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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHERINE LUZURIAGA</PersonNm>
        <TitleTxt>DIRECTOR (THRU 12/2022)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN MASTERSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>W GYUDE MOORE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BERNARD NAHLEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLYE OBIORA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MUHAMMAD PATE</PersonNm>
        <TitleTxt>DIRECTOR (THRU 08/2022)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIAN WENTWORTH</PersonNm>
        <TitleTxt>CEO/PRESIDENT</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL ZIMMERMAN</PersonNm>
        <TitleTxt>VP/GENERAL COUNSEL/SECRETARY</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GORDON KIHUGURU</PersonNm>
        <TitleTxt>VICE PRESIDENT/CFO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>COLLEEN MCGUFFIN</PersonNm>
        <TitleTxt>CHIEF PEOPLE AND CULTURE OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN MORGAN</PersonNm>
        <TitleTxt>FINANCE DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALI RAJPOOT</PersonNm>
        <TitleTxt>FINANCE DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANCIS ABOAGYE-NYAME</PersonNm>
        <TitleTxt>PORTFOLIO DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID HUMPHRIES</PersonNm>
        <TitleTxt>CHIEF COMM. &amp; EXT. AFFAIRS OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANA SANDSTROM</PersonNm>
        <TitleTxt>VP/STRATEGY, BUS. DEV. &amp; PARTNERSHIPS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HENRY HAPPY NGABO</PersonNm>
        <TitleTxt>REGIONAL FINANCE DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW GEMEDA</PersonNm>
        <TitleTxt>ASSOCIATE VP - INTERNAL AUDIT</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ADESUWA ADETOSOYE</PersonNm>
        <TitleTxt>VP/GLOBAL HEALTH PROGRAM DELIVERY</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NORIO KASAHARA</PersonNm>
        <TitleTxt>CHIEF OF PARTY/AFIAT</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANTOINE NDIAYE</PersonNm>
        <TitleTxt>PROJECT DIRECTOR II</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CEDRIC YAMBABARIYE</PersonNm>
        <TitleTxt>M&amp;E DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JACOB HUGHES</PersonNm>
        <TitleTxt>SENIOR TECHNICAL DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FLORIDE NIYUHIRE</PersonNm>
        <TitleTxt>PORTFOLIO DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SEYDOU DOUMBIA</PersonNm>
        <TitleTxt>SENIOR TECHNICAL MANAGER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RUDOLPH THETARD</PersonNm>
        <TitleTxt>GLOBAL TECHNICAL LEADER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN ALVAREZ</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN DAMIAN YANULIS</PersonNm>
        <TitleTxt>PORTFOLIO DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER WELCH</PersonNm>
        <TitleTxt>PORTFOLIO DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE ARMAND XUEREF</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL KRESS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GORDON COMSTOCK</PersonNm>
        <TitleTxt>VP PDG</TitleTxt>
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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>S &amp; S OPEN DEVELOPMENT LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>400 G STREET NE</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20002</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THINKWELL LLC</BusinessNameLine1Txt>
          </BusinessName>
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          <USAddress>
            <AddressLine1Txt>1519 YORK ROAD</AddressLine1Txt>
            <CityNm>LUTHERVILLE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21093</ZIPCd>
          </USAddress>
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        <ServicesDesc>EDUCATIONAL SOFTWARE SOLUTIONS</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PHARMACEUTICAL SYSTEMS AFRICA</BusinessNameLine1Txt>
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            <AddressLine1Txt>21177 BOSTON TERRACE 103</AddressLine1Txt>
