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      </RoyaltiesRevenue>
      <GrossRents>
        <Real>39789</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>0</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>39789</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>39789</TotalRevenueColumn>
        <ExclusionAmount>39789</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>225555</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>72904</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>152651</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>152651</TotalRevenueColumn>
        <ExclusionAmount>152651</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>0</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>89669</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>0</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <OtherRevenueMisc>
        <Description>OTHER</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>261</TotalRevenueColumn>
        <ExclusionAmount>261</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>261</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>11834900</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>858561</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>221713</ExclusionAmount>
      </TotalRevenue>
      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <CompCurrentOfficersDirectors>
        <Total>761901</Total>
        <ManagementAndGeneral>761901</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>3408995</Total>
        <ProgramServices>2703060</ProgramServices>
        <ManagementAndGeneral>529890</ManagementAndGeneral>
        <Fundraising>176045</Fundraising>
      </OtherSalariesAndWages>
      <OtherEmployeeBenefits>
        <Total>1015432</Total>
        <ProgramServices>805156</ProgramServices>
        <ManagementAndGeneral>157838</ManagementAndGeneral>
        <Fundraising>52438</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>287928</Total>
        <ProgramServices>228304</ProgramServices>
        <ManagementAndGeneral>44755</ManagementAndGeneral>
        <Fundraising>14869</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>84729</Total>
        <ManagementAndGeneral>84729</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>38750</Total>
        <ManagementAndGeneral>38750</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesProfFundraising>
        <Total>34507</Total>
        <Fundraising>34507</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>150</Total>
        <ManagementAndGeneral>150</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1123211</Total>
        <ProgramServices>1112861</ProgramServices>
        <ManagementAndGeneral>10350</ManagementAndGeneral>
      </FeesForServicesOther>
      <InformationTechnology>
        <Total>24265</Total>
        <ManagementAndGeneral>24265</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>1469551</Total>
        <ProgramServices>1023403</ProgramServices>
        <ManagementAndGeneral>437593</ManagementAndGeneral>
        <Fundraising>8555</Fundraising>
      </Occupancy>
      <Travel>
        <Total>98857</Total>
        <ProgramServices>81494</ProgramServices>
        <ManagementAndGeneral>16144</ManagementAndGeneral>
        <Fundraising>1219</Fundraising>
      </Travel>
      <Interest>
        <Total>82211</Total>
        <ManagementAndGeneral>82211</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>101843</Total>
        <ProgramServices>78331</ProgramServices>
        <ManagementAndGeneral>21068</ManagementAndGeneral>
        <Fundraising>2444</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>61141</Total>
        <ProgramServices>16596</ProgramServices>
        <ManagementAndGeneral>44545</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>818867</Total>
        <ProgramServices>771756</ProgramServices>
        <ManagementAndGeneral>45233</ManagementAndGeneral>
        <Fundraising>1878</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT</Description>
        <Total>198014</Total>
        <ProgramServices>198014</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>472967</Total>
        <ProgramServices>226393</ProgramServices>
        <ManagementAndGeneral>111746</ManagementAndGeneral>
        <Fundraising>134828</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>10083319</Total>
        <ProgramServices>7245368</ProgramServices>
        <ManagementAndGeneral>2411168</ManagementAndGeneral>
        <Fundraising>426783</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>4517</BOY>
        <EOY>1648</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>5058980</BOY>
        <EOY>4887853</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>125000</BOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>1136505</BOY>
        <EOY>694889</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>1614350</BOY>
        <EOY>149904</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>3064717</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2950664</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>215896</BOY>
        <EOY>114053</EOY>
      </LandBuildingsEquipmentBasisNet>
      <TotalAssets>
        <BOY>8155248</BOY>
        <EOY>5848347</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1704150</BOY>
        <EOY>1107968</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>3017036</BOY>
        <EOY>2833960</EOY>
      </DeferredRevenue>
      <UnsecuredNotesLoansPayable>
        <BOY>3279301</BOY>
        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <TotalLiabilities>
        <BOY>8000487</BOY>
        <EOY>3941928</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-2301347</BOY>
        <EOY>-412854</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>2453608</BOY>
        <EOY>2316773</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>2500</BOY>
        <EOY>2500</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>154761</BOY>
        <EOY>1906419</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>8155248</BOY>
        <EOY>5848347</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>1751581</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>77</ReconciliationUnrealizedInvest>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>7552468</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>8219562</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>6210190</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9984320</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10754626</CurrentTaxYear>
        <Total>42721166</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>7552468</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>8219562</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>6210190</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9984320</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10754626</CurrentTaxYear>
        <Total>42721166</Total>
      </Total170>
      <AmountsSubstContributorsTotal>9628258</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>33092908</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>97445</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>272266</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>210251</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>37958</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>69062</CurrentTaxYear>
