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        <ExclusionAmt>22813</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>148304</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-9302</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-9302</TotalRevenueColumnAmt>
        <ExclusionAmt>-9302</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MESCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1958</TotalRevenueColumnAmt>
        <ExclusionAmt>1958</ExclusionAmt>
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      <OtherRevenueTotalAmt>1958</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>859486</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>15469</ExclusionAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>4415</TotalAmt>
        <ProgramServicesAmt>4415</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>84553</TotalAmt>
        <ProgramServicesAmt>59187</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21138</ManagementAndGeneralAmt>
        <FundraisingAmt>4228</FundraisingAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>519416</TotalAmt>
        <ProgramServicesAmt>333570</ProgramServicesAmt>
        <ManagementAndGeneralAmt>159875</ManagementAndGeneralAmt>
        <FundraisingAmt>25971</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>11387</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5255</ManagementAndGeneralAmt>
        <FundraisingAmt>876</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>48728</TotalAmt>
        <ProgramServicesAmt>31496</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14796</ManagementAndGeneralAmt>
        <FundraisingAmt>2436</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>41820</TotalAmt>
        <ProgramServicesAmt>27183</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12546</ManagementAndGeneralAmt>
        <FundraisingAmt>2091</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>23254</TotalAmt>
        <ManagementAndGeneralAmt>23254</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>2744</TotalAmt>
        <ManagementAndGeneralAmt>2744</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>13500</TotalAmt>
        <ProgramServicesAmt>13500</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>3060</TotalAmt>
        <FundraisingAmt>3060</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>15143</TotalAmt>
        <ProgramServicesAmt>9843</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4543</ManagementAndGeneralAmt>
        <FundraisingAmt>757</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>16882</TotalAmt>
        <ProgramServicesAmt>10973</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5065</ManagementAndGeneralAmt>
        <FundraisingAmt>844</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>12671</TotalAmt>
        <ProgramServicesAmt>8236</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3801</ManagementAndGeneralAmt>
        <FundraisingAmt>634</FundraisingAmt>
      </OccupancyGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>27020</TotalAmt>
        <ProgramServicesAmt>17563</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8106</ManagementAndGeneralAmt>
        <FundraisingAmt>1351</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>24599</TotalAmt>
        <ProgramServicesAmt>22569</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2030</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CLIENT ASSISTANCE</Desc>
        <TotalAmt>32996</TotalAmt>
        <ProgramServicesAmt>32996</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CLINIC SUPPLIES</Desc>
        <TotalAmt>29375</TotalAmt>
        <ProgramServicesAmt>29375</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>16926</TotalAmt>
        <ProgramServicesAmt>11002</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5078</ManagementAndGeneralAmt>
        <FundraisingAmt>846</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CELEBRATION EVENTS</Desc>
        <TotalAmt>9259</TotalAmt>
        <FundraisingAmt>9259</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>6131</TotalAmt>
        <ManagementAndGeneralAmt>6131</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>950010</TotalAmt>
        <ProgramServicesAmt>623295</ProgramServicesAmt>
        <ManagementAndGeneralAmt>274362</ManagementAndGeneralAmt>
        <FundraisingAmt>52353</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>187880</BOYAmt>
        <EOYAmt>81192</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>91174</BOYAmt>
        <EOYAmt>56566</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <LandBldgEquipCostOrOtherBssAmt>1112731</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>382256</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>599762</BOYAmt>
        <EOYAmt>730475</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>526799</BOYAmt>
        <EOYAmt>592214</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>1405615</BOYAmt>
        <EOYAmt>1460447</EOYAmt>
      </TotalAssetsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>325467</BOYAmt>
        <EOYAmt>413592</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>325467</BOYAmt>
        <EOYAmt>413592</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1052728</BOYAmt>
        <EOYAmt>992334</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>27420</BOYAmt>
        <EOYAmt>54521</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1080148</BOYAmt>
        <EOYAmt>1046855</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1405615</BOYAmt>
        <EOYAmt>1460447</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-90524</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>57231</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingOtherInd methodOfAccountingOtherDesc="Modified Cash">X</MethodOfAccountingOtherInd>
      <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>568169</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>760497</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>885083</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>679572</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>844017</CurrentTaxYearAmt>
        <TotalAmt>3737338</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>568169</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>760497</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>885083</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>679572</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>844017</CurrentTaxYearAmt>
        <TotalAmt>3737338</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>207350</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>3529988</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>9091</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9575</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14322</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19286</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22813</CurrentTaxYearAmt>
        <TotalAmt>75087</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>20</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>50</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>27</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1958</CurrentTaxYearAmt>
        <TotalAmt>2072</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>3814497</TotalSupportAmt>
      <PublicSupportCY170Pct>0.92540</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96650</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2019 AMOUNT: $ 20. 2020 AMOUNT: $ 50. 2021 AMOUNT: $ 27. 2022 AMOUNT: $ 17. 2023 AMOUNT: $ 1,958.</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">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>112480</OtherCostOrOtherBasisAmt>
        <BookValueAmt>112480</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>883459</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>382256</DepreciationAmt>
        <BookValueAmt>501203</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>116792</OtherCostOrOtherBasisAmt>
        <BookValueAmt>116792</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>730475</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>913973</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>57231</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>57231</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>856742</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>2744</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>2744</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>859486</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>947266</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>947266</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>2744</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>2744</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>950010</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CLINIC IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR SECTION OF THE IOWA INCOME TAX LAW, WHICH PROVIDES INCOME TAX EXEMPTION FOR CORPORATIONS ORGANIZED AND OPERATED EXCLUSIVELY FOR RELIGIOUS, CHARITABLE, OR EDUCATIONAL PURPOSES. THE IRS HAS NOT CLASSIFIED THE CLINIC AS A PRIVATE FOUNDATION. THE CLINIC FILES INFORMATIONAL RETURNS IN THE U.S. FEDERAL JURISDICTION AND FOLLOWS THE STANDARD FOR EVALUATING UNCERTAIN TAX POSITIONS. THE CLINIC HAS DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CLINIC'S FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE BEING FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS, OFFICERS, AND MANAGEMENT ARE REQUIRED TO COMPLETE A QUESTIONNAIRE ANNUALLY THAT COVERS CONFLICTS OF INTEREST ISSUES, AND WHICH ALSO SERVE AS A REMINDER OF THE IMPORTANCE OF OBSERVING PROHIBITIONS AGAINST CONFLICTS IN INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS' PERSONNEL COMMITTEE CONDUCTS ANNUAL REVIEW OF EXECUTIVE DIRECTOR, AT WHICH TIME EXECUTIVE DIRECTOR'S SALARY IS DETERMINED, BASED ON SALARY HISTORY, MARKET CONDITIONS, AND BUDGET CONDITIONS. BOARD OF DIRECTORS' PERSONNEL COMMITTEE AUTHORIZES EXECUTIVE DIRECTOR TO CONDUCT ANNUAL REVIEWS AND NEGOTIATE SALARIES OF REMAINING EMPLOYEES, WHICH ALSO ARE BASED ON SALARY HISTORY, MARKET CONDITIONS, AND BUDGET CONDITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CLINIC FOLLOWS A MODIFICED CASH BASIS OF ACCOUNTING FOR FINANCIAL AND TAX REPORTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR SELECTING AN INDEPENDENT ACCOUNTING FIRM HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>