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            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>20166</ZIPCd>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>BW HOSPITALITY DBA PARK HYATT WASHINGTON</BusinessNameLine1Txt>
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            <AddressLine1Txt>1201 24TH STREET NW</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20037</ZIPCd>
          </USAddress>
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        <CompensationAmt>298112</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STERLING COMPUTERS CORPORATION</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>303 CENTENNIAL DRIVE</AddressLine1Txt>
            <CityNm>NORTH SIOUX</CityNm>
            <StateAbbreviationCd>SD</StateAbbreviationCd>
            <ZIPCd>57049</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>12</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>149798771</GovernmentGrantsAmt>
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        <TotalRevenueColumnAmt>694947</TotalRevenueColumnAmt>
        <ExclusionAmt>694947</ExclusionAmt>
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        <TypeOfActivitiesConductedTxt>GRANTMAKING</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>482315</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA &amp; BARBUDA, ARUBA, BAHAMAS,</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>GRANTMAKING</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>733696</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS,</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>GRANTMAKING</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>576615</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO,</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>INVESTMENTS</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>2677183</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>36</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>1608</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>36</TotalOfficeCnt>
      <TotalEmployeeCnt>1608</TotalEmployeeCnt>
      <SubtotalSpentAmt>121255961</SubtotalSpentAmt>
      <ContinuationSpentAmt>4469809</ContinuationSpentAmt>
      <TotalSpentAmt>125725770</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>204701</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>20313</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>53725</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>20813</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>42852</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>37197</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>19056</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>21993</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>42983</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>18682</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>22087</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>36973</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>58386</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>118852</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>107103</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>209287</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ETHIOPIAN BIRR</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>7760</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ETHIOPIAN BIRR</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>7882</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ETHIOPIAN BIRR</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>220077</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>329095</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ETHIOPIAN