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        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>sending agents of the organization to attend and speak at seminars and conferences</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>N/A</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>177925</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>sending agents of the organization to attend and speak at seminars and conferences</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>N/A</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>16351</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>sending agents of the organization to attend and speak at seminars and conferences</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>N/A</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>5276</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>sending agents of the organization to attend and speak at seminars and conferences</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>N/A</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>91834</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>1</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking-subcontracts</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>N/A</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>256586</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking-subcontracts</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>N/A</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>238885</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>1</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking-subcontracts</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>N/A</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>2567461</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America (Canada &amp; Mexico only)</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking-subcontracts</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>N/A</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>488881</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>5</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking-subcontracts</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>N/A</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>1433710</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>6</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking-subcontracts</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>N/A</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>7386040</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking-subcontracts</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>N/A</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>156298</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education and Health-Care</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>30673</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education and Research</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>54067</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education and Research</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>303143</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>11218</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America (Canada &amp; Mexico only)</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education and Research</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>43717</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education and Research</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>81814</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education and Health-Care</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>5897</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>11</OfficesCnt>
        <EmployeeCnt>2317</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Education, Health-Care, Research</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>36133282</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>13</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>11</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>2317</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>11</TotalOfficeCnt>
      <TotalEmployeeCnt>2330</TotalEmployeeCnt>
      <SubtotalSpentAmt>13633791</SubtotalSpentAmt>
      <ContinuationSpentAmt>36633138</ContinuationSpentAmt>
      <TotalSpentAmt>50266929</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>11186</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>11863</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>1362651</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>18951</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>79220</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>131500</CashGrantAmt>
        <MannerOfCashDisbursementTxt>EFT</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>76507</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>158661</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Check</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>641969</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>408489</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>196746</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>36484</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>94650</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>158313</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>123094</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Check</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>132852</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>North America (Canada &amp; Mexico only)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>18871</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>19809</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>8699</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>North America (Canada &amp; Mexico only)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>321282</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Check</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>North America (Canada &amp; Mexico only)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>29912</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>70664</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>36720</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>123734</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>43476</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>North America (Canada &amp; Mexico