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        <RelatedOrExemptFunctionIncome>91879</RelatedOrExemptFunctionIncome>
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      <OtherRevenueMisc>
        <Description>OTHER REVENUE</Description>
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        <RelatedOrExemptFunctionIncome>1083</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>1083</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>4751436</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2161037</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>4217</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>169666</Total>
        <ProgramServices>127249</ProgramServices>
        <ManagementAndGeneral>42417</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>2274556</Total>
        <ProgramServices>1883886</ProgramServices>
        <ManagementAndGeneral>347663</ManagementAndGeneral>
        <Fundraising>43007</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>23705</Total>
        <ProgramServices>16191</ProgramServices>
        <ManagementAndGeneral>6824</ManagementAndGeneral>
        <Fundraising>690</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>278482</Total>
        <ProgramServices>209610</ProgramServices>
        <ManagementAndGeneral>64996</ManagementAndGeneral>
        <Fundraising>3876</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>152764</Total>
        <ProgramServices>125696</ProgramServices>
        <ManagementAndGeneral>24380</ManagementAndGeneral>
        <Fundraising>2688</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>78973</Total>
        <ProgramServices>44051</ProgramServices>
        <ManagementAndGeneral>34449</ManagementAndGeneral>
        <Fundraising>473</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>49856</Total>
        <ProgramServices>39807</ProgramServices>
        <ManagementAndGeneral>9453</ManagementAndGeneral>
        <Fundraising>596</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>75589</Total>
        <ProgramServices>65080</ProgramServices>
        <ManagementAndGeneral>8047</ManagementAndGeneral>
        <Fundraising>2462</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>204260</Total>
        <ProgramServices>188256</ProgramServices>
        <ManagementAndGeneral>14753</ManagementAndGeneral>
        <Fundraising>1251</Fundraising>
      </Occupancy>
      <Travel>
        <Total>102863</Total>
        <ProgramServices>79347</ProgramServices>
        <ManagementAndGeneral>17731</ManagementAndGeneral>
        <Fundraising>5785</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>171518</Total>
        <ProgramServices>132657</ProgramServices>
        <ManagementAndGeneral>35421</ManagementAndGeneral>
        <Fundraising>3440</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>66608</Total>
        <ProgramServices>62678</ProgramServices>
        <ManagementAndGeneral>3642</ManagementAndGeneral>
        <Fundraising>288</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>Patient care</Description>
        <Total>96177</Total>
        <ProgramServices>96177</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL /Contraceptive Supplie</Description>
        <Total>92748</Total>
        <ProgramServices>92748</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES AND SUBSCRIPTIONS</Description>
        <Total>160879</Total>
        <ProgramServices>24513</ProgramServices>
        <ManagementAndGeneral>135843</ManagementAndGeneral>
        <Fundraising>523</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>cleaning and maintenace</Description>
        <Total>115339</Total>
        <ProgramServices>105594</ProgramServices>
        <ManagementAndGeneral>4419</ManagementAndGeneral>
        <Fundraising>5326</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>bad debt expense</Description>
        <Total>84989</Total>
        <ProgramServices>84989</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>190593</Total>
        <ProgramServices>139705</ProgramServices>
        <ManagementAndGeneral>46062</ManagementAndGeneral>
        <Fundraising>4826</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>4389565</Total>
        <ProgramServices>3518234</ProgramServices>
        <ManagementAndGeneral>796100</ManagementAndGeneral>
        <Fundraising>75231</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>116211</BOY>
        <EOY>11221</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>317484</BOY>
        <EOY>962296</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>479393</BOY>
        <EOY>432759</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>770692</BOY>
        <EOY>568930</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>128740</BOY>
        <EOY>114160</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>39686</BOY>
        <EOY>45149</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>3430993</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2341381</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1123032</BOY>
        <EOY>1089612</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>63574</BOY>
        <EOY>79065</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>12910</BOY>
        <EOY>12910</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>3051722</BOY>
        <EOY>3316102</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>333235</BOY>
        <EOY>247060</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
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        <EOY>155621</EOY>
      </DeferredRevenue>
      <TotalLiabilities>
        <BOY>462521</BOY>
        <EOY>402681</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>2556181</BOY>
        <EOY>2890643</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>23020</BOY>
        <EOY>12778</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>10000</BOY>
        <EOY>10000</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>2589201</BOY>
        <EOY>2913421</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>3051722</BOY>
        <EOY>3316102</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>361871</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-37651</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="11000144" softwareVersion="2011v1.2">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>1534602</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1453558</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1418754</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2620694</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2586182</CurrentTaxYear>
        <Total>9613790</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit170>
      <ValueSrvcFcltsFurnishedByGovt>
        <Total>0</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
        <CurrentTaxYearMinus4Years>1534602</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1453558</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1418754</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2620694</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2586182</CurrentTaxYear>
        <Total>9613790</Total>
      </Total170>
      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>9613790</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>35521</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>23681</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>5543</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1180</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3617</CurrentTaxYear>
        <Total>69542</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <Total>0</Total>
      </NetUBI>
      <OtherIncome170>
        <Total>0</Total>
      </OtherIncome170>
      <TotalSupport>9683332</TotalSupport>
      <PublicSupportPertcentage170>0.99280</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.98870</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="11000144" softwareVersion="2011v1.2">
      <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="2011v1.2">
      <Buildings>
        <OtherCostOrOtherBasis>2156240</OtherCostOrOtherBasis>
        <Depreciation>1193168</Depreciation>
        <BookValue>963072</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>1274753</OtherCostOrOtherBasis>
        <Depreciation>1148213</Depreciation>
        <BookValue>126540</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>1089612</TotalOfBookValueLandBuildings>
      <TotalRevenue>4751436</TotalRevenue>
      <TotalExpenses>4389565</TotalExpenses>
      <ExcessOrDeficitForYear>361871</ExcessOrDeficitForYear>
      <PriorPeriodAdjustments>-37651</PriorPeriodAdjustments>
      <TotalAdjustments>-37651</TotalAdjustments>
      <ExcessOrDeficitPerFS>324220</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>5143004</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>391568</OtherRevenues>
      <RevenueNotRptdF990>391568</RevenueNotRptdF990>
      <RevenueSubtotal>4751436</RevenueSubtotal>
      <TotalRevenuePerForm990>4751436</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>4781133</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>391568</OtherExpensesIncluded>
      <ExpensesNotRptdF990>391568</ExpensesNotRptdF990>
      <ExpensesSubtotal>4389565</ExpensesSubtotal>
      <TotalExpensesPerForm990>4389565</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 2d</Identifier>
        <ReturnReference>Part XIII, Line 2d: Other expenses and losses per audited F/S</ReturnReference>
        <Explanation>cost of goods sold $391568</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d</Identifier>
        <ReturnReference>Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990</ReturnReference>
        <Explanation>cost of goods sold $391568</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000144" softwareVersion="2011v1.2">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Upon written request, information will be provided.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Each board member is required to sign a conflict of interest policy acknowledgement and a confidentiality pledge.</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 990 is reviewed by the Board of Directors prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Board of directors members Robert Simmonds and Cheryl Weller have a family relationship.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>