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        <PersonNm>Mr Frank L Schnabel IV</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mark W Skinner</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Len Valentino</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dawn Rotellini</PersonNm>
        <TitleTxt>Ex-Officio NHF Liaison</TitleTxt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Laliberte</PersonNm>
        <TitleTxt>National Director</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>84761</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>0</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>92025</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
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      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>0</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>0</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>684598697</AllOtherContributionsAmt>
      <NoncashContributionsAmt>679788865</NoncashContributionsAmt>
      <TotalContributionsAmt>684598697</TotalContributionsAmt>
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        <Desc>Investment income Endowment fund</Desc>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
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      <RentalIncomeOrLossGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <OtherRevenueMiscGrp>
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      <OtherRevenueMiscGrp>
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      <MiscellaneousRevenueGrp>
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      <TotalRevenueGrp>
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      <GrantsToDomesticOrgsGrp>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>15261</TotalAmt>
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        <ProgramServicesAmt>684182913</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>65325</ProgramServicesAmt>
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      <CompDisqualPersonsGrp>
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      <OtherSalariesAndWagesGrp>
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      <PensionPlanContributionsGrp>
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      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>81175</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>890</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>10000</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>6824</TotalAmt>
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      <AdvertisingGrp>
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        <ManagementAndGeneralAmt>5058</ManagementAndGeneralAmt>
        <FundraisingAmt>2129</FundraisingAmt>
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      </OfficeExpensesGrp>
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        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
      </RoyaltiesGrp>
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        <ManagementAndGeneralAmt>12027</ManagementAndGeneralAmt>
        <FundraisingAmt>4688</FundraisingAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>10647</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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      <InsuranceGrp>
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        <ManagementAndGeneralAmt>273</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>684351498</ProgramServicesAmt>
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        <FundraisingAmt>61078</FundraisingAmt>
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      <TotalJointCostsGrp>
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      </TotalJointCostsGrp>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>14753</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>148081</BOYAmt>
        <EOYAmt>207864</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
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      <RcvblFromDisqualifiedPrsnGrp>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>0</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>0</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>0</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>0</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>0</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>448432</BOYAmt>
        <EOYAmt>439162</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>745858</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>2014564</BOYAmt>
        <EOYAmt>1856452</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>333776</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
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        <EOYAmt>387088</EOYAmt>
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        <ExplanationTxt>1.Attraction of Public Support. WFH USA is organized and operated so as to attract new and additional public support on a continuous basis. Through a Collaboration Agreement with its Canadian affiliate the World Federation of Hemophilia "WFH" WFH USA maintains a continuous and bona fide program for solicitation of funds from the general public as well as engaging in activities designed to attract in-kind donations of clotting factor and other pharmaceutical products from multiple sources. Hemophilia treatment products received as donations are distributed to more than 60 developing countries each year for the treatment of thousands of people with hemophilia and related bleeding disorders. This activity is namely called the WFH Humanitarian Aid Program. Monetary contributions are utilized to cover the operational costs related to the Humanitarian Aid Program to support other charitable activities and to pay WFH USA's administrative expenses. The scope of WFH USA's fund-raising activities is reasonable in light of its charitable activities. WFH USA employs a National Director who is supported by three full-time WFH employees. 2.The Charity's Percentage of Public Support. WFH USA's total support from the public during the five-year period ending 2022 was at 14.60%; for the five-year period ending 2021 the ratio was at 15.29%. As explained in Part III of Form 990 WFH USA's specific purpose is to advance the global mission of the World Federation of Hemophilia WFH within the United States to improve and sustain care for people with inherited bleeding disorders around the world. As also explained in Part III of Form 990 the primary way that WFH USA carries out that mission is through the WFH Humanitarian Aid Program in which it receives product donations that are then distributed each year in more than 60 developing countries for the treatment of thousands of persons with hemophilia and related bleeding disorders. As a result the great majority of WFH USA's support is received in the form of in-kind contributions of blood clotting factor or other related pharmaceutical products mainly from manufacturers of those products. As there are only a limited number of such manufacturers the more successful that WFH USA is in obtaining substantial contributions from them the lower WFH USA's public support percentage will be. Thus WFH USA limits its activities to a special field and that inherently limits the number of its in-kind contributors. In other words the nature of the Humanitarian Aid Program is the reason that WFH USA's public support percentage is relatively low. 3.The Charity's Sources of Public Support. WFH USA's public support is derived from a representative number of persons. WFH USA does not receive most of its support from the members of a single family or from a single business. During the five-year period ending CY 2022 WFH USA received in-kind contributions of blood clotting factor or other related pharmaceutical products from 15 separate and unrelated sources. WFH USA also received cash donations from more than 300 different and unrelated individuals or organizations during that time period. 