BIRR</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>10064</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>282675</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>7821</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>50830</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>110058</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>17629</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>254619</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>600083</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>43151</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>525893</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>54032</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>15819</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>270926</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>29927</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>14747</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>34676</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>100651</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>52185</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>31484</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>24798</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>19240</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>80329</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>67153</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SEE PART V</PurposeOfGrantTxt>
        <CashGrantAmt>8829</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ELECTRONIC FUND/WIRE TRANSFER</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>35</Total501c3OrgCnt>
      <TotalOtherOrgCnt>9</TotalOtherOrgCnt>
      <ForeignIndividualsGrantsGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <RecipientCnt>2029</RecipientCnt>
        <CashGrantAmt>45569</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>3575</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>TRAINING</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <RecipientCnt>2141</RecipientCnt>
        <CashGrantAmt>93775</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>10907</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>TRAINING</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <RegionTxt>MIDDLE EAST AND NORTH AFRICA</RegionTxt>
        <RecipientCnt>3699</RecipientCnt>
        <CashGrantAmt>105668</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>23281</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>TRAINING</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <RegionTxt>RUSSIA AND NEIGHBORING STATES</RegionTxt>
        <RecipientCnt>857</RecipientCnt>
        <CashGrantAmt>5448650</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>4577</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>TRAINING</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <RecipientCnt>10325</RecipientCnt>
        <CashGrantAmt>1084654</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>270150</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>TRAINING</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <RecipientCnt>43134</RecipientCnt>
        <CashGrantAmt>14330711</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>3167837</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>TRAINING</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
      </ForeignIndividualsGrantsGrp>
      <TransferToForeignCorpInd>1</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>1</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS WELL-TRAINED LOCAL AND INTERNATIONAL GRANT OFFICERS, TECHNICAL OFFICERS AND TECHNICAL STAFF WHO ARE REQUIRED TO MONITOR THE USE OF GRANT FUNDS OUTSIDE THE UNITED STATES. THIS PROCESS IS REVIEWED REGULARLY UNDER THE ORGANIZATION'S INTERNAL AUDIT FUNCTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIFIC TYPES OF PROGRAM SERVICES PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES. AMOUNTS ARE REPORTED ON THE ACCRUAL BASIS OF ACCOUNTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III ACCOUNTING METHOD:</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II:</FormAndLineReferenceDesc>
