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        <ManagementAndGeneral>10411</ManagementAndGeneral>
        <Fundraising>833</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>235530</Total>
        <ProgramServices>228000</ProgramServices>
        <ManagementAndGeneral>3823</ManagementAndGeneral>
        <Fundraising>3707</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>11306</Total>
        <ProgramServices>5653</ProgramServices>
        <Fundraising>5653</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>63412</Total>
        <ProgramServices>54632</ProgramServices>
        <ManagementAndGeneral>2059</ManagementAndGeneral>
        <Fundraising>6721</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>112314</Total>
        <ProgramServices>103365</ProgramServices>
        <ManagementAndGeneral>3646</ManagementAndGeneral>
        <Fundraising>5303</Fundraising>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>245268</Total>
        <ProgramServices>225724</ProgramServices>
        <ManagementAndGeneral>7963</ManagementAndGeneral>
        <Fundraising>11581</Fundraising>
      </Occupancy>
      <Travel>
        <Total>372550</Total>
        <ProgramServices>358114</ProgramServices>
        <ManagementAndGeneral>12095</ManagementAndGeneral>
        <Fundraising>2341</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>4325</Total>
        <ProgramServices>3981</ProgramServices>
        <ManagementAndGeneral>140</ManagementAndGeneral>
        <Fundraising>204</Fundraising>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>86914</Total>
        <ProgramServices>77181</ProgramServices>
        <ManagementAndGeneral>5644</ManagementAndGeneral>
        <Fundraising>4089</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>98564</Total>
        <ProgramServices>90710</ProgramServices>
        <ManagementAndGeneral>3200</ManagementAndGeneral>
        <Fundraising>4654</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>Printing and Publications</Description>
        <Total>79290</Total>
        <ProgramServices>57019</ProgramServices>
        <ManagementAndGeneral>2574</ManagementAndGeneral>
        <Fundraising>19697</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER FUNDRAISING EXPENSES</Description>
        <Total>158286</Total>
        <Fundraising>158286</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LEASED/ RENTAL EQUIP</Description>
        <Total>344142</Total>
        <ProgramServices>343481</ProgramServices>
        <ManagementAndGeneral>90</ManagementAndGeneral>
        <Fundraising>571</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES / PHARMACY</Description>
        <Total>530268</Total>
        <ProgramServices>530268</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>352564</Total>
        <ProgramServices>318262</ProgramServices>
        <ManagementAndGeneral>8742</ManagementAndGeneral>
        <Fundraising>25560</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>11416146</Total>
        <ProgramServices>10387915</ProgramServices>
        <ManagementAndGeneral>356324</ManagementAndGeneral>
        <Fundraising>671907</Fundraising>
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      <CashNonInterestBearing>
        <BOY>135974</BOY>
        <EOY>514820</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>256651</BOY>
        <EOY>254256</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>109771</BOY>
        <EOY>105673</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>1139335</BOY>
        <EOY>1195654</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>32821</BOY>
        <EOY>30296</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>129093</BOY>
        <EOY>92908</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>1036878</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>792300</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>162798</BOY>
        <EOY>244578</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>1566622</BOY>
        <EOY>1868433</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>77338</BOY>
        <EOY>66844</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>3610403</BOY>
        <EOY>4373462</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>966158</BOY>
        <EOY>1139469</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>2139</BOY>
        <EOY>40008</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>968297</BOY>
        <EOY>1179477</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>2532335</BOY>
        <EOY>3088312</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>109771</BOY>
        <EOY>105673</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>2642106</BOY>
        <EOY>3193985</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>3610403</BOY>
        <EOY>4373462</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>551879</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="11000144" softwareVersion="2011v1.5">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>896696</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1011175</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>695667</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>670006</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>702750</CurrentTaxYear>
        <Total>3976294</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>6730464</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>7619724</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>7784439</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9123404</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10777155</CurrentTaxYear>
        <Total>42035186</Total>
      </GrossReceiptsFromAdmissions>
      <GrossReceiptsFromNonUBI>
        <CurrentTaxYearMinus4Years>109281</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>67906</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>102041</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>100281</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>197313</CurrentTaxYear>
