﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2024v5.2">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-10-11T16:23:13-05:00</ReturnTs>
    <TaxPeriodEndDt>2024-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>742920819</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>ATCHLEY &amp; ASSOCIATES LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1005 LA POSADA DRIVE</AddressLine1Txt>
        <CityNm>AUSTIN</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>78752</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>742883760</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>MOTHERS' MILK BANK AT AUSTIN INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>MOTH</BusinessNameControlTxt>
      <PhoneNum>5124940800</PhoneNum>
      <USAddress>
        <AddressLine1Txt>5925 DILLARD CIRCLE</AddressLine1Txt>
        <CityNm>AUSTIN</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>78752</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>KIMBERLY K UPDEGROVE</PersonNm>
      <PersonTitleTxt>EXECUTIVE DIRECTOR</PersonTitleTxt>
      <PhoneNum>5124940800</PhoneNum>
      <SignatureDt>2025-10-10</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>1</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>RENAE DUNCAN</PreparerPersonNm>
      <PTIN>P01257722</PTIN>
      <PhoneNum>5123462086</PhoneNum>
      <PreparationDt>2025-10-09</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="6">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>NAN KINZLER</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>5925 DILLARD CIRCLE</AddressLine1Txt>
        <CityNm>AUSTIN</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>78752</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>6287261</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.MILKBANK.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1998</FormationYr>
      <LegalDomicileStateCd>TX</LegalDomicileStateCd>
      <ActivityOrMissionDesc>MMBA SCREENS MILK DONORS, PROCESSES MILK, AND DISPENSES IT TO HOSPITAL &amp; COMMUNITY RECIPIENTS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>13</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>13</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>44</TotalEmployeeCnt>
      <TotalVolunteersCnt>79</TotalVolunteersCnt>
      <TotalGrossUBIAmt>4587</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>262590</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>277897</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>3882529</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>4373246</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>196073</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>321101</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>370740</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>82122</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>4711932</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>5054366</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1781440</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1828290</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>168050</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>2034228</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>2443824</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>3815668</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>4272114</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>896264</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>782252</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>15573276</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>16731043</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1761249</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1639456</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>13812027</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>15091587</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>THE MOTHERS' MILK BANK AT AUSTIN (MMBA) SAVES BABIES' LIVES BY PROVIDING PRESCRIBED PASTEURIZED DONOR HUMAN MILK (PDHM). PHYSICIANS ORDER IS REQUIRED FOR VULNERABLE AND FRAGILE INFANTS; MMBA'S PROGRAM FOR HEALTHY INFANTS DOES NOT REQUIRE A PRESCRIPTION. THE VULNERABLE POPULATION SERVED MAKES UP ABOUT 90% OF OUR DISPENSED DONOR MILK. THE MILK IS MIXED INTO TARGETED CALORIE AND PROTEIN POOLS, HEAT PROCESSED TO ERADICATE VIRUSES AND BACTERIA, AND TESTED FOR VERIFICATION OF SAFETY BEFORE DISPENSING.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>3431457</ExpenseAmt>
      <RevenueAmt>4436091</RevenueAmt>
      <Desc>THE MILK PROCESSING PROGRAM IS THE PRIMARY WORK OF MMBA, AND THE COSTS ARE SUPPORTED PRIMARILY THROUGH HOSPITAL PAYMENTS IN THE FORM OF PROCESSING FEES.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>63555</ExpenseAmt>
        <Desc>THE CHARITABLE ASSISTANCE PROGRAM ENSURES THAT ALL BABIES WITH A MEDICAL NEED RECEIVE MILK REGARDLESS OF INSURANCE OR FINANCIAL RESOURCES, AND THIS PROGRAM HAS EXPANDED TO INCLUDE PROVIDING DONOR MILK TO BABIES WHOSE MOTHERS ARE SICK OR WHO HAVE DIED, AND BABIES WHO ARE HEALTHY BUT NEED BRIEF SUPPORT THROUGH DONOR MILK.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>129776</ExpenseAmt>
        <Desc>THE BRIDGE PROGRAM ALLOWS MOTHERS OF HEALTHY INFANTS TO OBTAIN DONOR MILK FOR A SHORT PERIOD WHILE AWAITING THEIR OWN MILK SUPPLY.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>BREASTFEEDING EQUITY PROGRAM ALLOWS BREASTFEEDING EDUCATION TO LOW INCOME WOMEN AND THEIR FAMILIES TO HELP COUNTER HEALTH OUTCOME DISPARITIES.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalProgramServiceExpensesAmt>3624788</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>4</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>44</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>1</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>1</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>13</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>13</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>KIMBERLY K UPDEGROVE</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>5125793972</PhoneNum>
        <USAddress>
          <AddressLine1Txt>5925 DILLARD CIRCLE</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78752</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>NAN KINZLER</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE CROWE</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARA JANE CANTWELL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH POLINARD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANA SHARPE-SANDERS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BAILEY ESCARZAGAMD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAKSHMY VAIDYANATHANMD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YUJUAN HUA</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VERONICA HENDRIXLVNIBCLCRLC</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALYSSA WALDENMD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEANNE ANN PRATT-MARTIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LASHAUNTEE JONESMSNRNRNC-OB</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>APHRICA FARROWIBLCCD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERLY UPDEGROVECNMMSNMPH</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>263288</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23201</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>263288</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>23201</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>277897</AllOtherContributionsAmt>
