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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ABBY SCHAEFER</PersonNm>
        <TitleTxt>BOARD MEMBER-JOINED JUNE '24</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW BOSCALJON</PersonNm>
        <TitleTxt>BOARD MEMBER-TERMED APRIL '24</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT BROWNELL</PersonNm>
        <TitleTxt>BOARD MEMBER-TERMED AUGUST '23</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MANUEL CORNELL</PersonNm>
        <TitleTxt>BOARD MEMBER-TERMED JUNE '24</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE C GARTNER</PersonNm>
        <TitleTxt>BOARD MEMBER-TERMED FEBRUARY '24</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHANE PERCIVAL</PersonNm>
        <TitleTxt>BOARD MEMBER-TERMED JUNE '24</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR STEPHEN MANDLER</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>385587</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16137</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNE STARR</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>143924</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>35981</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21521</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VALERIE SALTSGAVER</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>36.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>154627</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>17181</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15213</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW CLARK</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERRA GOLDSBERRY</PersonNm>
        <TitleTxt>PHYSICIAN ASSISTANT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>138856</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11461</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JODIE WARTH</PersonNm>
        <TitleTxt>VICE PRESIDENT - CHILD GUIDANCE CENTER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>144966</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4390</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR LEAH SCHUPP</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>112548</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>307</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMIE SCHUMACHER</PersonNm>
        <TitleTxt>PHYSICIAN ASSISTANT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>117829</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8642</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMBER RAND</PersonNm>
        <TitleTxt>VICE PRESIDENT - OP CAMPUS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>119276</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10033</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1317613</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>53162</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>87704</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>1663772</AllOtherContributionsAmt>
      <TotalContributionsAmt>1663772</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>15265086</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15265086</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT AND GRANTS</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>4198720</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4198720</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>19463806</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>50004</TotalRevenueColumnAmt>
        <ExclusionAmt>50004</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <OtherAmt>5800</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>5800</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>5800</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5800</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>212988</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>212988</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>212988</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>21396370</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19682594</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>50004</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>171971</TotalAmt>
        <ProgramServicesAmt>171971</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>153845</TotalAmt>
        <ProgramServicesAmt>153845</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>751915</TotalAmt>
        <ProgramServicesAmt>412020</ProgramServicesAmt>
        <ManagementAndGeneralAmt>339895</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>15406995</TotalAmt>
        <ProgramServicesAmt>14301029</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1105966</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>233725</TotalAmt>
        <ProgramServicesAmt>211983</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21742</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1059676</TotalAmt>
        <ProgramServicesAmt>987506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72170</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1309158</TotalAmt>
        <ProgramServicesAmt>1196489</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112669</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>3029</TotalAmt>
        <ProgramServicesAmt>1648</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1381</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>69639</TotalAmt>
        <ManagementAndGeneralAmt>69639</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>234059</TotalAmt>
        <ProgramServicesAmt>221734</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12325</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>108691</TotalAmt>
        <ProgramServicesAmt>99078</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9613</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>228476</TotalAmt>
        <ProgramServicesAmt>170669</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57807</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>382018</TotalAmt>
        <ProgramServicesAmt>69384</ProgramServicesAmt>
        <ManagementAndGeneralAmt>312634</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>943447</TotalAmt>
        <ProgramServicesAmt>862811</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80636</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>190993</TotalAmt>
        <ProgramServicesAmt>178064</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12929</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>149857</TotalAmt>
        <ProgramServicesAmt>146972</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2885</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>203</TotalAmt>
        <ManagementAndGeneralAmt>203</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>439191</TotalAmt>
        <ProgramServicesAmt>402715</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36476</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>207399</TotalAmt>
        <ProgramServicesAmt>196384</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11015</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>338951</TotalAmt>
        <ProgramServicesAmt>338951</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTED TRAININGS</Desc>
        <TotalAmt>232965</TotalAmt>
        <ProgramServicesAmt>232965</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CLIENT EXPENSES</Desc>
        <TotalAmt>65559</TotalAmt>
        <ProgramServicesAmt>65559</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>22681762</TotalAmt>