        <ExplanationTxt>COLUMN (D) ITEM 1: EXPENSES ITEM 2: 1ST PAYMENT ITEM 3: EXPENSES ITEM 4: 1ST PAYMENT ITEM 5: EXPENSES ITEM 6: 1ST PAYMENT ITEM 7: 1ST PAYMENT ITEM 8: 1ST PAYMENT ITEM 9: 1ST PAYMENT - HERAT ITEM 10: 1ST PAYMENT ITEM 11: ASSOCIATION POUR L'EDUCATION, LA SEXUALITE ET LA SANTE EN AFRIQUE (APESSA) ITEM 12: CENTRE DE RFLEXIONS ET D'ACTIONS POUR LE DVELOPPEMENT INTGR ET LA SOLIDARIT ITEM 13: CENTRE DE RECHERCHE EN REPRODUCTION HUMAINE ET EN DEMOGRAPHIE ITEM 14: ORGANISATION POUR LE DEVELOPPEMENT DURABLE, LE RENFORCEMENT ET L'AUTO PROMOTION DES STRUCTURES COMMUNAUTAIRES ITEM 15: ASSIST IMPLEMENTATION OF NATIONAL TOBACCO CONTROL POLICIES IN ACCORDANCE WITH THE WORLD HEALTH ORGANIZATION (WHO) ITEM 16: COMMUNITY TB CARE ITEM 17: COMMUNITY TB CARE/LABORATORY CAPACITY BUILDING ITEM 18: COMMUNITY TB CARE/MDR TB CAPACITY BUILDING ITEM 19: COMMUNITY TB CARE ITEM 20: COMMUNITY TB CARE ITEM 21: SUPPORT STRENGTHENING POLICIES AND PROTOCOLS FOR IMPROVING THE QUALITY OF CULTURALLY RESPONSIVE ANTENATAL AT THE NATIONAL LEVEL IN GUATEMALA AND IN QUETZALTENANGO AND SAN MARCOS ITEM 22: REPORT OF THE FIRST WORKSHOP WITH FACILITATORS FROM NEW DISTRICTS IN THE DEPARTMENT OF SAN MARCOS. ITEM 23: SUPPORT STRENGTHENING POLICIES AND PROTOCOLS FOR IMPROVING THE QUALITY OF ANTENATAL IN QUETZALTENANGO AND SAN MARCOS ITEM 24: STRENGTHENING POLICIES AND PROTOCOLS ITEM 25: FACILITY-BASED STRATEGIES TO INCREASE INDIGENOUS WOMEN ITEM 26: SUPPORT PRE SERVICE DEVELOPEMENT FOR MEDICAL STUDENTS AND BUILD THEIR CAPACITY AS COMPASSIONATE HEALTH CARE PROVIDERS IN THE FIELD. ITEM 27: FONDATION SEROVIE IS THE LOCAL PARTNER OF THE RISE HAITI PROJECT IMPLEMENTING THE PROJECT'S INTERVENTIONS WITHIN THE 5 DEPARTMENTS OF HAITI COVERED BY THE PROJECT'S SCOPE OF WORK ITEM 28: SUPPORT COMMUNITY MOBILIZATION ACTIVITIES AND SUPPORT HEALTH CENTER COMMUNITY HEALTH COACHING. ITEM 29: IMPROVEMENT OF QUALITY OF CARE FOCUS ON THE HEALTH OF MOTHER AND NEW BORN (IMCI-CLINICAL, FP- ESPECIALLY POSTPARTUM FP) ITEM 30: SUPPORT COMMUNITY MOBIIZATION ACTIVITIES SUPPORT HEALT ENTER COMMUNITY HEALTH COACHING ITEM 31: CONSTRUCTION OF WASH INFRASTRUCTURE ITEM 32: HEALTH TECHNOLOGY ITEM 33: PROVIDE MOBILE CLINIC OUTREACH SERVICES IN SUPPORT OF THE ACCESS ACTIVITY IN MADAGASCAR ITEM 34: ADVOCACY AROUND DOMESTIC RESOURCE MOBILIZATION, TARGETING STATE AND LOCAL GOVERNMENTS IN FOCAL STATES ITEM 35: MONITOR AND MENTOR HEALTH FACILITIES ON MALARIA CASE MANAGEMENT, DATA MANAGEMENT, AND MALARIA IN PREGNANCY ITEM 36: BUILD THE CAPACITY OF PRIVATE SECTOR HEALTH FACILITY TO DELIVER AND REPORT MALARIA CASE MANAGEMENT ITEM 37: TOPAFA ITEM 38: COST REIMBURSEMENT FOR JULY-DEC 2022 FY22 INVOICES ITEM 39: COST REIMBURSEMENT FOR JULY-DEC 2022 FY22 INVOICES ITEM 40: COVID 19 RESPONSE, MILESTONE 3, GRANT NO. 0649-SGM-2021-PHAU ITEM 41: DELIVERABLE 1 FOR THE FIXED CONTRACT NO. A0629-SSCS-2022-FP-SIGNALYTIC ITEM 42: COST REIMBURSEMENTS FROM JAN-JUNE 2023 ITEM 43: COST REIMBURSEMENTS FROM JAN-JUNE 2023 ITEM 44: AMS-NEWS LETTER PUBLICATIONS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>POPULATION SERVICES INTERNATIONAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1120 19TH STREET NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20036</ZIPCd>
        </USAddress>
        <RecipientEIN>560942853</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1068830</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>MOBILE CLIENT OUTREACH SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CATHOLIC RELIEF SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>228 W LEXINGTON STREET</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
        </USAddress>
        <RecipientEIN>135563422</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1250315</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>WASH INFRASTRUCTURE AND TECHNICAL ADVICE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OVERSEAS STRATEGIC CONSULTING</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1500 WALNUT STREET SUITE 1300</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19102</ZIPCd>
        </USAddress>
        <RecipientEIN>232720769</RecipientEIN>
        <IRCSectionDesc>FOR PROFIT</IRCSectionDesc>
        <CashGrantAmt>46949</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE FOR HEALTHY PRACTICES AND SBCC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DIMAGI INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>585 MASSACHUSETTS AVE</AddressLine1Txt>
          <CityNm>CAMBRIDGE</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02139</ZIPCd>
        </USAddress>