only)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>83273</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>34429</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>86807</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>69670</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>1981119</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>28902</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>59548</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>63939</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>31003</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Check</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>301443</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>24798</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>North America (Canada &amp; Mexico only)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>19814</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>126636</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>21136</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>132062</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>31838</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>50267</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>92822</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Check</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>48021</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>31979</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>82240</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>21506</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>63700</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>212465</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>59400</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>191933</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>North America (Canada &amp; Mexico only)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>15728</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
        <CashGrantAmt>128053</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>11832</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>11974</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>14701</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>9738</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>11174</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>7865</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>10875</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>56942</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>102252</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>17978</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>47454</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>145846</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>8810</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>69989</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>199851</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>280564</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>62851</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>90123</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>632111</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>76993</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>78927</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>200286</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>77141</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>107705</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>204853</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>6060</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>268728</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>6649</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>231557</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <CashGrantAmt>159649</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
        <DescriptionOfNonCashAsstTxt>N/A</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>General</PurposeOfGrantTxt>
        <MannerOfCashDisbursementTxt>N/A</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>898070</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>Medical Supplies &amp; Equipment</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>45</Total501c3OrgCnt>
      <TotalOtherOrgCnt>39</TotalOtherOrgCnt>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Vanderbilt University Medical Center maintains a formal policy defining its procedures for monitoring the use of sponsored funds by subrecipients located outside of the United States who are performing a portion of a sponsored project externally awarded to Vanderbilt University Medical Center. The policy provides guidance to ensure that subrecipients conduct their portions of sponsored projects in compliance with laws, regulations, terms and conditions of awards and subawards, and that reimbursed costs incurred by subrecipients are allowed. The policy addresses the roles and responsibilities of central offices and departments of the Medical Center and describes the monitoring procedures for each area. The full text of Vanderbilt University Medical Center's subrecipient monitoring guidelines are available online at the following web address: https://www.vumc.org/administrators-resource/policies-procedures (Please use lowercase to access the website)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA &amp; MEXICO ONLY)-Accrual; SOUTH AMERICA-Accrual; SOUTH ASIA-Accrual; SUB-SAHARAN AFRICA-Accrual</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part II, Line 1 Method used to account for expenditures on org's financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA &amp; MEXICO ONLY)-Accrual; SOUTH AMERICA-Accrual; SUB-SAHARAN AFRICA-Accrual</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="22016089" softwareVersionNum="2022v5.0">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SolicitationOfGovtGrantsInd>X</SolicitationOfGovtGrantsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>true</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>Marketeam LLC</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>1200 Abernathy Road NE Suite 1600</AddressLine1Txt>
          <CityNm>Atlanta</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30328</ZIPCd>
        </USAddress>
        <ActivityTxt>Consulting Services Related to Fundraising</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>3636141</GrossReceiptsAmt>
        <RetainedByContractorAmt>504664</RetainedByContractorAmt>
        <NetToOrganizationAmt>3131477</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>PG Calc Inc</BusinessNameLine1Txt>
        </OrganizationBusinessName>
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          <AddressLine1Txt>129 Mount Auburn St</AddressLine1Txt>
          <CityNm>Cambridge</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02138</ZIPCd>
        </USAddress>
        <ActivityTxt>Consulting Services Related to Fundraising</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