        <ProgramServicesAmt>20421777</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2259985</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>4374854</BOYAmt>
        <EOYAmt>2631922</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1200000</BOYAmt>
        <EOYAmt>1208570</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>3063054</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>35359</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>94493</BOYAmt>
        <EOYAmt>201518</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>17273112</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>11121420</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6090643</BOYAmt>
        <EOYAmt>6151692</EOYAmt>
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        <BOYAmt>973100</BOYAmt>
        <EOYAmt>910781</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>15276577</BOYAmt>
        <EOYAmt>14202896</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1658080</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>825671</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>2483751</EOYAmt>
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      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>12871640</BOYAmt>
        <EOYAmt>11684042</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>132897</BOYAmt>
        <EOYAmt>35103</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13004537</BOYAmt>
        <EOYAmt>11719145</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>15276577</BOYAmt>
        <EOYAmt>14202896</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-1285392</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1574323</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1693039</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1817896</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2033824</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1663772</CurrentTaxYearAmt>
        <TotalAmt>8782854</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1574323</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1693039</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1817896</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2033824</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1663772</CurrentTaxYearAmt>
        <TotalAmt>8782854</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>8782854</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>39120</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>16083</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>-2378</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7598</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>50004</CurrentTaxYearAmt>
        <TotalAmt>110427</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>55510</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>81693</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>117044</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>241481</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>212988</CurrentTaxYearAmt>
        <TotalAmt>708716</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>9601997</TotalSupportAmt>
      <PublicSupportCY170Pct>0.91470</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.93290</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 11, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME OF $212,988 CONSISTS OF COBRA ADMINISTRATIVE FEES, MEDICAL RECORD FEES, FEES FROM LEGAL COUNSEL OF CLIENTS FOR CLINICAL ASSISTANCE, PRECEPTOR WORK, REGISTRATIONS FOR AN ORCHARD PLACE-SPONSORED CONFERENCE, SUPERVISION FEES, AND TRAINER FEES.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>7166618</BeginningYearBalanceAmt>
        <ContributionsAmt>3000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>888153</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>318121</OtherExpendituresAmt>
        <EndYearBalanceAmt>7739650</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>6584090</BeginningYearBalanceAmt>
        <ContributionsAmt>287000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>502767</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>207239</OtherExpendituresAmt>
        <EndYearBalanceAmt>7166618</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2201114</BeginningYearBalanceAmt>
        <ContributionsAmt>5032000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-542285</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>106739</OtherExpendituresAmt>
        <EndYearBalanceAmt>6584090</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1763912</BeginningYearBalanceAmt>
        <ContributionsAmt>3200</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>531754</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>97752</OtherExpendituresAmt>
        <EndYearBalanceAmt>2201114</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1839917</BeginningYearBalanceAmt>
        <ContributionsAmt>14500</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-336</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>90169</OtherExpendituresAmt>
        <EndYearBalanceAmt>1763912</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.89000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.11000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>1</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>1</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1438745</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1438745</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>13353052</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>9298173</DepreciationAmt>
        <BookValueAmt>4054879</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1469502</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1095531</DepreciationAmt>
        <BookValueAmt>373971</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1011813</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>727716</DepreciationAmt>
        <BookValueAmt>284097</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>6151692</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLE - RELATED PARTY</Desc>
        <BookValueAmt>85337</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE RIGHT-OF-USE ASSETS, NET</Desc>
        <BookValueAmt>808392</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>FINANCE LEASE, RIGHT-OF-USE ASSETS, NET</Desc>
        <BookValueAmt>17052</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>910781</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>808392</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITIES</Desc>
        <Amt>17279</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>825671</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>21396370</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>21396370</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>21396370</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>22681762</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>22681762</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>22681762</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION HAS TEN PERMANENTLY RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES, INCLUDING GENERAL SUPPORT, CULTURAL ENRICHMENT ACTIVITIES, EDUCATIONAL ACTIVITIES, ALIBER HOUSE, SHIFFLER HOUSE, INNOVATIVE PROGRAMMING, AND SEXUAL ABUSE SURVIVORS' PROGRAMMING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION AND THE FOUNDATION HAVE ADOPTED THE AUTHORITATIVE GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT BELIEVES IT HAS NO MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, NO INCOME TAX EFFECTS ARE RECOGNIZED. THE ORGANIZATION AND THE FOUNDATION'S REMAINING OPEN YEARS SUBJECT TO TAX EXAMINATION INCLUDE THE YEARS ENDED JUNE 30, 2021 THROUGH 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMES COMMUNITY PRESCHOOL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>920 CARROLL AVENUE</AddressLine1Txt>