        <Total>686982</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>790</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>31081</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>9523</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>82793</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>261</CurrentTaxYear>
        <Total>124448</Total>
      </OtherIncome170>
      <TotalSupport>43532596</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>8323766</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.76020</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.73650</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <GeneralExplanation>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2008 AMOUNT: $ 790. 2009 AMOUNT: $ 4,586. 2010 AMOUNT: $ 5,753. 2011 AMOUNT: $ 23. 2012 AMOUNT: $ 261. GROSS INCOME FROM FUNDRAISING EVENTS - 2009 AMOUNT: $ 26,495. 2010 AMOUNT: $ 3,770. 2011 AMOUNT: $ 82,770.</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>237332</OtherCostOrOtherBasis>
        <Depreciation>194080</Depreciation>
        <BookValue>43252</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2807310</OtherCostOrOtherBasis>
        <Depreciation>2737402</Depreciation>
        <BookValue>69908</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>20075</OtherCostOrOtherBasis>
        <Depreciation>19182</Depreciation>
        <BookValue>893</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>114053</TotalOfBookValueLandBuildings>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>11935638</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>77</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>100661</DonatedSrvcAndUseOfFacilities>
      <RevenueNotRptdF990>100738</RevenueNotRptdF990>
      <RevenueSubtotal>11834900</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>11834900</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>10183980</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>100661</DonatedServicesUseOfFacilities>
      <ExpensesNotRptdF990>100661</ExpensesNotRptdF990>
      <ExpensesSubtotal>10083319</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>10083319</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>THE INSTITUTE FOLLOWS FINANCIAL ACCOUNTING STANDARDS BOARD ACCOUNTING STANDARDS CODIFICATION TOPIC, INCOME TAXES, TO ACCOUNT FOR UNCERTAIN TAX POSITIONS. MANAGEMENT HAS CONCLUDED THAT THE INSTITUTE HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE INSTITUTE IS NO LONGER SUBJECT TO TAX EXAMINATIONS BY FEDERAL AUTHORITIES FOR TAX YEARS ENDING JUNE 30, 2009 AND BEFORE AND BY CALIFORNIA AUTHORITIES FOR TAX YEARS ENDING JUNE 30, 2008, AND BEFORE.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <MailSolicitations>X</MailSolicitations>
      <EmailSolicitations>X</EmailSolicitations>
      <PhoneSolicitations>X</PhoneSolicitations>
      <InPersonSolicitations>X</InPersonSolicitations>
      <SolicitationOfNonGovtGrants>X</SolicitationOfNonGovtGrants>
      <SolicitationOfGovtGrants>X</SolicitationOfGovtGrants>
      <AgreementRefFundraising>1</AgreementRefFundraising>
      <FundraiserActivityInformation>
        <NameOfIndividual>WILLIAM DAVID BARNES</NameOfIndividual>
        <AddressUS>
          <AddressLine1>2501 BEATRICE LANE</AddressLine1>
          <City>MODESTO</City>
          <State>CA</State>
          <ZIPCode>95355</ZIPCode>
        </AddressUS>
        <Activity>DIRECT MAIL CONSULTANT</Activity>
        <FundraiserControlOfFunds>0</FundraiserControlOfFunds>
        <GrossReceipts>0</GrossReceipts>
        <AmountRetainedByContractor>13200</AmountRetainedByContractor>
        <NetToOrganization>-13200</NetToOrganization>
      </FundraiserActivityInformation>
      <TotalRetainedByContractors>13200</TotalRetainedByContractors>
      <TotalNetToOrganization>-13200</TotalNetToOrganization>
      <LicensedStates>CA</LicensedStates>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES WILLIAM LANGSTON MD</NamePerson>
        <Title>CEO-FOUNDER</Title>
        <BaseCompensationFilingOrg>354150</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20373</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CLYDE TAYLOR</NamePerson>
        <Title>CFO/COO</Title>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>19634</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>263818</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DR CAROLINE TANNER</NamePerson>
        <Title>DIRECTOR OF CLINICAL RESEA</Title>
        <BaseCompensationFilingOrg>209981</BaseCompensationFilingOrg>
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        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13379</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>223360</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DR GRACE LIANG</NamePerson>
        <Title>DIRECTOR, CLINICAL TRIALS</Title>
        <BaseCompensationFilingOrg>181829</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14552</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>196381</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DR MELANIE BRANDABUR</NamePerson>
        <Title>CLINIC DIRECTOR</Title>
        <BaseCompensationFilingOrg>214877</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13416</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>228293</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SAM GOLDMAN MD MPH</NamePerson>
        <Title>ASSOCIATE PROFESSOR</Title>
        <BaseCompensationFilingOrg>143617</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13919</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>157536</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>3</NumberOfContributions>
        <NoncashContribsRptdF990>72695</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>0</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE ACCOUNTING FIRM FORWARDED THE FORM 990 TO THE COO/CFO. THE COO/CFO FORWARDED THE FORM 990 TO THE BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FILING THE FORM 990. BOARD MEMBERS WERE ENCOURAGED TO REVIEW THE FORM 990 AND TO FORWARD THEIR QUESTIONS TO THE COO/CFO. EITHER THE COO/CFO OR THE ACCOUNTING FIRM ADDRESSED THE QUESTIONS FROM THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ALL PARTIES FROM WHOM A CONFLICT OF INTEREST STATEMENT IS REQUIRED ARE TRACED, REMINDERS SENT, AND IF DELINQUENT, THE COO/CFO FOLLOWS UP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE PERSONNEL/COMPENSATION COMMITTEE, IN CONJUNCTION WITH HUMAN RESOURCES, REVIEWS AND ANALYZES COMPENSATION USING THE ANNUAL AIRI SURVEYS AND OTHER INDEPENDENT SOURCES TO DETERMINE APPROPRIATENESS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE FINANCIAL STATEMENTS ARE POSTED ANNUALLY TO THE INSTITUTE'S WEB SITE AND ARE ALSO AVAILABLE ONLINE THROUGH THE FEDERAL AUDIT CLEARINGHOUSE. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE PROVIDED UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>SUBCONTRACTS: PROGRAM SERVICE EXPENSES 1,112,861. MANAGEMENT AND GENERAL EXPENSES 10,350. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,123,211.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>SCHEDULE M, PART I, LINE 31:</ReturnReference>
        <Explanation>THE ORGANIZATION INTENDS TO IMPLEMENT A GIFT ACCEPTANCE POLICY.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>