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        <RetainedByContractorAmt>20605</RetainedByContractorAmt>
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      <TotalGrossReceiptsAmt>6589453</TotalGrossReceiptsAmt>
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      <LicensedStatesCd>CT</LicensedStatesCd>
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      <LicensedStatesCd>TX</LicensedStatesCd>
      <LicensedStatesCd>UT</LicensedStatesCd>
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      <LicensedStatesCd>VA</LicensedStatesCd>
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      <LicensedStatesCd>WA</LicensedStatesCd>
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      <LicensedStatesCd>WY</LicensedStatesCd>
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        <Event2Nm>Ruby Gala</Event2Nm>
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        <FoodAndBeverageEvent2Amt>10066</FoodAndBeverageEvent2Amt>
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        <OtherEventsTotalCnt>12</OtherEventsTotalCnt>
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        <FoodAndBeverageOtherEventsAmt>17501</FoodAndBeverageOtherEventsAmt>
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        <CharitableContributionsTotAmt>1260433</CharitableContributionsTotAmt>
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        <FoodAndBeverageTotalEventsAmt>27567</FoodAndBeverageTotalEventsAmt>
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        <OthDirectExpnssTotalEventsAmt>400599</OthDirectExpnssTotalEventsAmt>
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      <GamingInformationGrp>
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        <OthDirectExpnssOtherGamingAmt>252832</OthDirectExpnssOtherGamingAmt>
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        <NonCashPrizesTotalGamingAmt>856443</NonCashPrizesTotalGamingAmt>
        <OthDirectExpnssTotalGamingAmt>252832</OthDirectExpnssTotalGamingAmt>
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      <StatesWhereGamingConductedCd>TN</StatesWhereGamingConductedCd>
      <LicensedInd>true</LicensedInd>
      <LicenseSuspendedEtcInd>false</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>true</GamingWithNonmembersInd>
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      <CntrctWith3rdPrtyForGameRevInd>false</CntrctWith3rdPrtyForGameRevInd>
      <GamingManagerBusinessName>
        <BusinessNameLine1Txt>Jenny Streams Development Director</BusinessNameLine1Txt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule G, Part I, Line 2b(v) LINE 2B COLUMN (V) AMOUNT PAID TO FUNDRAISER LISTED IN COLUMN (I)</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule G, Part I, Line 2b(v) LINE 2B COLUMN (V) AMOUNT PAID TO FUNDRAISER LISTED IN COLUMN (I)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TOTAL AMOUNT PAID TO PG Calc, Inc. WAS $20,605, WHICH INCLUDES planned giving strategic consulting and technical assistance fees. THE CONTRACT BETWEEN VANDERBILT UNIVERSITY MEDICAL CENTER AND PG Calc, Inc. CALLS FOR THE REIMBURSEMENT OF FUNDRAISING EXPENSES INCURRED BY PG Calc, Inc., SUCH AS PRINTING AND POSTAGE, WHICH ARE INVOICED SEPARATELY FROM PROFESSIONAL services. PG Calc, Inc. PROVIDES CONSULTING SERVICES FOR VANDERBILT UNIVERSITY MEDICAL CENTER'S planned giving program AND DOES NOT RAISE FUNDS FOR VANDERBILT UNIVERSITY MEDICAL CENTER OR HELP RAISE FUNDS FOR A SPECIFIC PURPOSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule G, Part III (c) - Other Gaming</FormAndLineReferenceDesc>
        <ExplanationTxt>All raffle tickets sold using on line platform hosted by BUMP inc. and proceeds were directly deposited into Vanderbilt University Medical Center bank account using third party payment administrator Stripe. Net proceeds from raffle benefit Monroe Carell Junior Children's Hospital Pediatric Cancer.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
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      <ManagementCoAndJntVenturesGrp>
        <EntityName>
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        </EntityName>
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        <PhysiciansProfitOrOwnershipPct>0.51</PhysiciansProfitOrOwnershipPct>
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      <HospitalFacilitiesGrp>
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        <BusinessName>
          <BusinessNameLine1Txt>Vanderbilt University Medical Center Hospitals</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
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          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37212</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.vanderbilthealth.com</WebsiteAddressTxt>
        <StateLicenseNum>0000000027</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Vanderbilt Wilson County Hospital</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
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          <CityNm>Lebanon</CityNm>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>Vanderbilt University Medical Center's (VUMC) 2022 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. In 2022, the CHNA prioritization of significant health needs involved multiple phases. VUMC and its partners gathered and analyzed primary data from various community members and partners. Additionally, VUMC reviewed over 100 health indicators from publicly available secondary data sources and conducted an environmental scan in each county representing the community served. In each of the five counties the 2022 CHNA focused on (Bedford, Coffee, Davidson, Rutherford, and Williamson Counties), VUMC convened prioritization meetings, which included local health departments, community leaders representing several sectors and various organizations, community members, as well as individuals who participated in interviews. The results of VUMC's health assessment were presented in the prioritization meetings, and participants were asked to prioritize their communities' most pressing health needs through interactive exercises-each county's prioritization process generated prioritized needs with commonalities across counties. Individual county needs are described at length in VUMC's 2022 CHNA. VUMC grouped the identified needs into four overarching categories to serve as its prioritized needs: Access to Care, Equity, Chronic Disease and Preventative Care, and Social Drivers of Health.