        <RecipientEIN>830343298</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>275933</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JHPIEGO (JOHN HOPKINS UNIVERSITY)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3910 KESWICK ROAD</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21211</ZIPCd>
        </USAddress>
        <RecipientEIN>520595110</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>787737</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DESIGN, PLAN AND IMPLEMENT FOR SBC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN COLLEGE OF NURSE MIDWIVES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8403 COLESVILLE ROAD</AddressLine1Txt>
          <CityNm>SILVER SPRING</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20910</ZIPCd>
        </USAddress>
        <RecipientEIN>741685515</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>280300</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE FOR CLINICAL TRAINING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN ACADEMY OF PEDIATRICS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>345 PARK BLVD</AddressLine1Txt>
          <CityNm>ITASCA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60143</ZIPCd>
        </USAddress>
        <RecipientEIN>362275597</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>257945</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE FOR CLINICAL TRAINING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UMASS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>333 SOUTH STREET STE 450</AddressLine1Txt>
          <CityNm>SHREWSBURY</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01545</ZIPCd>
        </USAddress>
        <RecipientEIN>043167352</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>30013</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ACCESS HEALTH INTERNATIONAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1016 FIFTH AVENUE SUITE 11A/C</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10028</ZIPCd>
        </USAddress>
        <RecipientEIN>263709070</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>93518</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE IN PHC COSTING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BRAC USA INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>110 WILLIAM STREET 18TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10038</ZIPCd>
        </USAddress>
        <RecipientEIN>208456741</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>210713</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE IN MNCH AND FP SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE POPULATION COUNCIL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ONE DAG HAMMARSKJOLD PLAZA 3RD FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <RecipientEIN>131687001</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>154147</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE IN MNCH</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>9</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MSH HAS A POLICY IN PLACE DESCRIBING HOW GRANTS ARE MONITORED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>219888</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHLEEN ALVAREZ</PersonNm>
        <TitleTxt>TALENT ACQUISITION SR. DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>174660</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>927</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8671</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30233</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>214491</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHANIE ARMAND XUEREF</PersonNm>
        <TitleTxt>PORTFOLIO DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>186134</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4435</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>190569</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GORDON COMSTOCK</PersonNm>
        <TitleTxt>VP PDG</TitleTxt>
        <BaseCompensationFilingOrgAmt>154163</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6107</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9437</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16235</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>185942</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1A:</FormAndLineReferenceDesc>
