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        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2016, Fistula Foundation established a $530,000 "Board Designated Endowment Fund" to help provide future funding for Foundation programs.During 2017 Fistula foundation received a permanently restricted contribution of $5,496,795 to be treated as an endowment fund with 5% of the fair market value of the fund, determined as of the last day of the previous year, can be used to help support Fistula's programs.Thus, the ending balance of the endowment fund at 12/31/17 includes $5,496,795 which is permanently restricted with the balance composed of a board designated endowment fund.During 2018, the Foundation received an additional contribution of $1,849,505 as a permanently restricted ndowment bringing the endowment fund balance as of 12.31.18 to $7,346,300 with the $530,025 balance consisting of a board designated endowment fund for a grant total of $7,876,325 in the endowment fund (this included the $530,025 "board designated endowment fund" amount).From 2019 through 2021 the permanently restricted endowment received an additional $515,927 contribution in 2020 and additional investment income for those three years.The endowment fund is also increased by earnings on the fund, and as of 12.31.2021 the permanently restricted endowment fund had a balance of $11,433,517. When the $530,025 "board designated endowment fund" is added in, the grand total amounts to $11,963,542. Please note that the $530,025 "board designated endowment fund" is shown on the balance sheet as part of "unrestricted net assets" since the board, rather than outside donors, imposed the restrictions. The beginning and ending balance sheet category of "Net Assets With Donor Restrictions" include the "pemanently restricted endowment fund" as well as other net assets with donor restrictions.</ExplanationTxt>
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          <CityNm>Harrisburg</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17112</ZIPCd>
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        <CashGrantAmt>294169</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Surgery</PurposeOfGrantTxt>
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        <PersonNm>Anne Ferguson</PersonNm>
        <TitleTxt>Deputy Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>211234</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16800</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>228034</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kate Grant</PersonNm>
        <TitleTxt>Chief Exec Off</TitleTxt>
        <BaseCompensationFilingOrgAmt>316817</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16000</DeferredCompensationFlngOrgAmt>
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        <PersonNm>Lindsey Pollaczek</PersonNm>
        <TitleTxt>VP Programs</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>15152</NontaxableBenefitsFilingOrgAmt>
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        <PersonNm>Pamela Lowney</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Bylaws &amp; Articles amended to update, Copies of amendments previously sent to the taxing authorities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is circulated to the full Board for review prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>At each board meeting, Conflict of Interest is a standing item on the agenda.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Fistula Foundation staff compensation is determined each year after a rigorous review of major non-profit survey conducted amongst more than 27,000 nonprofit employees in Northern California. The Chief Executive Officer's performance is reviewed twice a year by the Board of Directors.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Copies of our financials statements and 501(c)3 exemption letter are available on the Foundation website and are also available in hard copy on request. Hard copies of governing documents and conflict of interest policy are also available on request. Copies of the financial statements are also posted on the websites of "GuidestarX and "Charity Navigator".</ExplanationTxt>
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