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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>156677</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>97</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>43373</ProgramServicesAmt>
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        <FundraisingAmt>986</FundraisingAmt>
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        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>28877</TotalAmt>
        <ProgramServicesAmt>28877</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>17565</TotalAmt>
        <ProgramServicesAmt>6362</ProgramServicesAmt>
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        <FundraisingAmt>3368</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>4701</ManagementAndGeneralAmt>
        <FundraisingAmt>2021</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT MAINTENANCE</Desc>
        <TotalAmt>5195</TotalAmt>
        <ProgramServicesAmt>1882</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2317</ManagementAndGeneralAmt>
        <FundraisingAmt>996</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>404182</EOYAmt>
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        <EOYAmt>1399909</EOYAmt>
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        <EOYAmt>80000</EOYAmt>
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        <EOYAmt>196009</EOYAmt>
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        <BOYAmt>54779</BOYAmt>
        <EOYAmt>66095</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>1056452</LandBldgEquipCostOrOtherBssAmt>
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        <EOYAmt>858669</EOYAmt>
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        <EOYAmt>2323480</EOYAmt>
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        <EOYAmt>5328344</EOYAmt>
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        <EOYAmt>573838</EOYAmt>
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        <EOYAmt>5328344</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-24499</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>101696</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>37436</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1629378</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2082222</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2311471</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2054774</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2122870</CurrentTaxYearAmt>
        <TotalAmt>10200715</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>2082222</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2311471</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2054774</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2122870</CurrentTaxYearAmt>
        <TotalAmt>10200715</TotalAmt>
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      <SubstantialContributorsTotAmt>3315088</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>6885627</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>10089</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1381</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1762</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>34927</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35010</CurrentTaxYearAmt>
        <TotalAmt>83169</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>10283884</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>6997941</GrossReceiptsRltdActivitiesAmt>
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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
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        <GrantsOrScholarshipsAmt>21368</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>544135</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>551679</BeginningYearBalanceAmt>
        <ContributionsAmt>16200</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-20734</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>19983</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>527162</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>127959</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>18559</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>551679</EndYearBalanceAmt>
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        <GrantsOrScholarshipsAmt>17223</GrantsOrScholarshipsAmt>
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        <EndYearBalanceAmt>424949</EndYearBalanceAmt>
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      <RevenueSubtotalAmt>3925239</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>ROBERT EDWARDS</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS EDWARD H. HAMM JR. AND KELLEY O'NEILL HAVE A FAMILY RELATIONSHIP.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR WILL PROVIDE A COPY TO THE FINANCE COMMITTEE TO REVIEW THE AUDIT RESULTS AND FINANCIAL REPORTS. THE FORM 990 WILL BE EMAILED TO ALL FINANCE COMMITTEE MEMBERS FOR THEIR REVIEW AND EDIT COMMENTS. A COPY OF THE 990 WILL BE PROVIDED TO THE WHOLE BOARD BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS FILL OUT A CONFLICT OF INTEREST DISCLOSURE FORM AND ARE EXPECTED TO DISCLOSE ANY CONFLICTS PRIOR TO THE CLINIC MAKING ANY RELATED DECISIONS. IF A CONFLICT ARISES WITH AN INDIVIDUAL THE INDIVIDUAL MAY, AT THE REQUEST OF THE BOARD OR COMMITTEE, REMAIN IN THE ROOM TO ANSWER QUESTIONS OF A FACTUAL NATURE THAT MAY ASSIST THE BOARD OR COMMITTEE IN ITS DELIBERATION AND DETERMINATION OF WHETHER OR NOT AN ACTUAL CONFLICT OF INTEREST EXISTS. BOARD MEMBERS HAVING A CONFLICT OF INTEREST ON A GIVEN ISSUE DO NOT VOTE ON THE ISSUE. PROCEEDINGS RELATED TO CONFLICTS OF INTEREST ARE DOCUMENTED IN THE MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CHIEF EXECUTIVE INCLUDED A REVIEW AND APPROVAL OF COMPARABILITY DATA, CONTEMPORANEOUS SUBSTANTIATION, DELIBERATION, AND DECISION. THE EXECUTIVE COMMITTEE ALSO REVIEWS THE CHIEF EXECUTIVE COMPENSATION AND BONUS PLAN. THE PROCESS WAS LAST UNDERTAKEN IN NOVEMBER 2022. THE PROCESS FOR DETERMINING THE COMPENSATION OF OTHER KEY EMPLOYEES OR OFFICERS INCLUDES THE ONGOING REVIEW OF DATA, THE NEEDS OF THE ORGANIZATION, THE LEVEL OF EXPERIENCE NEEDED TO FILL KEY ROLES AND COMPENSATION IN SIMILARLY SITUATED NON-PROFIT ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CLINIC'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN ENDOWMENT FUND 37,436.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>