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        <FundraisingAmt>571</FundraisingAmt>
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        <ProgramServicesAmt>126403</ProgramServicesAmt>
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        <FundraisingAmt>767</FundraisingAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>17106</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25658</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>3408</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>8759</TotalAmt>
        <ProgramServicesAmt>1636</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5179</ManagementAndGeneralAmt>
        <FundraisingAmt>1944</FundraisingAmt>
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        <TotalAmt>26218</TotalAmt>
        <ProgramServicesAmt>3932</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22155</ManagementAndGeneralAmt>
        <FundraisingAmt>131</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>7076</TotalAmt>
        <ProgramServicesAmt>7076</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>92962</TotalAmt>
        <ProgramServicesAmt>60425</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32537</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>61181</TotalAmt>
        <ProgramServicesAmt>28733</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32448</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CLINIC EXPENSES</Desc>
        <TotalAmt>272207</TotalAmt>
        <ProgramServicesAmt>272207</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
        <TotalAmt>77261</TotalAmt>
        <ProgramServicesAmt>34342</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42919</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PAYROLL ADMINISTRATIVE</Desc>
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        <ProgramServicesAmt>19794</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1517</ManagementAndGeneralAmt>
        <FundraisingAmt>120</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
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        <ProgramServicesAmt>11460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7498</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>22671</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>813</EOYAmt>
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      <AccountsReceivableGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipCostOrOtherBssAmt>2313113</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1196455</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1209619</BOYAmt>
        <EOYAmt>1116658</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>616762</BOYAmt>
        <EOYAmt>508257</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>272</BOYAmt>
        <EOYAmt>272</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>2018142</BOYAmt>
        <EOYAmt>1878634</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>139105</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>34018</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>185096</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>384587</BOYAmt>
        <EOYAmt>358219</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>1278719</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>262268</BOYAmt>
        <EOYAmt>241696</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1633555</BOYAmt>
        <EOYAmt>1520415</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2018142</BOYAmt>
        <EOYAmt>1878634</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-102589</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-10551</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>618085</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>684444</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>657666</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>758444</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>943551</CurrentTaxYearAmt>
        <TotalAmt>3662190</TotalAmt>
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      <TaxRevLeviedOrgnztnlBnft170Grp>
        <CurrentTaxYearMinus4YearsAmt>226643</CurrentTaxYearMinus4YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>360631</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>279622</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>243796</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>844728</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>885936</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1018297</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1038066</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1187347</CurrentTaxYearAmt>
        <TotalAmt>4974374</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>4974374</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>101617</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>90248</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>240</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>195</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
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      </GrossInvestmentIncome170Grp>
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      <PublicSupportCY170Pct>0.96280</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.94350</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
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        <BookValueAmt>217367</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1071718</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>591827</DepreciationAmt>
        <BookValueAmt>479891</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>415551</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>213506</DepreciationAmt>
        <BookValueAmt>202045</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>403925</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>231232</DepreciationAmt>
        <BookValueAmt>172693</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>204552</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>159890</DepreciationAmt>
        <BookValueAmt>44662</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>1116658</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>1896361</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-10551</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>28652</OtherRevenueAmt>
      <RevenueNotReportedAmt>18101</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1878260</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1878260</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2009501</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>28652</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>28652</ExpensesNotReportedAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 28,652.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 28,652.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
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        <GrossRevenueEvent1Amt>16760</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>6791</OtherDirectExpensesEvent1Amt>
        <Event2Nm>KEGS 4 K9S</Event2Nm>
        <GrossReceiptsEvent2Amt>1250</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>1250</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>0</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>825</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>825</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>21861</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>18835</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>18835</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>28652</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>28652</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-9817</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>990 REVIEWED BY EXECUTIVE DIRECTOR AND PRESENTED TO BOARD FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION KEEPS ALL OF ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ON FILE AT THE OFFICE IN ORDER TO FURNISH SUCH INFORMATION TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>