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt University Medical Center Hospitals. Input from people representing the broad interests of the community, including those with expertise in public health, was obtained through interviews, surveys, and listening sessions for the Vanderbilt University Medical Center (VUMC) CHNA. Interviews in Davidson, Rutherford, and Williamson County occurred from August 2021 to April 2022. Prioritization meetings were held in January 2022. Interviews in Bedford and Coffee Counties occurred from February 2022 to July 2022. Listening sessions took place in August 2022. Prioritization meetings were held in August and September 2023. During the 2022 CHNA, VUMC identified leaders in public health, government, education, the faith community, private foundations, community organizations, and academia, among others, as interviewees. Interviewees in each county were selected based on their understanding of the broad interests of the community, with a focus on individuals from historically marginalized groups. Interviewees also included health department directors from the community served and community-based organizations with special public health knowledge and expertise. In all, 80 organizational interviews were conducted with a special focus on groups with limited access to healthcare and health insurance and historically marginalized groups. Organizations represented in the 2022 Bedford County organizational interviews included the Bedford County Chamber of Commerce, Bedford County Health Department, Bedford County Schools, Boys and Girls Club of Middle Tennessee, Cedar Recovery, Community Clinic of Shelbyville and Bedford County, Open Hands/Castle Ministries, Shelbyville Police Department, Shelbyville Senior Citizens Center Shelbyville-Bedford Partnership, St. William of Montevergine Catholic Church, Tennessee Immigrant and Refugee Rights Coalition, and Tyson. Organizations represented in the 2022 Coffee County organizational interviews included AmeriCorps, Coffee County Alderman, Coffee County Health Department, Coffee County Mayors' Office, First Christian Church/Better Together, Manchester City Schools, Mt. Zion Missionary Baptist Church- Tullahoma, NAMI, Partners for Healing, Salvation Army, South Central Coordinated School Health, Tennessee Immigrant and Refugee Rights Coalition, Tullahoma Chamber of Commerce, Tullahoma City Planning Office, Tullahoma Literacy Council, and the Tullahoma Sheriff's Office. Organizations represented in the 2022 Davidson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Climate Change Lobby, Congregational Health and Education Network, Davidson County Chamber of Commerce, Davidson County Mayor's Office, Elmahaba Center, End Slavery of Middle Tennessee, Greater Nashville Regional Council, Hispanic Family Foundation, Homeland Heart Maternal, Meharry Dental Clinic, Meharry Medical College, Mental Health Cooperative, Metro Nashville Police Department, Metro Nashville Public Health Department, Metro Social Services, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, Mt. Carmel MBC and G.A.N.G., NAEYC - Nashville, Nashville Chamber of Commerce, One Gen Away, P.A.T.H.E, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation-Human trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, The Nashville Food Project, United Way of Middle Tennessee - Greater Nashville, and Urban Housing Solutions. Organizations represented in the 2022 Rutherford County organizational Interviews included Age Well, Elmahaba Center, End Slavery, Greater Nashville Regional Counsel, Habitat for Humanity, Middle Tennessee State University, Prevention Coalition for Success, Safety Net Consortium, TennCare (Medicaid), Tennessee Bureau of Investigation- Human Trafficking, Tennessee Department of Health, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Public Health Association, The Hispanic Family Foundation, TN Commission on Children and Youth, TN Primary Care Association, and United Way of Rutherford and Cannon Counties. Organizations represented in the 2022 Williamson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Elmahaba Center, End Slavery of Middle Tennessee, Franklin Justice and Equity Collaborative, Greater Nashville Regional Council, Mental Health Cooperative, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, One Gen Away, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation- Human Trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, Williamson County Chamber of Commerce, Williamson County Health Department, Williamson County Homeless Alliance, and Williamson County School System. Populations served by these organizations include people from racial and ethnic minority groups, individuals seeking social services such as housing, transportation, or food assistance, youth placed at a higher risk of experiencing disadvantage, those experiencing homelessness, Latinx and immigrant communities, those with limited access to healthcare and health insurance, those experiencing symptoms of mental illness or addiction, people who have experienced human trafficking, economically marginalized individuals and children, historically marginalized groups and other populations.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt University Medical Center Hospitals. For the 2022 CHNA, Vanderbilt University Hospitals conducted a community health needs assessment in partnership with its affiliated hospital, Vanderbilt Stallworth Rehabilitation Hospital, as well as its wholly owned facilities Vanderbilt Bedford County Hospital and Vanderbilt Tullahoma-Harton Hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt University Medical Center Hospitals. Vanderbilt University Medical Center (VUMC) identified four significant health needs in the 2022 Community Health Needs Assessment (CHNA). The four significant health needs identified are - alphabetically - 1) Access to Care, 2) Equity, 3) Chronic Disease and Preventative Care, and 4) Social Drivers of Health. VUMC addresses all four needs within the 2022 Implementation Strategy (IS). The 2022 IS includes a multitude of actions aimed at addressing needs identified by the community. VUMC's plan to evaluate impact is embedded within each action. A few specific actions are described in detail below. VUMC's Office of Health Equity (OHE) released a Request for Proposals for community projects addressing one or more CHNA priority areas, specifically soliciting proposals addressing health equity and broader policy, environmental, or systems change. Organizations were selected to receive these awards after a competitive review with a committee of academic and community reviewers. The grantees received up to $10,000 to complete their work over 12 months. The VUMC's OHE is currently planning for the seventh cycle of this mini-grant program. To date, the program has supported 51 community projects. The VUMC's OHE continues to support local health departments and health councils in all five counties in developing their Community Health Improvement Plans (CHIP), which outline their strategies to address the health needs identified through the Community Health Assessment. The team also