4.WFH USA's Governing Body. WFH USA has a governing body that represents the broad interests of the public. Its governing body does not represent the personal or private interests of a limited number of donors. WFH USA's governing body is comprised of persons having special knowledge or expertise in the particular field or discipline in which WFH USA operates and or other persons having knowledge of and interest in WFH USA and its mission to improve and sustain care for people with inherited bleeding disorders. WFH USA's governing body represents a broad cross-section of the views and interests of persons with inherited bleeding disorders and persons devoted to treating those disorders. None of the members of WFH USA's governing body are selected by affiliated with or otherwise represent the interests of the manufacturers of blood clotting factor or other related pharmaceutical products that contribute such products to WFH USA. 5.WFH USA's Facilities and Services. WFH USA provides facilities or services directly for the benefit of the general public on a continuing basis and maintains a definitive program to accomplish its charitable work on a world-wide basis. As already noted each year the Humanitarian Aid Program benefits thousands of persons with hemophilia and related bleeding disorders in more than 60 developing countries.</ExplanationTxt>
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        <ExplanationTxt>1 Donations to the endowment fund totalling $63,001 are recorded as an increase to the Net Assets on the financial statements and thus are not part of the revenue of the financial statements though included on Form 990. 2 Gross earnings on the endowment fund dividend interest income and gain on sale of securities of $7,909 are presented as deferred investment income on the Balance Sheet of the Audited Financial Statements and thus not part of the revenue. 3 Part of the earnings on the endowment fund totalling $34,324 was used in 2022 to pay the SSMF scholarships.</ExplanationTxt>
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        <ExplanationTxt>The Susan Skinner Memorial Fund SSMF has been established as an endowment fund to support through scholarship payments the training education and leadership development of women within the bleeding disorders community. Scholarship recipients aged 18 to 60 years from the United States and abroad demonstrate outstanding leadership to improve the care of women with bleeding disorders in their countries and the potential to become future leaders in the bleeding disorder community.</ExplanationTxt>
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        <PurposeOfGrantTxt>TRAINING AND EDUCATION PROGRAM</PurposeOfGrantTxt>
        <CashGrantAmt>517500</CashGrantAmt>
        <MannerOfCashDisbursementTxt>CHECK</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <PurposeOfGrantTxt>SOLIDARITY PROGRAM</PurposeOfGrantTxt>
        <CashGrantAmt>186400</CashGrantAmt>
        <MannerOfCashDisbursementTxt>CHECK</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>4569703</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>2941603</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>2681500</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Russia and Neighboring States</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>9318280</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>1145000</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Russia and Neighboring States</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>10408868</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>60841785</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>42739005</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>331500</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>231600</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>3754415</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>14328100</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>7839638</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>8018123</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>2288700</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>11629994</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>1902400</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>5068018</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>210000</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>6820685</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>33926804</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>1529410</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>264880</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>18905978</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>1169000</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>28144209</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>2552800</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>7639834</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Russia and Neighboring States</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>622380</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>309700</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>18707686</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>14873815</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>927960</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>361600</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>287500</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>7670500</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>1999325</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>103320</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>11116000</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>356320</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>3694048</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>680250</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>563000</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>1645160</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>470700</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Russia and Neighboring