        <ExplanationTxt>PAYMENTS FOR HOUSING ALLOWANCES ARE ONLY MADE TO MSH STAFF ON INTERNATIONAL ASSIGNMENT IN ACCORDANCE WITH THE DEPARTMENT OF STATE STANDARDIZED REGULATIONS (DSSR) AS DEFINED IN THE EMPLOYEE'S TERMS OF ASSIGNMENT MSH REQUIRES QUALITY DOCUMENTATION / RECEIPTS FOR REIMBURSEMENT OF ALL EXPENSES. MSH COVERS TRAVEL FOR AN ELIGIBLE SPOUSE, DEPENDENT(S) AND ELIGIBLE STAFF ON INTERNATIONAL ASSIGNMENT IN ACCORDANCE WITH USAID OPERATIONAL POLICIES (ADS) UNDER THE REST AND RECUPERATION(R&amp;R) TRAVEL PROGRAM AS DEFINED IN THE EMPLOYEE'S TERMS OF ASSIGNMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSE OF THE MSH LEADERSHIP INCENTIVE PLAN (THE "PLAN") IS TO PROVIDE DISCRETIONARY INCENTIVE COMPENSATION FOR ELIGIBLE EXECUTIVES AND KEY EMPLOYEES OF MANAGEMENT SCIENCES FOR HEALTH (MSH). THE PLAN IS DESIGNED TO ALIGN A PORTION OF SENIOR LEADERSHIP COMPENSATION WITH THE ACHIEVEMENT OF PERFORMANCE GOALS THAT SUPPORT MSH'S MISSION AND STRATEGIC OBJECTIVES. THE PLAN RECOGNIZES THESE KEY CONTRIBUTIONS, BUT ALSO SERVES TO ATTRACT AND RETAIN KEY STAFF WHILE FOCUSING THEIR ATTENTION AND EFFORTS ON THE AREAS THAT ARE MOST CRITICAL TO ACHIEVING MSH'S MISSION. THE PERFORMANCE GOALS ARE DEVELOPED IN CONJUNCTION WITH THE CEO AND ASSESSED BY THE CEO, OR THE MANAGEMENT DEVELOPMENT AND COMPENSATION COMMITTEE (MDCC) FOR THE CEO. THE INCENTIVE COMPENSATION CALCULATIONS ARE BASED ON THE LEVEL OF ATTAINMENT OF THE PERFORMANCE GOALS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT SCIENCES FOR HEALTH (MSH) WORKS SHOULDER-TO-SHOULDER WITH COUNTRIES AND COMMUNITIES TO SAVE LIVES AND IMPROVE THE HEALTH OF THE WORLD'S POOREST AND MOST VULNERABLE PEOPLE BY BUILDING STRONG, RESILIENT, SUSTAINABLE HEALTH SYSTEMS. TOGETHER, WE SEEK TO ACHIEVE UNIVERSAL HEALTH COVERAGE - EQUITABLE, AFFORDABLE ACCESS TO HIGH-QUALITY HEALTH SERVICES FOR ALL WHO NEED THEM - EVEN IN FRAGILE, POST-CRISIS SETTINGS. FOR OVER 50 YEARS IN 150 COUNTRIES, MSH HAS PARTNERED WITH GOVERNMENTS, CIVIL SOCIETY, THE PRIVATE SECTOR, AND THOUSANDS OF HEALTH WORKERS ON LOCALLY LED SOLUTIONS THAT EXPAND ACCESS TO MEDICINES AND SERVICES, IMPROVE QUALITY OF CARE, HELP PREVENT AND CONTROL EPIDEMICS, SUPPORT INSPIRING LEADERSHIP AND TRANSPARENT GOVERNANCE, AND FOSTER INFORMED, EMPOWERED, AND HEALTHIER COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>STRENGTHENING HEALTH SYSTEMS TO SUPPORT UNIVERSAL HEALTH COVERAGE: PROVIDING QUALITY HEALTH CARE TO SOMEONE WHO NEEDS IT, WHEN AND WHERE THEY NEED IT, REQUIRES A COMPLEX WEB OF ORGANIZATIONS, INDIVIDUALS, PROCESSES AND ACTIONS THAT, TOGETHER, MAKE UP A HEALTH SYSTEM. UNFORTUNATELY, MANY NATIONAL HEALTH SYSTEMS DON'T WORK WELL ENOUGH FOR COUNTRIES TO ACHIEVE UNIVERSAL HEALTH COVERAGE (UHC): EFFECTIVE, EQUITABLE, AFORDABLE ACCESS TO HIGH-QUALITY ESSENTIAL HEALTH SERVICES TO EVERYONE WHO NEEDS THEM. MSH STRENGTHENS HEALTH SYSTEMS TO SUSTAINABLY AND EQUITABLY INCREASE COVERAGE OF HIGH-QUALITY, RESPONSIVE, PEOPLE-CENTERED HEALTH SERVICES WHILE PROTECTING PATIENTS, FAMILIES, COMMUNITIES, AND SOCIETIES FROM FINANCIAL HARDSHIP. APPLYING AN INTEGRATED SYSTEMS-THINKING APPROACH TO A WIDE VARIETY OF CONTEXTS - INCLUDING COUNTRIES WHERE GOVERNMENTS STRUGGLE TO DELIVER BASIC SERVICES - WHILE EVOLVING FROM CONFLICT AND FRAGILITY TO SUSTAINABILITY. MSH WORKS SIDE-BY-SIDE WITH COUNTRY STAKEHOLDERS ACROSS THE PUBLIC AND PRIVATE SECTORS TO STRENGTHEN INSTITUTIONAL GOVERNANCE, FINANCING LEADERSHIP AND ACCOUNTABILITY, SO THAT HEALTH SYSTEMS CAN EFFECTIVELY TRANSITION FROM DONOR ASSISTANCE TOWARD NATIONAL SUSTAINABILITY AND INDEPENDENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>INFECTIOUS DISEASES: OUR PROGRAMS BUILD CAPACITY AT ALL LEVELS OF A HEALTH SYSTEM: FROM HOSPITAL STAFF KNOWING HOW TO PREVENT AN INFECTION, VILLAGE SENTINELS REPORTING A SUSPICIOUS DISEASE OUTBREAK, PHARMACISTS KEEPING PRODUCTS AVAILABLE, TO STRENGTHENING DISEASE SURVEILLANCE SYSTEMS, REINFORCE STRONG NATIONAL PUBLIC HEALTH SYSTEMS AND WORKFORCES, AND INTRODUCE AND SCALE NEW TOOLS TO PREVENT AND CONTROL INFECTIOUS DISEASES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4C</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCESS TO MEDICINES AND HEALTH TECHNOLOGIES: STRONG HEALTH SYSTEMS ENSURE THAT ALL