          <CityNm>AMES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50010</ZIPCd>
        </USAddress>
        <RecipientEIN>420940017</RecipientEIN>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHILD CARE PROVIDER ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ISU CHILD DEVELOPMENT LABORATORY SCHOOL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2222 OSBORN DRIVE</AddressLine1Txt>
          <CityNm>AMES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50011</ZIPCd>
        </USAddress>
        <RecipientEIN>426004224</RecipientEIN>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHILD CARE PROVIDER ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NCCC LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11806 ABERDEEN ST NE STE 210</AddressLine1Txt>
          <CityNm>BLAINE</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55449</ZIPCd>
        </USAddress>
        <RecipientEIN>821940679</RecipientEIN>
        <CashGrantAmt>7000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHILD CARE PROVIDER ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST PAUL LUTHERAN PRESCHOOL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>610 15TH ST</AddressLine1Txt>
          <CityNm>AMES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50010</ZIPCd>
        </USAddress>
        <RecipientEIN>710866404</RecipientEIN>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHILD CARE PROVIDER ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE WHISTLE STOP ACADEMY CHILDCARE CENTER AND PRESCHOOL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>103 CAMPUS DRIVE</AddressLine1Txt>
          <CityNm>HUXLEY</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50124</ZIPCd>
        </USAddress>
        <RecipientEIN>421432034</RecipientEIN>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHILD CARE PROVIDER ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY COMMUNITY CHILDCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2623 BRUNER DRIVE</AddressLine1Txt>
          <CityNm>AMES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50010</ZIPCd>
        </USAddress>
        <RecipientEIN>943443158</RecipientEIN>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHILD CARE PROVIDER ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>CHILD CARE PROVIDER ASSISTANCE GRANTS</GrantTypeTxt>
        <RecipientCnt>276</RecipientCnt>
        <CashGrantAmt>153845</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS ARE GIVEN OUT FOR THE SPECIFIC PURPOSES NOTED IN THE ASSOCIATED GOVERNMENT CONTRACT. IN THE CASE OF THE CHILD CARE PROVIDER ASSISTANCE GRANTS, FOLLOW-UP IS DONE AFTER THE GRANT IS PAID TO VERIFY THE PROVIDER USED THE GRANT FOR THE APPROPRIATE PURPOSE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>DR STEPHEN MANDLER</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>385587</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16137</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>401724</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNE STARR</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>143924</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>35981</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>165445</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>35981</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VALERIE SALTSGAVER</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>154627</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>17181</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15213</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>169840</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>17181</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERRA GOLDSBERRY</PersonNm>
        <TitleTxt>PHYSICIAN ASSISTANT</TitleTxt>
        <BaseCompensationFilingOrgAmt>138856</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11461</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>150317</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS FIRST COMPLETED AND REVIEWED BY THE CHIEF FINANCIAL OFFICER (CFO), IN CONSULTATION WITH THE CHIEF EXECUTIVE OFFICER (CEO), AS WELL AS THE ORGANIZATION'S EXTERNAL AUDIT FIRM. UPON INITIAL COMPLETION, THE CEO AND CFO PROVIDE A DRAFT COPY OF THE FORM 990 FIRST TO THE ORGANIZATION'S FINANCE COMMITTEE AND THEN TO THE FULL BOARD OF DIRECTORS. THE FORM 990 IS DISCUSSED IN ITS ENTIRETY AND ANY NECESSARY REVISIONS AS A RESULT OF THE REVIEW ARE MADE. THE FORM 990 IS THEN FILED WITH THE INTERNAL REVENUE SERVICE WITHIN THE PRESCRIBED DEADLINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY WAS APPROVED BY THE BOARD OF DIRECTORS. AS A REGULAR PART OF OUR BOARD MEETING AGENDA, THE DIRECTORS ARE ASKED IF THEY HAVE ANY CONFLICTS OF INTEREST THAT MUST BE DISCLOSED. THE INDIVIDUAL BOARD MEMBERS ARE ASKED ANNUALLY TO SIGN OFF ON A CONFLICT OF INTEREST STATEMENT. THE CEO AND CFO ALSO ROUTINELY MONITOR ACTIVITIES OF THE ORGANIZATION FOR ANY EVIDENCE OF CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ALSO SERVES AS THE COMPENSATION COMMITTEE OF THE ORGANIZATION, IN CHARGE OF REVIEWING THE OVERALL COMPENSATION PACKAGE OF THE CEO AS WELL AS THE BUDGETED PAY INCREASE POOL IN THE OPERATING BUDGET. THE CEO REVIEW PROCESS IS DONE PERIODICALLY (NO MORE THAN ANNUALLY) AND INCLUDES REVIEW OF OUTSIDE DATA FROM OTHER FORM 990'S. THE RESULTS OF THE REVIEW ARE DOCUMENTED IN THE PERSONNEL FILE OF THE CEO. THIS PROCESS WAS LAST COMPLETED IN 2024. THE CEO REVIEWS THE COMPENSATION OF THE CFO (WHO IS CFO OF BOTH ORCHARD PLACE AND ORCHARD PLACE FOUNDATION), THE CHIEF OPERATING OFFICER, AND THE CHIEF MEDICAL OFFICER AS WELL AS ANY OTHER KEY EMPLOYEES THAT MAY BE IDENTIFIED. AN ANNUAL PERFORMANCE APPRAISAL IS COMPLETED AND PAY INCREASES ARE SUBJECT TO THE PAYROLL INCREASE POOL FOR THE ORGANIZATION AS APPROVED BY THE BOARD COMPENSATION COMMITTEE. THE RESULTS OF THE REVIEW ARE DOCUMENTED IN THE PERSONNEL FILES. THIS PROCESS WAS LAST COMPLETED IN 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE DOCUMENTS ARE AVAILABLE UPON REQUEST, OR THEY ARE AVAILABLE AT HTTP://WWW.GUIDESTAR.ORG</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORCHARD PLACE BOARD OF DIRECTORS HAS A FINANCE COMMITTEE TO OVERSEE THE AUDIT AND SELECT THE AUDITOR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ORCHARD PLACE FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2116 GRAND AVENUE</AddressLine1Txt>
          <CityNm>DES MOINES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50312</ZIPCd>
        </USAddress>
        <EIN>421193285</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>170(B)(1)(A)(VI)</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ORCHARD PLACE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>1</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ORCHARD PLACE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>15000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ORCHARD PLACE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>1020772</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ORCHARD PLACE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>1466935</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>