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        <ProgramServicesAmt>51198</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5063</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>2819</TotalAmt>
        <ProgramServicesAmt>2819</ProgramServicesAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>51939</TotalAmt>
        <ProgramServicesAmt>47264</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4675</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>2057</TotalAmt>
        <ProgramServicesAmt>2057</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>2065</TotalAmt>
        <ProgramServicesAmt>2065</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1760</TotalAmt>
        <ManagementAndGeneralAmt>1760</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>2375</TotalAmt>
        <ManagementAndGeneralAmt>2375</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>IMPLEMENTATION PROJECTS</Desc>
        <TotalAmt>51120</TotalAmt>
        <ProgramServicesAmt>51120</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELANEOUS EXPENSES</Desc>
        <TotalAmt>3995</TotalAmt>
        <ProgramServicesAmt>3566</ProgramServicesAmt>
        <ManagementAndGeneralAmt>429</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>1981</TotalAmt>
        <ProgramServicesAmt>1981</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TRAINING</Desc>
        <TotalAmt>625</TotalAmt>
        <ProgramServicesAmt>569</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>719517</TotalAmt>
        <ProgramServicesAmt>651050</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68467</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>248489</BOYAmt>
        <EOYAmt>227010</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>159890</BOYAmt>
        <EOYAmt>221762</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>24723</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>236</BOYAmt>
        <EOYAmt>678</EOYAmt>
      </AccountsReceivableGrp>
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      <LandBldgEquipAccumDeprecAmt>10956</LandBldgEquipAccumDeprecAmt>
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        <EOYAmt>2324</EOYAmt>
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        <EOYAmt>194850</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>597677</BOYAmt>
        <EOYAmt>671347</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>14488</BOYAmt>
        <EOYAmt>17921</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>51967</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>125243</BOYAmt>
        <EOYAmt>195487</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>191698</BOYAmt>
        <EOYAmt>213408</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>405979</BOYAmt>
        <EOYAmt>457939</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>405979</BOYAmt>
        <EOYAmt>457939</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>597677</BOYAmt>
        <EOYAmt>671347</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>51960</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1098223</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>689336</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>959346</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>790626</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>764885</CurrentTaxYearAmt>
        <TotalAmt>4302416</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>1098223</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>689336</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>959346</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>790626</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>764885</CurrentTaxYearAmt>
        <TotalAmt>4302416</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>4302416</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>2238</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>842</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1879</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4320</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5426</CurrentTaxYearAmt>
        <TotalAmt>14705</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>2238</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>842</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1879</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4320</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5426</CurrentTaxYearAmt>
        <TotalAmt>14705</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>21628</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6064</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2604</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5161</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2320</CurrentTaxYearAmt>
        <TotalAmt>37777</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>1122089</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>696242</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>963829</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>800107</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>772631</CurrentTaxYearAmt>
        <TotalAmt>4354898</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98790</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98690</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00340</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00280</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS - 2021 AMOUNT: $ 16,848. 2022 AMOUNT: $ 1,644. 2023 AMOUNT: $ 2,604. 2024 AMOUNT: $ 5,161. 2025 AMOUNT: $ 2,320. FUNDRAISING EVENT REVENUE - 2021 AMOUNT: $ 4,780. 2022 AMOUNT: $ 4,420.</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">
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        <OtherCostOrOtherBasisAmt>13280</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10956</DepreciationAmt>
        <BookValueAmt>2324</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2324</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE RIGHT-OF-USE ASSETS</Desc>
        <BookValueAmt>194850</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>194850</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>195487</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>195487</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>777051</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>5574</OtherRevenueAmt>
      <RevenueNotReportedAmt>5574</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>771477</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>771477</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>725091</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>5574</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>5574</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>719517</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>719517</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN THE PREPARATION OF TAX RETURNS, TAX POSITIONS ARE TAKEN BASED ON INTERPRETATION OF FEDERAL, STATE, AND LOCAL INCOME TAX LAWS. MANAGEMENT PERIODICALLY REVIEWS AND EVALUATES THE STATUS OF UNCERTAIN TAX POSITIONS AND MAKES ESTIMATES OF AMOUNTS, INCLUDING INTEREST AND PENALTIES, ULTIMATELY DUE OR OWED. NO AMOUNTS HAVE BEEN IDENTIFIED, OR RECORDED, AS UNCERTAIN TAX POSITIONS. FEDERAL, STATE, AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO FOUR YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES 5,574.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES 5,574.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH BOARD MEMBER RECEIVES A PDF COPY OF FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY IS PROVIDED TO NEW BOARD MEMBERS. THE MANAGER OF OPERATIONS MONITORS COMPLIANCE ON AN ONGOING BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PROCESS: THE BOARD ANNUALLY REVIEWS AND APPROVES COMPENSATION FOR THE MEDICAL DIRECTOR AND MANAGER OF OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 85,399. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,399. PAYROLL EXPENSES: PROGRAM SERVICE EXPENSES 777. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 777.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>