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        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>91476</TotalAmt>
        <ProgramServicesAmt>84158</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3659</ManagementAndGeneralAmt>
        <FundraisingAmt>3659</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CLINICAL SUPPLIES</Desc>
        <TotalAmt>889780</TotalAmt>
        <ProgramServicesAmt>889780</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>VETERINARY AND CONTRACT SERVIES</Desc>
        <TotalAmt>145694</TotalAmt>
        <ProgramServicesAmt>145694</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>61768</TotalAmt>
        <ProgramServicesAmt>61768</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CREDIT CARD AND BANK FEES</Desc>
        <TotalAmt>68094</TotalAmt>
        <ProgramServicesAmt>41255</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25824</ManagementAndGeneralAmt>
        <FundraisingAmt>1015</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>262766</TotalAmt>
        <ProgramServicesAmt>181501</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50061</ManagementAndGeneralAmt>
        <FundraisingAmt>31204</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4895553</TotalAmt>
        <ProgramServicesAmt>4412498</ProgramServicesAmt>
        <ManagementAndGeneralAmt>227798</ManagementAndGeneralAmt>
        <FundraisingAmt>255257</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>404516</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>800777</BOYAmt>
        <EOYAmt>1410321</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>97758</BOYAmt>
        <EOYAmt>27265</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>13753</BOYAmt>
        <EOYAmt>10431</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3063852</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1541990</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1623325</BOYAmt>
        <EOYAmt>1521862</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>1914017</BOYAmt>
        <EOYAmt>2107700</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>173718</BOYAmt>
        <EOYAmt>77759</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>5046987</BOYAmt>
        <EOYAmt>5559854</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>231167</BOYAmt>
        <EOYAmt>209882</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>306715</BOYAmt>
        <EOYAmt>56219</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>169864</BOYAmt>
        <EOYAmt>270809</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>707746</BOYAmt>
        <EOYAmt>536910</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4326741</BOYAmt>
        <EOYAmt>4572769</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>12500</BOYAmt>
        <EOYAmt>450175</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4339241</BOYAmt>
        <EOYAmt>5022944</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>5046987</BOYAmt>
        <EOYAmt>5559854</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>652211</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>31492</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA-01" softwareId="23017509">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1654394</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2261124</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2252858</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3459463</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3457890</CurrentTaxYearAmt>
        <TotalAmt>13085729</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TaxRevLeviedOrgnztnlBnft170Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1654394</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2261124</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2252858</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3459463</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3457890</CurrentTaxYearAmt>
        <TotalAmt>13085729</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>751025</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>12334704</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>47455</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>20690</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>90237</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>163989</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>100463</CurrentTaxYearAmt>
        <TotalAmt>422834</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <TotalAmt>0</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <TotalAmt>0</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>13508563</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>8968604</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.91310</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.92710</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <PublicSupportTotal509Amt>0</PublicSupportTotal509Amt>
      <PublicSupportCY509Pct>0</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0</InvestmentIncomeCYPct>
    </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>
    <IRS990ScheduleD documentId="IRS990ScheduleD-01" softwareId="23017509">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>213237</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>213237</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>518530</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>132956</DepreciationAmt>
        <BookValueAmt>385574</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>1783908</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>959812</DepreciationAmt>
        <BookValueAmt>824096</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>525215</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>426260</DepreciationAmt>
        <BookValueAmt>98955</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>22962</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>22962</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1521862</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
        <BookValueAmt>5154</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSET, NET</Desc>
        <BookValueAmt>72605</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>77759</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE OBLIGATIONS</Desc>
        <Amt>270809</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>270809</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>5621045</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>31492</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>41789</OtherRevenueAmt>
      <RevenueNotReportedAmt>73281</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>5547764</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>5547764</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4937342</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>41789</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>41789</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4895553</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>4895553</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. In addition, the Organization qualifies for the charitable contribution deduction under Section 170(b)(1)(A) and has been classified as an organization other than a private foundation under Section 509(a)(2). Accordingly, no provision for income taxes is provided. The Organization has reviewed tax positions taken in filings with federal and state jurisdictions and believes those positions would be sustained should the filings be examined by the relevant taxing authority. For federal income tax purposes, the returns remain open for possible examination three years after they are filed. The Organizations policy is to recognize interest and penalties on unrecognized tax benefits in other expense in the statement of activities. No interest and penalties were recorded during the year ended December 31, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI, Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising expenses netted with revenue on Form 990</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising expenses netted with revenue on Form 990</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG-01">
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        <Event1Nm>MUTT STRUT</Event1Nm>
        <GrossReceiptsEvent1Amt>126534</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>126534</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>41789</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>126534</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>126534</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>41789</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>41789</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>84745</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="23017509">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS NO COMMITTEE THAT HAS AUTHORITY TO ACT ON BEHALF OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES THE 990 AT ONE OF ITS REGULARLY SCHEDULED MEETINGS BEFORE IT IS SENT TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH MEMBER OF THE BOARD SIGNS AN ANNUAL DISCLOSURE STATEMENT CONCERNING CONFLICT OF INTEREST AND DISCUSSIONS ARE HELD DURING REGULAR BOARD MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD EVALUATES COMPARABLE INDUSTRY COMPENSATION AVERAGES WHEN DETERMINING SALARY FOR THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD EVALUATES COMPARABLE INDUSTRY COMPENSATION AVERAGES WHEN DETERMINING SALARY FOR KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES ORGANIZATION DOCUMENTS UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>