentTrusteeEtcInd>false</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>false</InclEscrowCustodialAcctLiabInd>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>false</RelatedOrgListSchRInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>63969</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8806</DepreciationAmt>
        <BookValueAmt>55163</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>279597</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>68452</DepreciationAmt>
        <BookValueAmt>211145</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>21865</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>21865</DepreciationAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>266308</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSET</Desc>
        <BookValueAmt>693647</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS</Desc>
        <BookValueAmt>2000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>695647</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY CURRENT</Desc>
        <Amt>71997</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LIABILITY FOR HRA CLAIMS</Desc>
        <Amt>238009</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY LESS CURRENT</Desc>
        <Amt>621650</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>931656</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>4313112</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>4313112</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>4313112</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4334654</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>4334654</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>4334654</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="DOCIDSCHEDJ">
      <WrittenPolicyRefTAndEExpnssInd>false</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>false</SubstantiationRequiredInd>
      <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>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN JAMES</PersonNm>
        <TitleTxt>PRESIDENT CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>139573</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8959</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>148532</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>141463</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="DOCIDSCHEDO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION A, LINE 8a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization holds regular Board meetings in accordance with its by-laws. The Board secretary records minutes, which reflect all Board actions, at each meeting. Board members approve the minutes at the following Board meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Prior to its filing, the President/CEO presents Form 990 to the Board s audit committee for review. Thereafter, each Board member receives a copy of the return for their review and approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members monitor and enforce the conflict of interest policy at Board meetings. Members and staff are required to disclose any potential conflicts. The policy stipulates that no employee, officer or agent of the Organization shall participate in the selection, award or administration of a contract involving the Organization if a real or apparent conflict of interest exists.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board regularly reviews compensation for the Executive Director, other officers and key employees to ensure that compensation is within Federal and state guidelines. Further, the salaries of all employees are limited by the terms of the contract with the U.S. Dept. of Health and Human Services which states that no employee s annual compensation, including benefits, shall exceed $189,600. The salaries of all employees are within this limit.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents, conflict of interest policy, financial statements and Form 990 available to the public upon written request. Form 990 may also be viewed on public websites such as GuideStar.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IX, LINE 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Consultants-Admin $40,083 Consultants-Program 285,642</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>