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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR JOIA MUKHERJEE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR PAUL FARMER</PersonNm>
        <TitleTxt>DIRECTOR (THRU 02/2022)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAUREN DRISCOLL</PersonNm>
        <TitleTxt>DIRECTOR (THRU 02/2022)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEONCE NDIKUMANA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MEGAN NEWMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL ALDRIDGE</PersonNm>
        <TitleTxt>DIRECTOR (THRU 07/2022)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON JACOB</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM L JACOB III</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ZAIDA BASTOS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>561022</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>17859</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>47362</FundraisingAmt>
      <AllOtherContributionsAmt>5161801</AllOtherContributionsAmt>
      <TotalContributionsAmt>5209163</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>456110</BusinessCd>
        <TotalRevenueColumnAmt>276367</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>276367</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>276367</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>347</TotalRevenueColumnAmt>
        <ExclusionAmt>347</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>19500</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>47362</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>42495</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-22995</TotalRevenueColumnAmt>
        <ExclusionAmt>-22995</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2934722</TotalRevenueColumnAmt>
        <ExclusionAmt>2934722</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2934722</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>8397604</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>276367</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2912074</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>452177</TotalAmt>
        <ProgramServicesAmt>223610</ProgramServicesAmt>
        <ManagementAndGeneralAmt>164253</ManagementAndGeneralAmt>
        <FundraisingAmt>64314</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1687437</TotalAmt>
        <ProgramServicesAmt>1538886</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18361</ManagementAndGeneralAmt>
        <FundraisingAmt>130190</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>130053</TotalAmt>
        <ProgramServicesAmt>107130</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11100</ManagementAndGeneralAmt>
        <FundraisingAmt>11823</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>107806</TotalAmt>
        <ProgramServicesAmt>88805</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9201</ManagementAndGeneralAmt>
        <FundraisingAmt>9800</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>22784</TotalAmt>
        <ManagementAndGeneralAmt>22784</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>6289</TotalAmt>
        <ManagementAndGeneralAmt>6289</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>70823</TotalAmt>
        <ManagementAndGeneralAmt>70823</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>100683</TotalAmt>
        <ProgramServicesAmt>45181</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32648</ManagementAndGeneralAmt>
        <FundraisingAmt>22854</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>19837</TotalAmt>
        <ManagementAndGeneralAmt>11325</ManagementAndGeneralAmt>
        <FundraisingAmt>8512</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>87013</TotalAmt>
        <ProgramServicesAmt>8353</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52328</ManagementAndGeneralAmt>
        <FundraisingAmt>26332</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>65209</TotalAmt>
        <ProgramServicesAmt>46977</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8829</ManagementAndGeneralAmt>
        <FundraisingAmt>9403</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>72770</TotalAmt>
        <ProgramServicesAmt>50755</ProgramServicesAmt>
        <FundraisingAmt>22015</FundraisingAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>192553</TotalAmt>
        <ProgramServicesAmt>192553</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>OTHER CLINIC AND WELLNE</Desc>
        <TotalAmt>353066</TotalAmt>
        <ProgramServicesAmt>353066</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE COSTS</Desc>
        <TotalAmt>350378</TotalAmt>
        <ProgramServicesAmt>350378</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICINE AND MEDICAL SU</Desc>
        <TotalAmt>256825</TotalAmt>
        <ProgramServicesAmt>256825</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES FOR EDUCATION,</Desc>
        <TotalAmt>77191</TotalAmt>
        <ProgramServicesAmt>77191</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>106643</TotalAmt>
        <ManagementAndGeneralAmt>80688</ManagementAndGeneralAmt>
        <FundraisingAmt>25955</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4159537</TotalAmt>
        <ProgramServicesAmt>3339710</ProgramServicesAmt>
        <ManagementAndGeneralAmt>488629</ManagementAndGeneralAmt>
        <FundraisingAmt>331198</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>5685547</BOYAmt>
        <EOYAmt>4854023</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>33637</BOYAmt>
        <EOYAmt>1816890</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>270655</BOYAmt>
        <EOYAmt>252489</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <LandBldgEquipCostOrOtherBssAmt>19009396</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1494210</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>14201005</BOYAmt>
        <EOYAmt>17515186</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1736</BOYAmt>
        <EOYAmt>57892</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>20192580</BOYAmt>
        <EOYAmt>24496480</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>264457</BOYAmt>
        <EOYAmt>281918</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>48372</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>264457</BOYAmt>
        <EOYAmt>330290</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>14729539</BOYAmt>
        <EOYAmt>20777001</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>5198584</BOYAmt>
        <EOYAmt>3389189</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>19928123</BOYAmt>
        <EOYAmt>24166190</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>20192580</BOYAmt>
