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        <SecuritiesAmt>2192</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>2192</TotalRevenueColumnAmt>
        <ExclusionAmt>2192</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>44202</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>13454</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>30748</TotalRevenueColumnAmt>
        <ExclusionAmt>30748</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>9988</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9988</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>9988</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2178254</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>848484</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>44695</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>118461</TotalAmt>
        <ProgramServicesAmt>109410</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8384</ManagementAndGeneralAmt>
        <FundraisingAmt>667</FundraisingAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>962022</TotalAmt>
        <ProgramServicesAmt>888552</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68069</ManagementAndGeneralAmt>
        <FundraisingAmt>5401</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>107147</TotalAmt>
        <ProgramServicesAmt>98964</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7581</ManagementAndGeneralAmt>
        <FundraisingAmt>602</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>99217</TotalAmt>
        <ProgramServicesAmt>91641</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7020</ManagementAndGeneralAmt>
        <FundraisingAmt>556</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>46028</TotalAmt>
        <ProgramServicesAmt>18411</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27617</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>6610</TotalAmt>
        <ManagementAndGeneralAmt>6610</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <AdvertisingGrp>
        <TotalAmt>24989</TotalAmt>
        <ProgramServicesAmt>4667</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14776</ManagementAndGeneralAmt>
        <FundraisingAmt>5546</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>20557</TotalAmt>
        <ProgramServicesAmt>3084</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17371</ManagementAndGeneralAmt>
        <FundraisingAmt>102</FundraisingAmt>
      </OfficeExpensesGrp>
      <InterestGrp>
        <TotalAmt>6796</TotalAmt>
        <ProgramServicesAmt>6796</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>89831</TotalAmt>
        <ProgramServicesAmt>58390</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31441</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>59576</TotalAmt>
        <ProgramServicesAmt>27979</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31597</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CLINIC EXPENSES</Desc>
        <TotalAmt>270696</TotalAmt>
        <ProgramServicesAmt>270696</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
        <TotalAmt>77447</TotalAmt>
        <ProgramServicesAmt>34425</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43022</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>28378</TotalAmt>
        <ProgramServicesAmt>20486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7817</ManagementAndGeneralAmt>
        <FundraisingAmt>75</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HUMAN RESOURCES FEES</Desc>
        <TotalAmt>23722</TotalAmt>
        <ProgramServicesAmt>21911</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1678</ManagementAndGeneralAmt>
        <FundraisingAmt>133</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>33116</TotalAmt>
        <ProgramServicesAmt>20802</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12307</ManagementAndGeneralAmt>
        <FundraisingAmt>7</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1974593</TotalAmt>
        <ProgramServicesAmt>1676214</ProgramServicesAmt>
        <ManagementAndGeneralAmt>285290</ManagementAndGeneralAmt>
        <FundraisingAmt>13089</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>229027</BOYAmt>
        <EOYAmt>582311</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>813</BOYAmt>
        <EOYAmt>5851</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>8003</BOYAmt>
        <EOYAmt>6600</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>15604</BOYAmt>
        <EOYAmt>5220</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2330697</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1286287</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1116658</BOYAmt>
        <EOYAmt>1044410</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>508257</BOYAmt>
        <EOYAmt>465933</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>272</BOYAmt>
        <EOYAmt>272</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1878634</BOYAmt>
        <EOYAmt>2110597</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>139105</BOYAmt>
        <EOYAmt>120342</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>34018</BOYAmt>
        <EOYAmt>107091</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>185096</BOYAmt>
        <EOYAmt>156042</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>358219</BOYAmt>
        <EOYAmt>383475</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1278719</BOYAmt>
        <EOYAmt>1478316</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>241696</BOYAmt>
        <EOYAmt>248806</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1520415</BOYAmt>
        <EOYAmt>1727122</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1878634</BOYAmt>
        <EOYAmt>2110597</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>203661</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>3046</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>684444</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>657666</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>758444</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>943551</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1063991</CurrentTaxYearAmt>
        <TotalAmt>4108096</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TaxRevLeviedOrgnztnlBnft170Grp>
        <CurrentTaxYearMinus4YearsAmt>201492</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>360631</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>279622</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>243796</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>221084</CurrentTaxYearAmt>
        <TotalAmt>1306625</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>885936</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1018297</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1038066</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1187347</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1285075</CurrentTaxYearAmt>
        <TotalAmt>5414721</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>5414721</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>90248</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>240</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>195</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearAmt>11755</CurrentTaxYearAmt>
        <TotalAmt>102438</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>5517159</TotalSupportAmt>
      <PublicSupportCY170Pct>0.98140</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96280</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </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">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>217367</OtherCostOrOtherBasisAmt>
        <BookValueAmt>217367</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1071718</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>616969</DepreciationAmt>
        <BookValueAmt>454749</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>403925</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>225985</DepreciationAmt>
        <BookValueAmt>177940</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>430342</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>270193</DepreciationAmt>
        <BookValueAmt>160149</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>207345</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>173140</DepreciationAmt>
        <BookValueAmt>34205</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1044410</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>2194754</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>3046</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>13454</OtherRevenueAmt>
      <RevenueNotReportedAmt>16500</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2178254</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2178254</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1988047</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>13454</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>13454</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>1974593</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>1974593</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES NETTED AGAINST REVENUE ON 990 13,454.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES NETTED AGAINST REVENUE ON 990 13,454.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>KEGS 4 K9S</Event1Nm>
        <GrossReceiptsEvent1Amt>25971</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>25971</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>8329</OtherDirectExpensesEvent1Amt>
        <Event2Nm>CARAVAN EVENTS</Event2Nm>
        <GrossReceiptsEvent2Amt>18231</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>18231</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>5125</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>44202</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>44202</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>13454</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>13454</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>30748</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>990 REVIEWED BY EXECUTIVE DIRECTOR AND PRESENTED TO BOARD FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION KEEPS ALL OF ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ON FILE AT THE OFFICE IN ORDER TO FURNISH SUCH INFORMATION TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>