participates in health council meetings to develop goals, objectives, and evaluation metrics for the CHIP. VUMC's participation in this work allows the OHE to bring VUMC resources and valuable community health data to address health disparities in the community and align the priorities identified in the CHNA with the CHIP objectives. In Davidson County, VUMC is involved in collaboratives focused on the four prioritized needs. The Safety Net Consortium of Middle Tennessee (SNC), which focuses on access to and quality of care for groups that lack access to healthcare and health insurance, continues to meet monthly and launched My Health Care Home. This web-based tool facilitates finding and accessing federally qualified health centers and faith-based and charitable clinics that serve groups lacking healthcare and health insurance access. Leaders from the Office of Population Health, the Meharry-Vanderbilt Alliance, and the Office of Health Equity participate in SNC meetings. The VUMC's OHE is actively engaged with the Healthy Nashville Leadership Council, and the Associate Vice President Chairs this mayoral-appointed committee. The workgroup's focus is to educate the community on topics related to addressing health inequities, strengthening capacity, and advancing equity for minority-led non-profit organizations that are on the front lines of promoting health equity and well-being in marginalized and minoritized communities. VUMC's OHE has increased its knowledge of health equity by presenting Seeds of Equity training internally and externally. The team will have presented the Seeds of Equity training (created by the Healthy Nashville Leadership Council) 8 times during tax year 2022 to audiences of about 10 to 100 persons. While this training is specific to Nashville, the VUMC's OHE is working with community partners in other counties of focus to expand the reach of the training. VUMC staff has also participated in the opioid task force (currently known as WE CARE Coalition) spear-headed by Saint Thomas Rutherford, the Prevention Coalition for Success, and the Patterson Park Coalition. VUMC's OHE also participates in the Rutherford County Wellness Council. In Williamson County, VUMC's OHE also participates in local community groups such as the Anti-Drug Coalition, Franklin Justice, Equity Coalition, and the Williamson County Health Council, which promotes community health and equity improvements. The OHE has addressed the Williamson Health Council meeting to share the four priorities and data from the CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - VANDERBILT UNIVERSITY MEDICAL CENTER HOSPITALS. In addition to notification on the website, or patient request, VUMC patients are notified of available assistance under federal, state or local government programs or under the organization's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital based clinics; brochures available at registration points; and language included on all billing statements mailed to patients advising that VUMC has a financial assistance program if help is needed paying medical bills. Pre-admitting, registration, or billing personnel may refer uninsured or low income patients to financial counseling personnel to discuss qualifications for free or discounted care.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>Vanderbilt Wilson County Hospital's (VWCH) 2021 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. In 2021, the CHNA prioritization of significant health needs involved multiple phases. VWCH and its partners gathered and analyzed primary data from various community members and partners. Additionally, VWCH reviewed over 100 health indicators from publicly available secondary data sources and conducted an environmental scan. In collaboration with the local Health Department and Health Council, VWCH convened prioritization meetings, which included local health departments, community leaders representing several sectors and various organizations, community members, and individuals who participated in interviews. The results of VWCH's health assessment were presented in the prioritization meetings, and participants were asked to prioritize their communities' most pressing health needs through interactive exercises. VWCH adopted the needs prioritized by the communities, and each is described at length in VWCH's 2021 CHNA. Through this CHNA process, the community prioritized the significant health needs of Mental Health and Substance Use, Access to Healthcare, Housing and Transportation, and Health Literacy.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt Wilson County Hospital. Input from people representing the broad interests of the community, including those with expertise in public health, was obtained through virtual and face-to-face interviews for the Vanderbilt Wilson County Hospital CHNA. Interviews took place from August 2021 to September 2021. Prioritization meetings were held in October 2021. For the 2021 CHNA, Vanderbilt Wilson County Hospital identified leaders from public health, government, education, the faith community, community organizations, and substance use providers, among others, as interviewees. Interviewees were identified in collaboration with the local health department. They were selected based on their understanding of the broad interests of the community and with a focus on individuals from historically marginalized groups. Interviewees included the Wilson County Health Department director, medical providers, and community-based organizations with special public health knowledge and expertise. VWCH interviewed 11 community leaders with a specific focus on engaging individuals from historically marginalized groups. Organizations represented in Wilson County interviews held in 2021 included Brooks House, Charis Health, Compassionate Hands, DrugFree Wilco, Mt. Juliet Senior Center, Wilson County CASA, Wilson County Chamber of Commerce, Wilson County Health Department, Wilson County Mayor's Office, a member of the Latinx community, Wilson County Schools, and the Wilson County Sheriff's Office. Populations served by these organizations include racial and ethnic minority groups, individuals seeking social services such as housing or food assistance, individuals seeking affordable healthcare, at-risk youth, those experiencing homelessness, Hispanic and Latinx, the medically marginalized, those experiencing mental illness, those with addiction, children, low-income individuals, minorities, marginalized communities, and other vulnerable populations. To better understand community members' opinions of the health needs present in 2022, VWCH conducted forty-six community member interviews. The interviews were held at Compassionate Hands, Mt. Juliet Senior Center, and the Wilson County Health Department. Populations served by these organizations included people experiencing homelessness, older adults, and the Latinx community. Both English and Spanish speakers were included in the interviews.