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        <RelatedOrExemptFuncIncomeAmt>1332866</RelatedOrExemptFuncIncomeAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1762</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>24945</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>22706</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>57099</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>20732</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>4960</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8836</ManagementAndGeneralAmt>
        <FundraisingAmt>2090</FundraisingAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>22536</TotalAmt>
        <ProgramServicesAmt>16973</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5209</ManagementAndGeneralAmt>
        <FundraisingAmt>354</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>58308</TotalAmt>
        <ProgramServicesAmt>18204</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32433</ManagementAndGeneralAmt>
        <FundraisingAmt>7671</FundraisingAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>157182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18594</ManagementAndGeneralAmt>
        <FundraisingAmt>3587</FundraisingAmt>
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        <ProgramServicesAmt>8690</ProgramServicesAmt>
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        <FundraisingAmt>3662</FundraisingAmt>
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        <ManagementAndGeneralAmt>415</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>9503</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9503</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>65442</TotalAmt>
        <ProgramServicesAmt>57349</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6784</ManagementAndGeneralAmt>
        <FundraisingAmt>1309</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT MAINTENANCE</Desc>
        <TotalAmt>36028</TotalAmt>
        <ProgramServicesAmt>11248</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20040</ManagementAndGeneralAmt>
        <FundraisingAmt>4740</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>PROGRAM EXPENSE</Desc>
        <TotalAmt>26292</TotalAmt>
        <ProgramServicesAmt>8208</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14625</ManagementAndGeneralAmt>
        <FundraisingAmt>3459</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>11848</TotalAmt>
        <ProgramServicesAmt>3699</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6590</ManagementAndGeneralAmt>
        <FundraisingAmt>1559</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>9741</TotalAmt>
        <ProgramServicesAmt>9741</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>19108</TotalAmt>
        <ProgramServicesAmt>6096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10445</ManagementAndGeneralAmt>
        <FundraisingAmt>2567</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>3358029</TotalAmt>
        <ProgramServicesAmt>2522763</ProgramServicesAmt>
        <ManagementAndGeneralAmt>667781</ManagementAndGeneralAmt>
        <FundraisingAmt>167485</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1011058</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>496698</BOYAmt>
        <EOYAmt>899635</EOYAmt>
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        <EOYAmt>101548</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>183455</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>43814</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>1404908</LandBldgEquipCostOrOtherBssAmt>
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        <BOYAmt>20387</BOYAmt>
        <EOYAmt>885546</EOYAmt>
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        <BOYAmt>551679</BOYAmt>
        <EOYAmt>527162</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>3652218</EOYAmt>
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        <EOYAmt>444469</EOYAmt>
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        <EOYAmt>5485</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>310653</BOYAmt>
        <EOYAmt>449954</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>690896</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>3202264</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3086143</BOYAmt>
        <EOYAmt>3652218</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>447508</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-20734</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3221278</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1612728</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1629378</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2082222</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2311471</CurrentTaxYearAmt>
        <TotalAmt>10857077</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>1612728</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1629378</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2082222</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2311471</CurrentTaxYearAmt>
        <TotalAmt>10857077</TotalAmt>
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      <SubstantialContributorsTotAmt>2525671</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>8331406</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>10694</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19682</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10089</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1381</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1762</CurrentTaxYearAmt>
        <TotalAmt>43608</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>10900685</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>6034180</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.76430</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.59200</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <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>
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        <InvestmentEarningsOrLossesAmt>-20734</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>19983</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>527162</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>127959</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>18559</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>551679</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
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        <ContributionsAmt>250</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-11189</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>17223</GrantsOrScholarshipsAmt>
        <AdministrativeExpensesAmt>899</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>424949</EndYearBalanceAmt>
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        <AdministrativeExpensesAmt>2866</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>455010</EndYearBalanceAmt>
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        <EndYearBalanceAmt>451870</EndYearBalanceAmt>
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      <TotalBookValueLandBuildingsAmt>885546</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
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      <OtherRevenueAmt>-30475</OtherRevenueAmt>
      <RevenueNotReportedAmt>165271</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3805537</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3805537</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3544034</TotExpnsEtcAuditedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>9741</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN ENDOWMENT FUNDS -20,734. BAD DEBT EXPENSE -9,741.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 9,741.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>312523</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>ANGELA LEWIS-DMELLO</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleM documentId="RetDoc1042900001">
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        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>98579</NoncashContributionsRptF990Amt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS EDWARD H. HAMM, EDWARD H. HAMM JR., AND KELLEY O'NEILL HAVE A FAMILY RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR WILL PROVIDE A COPY TO THE FINANCE COMMITTEE TO REVIEW THE AUDIT RESULTS AND FINANCIAL REPORTS. THE FORM 990 WILL BE EMAILED TO ALL FINANCE COMMITTEE MEMBERS FOR THEIR REVIEW AND EDIT COMMENTS. A COPY OF THE 990 WILL BE PROVIDED TO THE WHOLE BOARD BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS FILL OUT AN ANNUAL DISCLOSURE FORM. IN THE CASE OF A CONFLICT, OR THE APPEARANCE THEREOF, BOARD MEMBERS ARE EXPECTED TO DISCLOSE THE CONFLICT PRIOR TO THE CLINIC'S MAKING ANY RELATED DECISIONS. IF A CONFLICT AND MAY, AT THE REQUEST OF THE BOARD OR COMMITTEE, REMAIN IN THE ROOM TO ANSWER QUESTIONS OF A FACTUAL NATURE THAT MAY ASSIST THE BOARD OR COMMITTEE IN ITS DELIBERATION AND DETERMINATION OF WHETHER OR NOT AN ACTUAL CONFLICT OF INTEREST EXISTS. BOARD MEMBERS HAVING A CONFLICT OF INTEREST ON A GIVEN ISSUE DO NOT VOTE ON THE ISSUE. PROCEEDINGS RELATED TO CONFLICTS OF INTEREST ARE DOCUMENTED IN THE MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING THE COMPENSATION OF THE EXECUTIVE DIRECTOR INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION. THE EXECUTIVE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BONUS PLAN. THE PROCESS WAS LAST UNDERTAKEN OF THE EXECUTIVE DIRECTOR, IN MAY OF 2020. THE PROCESS FOR DETERMINING OTHER OFFICERS' COMPENSATION INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, CONTEMPORANEOUS SUBSTANTIATION, AND A REVIEW BY THE FINANCE COMMITTEE. THE PROCESS WAS LAST UNDERTAKEN IN FEBRUARY OF 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CLINIC'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN ENDOWMENT FUND -20,734.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
