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        <FundraisingAmt>2738</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>181293</TotalAmt>
        <ProgramServicesAmt>140721</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1276</ManagementAndGeneralAmt>
        <FundraisingAmt>39296</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>71206</TotalAmt>
        <ProgramServicesAmt>63401</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2606</ManagementAndGeneralAmt>
        <FundraisingAmt>5199</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>68587</TotalAmt>
        <ProgramServicesAmt>56730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2877</ManagementAndGeneralAmt>
        <FundraisingAmt>8980</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>259978</TotalAmt>
        <ProgramServicesAmt>241027</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8159</ManagementAndGeneralAmt>
        <FundraisingAmt>10792</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>31470</TotalAmt>
        <ProgramServicesAmt>29299</ProgramServicesAmt>
        <ManagementAndGeneralAmt>309</ManagementAndGeneralAmt>
        <FundraisingAmt>1862</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>23759</TotalAmt>
        <ProgramServicesAmt>21435</ProgramServicesAmt>
        <ManagementAndGeneralAmt>298</ManagementAndGeneralAmt>
        <FundraisingAmt>2026</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>22691</TotalAmt>
        <ProgramServicesAmt>19825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1234</ManagementAndGeneralAmt>
        <FundraisingAmt>1632</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>19201</TotalAmt>
        <ProgramServicesAmt>18530</ProgramServicesAmt>
        <ManagementAndGeneralAmt>289</ManagementAndGeneralAmt>
        <FundraisingAmt>382</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Equipment</Desc>
        <TotalAmt>120</TotalAmt>
        <ProgramServicesAmt>120</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Other Medical Services</Desc>
        <TotalAmt>34355</TotalAmt>
        <ProgramServicesAmt>34355</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Events</Desc>
        <TotalAmt>66737</TotalAmt>
        <ProgramServicesAmt>669</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24</ManagementAndGeneralAmt>
        <FundraisingAmt>66044</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2386824</TotalAmt>
        <ProgramServicesAmt>2003481</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131395</ManagementAndGeneralAmt>
        <FundraisingAmt>251948</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1421244</BOYAmt>
        <EOYAmt>1690004</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>991630</BOYAmt>
        <EOYAmt>1030716</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>27732</BOYAmt>
        <EOYAmt>15657</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>498181</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>372526</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>113501</BOYAmt>
        <EOYAmt>125655</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1595847</BOYAmt>
        <EOYAmt>1401674</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>4149954</BOYAmt>
        <EOYAmt>4263706</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>92170</BOYAmt>
        <EOYAmt>86347</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1669064</BOYAmt>
        <EOYAmt>1461316</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1761234</BOYAmt>
        <EOYAmt>1547663</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2388720</BOYAmt>
        <EOYAmt>2716043</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2388720</BOYAmt>
        <EOYAmt>2716043</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4149954</BOYAmt>
        <EOYAmt>4263706</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>327323</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1698901</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1951174</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2591175</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2497092</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2667937</CurrentTaxYearAmt>
        <TotalAmt>11406279</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1698901</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1951174</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2591175</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2497092</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2667937</CurrentTaxYearAmt>
        <TotalAmt>11406279</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>332138</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>11074141</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1544</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>194</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10833</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>26476</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>45111</CurrentTaxYearAmt>
        <TotalAmt>84158</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>13210</CurrentTaxYearMinus4YearsAmt>
        <TotalAmt>13210</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>11503647</TotalSupportAmt>
      <PublicSupportCY170Pct>0.96270</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96150</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </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">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>498181</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>372526</DepreciationAmt>
        <BookValueAmt>125655</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>125655</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Security Deposit</Desc>
        <BookValueAmt>20199</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Operating Lease Right of Use Asset</Desc>
        <BookValueAmt>1375384</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Financing Lease Right of Use Asset</Desc>
        <BookValueAmt>6091</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1401674</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Operating Lease Liability</Desc>
        <Amt>1455194</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Financing Lease Liability</Desc>
        <Amt>6122</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1461316</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>2761930</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>47783</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>47783</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2714147</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>2714147</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2434607</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>47783</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>47783</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2386824</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>2386824</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="990I">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Non-cash assistance</GrantTypeTxt>
        <RecipientCnt>429</RecipientCnt>
        <NonCashAssistanceAmt>105575</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Fair Market Valuation</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Infant items pregnancy informationprenata</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
    </IRS990ScheduleI>
    <IRS990ScheduleM documentId="990M">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>83038</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV- Similar Asset</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of the Form 990 is provided to board members before filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Each year in January, all officers, directors, and management personnel are required to complete a questionaire and provide details of any answers requiring further explanation. Additionally, all officers, directors, and management personnel must sign a certification stating that they have carefully read the conflict of interest policy and will promptly and fully disclose the circumstances of any potential conflict of interest to the proper superiors should one occur in the future. It is the ongoing responsibility of trustees, officers, and management personnel to scrutinize their transactions with outside business interests and relationships for potential conflicts and to immediately make such disclosures. Disclosures should be made to the president (or if he or she is the one with the conflict, then to the vice-president of the board), who shall bring these matters to the attention of the board. The board shall the determine whether a conflict exists and is material, and in the presence of an existing material conflict, whether the contemplated transaction may be authorized as just, fair, and reasonable as to the organization. The decisions on these matters are the sole discretion of the board. Additionally, board members will refrain from voting on any issues that they feel may cause a potential conflict.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The president of the board or a board compensation committee meets annually to discuss compensation for the coming year for the center director and other employees. Prior to a final vote on compensation, the board will collect the information on amounts paid by comparable organizations for comparable services, and propose such amount is acceptable. Otherwise, the board will consider collecting additional information or obtaining an independent, professional compensation opinion. The board vote is recorded in the meeting minutes within 60 days after the meeting, including the amount authorized and references to the comparison information. At least every six months, the president of the board will review the compensation package to assure that it is being followed and remains adaquate.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization does not compensate any other officers or key employees. Therefore, this line was answered no in accordance with the instructions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy, and the financial statements of the organization are provided by the Director of Finance and Technology upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Audited by an independent accountant Part XII line 2b</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of directors is responsible for the oversight of the audit and selection of an independent accountant. This process has not changed from prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>