COMMUNITIES AND INDIVIDUALS HAVE THE RIGHT MEDICINE, AT THE RIGHT DOSE, AT THE RIGHT TIME, AT AN AFFORDABLE COST. ACCESS TO QUALITY MEDICINES CAN IMPROVE AND SAVE LIVES. EQUALLY IMPORTANT IS THE KNOWLEDGE OF HOW TO PROPERLY USE THESE MEDICINES. MSH'S ACCESS TO MEDICINES PROGRAM BRINGS EXPERTISE AND PROVEN SOLUTIONS TO PUBLIC OFFICIALS, COMMUNITY LEADERS, AND INDIVIDUALS. WE DEVELOP STATE-OF-THE-ART TRAINING PROGRAMS AND TOOLS AND TRAIN PHARMACISTS IN SOME OF THE MOST VULNERABLE COUNTRIES IN THE WORLD TO ENABLE THEM TO RELY ON A STEADY SUPPLY OF SAFE, QUALITY MEDICINES AND TRAIN THEM HOW TO DISPENSE THEM PROPERLY. WE WORK TO EXPAND THE UNDERSTANDING OF WHAT IS REQUIRED TO DESIGN AND IMPLEMENT SUSTAINABLE MEDICINES BENEFIT PACKAGES AS A COMPONENT OF UNIVERSAL HEALTH COVERAGE - THROUGH PUBLIC AND PRIVATE HEALTH INSURANCE IN LOW-INCOME COUNTRIES. MSH'S PROGRAM ALSO SHARES GLOBAL PHARMACEUTICAL DATA ANALYTICS, ENSURES QUALITY OF MEDICINES, DEVELOPS PHARMACEUTICAL SOFTWARE, AND INNOVATES AND APPLIES PROVEN HEALTH TECHNOLOGIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS. THE FORM 990 IS FILED AFTER REVIEW BY MEMBERS OF THE BOARD AUDIT COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES ALL EMPLOYEES TO SIGN ITS CODE OF BUSINESS ETHICS AND CONDUCT (WHICH INCLUDES ITS CONFLICT OF INTEREST POLICY) EACH YEAR TO ACKNOWLEDGE COMPLIANCE. EMPLOYEES ARE OBLIGED TO REPORT ILLEGAL OR UNETHICAL BEHAVIOR TO THE ORGANIZATION AND WHISTLEBLOWERS ARE PROTECTED. THE ORGANIZATION'S RIGOROUS INTERNAL AUDIT PROCESS INCLUDED MONITORING OF COMPLIANCE. IN ADDITION, EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS IS REQUIRED TO SUBMIT ANNUAL FINANCIAL DISCLOSURE DOCUMENTS WHICH ARE REVIEWED BY THE GENERAL COUNSEL TO PREVENT, DETECT AND REMEDY ANY CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MSH BOARD OF DIRECTORS (BOD) ANNUALLY REVIEWS AND APPROVES COMPENSATION FOR THE CEO, CFO AND VICE PRESIDENTS OF EACH GROUP/OFFICE CONSISTENT WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY, THE MANAGEMENT, DEVELOPMENT AND COMPENSATION COMMITTEE (MDCC) OF THE BOD REVIEWS THE PERFORMANCE EVALUATIONS AND A COMPETITIVE COMPENSATION ANALYSIS BASED ON INDEPENDENT THIRD-PARTY MARKET DATA AND THE 990S OF PEER ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 IS AVAILABLE ON THE ORGANIZATION'S WEBSITE AND UPON REQUEST IT IS ALSO SHARED DURING MEETINGS WITH POTENTIAL DONORS AND VIA MAILING IN RESPONSE TO DONOR REQUESTS OR INTERESTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE FROM THE SECRETARY OF THE COMMONWEALTH OF MASSACHUSETTS. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS SET OUT ON THE ORGANIZATION'S INTRANET SITE BUT IS NOT CURRENTLY AVAILABLE TO THE PUBLIC. A SUMMARY OF THE FINANCIAL STATEMENTS IS MADE AVAILABLE IN THE ORGANIZATION'S ANNUAL REPORT. THE 990 IS AVAILABLE ON THE ORGANIZATION'S WEBSITE, MSH.ORG.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A:</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER A REVIEW OF JOB RESPONSIBILITIES, SOME INDIVIDUALS NO LONGER MEET THE KEY EMPLOYEE CLASSIFICATION BUT STILL REMAIN WITH THE ORGANIZATION IN THE ROLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>BALANCE SHEET REVALUATION -2,784,064.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE HAVE BEEN NO CHANGES DURING THE YEAR IN THE PROCESS FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS.</ExplanationTxt>
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          <AddressLine1Txt>PLOT 5647565 INDEPENDENCE AVE</AddressLine1Txt>
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          <CountryCd>NI</CountryCd>
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        <EIN>999999999</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
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          <CountryCd>OC</CountryCd>
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        <EIN>999999999</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>OC</LegalDomicileForeignCountryCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <ZIPCd>02155</ZIPCd>
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        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <AddressLine1Txt>RIVAAN CTR MUGUGA BROOKSIDE DR</AddressLine1Txt>