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt Wilson County Hospital. Vanderbilt Wilson County Hospital (VWCH) identified four significant health needs in the 2022 CHNA. The four significant health needs identified are: 1) Access to Healthcare, 2) Health Literacy, 3) Housing and Transportation, and 4) Mental Health and Substance Use. VWCH addresses all four needs with a detailed list of programs and services in the 2021 Implementation Strategy (IS). The 2021 Implementation Strategy includes 57 activities and programs. The VUMC's OHE released a Request for Proposals for community projects addressing one or more CHNA priority areas, specifically soliciting proposals addressing health equity and broader policy, environmental, or systems change. Organizations were selected to receive these awards after a competitive review with a committee of academic and community reviewers. The grantees received up to $10,000 to complete their work over 12 months. The VUMC's OHE is currently planning for the seventh cycle of this mini-grant program. To date, the program has supported 51 community projects. The VUMC's OHE continues to support the local health department and health council in developing their Community Health Improvement Plans (CHIP), which outline their strategies to address the health needs identified through the Community Health Needs Assessment. VWCH's involvement in this work allows the VUMC's OHE to bring VWCH resources to the community and align the CHNA priorities with the Community Health Improvement Plan objectives. Additionally, OHE is actively supporting a CHIP aimed at enhancing the availability of mental health and substance use resources in the community. The VUMC's OHE partnered with VUMC's Adult Ambulatory Nursing Services and Charis Health Center on a health equity toolkit project. This aims to educate and equip community members, particularly those with limited access to health insurance and homebound residents, with the knowledge to make informed decisions about their health. The project will improve health outcomes through a culturally tailored toolkit and home visits, hoping to increase knowledge of chronic conditions and impact health literacy. The reach of health-related materials and resources will be expanded, prioritizing non-English speaking residents and other marginalized groups. VUMC's Office of Health Equity has increased its working knowledge of health equity by presenting Seeds of Equity training internally and externally. The team will have presented the Seeds of Equity training (created by the Healthy Nashville Leadership Council) 8 times during tax year 2022 to audiences of about 10 to 100 persons. While this training is specific to Nashville, the VUMC's OHE is working with community partners in other counties of focus to expand the reach of the training.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt Wilson County Hospital. In addition to notification on the website, or patient request, VWCH patients are notified of available assistance under federal, state or local government programs or under the organization's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital based clinics; brochures available at registration points; and language included on all billing statements mailed to patients advising that VWCH has a financial assistance program if help is needed paying medical bills. Pre-admitting, registration, or billing personnel may refer uninsured or low income patients to financial counseling personnel to discuss qualifications for free or discounted care.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>Vanderbilt Tullahoma-Harton Hospital's (VTHH) 2022 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. In 2022, the CHNA prioritization of significant health needs involved multiple phases. VUMC and its partners gathered and analyzed primary data from various community members and partners. Additionally, VUMC reviewed over 100 health indicators from publicly available secondary data sources and conducted an environmental scan in each county representing the community served. In each of the five counties the 2022 CHNA focused on (Bedford, Coffee, Davidson, Rutherford, and Williamson Counties), VUMC convened prioritization meetings, which included local health departments, community leaders representing several sectors and various organizations, community members, as well as individuals who participated in interviews. The results of VUMC's health assessment were presented in the prioritization meetings, and participants were asked to prioritize their communities' most pressing health needs through interactive exercises-each county's prioritization process generated prioritized needs with commonalities across counties. Individual county needs are described at length in VUMC's 2022 CHNA. VUMC grouped the identified needs into four overarching categories to serve as its prioritized needs: Access to Care, Equity, Chronic Disease and Preventative Care, and Social Drivers of Health.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt Tullahoma-Harton Hospital. Input from people representing the broad interests of the community, including those with expertise in public health, was obtained through interviews, surveys, and listening sessions for the Vanderbilt Tullahoma-Harton Hospital CHNA. Interviews in Davidson, Rutherford, and Williamson County occurred from August 2021 to April 2022. Prioritization meetings were held in January 2022. Interviews in Bedford and Coffee Counties occurred from February 2022 to July 2022. Listening sessions took place in August 2022. Prioritization meetings were held in August and September 2023. During the 2022 CHNA, Vanderbilt Tullahoma-Harton Hospital identified leaders in public health, government, education, the faith community, private foundations, community organizations, and academia, among others, as interviewees. Interviewees in each county were selected based on their understanding of the broad interests of the community, with a focus on individuals from historically marginalized groups. Interviewees also included health department directors from the community served and community-based organizations with special public health knowledge and expertise. In all, 80 organizational interviews were conducted with a special focus on groups with limited access to healthcare and health insurance and historically marginalized groups. Organizations represented in the 2022 Bedford County organizational interviews included the Bedford County Chamber of Commerce, Bedford County Health Department, Bedford County Schools, Boys and Girls Club of Middle Tennessee, Cedar