      <NoncashContributionsAmt>19090</NoncashContributionsAmt>
      <TotalContributionsAmt>277897</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CLINICAL SERVICE FEES</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>4373246</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4373246</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>4373246</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>242477</TotalRevenueColumnAmt>
        <ExclusionAmt>242477</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>135206</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>115929</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>19277</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>19277</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>4587</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>14690</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>954908</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>876284</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>78624</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>78624</TotalRevenueColumnAmt>
        <ExclusionAmt>78624</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <GrossSalesOfInventoryAmt>289883</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>240682</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>49201</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>49201</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>TRAVEL REIMBURSEMENT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>6850</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6850</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>5958</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5958</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>WORK STUDY REIMBURSEME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>810</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>810</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>26</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>26</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>13644</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>5054366</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4436091</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>4587</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>335791</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>286488</TotalAmt>
        <ProgramServicesAmt>200542</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42973</ManagementAndGeneralAmt>
        <FundraisingAmt>42973</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1151558</TotalAmt>
        <ProgramServicesAmt>928742</ProgramServicesAmt>
        <ManagementAndGeneralAmt>172257</ManagementAndGeneralAmt>
        <FundraisingAmt>50559</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>30939</TotalAmt>
        <ProgramServicesAmt>27625</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1983</ManagementAndGeneralAmt>
        <FundraisingAmt>1331</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>257123</TotalAmt>
        <ProgramServicesAmt>215494</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22753</ManagementAndGeneralAmt>
        <FundraisingAmt>18876</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>102182</TotalAmt>
        <ProgramServicesAmt>83045</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14849</ManagementAndGeneralAmt>
        <FundraisingAmt>4288</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>34384</TotalAmt>
        <ManagementAndGeneralAmt>34384</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>37573</TotalAmt>
        <ManagementAndGeneralAmt>37573</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>30336</TotalAmt>
        <ProgramServicesAmt>30336</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>178671</TotalAmt>
        <ProgramServicesAmt>178529</ProgramServicesAmt>
        <FundraisingAmt>142</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>111103</TotalAmt>
        <ProgramServicesAmt>99388</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8961</ManagementAndGeneralAmt>
        <FundraisingAmt>2754</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>95433</TotalAmt>
        <ProgramServicesAmt>83433</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6275</ManagementAndGeneralAmt>
        <FundraisingAmt>5725</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>42959</TotalAmt>
        <ProgramServicesAmt>29407</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9872</ManagementAndGeneralAmt>
        <FundraisingAmt>3680</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>23840</TotalAmt>
        <ProgramServicesAmt>23724</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>7468</TotalAmt>
        <ProgramServicesAmt>6101</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1359</ManagementAndGeneralAmt>
        <FundraisingAmt>8</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>38499</TotalAmt>
        <ManagementAndGeneralAmt>38499</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>147601</TotalAmt>
        <ProgramServicesAmt>118036</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14813</ManagementAndGeneralAmt>
        <FundraisingAmt>14752</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>90630</TotalAmt>
        <ProgramServicesAmt>72544</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9024</ManagementAndGeneralAmt>
        <FundraisingAmt>9062</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CLINICAL OPERATIONS COS</Desc>
        <TotalAmt>1126401</TotalAmt>
        <ProgramServicesAmt>1126401</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CHARITABLE ASSISTANCE</Desc>
        <TotalAmt>130108</TotalAmt>
        <ProgramServicesAmt>130108</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BANK CHARGES</Desc>
        <TotalAmt>104145</TotalAmt>
        <ProgramServicesAmt>76398</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25810</ManagementAndGeneralAmt>
        <FundraisingAmt>1937</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EVENTS</Desc>
        <TotalAmt>94970</TotalAmt>
        <ProgramServicesAmt>94970</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>149703</TotalAmt>
        <ProgramServicesAmt>99965</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37775</ManagementAndGeneralAmt>
        <FundraisingAmt>11963</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4272114</TotalAmt>
        <ProgramServicesAmt>3624788</ProgramServicesAmt>
        <ManagementAndGeneralAmt>479276</ManagementAndGeneralAmt>
        <FundraisingAmt>168050</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>559371</BOYAmt>
        <EOYAmt>1150633</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1570722</BOYAmt>
        <EOYAmt>1694964</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>5000</BOYAmt>
        <EOYAmt>5000</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>556548</BOYAmt>
        <EOYAmt>660715</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>71919</BOYAmt>
        <EOYAmt>37264</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>249038</BOYAmt>
        <EOYAmt>186488</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>8179954</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1710120</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6515601</BOYAmt>
        <EOYAmt>6469834</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>6044827</BOYAmt>