          <CityNm>NAIROBI</CityNm>
          <CountryCd>KE</CountryCd>
          <ForeignPostalCd>00800</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>KE</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MSH</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>MSH INDIA HEALTH MANAGEMENT PRIVATE LTD</BusinessNameLine1Txt>
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          <AddressLine1Txt>9A 3RD FLOOR CONNAUGHT PLACE</AddressLine1Txt>
          <CityNm>NEW DELHI</CityNm>
          <CountryCd>IN</CountryCd>
          <ForeignPostalCd>110001</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>IN</LegalDomicileForeignCountryCd>
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          <BusinessNameLine1Txt>MSH</BusinessNameLine1Txt>
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      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
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      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
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      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
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      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>MEDSOURCE GROUP LIMITED</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>64051</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FY23 RESERVE</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MEDSOURCE GROUP LIMITED</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>73491</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>EXP INCURRED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MEDSOURCE GROUP LIMITED</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>1091544</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>NOTES/NOTES REC</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>MEDSOURCE GROUP LIMITED</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>2277873</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FY23 RESERVE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MEDSOURCE GROUP LIMITED</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>2277873</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FY23 RESERVE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART II:</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 1 - MANAGEMENT SCIENCES FOR HEALTH LTD/GTE COMPLETE ADDRESS: 2ND FLOOR, BLOCK B, A.U.J. COMPLEX, PLOT 564/565 INDEPENDENCE AVENUE, CBD ABUJA, NI. PRIMARY ACTIVITY: PROMOTION OF ADEQUATE HEALTHCARE AND PUBLIC HEALTH INTERVENTIONS. LINE 2 - MANAGEMENT SCIENCES FOR HEALTH-SWAZILAND COMPLETE ADDRESS: SUITE 110 THE NEW MALL, DR. SISHAYI ROAD, MBABANE, WZ. PRIMARY ACTIVITY: PROMOTION OF ADEQUATE HEALTHCARE AND PUBLIC HEALTH INTERVENTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R PART IV:</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 2 - MEDSOURCE GROUP LIMITED PRIMARY ACTIVITY: GROUP PURCHASING ORGANIZATION TO IMPROVE ACCESS TO PHARMACEUTICALS. LINE 3 - MSH INDIA HEALTH MANAGEMENT PRIVATE LTD. PRIMARY ACTIVITY: MSH INDIA HEALTH MANAGEMENT PRIVATE LIMITED (MSH INDIA) IS A WHOLLY-OWNED, FOR-PROFIT SUBSIDIARY OF MSH INC. ITS MEMORANDUM OF ASSOCIATION ALLOWS IT TO PARTICIPATE IN A WIDE RANGE OF HEALTH-RELATED ACTIVITIES. IT WAS ESTABLISHED IN 2023 TO ENABLE MSH INC. TO CONDUCT ACTIVITIES IN INDIA UNDER THE HEALTH SYSTEMS FOR TUBERCULOSIS (HS4TB) CONTRACT WITH USAID. THE LOCAL REGISTRATION WAS OBTAINED IN ORDER TO COMPLY WITH INDIAS LAWS AND REGULATIONS. CURRENTLY, MSH INC. SUBCONTRACTS WORK UNDER THE HS4TB AWARD TO MSH INDIA WHO THEN CONDUCTS HS4TB ACTIVITIES IN INDIA AND INVOICES MSH INC. FOR ITS EXPENSES PLUS A SMALL MARKUP. THOSE ACTIVITIES ARE PRIMARILY WORKING WITH INDIAN CENTRAL AND STATE GOVERNMENT TB AUTHORITIES TO IMPROVE HOW THE LATTER PROCURE AND PAY PRIVATE SECTOR CONTRACTORS FOR TB-RELATED DIAGNOSTIC, TREATMENT AND PUBLIC HEALTH ACTIVITIES SUCH AS ACTIVE CASE FINDING AND CONTACT TRACING. THE HS4TB CONTRACT CURRENTLY HAS AN END DATE OF JUNE 2025 THOUGH THERE IS A POSSIBILITY OF AN EXTENSION. IF THE AWARD IS NOT EXTENDED, MSH INDIA WILL LIKELY COMPETE FOR OTHER AWARDS IN THE HEALTH AND DEVELOPMENT SECTOR IN INDIA.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
