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        <FundraisingAmt>0</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>12287</TotalAmt>
        <ProgramServicesAmt>10625</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1662</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>6521</TotalAmt>
        <ProgramServicesAmt>6521</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>12408</ProgramServicesAmt>
        <ManagementAndGeneralAmt>202</ManagementAndGeneralAmt>
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        <TotalAmt>26807</TotalAmt>
        <ProgramServicesAmt>21763</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4755</ManagementAndGeneralAmt>
        <FundraisingAmt>289</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Telephone &amp; Communications</Desc>
        <TotalAmt>9493</TotalAmt>
        <ProgramServicesAmt>7025</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1614</ManagementAndGeneralAmt>
        <FundraisingAmt>854</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Other</Desc>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Services to Patients &amp; Families</Desc>
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        <ProgramServicesAmt>149050</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Dues &amp; Subscriptions</Desc>
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        <ProgramServicesAmt>875332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>105754</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>143694</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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      <AccountsReceivableGrp>
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        <EOYAmt>1067562</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>22668</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>79118</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>75823</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>3295</EOYAmt>
      </LandBldgEquipBasisNetGrp>
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        <EOYAmt>7367</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>1365128</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>50085</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>0</BOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>37721</BOYAmt>
        <EOYAmt>50085</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>284582</BOYAmt>
        <EOYAmt>355725</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>776535</BOYAmt>
        <EOYAmt>959318</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1061117</BOYAmt>
        <EOYAmt>1315043</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1098838</BOYAmt>
        <EOYAmt>1365128</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>253926</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA-01" softwareId="23017509">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>931314</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>970852</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>927891</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>916657</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1241418</CurrentTaxYearAmt>
        <TotalAmt>4988132</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TaxRevLeviedOrgnztnlBnft170Grp>
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      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>970852</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>927891</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>916657</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>4988132</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>4988132</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>2073</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <TotalAmt>0</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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      <PublicSupportCY509Pct>0</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0</InvestmentIncomeCYPct>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Pt II Ln 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Income Part II, Line 10 Description: Fundraising &amp; Other Revenue 2019: 46361. 2020: 34349. 2021: 15650. 2022: 52158. 2023: 44190.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB-01">
      <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>
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      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>0</BookValueAmt>
      </LandGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>79118</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>75823</DepreciationAmt>
        <BookValueAmt>3295</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3295</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>1404968</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>116600</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>116600</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1288368</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>1288368</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1151042</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>116600</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>116600</ExpensesNotReportedAmt>
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      <TotalExpensesPerForm990Amt>1034442</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG-01">
      <FundraisingEventInformationGrp>
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        <RentFacilityCostsEvent1Amt>13234</RentFacilityCostsEvent1Amt>
        <Event2Nm>Gala</Event2Nm>
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        <GrossRevenueEvent2Amt>26775</GrossRevenueEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>14261</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>14261</GrossRevenueOtherEventsAmt>
        <GrossReceiptsTotalAmt>57424</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>57424</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>13234</RentFcltyCostsTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>13234</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>44190</NetIncomeSummaryAmt>
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    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="23017509">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Governing body reviews the 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Governing body enforces compliance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The independent Governing body reviews.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The independent Governing body reviews.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>