Recovery, Community Clinic of Shelbyville and Bedford County, Open Hands/Castle Ministries, Shelbyville Police Department, Shelbyville Senior Citizens Center Shelbyville-Bedford Partnership, St. William of Montevergine Catholic Church, Tennessee Immigrant and Refugee Rights Coalition, and Tyson. Organizations represented in the 2022 Coffee County organizational interviews included AmeriCorps, Coffee County Alderman, Coffee County Health Department, Coffee County Mayors' Office, First Christian Church/Better Together, Manchester City Schools, Mt. Zion Missionary Baptist Church- Tullahoma, NAMI, Partners for Healing, Salvation Army, South Central Coordinated School Health, Tennessee Immigrant and Refugee Rights Coalition, Tullahoma Chamber of Commerce, Tullahoma City Planning Office, Tullahoma Literacy Council, and the Tullahoma Sheriff's Office. Organizations represented in the 2022 Davidson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Climate Change Lobby, Congregational Health and Education Network, Davidson County Chamber of Commerce, Davidson County Mayor's Office, Elmahaba Center, End Slavery of Middle Tennessee, Greater Nashville Regional Council, Hispanic Family Foundation, Homeland Heart Maternal, Meharry Dental Clinic, Meharry Medical College, Mental Health Cooperative, Metro Nashville Police Department, Metro Nashville Public Health Department, Metro Social Services, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, Mt. Carmel MBC and G.A.N.G., NAEYC - Nashville, Nashville Chamber of Commerce, One Gen Away, P.A.T.H.E, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation-Human trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, The Nashville Food Project, United Way of Middle Tennessee - Greater Nashville, and Urban Housing Solutions. Organizations represented in the 2022 Rutherford County organizational Interviews included Age Well, Elmahaba Center, End Slavery, Greater Nashville Regional Counsel, Habitat for Humanity, Middle Tennessee State University, Prevention Coalition for Success, Safety Net Consortium, TennCare (Medicaid), Tennessee Bureau of Investigation- Human Trafficking, Tennessee Department of Health, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Public Health Association, The Hispanic Family Foundation, TN Commission on Children and Youth, TN Primary Care Association, and United Way of Rutherford and Cannon Counties. Organizations represented in the 2022 Williamson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Elmahaba Center, End Slavery of Middle Tennessee, Franklin Justice and Equity Collaborative, Greater Nashville Regional Council, Mental Health Cooperative, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, One Gen Away, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation- Human Trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, Williamson County Chamber of Commerce, Williamson County Health Department, Williamson County Homeless Alliance, and Williamson County School System. Populations served by these organizations include people from racial and ethnic minority groups, individuals seeking social services such as housing, transportation, or food assistance, youth placed at a higher risk of experiencing disadvantage, those experiencing homelessness, Latinx and immigrant communities, those with limited access to healthcare and health insurance, those experiencing symptoms of mental illness or addiction, people who have experienced human trafficking, economically marginalized individuals and children, historically marginalized groups and other populations.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt Tullahoma-Harton Hospital. For the 2022 CHNA, Vanderbilt Tullahoma-Harton Hospital conducted a community health needs assessment in partnership with Vanderbilt University Medical Center's affiliated hospital, Vanderbilt Stallworth Rehabilitation Hospital, as well as Vanderbilt Bedford County Hospital and Vanderbilt University Hospitals.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt Tullahoma-Harton Hospital. Vanderbilt Tullahoma-Harton Hospital identified four significant health needs in the 2022 Community Health Needs Assessment (CHNA). The four significant health needs identified are: 1) Access to Care, 2) Equity, 3) Chronic Disease and Preventative Care, and 4) Social Drivers of Health. VUMC addresses all four needs within the 2022 Implementation Strategy (IS). The 2022 IS includes a multitude of actions aimed at addressing needs identified by the community. VUMC's plan to evaluate impact is embedded within each action. A few specific actions are described in detail below. VUMC's Office of Health Equity (OHE) released a Request for Proposals for community projects addressing one or more CHNA priority areas, specifically soliciting proposals addressing health equity and broader policy, environmental, or systems change. Organizations were selected to receive these awards after a competitive review with a committee of academic and community reviewers. The grantees received up to $10,000 to complete their work over 12 months. The VUMC's OHE is currently planning for the seventh cycle of this mini-grant program. To date, the program has supported 51 community projects. The VUMC's OHE continues to support local health departments and health councils in all five counties in developing their Community Health Improvement Plans (CHIP), which outline their strategies to address the health needs identified through the Community Health Assessment. The team also participates in health council meetings to develop goals, objectives, and evaluation metrics for the CHIP. VUMC's participation in this work allows the OHE to bring VUMC resources and valuable community health data to address health disparities in the community and align the priorities identified in the CHNA with the CHIP objectives. In Davidson County, VUMC is involved in collaboratives focused on the four prioritized needs. The Safety Net Consortium of Middle Tennessee (SNC), which focuses on access to and quality of care for groups that lack access to healthcare and health insurance, continues to meet monthly and launched My Health Care Home. This web-based tool facilitates finding and accessing federally qualified health centers and faith-based and charitable clinics that serve groups lacking healthcare and health insurance access. Leaders from the Office of Population Health, the Meharry-Vanderbilt Alliance, and the Office of Health Equity participate in SNC meetings. The VUMC's OHE is actively engaged with the Healthy Nashville Leadership Council, and the Associate Vice President Chairs this mayoral-appointed committee. The workgroup's focus is to educate the community on topics related to addressing health inequities, strengthening capacity, and advancing equity for minority-led