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      <FeesForServicesOtherGrp>
        <TotalAmt>320224</TotalAmt>
        <ProgramServicesAmt>271929</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3197</ManagementAndGeneralAmt>
        <FundraisingAmt>45098</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>3218</TotalAmt>
        <ProgramServicesAmt>2413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>322</ManagementAndGeneralAmt>
        <FundraisingAmt>483</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>79219</TotalAmt>
        <ProgramServicesAmt>58079</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10255</ManagementAndGeneralAmt>
        <FundraisingAmt>10885</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>45189</TotalAmt>
        <ProgramServicesAmt>35128</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6037</ManagementAndGeneralAmt>
        <FundraisingAmt>4024</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>52787</TotalAmt>
        <ProgramServicesAmt>41503</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11144</ManagementAndGeneralAmt>
        <FundraisingAmt>140</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>4697</TotalAmt>
        <ProgramServicesAmt>1357</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2975</ManagementAndGeneralAmt>
        <FundraisingAmt>365</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>584</TotalAmt>
        <ManagementAndGeneralAmt>584</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>25214</TotalAmt>
        <ProgramServicesAmt>18910</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5043</ManagementAndGeneralAmt>
        <FundraisingAmt>1261</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>11064</TotalAmt>
        <ProgramServicesAmt>7283</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3462</ManagementAndGeneralAmt>
        <FundraisingAmt>319</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CLINIC SUPPLIES</Desc>
        <TotalAmt>344002</TotalAmt>
        <ProgramServicesAmt>344002</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2033503</TotalAmt>
        <ProgramServicesAmt>1613185</ProgramServicesAmt>
        <ManagementAndGeneralAmt>234581</ManagementAndGeneralAmt>
        <FundraisingAmt>185737</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>60180</BOYAmt>
        <EOYAmt>175332</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>560984</BOYAmt>
        <EOYAmt>503711</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>108739</BOYAmt>
        <EOYAmt>78488</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4570</BOYAmt>
        <EOYAmt>4154</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>20603</BOYAmt>
        <EOYAmt>29214</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>24482</BOYAmt>
        <EOYAmt>15365</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>524371</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>243998</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>282070</BOYAmt>
        <EOYAmt>280373</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>114420</BOYAmt>
        <EOYAmt>96422</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <EOYAmt>27572</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1176048</BOYAmt>
        <EOYAmt>1210631</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>111542</BOYAmt>
        <EOYAmt>128552</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>5528</BOYAmt>
        <EOYAmt>3351</EOYAmt>
      </DeferredRevenueGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>19839</BOYAmt>
        <EOYAmt>19304</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>136909</BOYAmt>
        <EOYAmt>151207</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>639859</BOYAmt>
        <EOYAmt>634192</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>399280</BOYAmt>
        <EOYAmt>425232</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1039139</BOYAmt>
        <EOYAmt>1059424</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1176048</BOYAmt>
        <EOYAmt>1210631</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>40933</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-20648</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>223769</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>365684</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>217329</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>926060</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>329484</CurrentTaxYearAmt>
        <TotalAmt>2062326</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>223769</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>365684</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>217329</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>926060</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>329484</CurrentTaxYearAmt>
        <TotalAmt>2062326</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>2062326</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>2041</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2534</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2505</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2197</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2650</CurrentTaxYearAmt>
        <TotalAmt>11927</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>2041</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2534</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2505</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2197</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2650</CurrentTaxYearAmt>
        <TotalAmt>11927</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>225810</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>368218</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>219834</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>928257</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>332134</CurrentTaxYearAmt>
        <TotalAmt>2074253</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99420</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99430</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>80500</OtherCostOrOtherBasisAmt>
        <BookValueAmt>80500</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>192000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>84307</DepreciationAmt>
        <BookValueAmt>107693</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>93091</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>41178</DepreciationAmt>
        <BookValueAmt>51913</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>158780</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>118513</DepreciationAmt>
        <BookValueAmt>40267</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>280373</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>CASH AND EQUIVALENTS</Desc>
        <BookValueAmt>4996</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>MUTUAL FUNDS</Desc>
        <BookValueAmt>39235</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>EQUITY FUNDS</Desc>
        <BookValueAmt>52191</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>96422</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSET LEASE</Desc>
        <BookValueAmt>27572</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>27572</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>2053788</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-20648</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-20648</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2074436</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>2074436</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2033503</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>2033503</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>2033503</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="990G">
      <FundraisingEventInformationGrp>
        <Event1Nm>WAGSWHISKER</Event1Nm>
        <GrossReceiptsEvent1Amt>53857</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>53857</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>16116</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>53857</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>53857</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>16116</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>16116</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>37741</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE 990 IS PROVIDED TO THE C-SNIP FINANCE COMMITTEE AND EXECUTIVE DIRECTOR WHO WILL REVIEW IT WITH THE AUDITOR AND THEN PRESENT IT TO THE FULL BOARD OF DIRECTORS PRIOR TO THE FILING OF THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE CONFLICT OF INTEREST POLICY IS REVIEWED AT THE BOARD OF DIRECTORS MEETING ANNUALLY. EACH BOARD MEMBER RECEIVES A COPY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND AN ANNUAL REVIEW IS PERFORMED. ANY CHANGES IN THE EXECUTIVE DIRECTOR SALARY REQUIRE APPROVAL BY THE BOARD. THE BOARD OF DIRECTORS ARE VOLUNTEERS AND RECEIVE NO COMPENSATION. THE EXECUTIVE DIRECTOR HAS THE AUTHORITY TO DETERMINE THE COMPENSATION OF ALL OTHER PAID STAFF, INCLUDING THE COMPENSATION OF THE MEDICAL DIRECTOR, WITHIN THE PARAMETERS OF THE ORGANIZATIONS BOARD APPROVED ANNUAL OPERATING BUDGET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND AN ANNUAL REVIEW IS PERFORMED. ANY CHANGES IN THE EXECUTIVE DIRECTOR SALARY REQUIRE APPROVAL BY THE BOARD. THE BOARD OF DIRECTORS ARE VOLUNTEERS AND RECEIVE NO COMPENSATION. THE EXECUTIVE DIRECTOR HAS THE AUTHORITY TO DETERMINE THE COMPENSATION OF ALL OTHER PAID STAFF, INCLUDING THE COMPENSATION OF THE MEDICAL DIRECTOR, WITHIN THE PARAMETERS OF THE ORGANIZATIONS BOARD APPROVED ANNUAL OPERATING BUDGET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS AVAILBLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT VETS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other expenses Part IX line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL CLINIC SUPPLIES</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>