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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON DOGONNIUCK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>002.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES FORBES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR DAVID S FRIEDMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIE FRIEDMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR GIL KLIMAN</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMBASSADOR PATRICIA MOLLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAM PALANKI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH MOTSCHWILLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES VYVYAN THROUGH 622</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADRIAN PAUL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>001.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SIAN BLOCK FROM 622</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA LENSING</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2735840</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>277484</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>31</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MK Direct Marketing &amp; Communications</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>612 East Jefferson Street - 2nd Fl</AddressLine1Txt>
            <CityNm>Charlottesville</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22902</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Fundraising</ServicesDesc>
        <CompensationAmt>257497</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Noelle Whitestone</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>210 South Ivy Street</AddressLine1Txt>
            <CityNm>Denver</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80224</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting - Clinical Services</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Geoffrey Oliver Bugbee</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <ForeignAddress>
            <AddressLine1Txt>3612 NE 66th Ave</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <CountryCd>NL</CountryCd>
            <ForeignPostalCd>RI 02885</ForeignPostalCd>
          </ForeignAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting - Visual</ServicesDesc>
        <CompensationAmt>125850</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Diversified Search Group</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2005 Market Street - 33rd Floor</AddressLine1Txt>
            <CityNm>Philadelphia</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19103</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting - Recruiting</ServicesDesc>
        <CompensationAmt>120385</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KT Production</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>810 SE Sherman Street</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97214</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting - Direct Mail</ServicesDesc>
        <CompensationAmt>102413</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>1136411</FundraisingAmt>
      <GovernmentGrantsAmt>88470893</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>47910078</AllOtherContributionsAmt>
      <NoncashContributionsAmt>88137755</NoncashContributionsAmt>
      <TotalContributionsAmt>137517382</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Program service income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>313591</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>313591</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>313591</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>370642</TotalRevenueColumnAmt>
        <ExclusionAmt>370642</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>14383143</SecuritiesAmt>
        <OtherAmt>209878</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>14458413</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-75270</SecuritiesAmt>
        <OtherAmt>209878</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>134608</TotalRevenueColumnAmt>
        <ExclusionAmt>134608</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>47476</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>1136411</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>428952</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-381476</TotalRevenueColumnAmt>
        <ExclusionAmt>-381476</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>769741</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>132451</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>637290</TotalRevenueColumnAmt>
        <ExclusionAmt>637290</ExclusionAmt>
      </NetIncomeFromGamingGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>105731</TotalRevenueColumnAmt>
        <ExclusionAmt>105731</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>LIST SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>60537</TotalRevenueColumnAmt>
        <ExclusionAmt>60537</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>166268</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>138758305</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>313591</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>927332</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>6479671</TotalAmt>
        <ProgramServicesAmt>6479671</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1678072</TotalAmt>
        <ProgramServicesAmt>438219</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1193644</ManagementAndGeneralAmt>
        <FundraisingAmt>46209</FundraisingAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
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        <ProgramServicesAmt>7649655</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4085376</ManagementAndGeneralAmt>
        <FundraisingAmt>3986117</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>858550</TotalAmt>
        <ProgramServicesAmt>481750</ProgramServicesAmt>
        <ManagementAndGeneralAmt>184276</ManagementAndGeneralAmt>
        <FundraisingAmt>192524</FundraisingAmt>
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        <TotalAmt>1993788</TotalAmt>
        <ProgramServicesAmt>1110757</ProgramServicesAmt>
        <ManagementAndGeneralAmt>508052</ManagementAndGeneralAmt>
        <FundraisingAmt>374979</FundraisingAmt>
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        <ProgramServicesAmt>248663</ProgramServicesAmt>
        <ManagementAndGeneralAmt>206616</ManagementAndGeneralAmt>
        <FundraisingAmt>99917</FundraisingAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>38692</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27122</ManagementAndGeneralAmt>