States</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>12291573</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>33319802</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>35636893</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>17500</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>9626195</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>2628180</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>3484568</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>11647245</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>370110</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>2799854</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>231900</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>4402427</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>19505003</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>5215875</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>22324962</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>3900513</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>455000</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>414375</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>40586349</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>4742424</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>1870980</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>3094000</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>9683933</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>371700</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>584100</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>204450</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>522000</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>68622953</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>17923351</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>3726757</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>3342427</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>HUMANITARIAN AID</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>633360</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLY</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>77</TotalOtherOrgCnt>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Scholarship</TypeOfAssistanceTxt>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <RecipientCnt>2</RecipientCnt>
        <NonCashAssistanceAmt>6612</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>Scholarship to attend World Congress</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Scholarship</TypeOfAssistanceTxt>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <RecipientCnt>1</RecipientCnt>
        <NonCashAssistanceAmt>3769</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>Scholarship to attend World Congress</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Scholarship</TypeOfAssistanceTxt>
        <RegionTxt>Europe Including Iceland and Greenland</RegionTxt>
        <RecipientCnt>2</RecipientCnt>
        <NonCashAssistanceAmt>4601</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>Scholarship to attend World Congress</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Scholarship</TypeOfAssistanceTxt>
        <RegionTxt>Russia and Neighboring States</RegionTxt>
        <RecipientCnt>1</RecipientCnt>
        <NonCashAssistanceAmt>4928</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>Scholarship to attend World Congress</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </ForeignIndividualsGrantsGrp>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Humanitarian aid is sent to Hospitals &amp; Registered Hemophilia Associations in the recipient countries. It is sent by international couriers DHL Fedex that require us to provide the contact name address and telephone where the shipment will be sent. Prior to sending we coordinate with the recipient and with the courier to ensure we have all necessary documents and authorizations. The international courier provides us with an airway bill with a tracking number. We require that the recipients send us an acknowledgement of receipt signed by the person that the shipment was addressed to or their representative. It specifies the product brand name manufacturer lot number quantity of the product and expiry date. In addition we ask the recipients to provide a detailed utilization report. Detailed reporting on usage of the monetary allocations to the WFH for Joint Programs per Collaboration Agreement between the WFH and WFH USA is being periodically presented to the Finance Committee and the Board of Directors of WFH USA. The SSMF scholarships covered expenses registration travel visa fees accommodation and meals to attend the WFH 2022 World Congress and Global NMO training in Montreal Canada. The expenses were authorized by the WFH staff.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="IRS990ScheduleI1" documentName="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Scholarship</GrantTypeTxt>
        <RecipientCnt>4</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>9995</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Scholarship to attend World Congress</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Grant</GrantTypeTxt>
        <RecipientCnt>4</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>5266</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Travel grant program</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Scholarship payments support the training education and leadership development of women within the bleeding disorders community. Scholarship recipients from the United States and abroad demonstrate outstanding leadership to improve the care of women with bleeding disorders in their countries and the potential to become future leaders in the bleeding disorder community. In 2022 four women from the United States benefited from this scholarship together with six international scholars. The scholarships covered expenses registration travel visa fees accommodation and meals to attend the WFH 2022 World Congress and Global NMO training in Montreal Canada. The expenses were authorized by the WFH staff. Travel grants are provided to medical professionals who are: i members of a federally recognized US hemophilia treatment center multidisciplinary care team ii current members of the nursing psychosocial dental laboratory sciences or musculoskeletal a physiotherapist WFH committees and iii commit to participate in the planning of the he WFH World Congress and or attend relevant Congress sessions and meetings. In 2022 the amount was used to cover grantees' expenses registration travel accommodation and meals to participate in the WFH 2022 World Congress in Montreal Canada. The expenses were authorized by the WFH staff.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleM documentId="IRS990ScheduleM1" documentName="IRS990ScheduleM">
      <BooksAndPublicationsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>9500</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </BooksAndPublicationsGrp>
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>7509</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>143279250</ContributionCnt>
        <NoncashContributionsRptF990Amt>353727175</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Reference Pricing Book</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Medication for Hemoph.</Desc>
        <ContributionCnt>2608260</ContributionCnt>