        <Total>576822</Total>
      </GrossReceiptsFromNonUBI>
      <TaxRevLeviedForOrgBenefit509>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit509>
      <ValueOfSvcsFcltsFurnishdByGovt>
        <Total>0</Total>
      </ValueOfSvcsFcltsFurnishdByGovt>
      <Total509>
        <CurrentTaxYearMinus4Years>7736441</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>8698805</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>8582147</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9893691</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11677218</CurrentTaxYear>
        <Total>46588302</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <PublicSupportTotal509>46588302</PublicSupportTotal509>
      <GrossInvestmentIncome509>
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        <CurrentTaxYearMinus2Years>47886</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>62678</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>45127</CurrentTaxYear>
        <Total>293854</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <Total>0</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>48096</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>47886</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>62678</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>45127</CurrentTaxYear>
        <Total>293854</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <Total>0</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
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        <CurrentTaxYearMinus3Years>8657</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>699</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1235</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2374</CurrentTaxYear>
        <Total>22520</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>7836063</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>8755558</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>8630732</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9957604</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11724719</CurrentTaxYear>
        <Total>46904676</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99330</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99190</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00630</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00760</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="11000144" softwareVersion="2011v1.5">
      <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="IRS990ScheduleD" softwareId="11000144" softwareVersion="2011v1.5">
      <Land>
        <OtherCostOrOtherBasis>35000</OtherCostOrOtherBasis>
        <BookValue>35000</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>301188</OtherCostOrOtherBasis>
        <Depreciation>270497</Depreciation>
        <BookValue>30691</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>572846</OtherCostOrOtherBasis>
        <Depreciation>407844</Depreciation>
        <BookValue>165002</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>127844</OtherCostOrOtherBasis>
        <Depreciation>113959</Depreciation>
        <BookValue>13885</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>244578</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>CAPITAL LEASE OBLIGATIONS</Description>
        <Amount>40008</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>40008</TotalOfAmounts>
      <TotalRevenue>11968025</TotalRevenue>
      <TotalExpenses>11416146</TotalExpenses>
      <ExcessOrDeficitForYear>551879</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>551879</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>11968025</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>11968025</RevenueSubtotal>
      <TotalRevenuePerForm990>11968025</TotalRevenuePerForm990>
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      <ExpensesSubtotal>11416146</ExpensesSubtotal>
      <TotalExpensesPerForm990>11416146</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="11000144" softwareVersion="2011v1.5">
      <AgreementRefFundraising>false</AgreementRefFundraising>
      <EventsInformation>
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        <GrossReceiptsEvent1>157623</GrossReceiptsEvent1>
        <GrossRevenueEvent1>157623</GrossRevenueEvent1>
        <OtherDirectExpensesEvent1>67155</OtherDirectExpensesEvent1>
        <NameOfEvent2>Fresno Holiday Card</NameOfEvent2>
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        <GrossRevenueEvent2>90849</GrossRevenueEvent2>
        <OtherDirectExpensesEvent2>9481</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>8</TotalNumberOfOtherEvents>
        <GrossReceiptsOtherEvents>268562</GrossReceiptsOtherEvents>
        <GrossRevenueOtherEvents>268562</GrossRevenueOtherEvents>
        <OtherDirectExpensesOtherEvents>85539</OtherDirectExpensesOtherEvents>
        <GrossReceiptsTotal>517034</GrossReceiptsTotal>
        <GrossRevenueTotalEvents>517034</GrossRevenueTotalEvents>
        <OtherDirectExpensesTotalEvents>162175</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>162175</DirectExpenseSummaryEvents>
        <NetIncomeSummary>354859</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="11000144" softwareVersion="2011v1.5">
      <ClothingAndHouseholdGoods>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>197313</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Sales net/exp</MethodOfDeterminingRevenues>
      </ClothingAndHouseholdGoods>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000144" softwareVersion="2011v1.5">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>ORGANIZATIONAL DOCUMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS REVIEWS AND APPROVES MANAGEMENT COMPENSATION</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>THE RETURN IS AVAILABLE TO BOARD MEMBERS PRIOR TO FILING</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>