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      <GrantsToDomesticOrgs>
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      <GrantsToDomesticIndividuals>
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      <ForeignGrants>
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      <BenefitsToMembers>
        <Total>0</Total>
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      <PensionPlanContributions>
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      <PayrollTaxes>
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      <FeesForServicesManagement>
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      <FeesForServicesLegal>
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      <FeesForServicesAccounting>
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      <FeesForServicesLobbying>
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      <FeesForServicesProfFundraising>
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      <FeesForServicesInvstMgmntFees>
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      <Advertising>
        <Total>8550</Total>
        <ProgramServices>2832</ProgramServices>
        <ManagementAndGeneral>4769</ManagementAndGeneral>
        <Fundraising>949</Fundraising>
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        <ProgramServices>114249</ProgramServices>
        <ManagementAndGeneral>33496</ManagementAndGeneral>
        <Fundraising>1583</Fundraising>
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      <InformationTechnology>
        <Total>0</Total>
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      <Royalties>
        <Total>0</Total>
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      <Occupancy>
        <Total>310680</Total>
        <ProgramServices>292068</ProgramServices>
        <ManagementAndGeneral>14563</ManagementAndGeneral>
        <Fundraising>4049</Fundraising>
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      <Travel>
        <Total>72231</Total>
        <ProgramServices>64563</ProgramServices>
        <ManagementAndGeneral>6272</ManagementAndGeneral>
        <Fundraising>1396</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>24652</Total>
        <ProgramServices>17604</ProgramServices>
        <ManagementAndGeneral>6648</ManagementAndGeneral>
        <Fundraising>400</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>10240</Total>
        <ProgramServices>10235</ProgramServices>
        <ManagementAndGeneral>5</ManagementAndGeneral>
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      <PaymentsToAffiliates>
        <Total>0</Total>
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      <DepreciationDepletion>
        <Total>203909</Total>
        <ProgramServices>178948</ProgramServices>
        <ManagementAndGeneral>24961</ManagementAndGeneral>
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      <Insurance>
        <Total>118288</Total>
        <ProgramServices>107754</ProgramServices>
        <ManagementAndGeneral>10534</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>PROGRAM SUPPLIES</Description>
        <Total>76506</Total>
        <ProgramServices>72462</ProgramServices>
        <ManagementAndGeneral>3975</ManagementAndGeneral>
        <Fundraising>69</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>180351</Total>
        <ProgramServices>180351</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LAB FEES</Description>
        <Total>113941</Total>
        <ProgramServices>113901</ProgramServices>
        <ManagementAndGeneral>40</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>EQUIPMENT &amp; MAINTENANCE</Description>
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        <ProgramServices>32744</ProgramServices>
        <ManagementAndGeneral>3774</ManagementAndGeneral>
        <Fundraising>33</Fundraising>
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      <OtherExpenses>
        <Description>CLIENT ASSISTANCE</Description>
        <Total>335633</Total>
        <ProgramServices>335633</ProgramServices>
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      <AllOtherExpenses>
        <Total>61547</Total>
        <ProgramServices>34867</ProgramServices>
        <ManagementAndGeneral>11962</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <ManagementAndGeneral>950456</ManagementAndGeneral>
        <Fundraising>86699</Fundraising>
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      <CashNonInterestBearing>
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      <ReceivablesFromOfficersEtc>
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      <ReceivablesFromDisqualPersons>
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      <InvestmentsProgramRelated>
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      <FollowSFAS117>X</FollowSFAS117>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
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        <Total>23352518</Total>
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      <TaxRevLeviedForOrgBenefit170>
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      <ValueSrvcFcltsFurnishedByGovt>
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      <Total170>
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        <CurrentTaxYearMinus2Years>4649565</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4335884</CurrentTaxYearMinus1Year>
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        <Total>23352518</Total>
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      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>23352518</PublicSupportTotal170>
      <GrossInvestmentIncome170>
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        <CurrentTaxYearMinus3Years>19387</CurrentTaxYearMinus3Years>
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        <Total>83879</Total>
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      <NetUBI>
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      <OtherIncome170>
        <Total>0</Total>
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      <TotalSupport>23436397</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>4213019</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.99640</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.98570</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
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        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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    </IRS990ScheduleB>
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        <BookValue>3584716</BookValue>
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        <BookValue>66401</BookValue>
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      <Equipment>
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        <BookValue>186427</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>3837544</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>CAPITAL LEASE OBLIGATION</Description>
        <Amount>113899</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>113899</TotalOfAmounts>
      <TotalRevenue>6925587</TotalRevenue>
      <TotalExpenses>6803681</TotalExpenses>
      <ExcessOrDeficitForYear>121906</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>121906</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>7058389</TotRevenueEtcAuditedFinclStmt>
      <DonatedSrvcAndUseOfFacilities>132802</DonatedSrvcAndUseOfFacilities>
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      <RevenueSubtotal>6925587</RevenueSubtotal>
      <TotalRevenuePerForm990>6925587</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>6936483</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>132802</DonatedServicesUseOfFacilities>
      <ExpensesNotRptdF990>132802</ExpensesNotRptdF990>
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      <TotalExpensesPerForm990>6803681</TotalExpensesPerForm990>
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        <NoncashContribsRptdF990>39076</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </ClothingAndHouseholdGoods>
      <FoodInventory>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>25764</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </FoodInventory>
      <DrugsAndMedicalSupplies>
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        <NoncashContribsRptdF990>43689</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>COMPUTER EQUIP</Description>
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        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>REASONABLE REQUESTS FOR FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE FURNISHED UPON REQUEST AT THE OFFICES OF OUTSIDE IN.</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>SALARY REVIEW WAS CONDUCTED BY THE BOARD. BOARD MEMBERS RECEIVE NO COMPENSATION FOR THEIR SERVICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>BOARD REVIEWS POTENTIAL CONFLICT OF INTEREST ISSUES ON AN ONGOING BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>A DRAFT OF THE FORM 990 WAS REVIEWED BY THE FINANCE COMMITTEE PRIOR TO SUBMISSION.</Explanation>
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</Return>