        <FundraisingAmt>9547</FundraisingAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>64820</ProgramServicesAmt>
        <ManagementAndGeneralAmt>196441</ManagementAndGeneralAmt>
        <FundraisingAmt>2182</FundraisingAmt>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>403529</TotalAmt>
        <FundraisingAmt>403529</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>63121</TotalAmt>
        <ManagementAndGeneralAmt>63121</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1016316</ProgramServicesAmt>
        <ManagementAndGeneralAmt>371833</ManagementAndGeneralAmt>
        <FundraisingAmt>987492</FundraisingAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>794510</ProgramServicesAmt>
        <ManagementAndGeneralAmt>353102</ManagementAndGeneralAmt>
        <FundraisingAmt>697469</FundraisingAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>2036461</TotalAmt>
        <ProgramServicesAmt>264492</ProgramServicesAmt>
        <ManagementAndGeneralAmt>402152</ManagementAndGeneralAmt>
        <FundraisingAmt>1369817</FundraisingAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>925603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>570488</ManagementAndGeneralAmt>
        <FundraisingAmt>37653</FundraisingAmt>
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        <ProgramServicesAmt>554909</ProgramServicesAmt>
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        <FundraisingAmt>355264</FundraisingAmt>
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        <FundraisingAmt>174468</FundraisingAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>250599</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1098</ManagementAndGeneralAmt>
        <FundraisingAmt>13338</FundraisingAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>1923164</ProgramServicesAmt>
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        <FundraisingAmt>36639</FundraisingAmt>
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        <ManagementAndGeneralAmt>95161</ManagementAndGeneralAmt>
        <FundraisingAmt>61170</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>89548194</TotalAmt>
        <ProgramServicesAmt>89548194</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1648848</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>503713</ProgramServicesAmt>
        <ManagementAndGeneralAmt>263</ManagementAndGeneralAmt>
        <FundraisingAmt>2031</FundraisingAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>74351</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-17318</ManagementAndGeneralAmt>
        <FundraisingAmt>2597</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>116200636</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8998895</ManagementAndGeneralAmt>
        <FundraisingAmt>8852942</FundraisingAmt>
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        <EOYAmt>7405023</EOYAmt>
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        <EOYAmt>12554976</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>8812520</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>3937618</EOYAmt>
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        <EOYAmt>1545764</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>3162030</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>40130695</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>14480532</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>26767732</BOYAmt>
        <EOYAmt>25650163</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>12946262</BOYAmt>
        <EOYAmt>10757603</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>275977</BOYAmt>
        <EOYAmt>3942035</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>69820903</BOYAmt>
        <EOYAmt>77767732</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2853068</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
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        <EOYAmt>6174742</EOYAmt>
      </GrantsPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>72319</BOYAmt>
        <EOYAmt>4031792</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>6704574</BOYAmt>
        <EOYAmt>13059602</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>46248910</BOYAmt>
        <EOYAmt>44291860</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>16867419</BOYAmt>
        <EOYAmt>20416270</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>63116329</BOYAmt>
        <EOYAmt>64708130</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>69820903</BOYAmt>
        <EOYAmt>77767732</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
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        <PersonNm>DAVID HUNTER CHERWEK</PersonNm>
        <TitleTxt>VICE PRESIDENT OF CLINICAL SERVICES</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>16368</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12436</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>296687</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRUCE JOHNSON</PersonNm>
        <TitleTxt>DIRECTOR, AIRCRAFT OPERATIONS MAINTENANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>214163</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13303</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25373</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>252839</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY JANE JAMAR</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>278993</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17021</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12436</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>308450</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DORIS MACHARIA</PersonNm>
        <TitleTxt>SENIOR VP - GLOBAL PROGRAMS</TitleTxt>
        <BaseCompensationFilingOrgAmt>288400</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11192</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>299592</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>During the reporting period a bonus of 10,000 was paid to Derek Hodkey. The Chairman of the Board approved the bonus.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M" softwareId="22015461" softwareVersionNum="22.0.1.0">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>6</ContributionCnt>
        <NoncashContributionsRptF990Amt>87890747</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Pricing Source Input</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Travel Hospitality</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>202003</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market quotation</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Cryptocurrency</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>5</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market quotation</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Aircraft Parts</Desc>