        <EOYAmt>6525895</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>250</BOYAmt>
        <EOYAmt>250</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>15573276</BOYAmt>
        <EOYAmt>16731043</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>104605</BOYAmt>
        <EOYAmt>89271</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>1596725</BOYAmt>
        <EOYAmt>1471773</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>59919</BOYAmt>
        <EOYAmt>78412</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1761249</BOYAmt>
        <EOYAmt>1639456</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>13380939</BOYAmt>
        <EOYAmt>14932450</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>431088</BOYAmt>
        <EOYAmt>159137</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13812027</BOYAmt>
        <EOYAmt>15091587</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>15573276</BOYAmt>
        <EOYAmt>16731043</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>782252</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>492721</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>4587</DonatedServicesAndUseFcltsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <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>303885</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>427931</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>262569</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>262590</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>277897</CurrentTaxYearAmt>
        <TotalAmt>1534872</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>303885</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>427931</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>262569</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>262590</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>277897</CurrentTaxYearAmt>
        <TotalAmt>1534872</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>114326</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>1420546</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>132103</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>148164</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>178195</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>287059</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>377683</CurrentTaxYearAmt>
        <TotalAmt>1123204</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>2890</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2906</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3345</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2606</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4586</CurrentTaxYearAmt>
        <TotalAmt>16333</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>9489</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2581</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10700</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>281005</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13644</CurrentTaxYearAmt>
        <TotalAmt>317419</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>2991828</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>21685773</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.47480</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.57900</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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1605060</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1605060</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>5771352</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1241279</DepreciationAmt>
        <BookValueAmt>4530073</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>803542</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>468841</DepreciationAmt>
        <BookValueAmt>334701</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>6469834</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED VACATION</Desc>
        <Amt>70756</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
        <Amt>7656</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>78412</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>5870712</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>492721</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>4587</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>497308</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>5373404</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>37573</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>-356611</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-319038</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>5054366</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4591152</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>356611</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>356611</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4234541</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>37573</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>37573</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>4272114</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ADOPTED FASB ASC 740-10, WHICH PRESCRIBES A COMPREHENSIVE MODEL FOR HOW AN ORGANIZATION SHOULD MEASURE, RECOGNIZE, PRESENT, AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT AN ORGANIZATION HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEPARDIZE ITS TAX-EXEMPT STATUS. THE TAX RETURNS FOR THE YEARS ENDING DECEMBER 31, 2021 TO 2024, ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BOTTLE REVENUE EXPENSES INCLUDED IN REVENUE -240,682. RENTAL EXPENSES INCLUDED IN REVENUES -115,929.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BOTTLE REVENUE EXPENSES INCLUDED IN REVENUE 240,682. EXCLUDED RENTAL EXPENSES 115,929.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <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>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIMBERLY UPDEGROVECNMMSNMPH</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>213288</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>50000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13846</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9355</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>286489</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION PROVIDED EXECUTIVE DIRECTOR WITH $50,000 BONUS TO RECOGNIZE YEARS WITH NO SALARY REVIEW OR INCREASE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR, BUSINESS MANAGER AND EXTERNAL ACCOUNTANT. ONCE ACCURACY IS SATISFIED, IT IS FILED AND SHARED WITH THE BOD AND FINANCE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS DOCUMENT IS REVIEWED AND SIGNED BY EACH BOARD MEMBER ANNUALLY. BOARD MEMBERS SELF-REPORT ANY CONFLICTS RELATED TO AN ISSUE REQUIRING VOTE - ABSTAINING FROM VOTING IF CONFLICT IS CONFIRMED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR. THE PROCESS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS; COMPARABILITY DATA, AS NEEDED; AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. ALL THE OFFICERS VOLUNTEER THEIR TIME, ENERGY, AND EXPERTISE TO THE ORGANIZATION AND AS SUCH, A COMPENSATION REVIEW PROCEDURE IS NOT APPLICABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REASONABLE REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, PART LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OVERSIGHT POLICIES AND SELECTION OF AN INDEPENDENT ACCOUNTANT BY THE FINANCE COMMITTEE HAS NOT CHANGED SINCE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>