        <EOYAmt>24496480</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>4238067</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>5077507</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6699484</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6101411</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6092608</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5209163</CurrentTaxYearAmt>
        <TotalAmt>29180173</TotalAmt>
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      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>5077507</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6699484</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6101411</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6092608</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5209163</CurrentTaxYearAmt>
        <TotalAmt>29180173</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>8151060</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>21029113</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>5317</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6386</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2542</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>421</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>347</CurrentTaxYearAmt>
        <TotalAmt>15013</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>-3145</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>-5250</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7765</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>581349</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2911727</CurrentTaxYearAmt>
        <TotalAmt>3492446</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>32687632</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>572224</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.64330</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.68770</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <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>70000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>70000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>4227175</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>577589</DepreciationAmt>
        <BookValueAmt>3649586</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3500</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3500</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>660608</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>534717</DepreciationAmt>
        <BookValueAmt>125891</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>14048113</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>378404</DepreciationAmt>
        <BookValueAmt>13669709</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>17515186</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>RIGHT OF USE LIABILITIES, NET</Desc>
        <Amt>48372</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>48372</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>8495370</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>55271</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>42495</OtherRevenueAmt>
      <RevenueNotReportedAmt>97766</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>8397604</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>8397604</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4257303</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>55271</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>42495</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>97766</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4159537</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>4159537</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES NET WITH REVEUE ON 990</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES NET WITH REVENUE ON 990</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>273</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>HEALTHCARE</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>1865781</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>1</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>273</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>1</TotalOfficeCnt>
      <TotalEmployeeCnt>273</TotalEmployeeCnt>
      <SubtotalSpentAmt>1865781</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>1865781</TotalSpentAmt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III ACCOUNTING METHOD:</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>HOLIDAY LUNCHEON EVENT</Event1Nm>
        <GrossReceiptsEvent1Amt>66862</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>47362</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>19500</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>19453</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>19500</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>3541</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>66862</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>47362</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>19500</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>19453</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>19500</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>3541</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>42494</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-22994</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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        <PersonNm>DEOGRATIAS NIYIZONKIZA</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>151613</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>166980</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SHARON JACOB AND WILLIAM L. JACOB III HAVE A FAMILY RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLETED 990 IS DISTRIBUTED TO THE BOARD COMMITTEE FOR REVIEW AND APPROVAL PRIOR TO BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE BOARD OF DIRECTORS ARE REMINDED INFORMALLY DURING DEVELOPMENT CONVERSATIONS THROUGH THE YEAR AND STAFF ARE REMINDED AT STAFF MEETINGS THROUGH THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, NONE OF WHOSE MEMBERS HAVE A CONFLICT OF INTEREST, IS CHARGED WITH REVIEWING THE PROPOSED COMPENSATION OF VHW'S CHIEF EXECUTIVE OFFICER EACH YEAR. COMPARABILITY DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS IS PREPARED BY THE ORGANIZATION AND REVIEWED BY THE COMMITTEE BEFORE REACHING ITS CONCLUSIONS. THE DELIBERATIONS AND DECISION OF THE COMMITTEE ARE DOCUMENTED IN THE MINUTES OF THE COMMITTEE SUBSTANTIALLY CONTEMPORANEOUSLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE NOT ON OUR WEBSITE, BUT ARE AVAILABLE UPON DIRECT REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