        <ContributionCnt>12</ContributionCnt>
        <NoncashContributionsRptF990Amt>45000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market quotation</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>1</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>true</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part 1 Line 20 - Column b</FormAndLineReferenceDesc>
        <ExplanationTxt>The number of contributions relates to the quantity of drugs and tranches delivered into Ethiopia as well as many medical supplies donated throughout the year across our programs making the amount difficult to estimate. Headquarters does not track the individual donated items but records in the aggregate. The underlying documentation held reflects the detailed invoices and value of the quantities recorded.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 25 - 27 Column b</FormAndLineReferenceDesc>
        <ExplanationTxt>data is the number of contributions</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 32A</FormAndLineReferenceDesc>
        <ExplanationTxt>Orbis has outsourced the receiving and converting of cryptocurrency to the Giving Block, an external platform with over 500 nonprofits that provides end to end services related to cryptocurrency. Donations are automatically converted to USD and deposited to the Orbis bank account weekly or as received. The Giving Block generates the donation receipts and provides all donor information to Orbis for internal management.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Section 1, Line Paragraph A</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2022 Orbis continued to design and deliver impactful global programs that prevented vision loss and blindness and strengthened existing health systems to reach scale. A total of 63 active projects were being implemented in 11 countries Bangladesh, China, Ethiopia, Ghana, India, Mongolia, Nepal, Peru, South Africa, Vietnam, and Zambia through 287 strategic partners. 461 health facilities were supported through Orbis funding in 2022. 81 337 of these facilities were at primary health care level which underscores the importance of the work Orbis is supporting to improve access by bringing eye care services closer to communities. By end of 2022, Orbis had supported 1,797,945 eye screening and examinations, prescribed 92,382 eyeglasses, and conducted 55,436 eye surgeries including Trachoma Trichiasis surgeries. 30,248 health care providers were trained worldwide, and Cybersight utilization increased by a record 36 surpassing the 20 annual growth target. Additionally, 3,759,978 doses of Zithromax and Tetracycline eye ointment were distributed to meet goals of the Trachoma Elimination program.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Section 1, Line Paragraph B</FormAndLineReferenceDesc>
        <ExplanationTxt>There was steady and successful re-launching of in-person hospital based trainings in India on Glaucoma and Strabismus Medical Retina in Mongolia and Pediatric Strabismus in Ethiopia. Blended learning virtual and in-person training approaches were introduced through Digital Training Hubs, hybrid wet-labs and simulation-based training in Bangladesh, China, India, Mongolia, Vietnam and Zambia, resulting in the adoption of innovative training methods and optimization of Cybersight utilization. In Ghana, adoption of the World Health Organization Training of Trainers in primary eye care was a cost-effective and sustainable approach for the regional health authority. Prior to the COVID-19 pandemic, blended learning was occasionally part of Flying Eye Hospital project design. With the lessons learned from virtual-only programming in 2020 and 2021, incorporating virtual learning into in-person projects is now a standard in Flying Eye Hospital project design and implementation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Section 1, Line Paragraph C</FormAndLineReferenceDesc>
        <ExplanationTxt>Country programs leveraged existing strategic partnership arrangements that enhanced eye health advocacy and development of promising service delivery models, the Vietnamese Ministry of Health endorsed national guidelines for diabetic retinopathy screening, treatment and referral services in India there was successful design of a short and long term sandwich paediatric fellowships on Glaucoma Mongolia completed a diabetes mellitus costing exercise to quantify and address out of pocket payments establishment of medical social workers as a new cadre of health workers to provide eye screening, referral and social work services for local rural vulnerable groups in China and in Bangladesh the establishment of women led green vision centres for primary eye care services addressed access and equity program barriers.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors Committee members, Officers and Key Employees must complete the conflict of interest form annually. Any newly appointed individual during the year will complete the form upon hire or joining the Board of Directors. The General Counsel monitors and enforces compliance of the Conflict of Interest policy. The General Counsel in the case of employees and the Audit Committee in the case of the Board will evaluate conflict disclosures and make other necessary inquiries to determine the extent and nature of any actual or potential conflict of interest and if appropriate investigate alternative to the proposed transaction or arrangement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for the President/CEO is reviewed and approved by the Board of Directors. Documentation of discussions in relation to compensation is recorded in the Board Minutes and is also documented with the Human Resources Department. This process involves gathering and analyzing comparable data by the Human Resources Department and presented to the Board of Directors for their deliberation and determination.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for senior management is discussed and approved by the CEO. Documentation of discussions in relation to compensation is documented with the Human Resources Department. This process involves gathering and analyzing comparable data, deliberation and determination that is conducted by the Human Resources Department.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its Governing Documents, Conflict of Interest Policy, and Financial Statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>F/X Gain Loss 580,460, 243,595 Inventory Obsolescence, 61,707 Fixed Assets Disposal</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>