        <NoncashContributionsRptF990Amt>326044680</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Reference Pricing Book</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO1" documentName="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SOLIDARITY PROGRAM The WFH Solidarity Program allows the WFH to support the development of all its national member organizations and their efforts to improve access to diagnosis treatment and care. The Solidarity Fund also ensures that the WFH can respond quickly to its national member organizations' emerging needs or challenges and provide relief in times of crisis. In accordance with the Collaboration agreement between WFH USA and the WFH WFH USA periodically grants contributions received to support the WFH Solidarity programs to the WFH as needed to carry out the WFH's responsibilities with respect to the WFH Solidarity Program.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The World Federation of Hemophilia WFH a Canadian charity is the sole member of WFH USA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The World Federation of Hemophilia WFH has the power to elect all members of WFH USA's governing body. In addition the World Federation of Hemophilia has the sole power to amend the bylaws of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Once a year at the General Assembly the WFH as a sole voting member of WFH USA approves the election of WFH USA Board of Directors</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is prepared by the staff of WFH and in particular by its Head of Accounting &amp; Financial Planning who has 16 years of experience with WFH. The Form 990 is then sent to WFH's Finance &amp; Administration Director for review. After approval the Form 990 is then sent to the WFH USA's Finance Committee for their review and approval. Finally the Form 990 is reviewed by the Executive Director of WFH USA. Upon approval a copy of the form is also provided to all other members of the Board. Subsequently Form 990 is published on the WFH USA website for public inspection.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Officers and Directors have to sign a conflict of interest form every year at the first annual board meeting. This is a standing agenda item such that conflicts are updated if required at each board meeting. Disclosure of a conflict or potential conflict of interest enables the Board to request the abstention of a member from an area where conflict occurs or could occur.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The audited financial statements of WFH USA are posted on the organization's website along with the completed Form 990 and schedules.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>| Description:, Expense Amount:, Grants Amount:, Revenue Amount:| Susan Skinner Memorial Fund: An endowment fund which supports through scholarship payments support the training education and leadership development of women within the bleeding disorders community. Scholarship recipients aged 18 to 60 years from the United States and abroad demonstrate outstanding leadership to improve the care of women with bleeding disorders in their countries and the potential to become future leaders in the bleeding disorder community. The fund is managed with the goal of generating enough funds to distribute scholarships while maintaining its long-term viability., $41148, $34324, $36586| Solidarity Fund, $186400, $186400, $186400| Travel fund, $6766, $5266, $6766|</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>| Description:, Explanation:, Amount:| A large portion of the endowment fund Susan Skinner Memorial Fund is invested in publicly traded securities. Per the Memorandum of understanding of the SSMF the endowment fund is managed with the goal of generating enough funds to distribute scholarships while maintaining the long-term viability of the SSMF. Therefore the investment earnings are deferred for future years to be used for the fund's needs. The investment earnings are presented as deferred investment income on the Balance Sheet. The $144,498 represents the 2022 portion of the investment losses that have been deferred, Deferred investment earnings from the endowment fund, $144498|</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>World Federation of Hemophilia</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>1425 Rene Levesque West suit 1200</AddressLine1Txt>
          <CityNm>Montreal</CityNm>
          <ProvinceOrStateNm>QC</ProvinceOrStateNm>
          <CountryCd>CA</CountryCd>
          <ForeignPostalCd>H3G1T7</ForeignPostalCd>
        </ForeignAddress>
        <EIN>108222050</EIN>
        <PrimaryActivitiesTxt>Improves and sustains care for people with inherited bleeding disorders around the world</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CA</LegalDomicileForeignCountryCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Charity Status 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>N A</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>World Federation of Hemophilia</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>206379</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Per Services agreement with the WFH the WFH performs various services for WFH USA. As full consideration for the WFH's performance of the services WFH USA reimburses the WFH for the costs without any markup incurred and paid by the WFH in providing the services to WFH USA. In 2022 the total reimbursements relating to employee salaries amounted to $206,379</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>World Federation of Hemophilia</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>92025</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>In 2022 the National Director of WFH USA was also holding a position of Director Strategic &amp; Community Partnerships within the WFH and the Executive Director Secretary of WFH USA is also a CEO of the WFH. They both are paid by the WFH. Employees' time dedicated to WFH USA is determined based on timesheets and the dollar equivalent is being compensated by WFH USA to the WFH. The compensated amount was $92,025 in 2022 included in line 1m</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>World Federation of Hemophilia</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>67912</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>The WFH incurred certain expenses on behalf of WFH USA throughout the year. These expenses totaling to $67,912 were recorded in the accounting books and reimbursed to the WFH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>World Federation of Hemophilia</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>4370031</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>WFH USA has signed a Collaboration agreement with the WFH which defines joint and coordinated activities the "Joint Programs" to support their common charitable goal. The Joint Programs currently include the WFH Humanitarian Aid Program the WFH Research Program the WFH Training and Education Program and the WFH Solidarity Fund program. As per the Collaboration Agreement donors may designate contributions to WFH USA solely to be used to financially support the WFH Joint Programs. These donation less reasonable costs of administration and management incurred by WFH USA are periodically allocated to the WFH as needed to carry out the WFH's responsibilities with respect to the Joint Programs. In 2022 the total amount of contributions for the Joint Programs received by WFH USA was $4,531,728 of which $4,370,031 was allocated to the WFH.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>World Federation of Hemophilia</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>40764</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>The WFH received monetary donation on behalf of WFH USA throughout the year. These donations totaling to $40,764 were transferred from the WFH to WFH USA</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>