non-profit organizations that are on the front lines of promoting health equity and well-being in marginalized and minoritized communities. VUMC's OHE has increased its knowledge of health equity by presenting Seeds of Equity training internally and externally. The team will have presented the Seeds of Equity training (created by the Healthy Nashville Leadership Council) 8 times during tax year 2022 to audiences of about 10 to 100 persons. While this training is specific to Nashville, the VUMC's OHE is working with community partners in other counties of focus to expand the reach of the training. VUMC staff has also participated in the opioid task force (currently known as WE CARE Coalition) spear-headed by Saint Thomas Rutherford, the Prevention Coalition for Success, and the Patterson Park Coalition. VUMC's OHE also participates in the Rutherford County Wellness Council. In Williamson County, VUMC's OHE also participates in local community groups such as the Anti-Drug Coalition, Franklin Justice, Equity Coalition, and the Williamson County Health Council, which promotes community health and equity improvements. The OHE has addressed the Williamson Health Council meeting to share the four priorities and data from the CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt Tullahoma-Harton Hospital. In addition to notification on the website, or patient request, Vanderbilt Tullahoma-Harton Hospital ("VTHH") patients are notified of available assistance under federal, state or local government programs or under the organization's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital based clinics; brochures available at registration points; and language included on all billing statements mailed to patients advising that VTHH has a financial assistance program if help is needed paying medical bills. Pre-admitting, registration, or billing personnel may refer uninsured or low income patients to financial counseling personnel to discuss qualifications for free or discounted care.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>Vanderbilt Bedford County Hospital's (VBCH) 2022 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. In 2022, the CHNA prioritization of significant health needs involved multiple phases. VUMC and its partners gathered and analyzed primary data from various community members and partners. Additionally, VUMC reviewed over 100 health indicators from publicly available secondary data sources and conducted an environmental scan in each county representing the community served. In each of the five counties the 2022 CHNA focused on (Bedford, Coffee, Davidson, Rutherford, and Williamson Counties), VUMC convened prioritization meetings, which included local health departments, community leaders representing several sectors and various organizations, community members, as well as individuals who participated in interviews. The results of VUMC's health assessment were presented in the prioritization meetings, and participants were asked to prioritize their communities' most pressing health needs through interactive exercises-each county's prioritization process generated prioritized needs with commonalities across counties. Individual county needs are described at length in VUMC's 2022 CHNA. VUMC grouped the identified needs into four overarching categories to serve as its prioritized needs: Access to Care, Equity, Chronic Disease and Preventative Care, and Social Drivers of Health.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt Bedford County Hospital. Input from people representing the broad interests of the community, including those with expertise in public health, was obtained through interviews, surveys, and listening sessions for the Vanderbilt Bedford County Hospital CHNA. Interviews in Davidson, Rutherford, and Williamson County occurred from August 2021 to April 2022. Prioritization meetings were held in January 2022. Interviews in Bedford and Coffee Counties occurred from February 2022 to July 2022. Listening sessions took place in August 2022. Prioritization meetings were held in August and September 2023. During the 2022 CHNA, Vanderbilt Bedford County Hospital identified leaders in public health, government, education, the faith community, private foundations, community organizations, and academia, among others, as interviewees. Interviewees in each county were selected based on their understanding of the broad interests of the community, with a focus on individuals from historically marginalized groups. Interviewees also included health department directors from the community served and community-based organizations with special public health knowledge and expertise. In all, 80 organizational interviews were conducted with a special focus on groups with limited access to healthcare and health insurance and historically marginalized groups. Organizations represented in the 2022 Bedford County organizational interviews included the Bedford County Chamber of Commerce, Bedford County Health Department, Bedford County Schools, Boys and Girls Club of Middle Tennessee, Cedar Recovery, Community Clinic of Shelbyville and Bedford County, Open Hands/Castle Ministries, Shelbyville Police Department, Shelbyville Senior Citizens Center Shelbyville-Bedford Partnership, St. William of Montevergine Catholic Church, Tennessee Immigrant and Refugee Rights Coalition, and Tyson. Organizations represented in the 2022 Coffee County organizational interviews included AmeriCorps, Coffee County Alderman, Coffee County Health Department, Coffee County Mayors' Office, First Christian Church/Better Together, Manchester City Schools, Mt. Zion Missionary Baptist Church- Tullahoma, NAMI, Partners for Healing, Salvation Army, South Central Coordinated School Health, Tennessee Immigrant and Refugee Rights Coalition, Tullahoma Chamber of Commerce, Tullahoma City Planning Office, Tullahoma Literacy Council, and the Tullahoma Sheriff's Office. Organizations represented in the 2022 Davidson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Climate Change Lobby, Congregational Health and Education Network, Davidson County Chamber of Commerce, Davidson County Mayor's Office, Elmahaba Center, End Slavery of Middle Tennessee, Greater Nashville Regional Council, Hispanic Family Foundation, Homeland Heart Maternal, Meharry Dental Clinic, Meharry Medical College, Mental Health Cooperative, Metro Nashville Police Department, Metro Nashville Public Health Department, Metro Social Services, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, Mt. Carmel MBC and G.A.N.G., NAEYC - Nashville, Nashville Chamber of Commerce, One Gen Away, P.A.T.H.E, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation-Human trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, The Nashville Food Project, United Way of Middle Tennessee - Greater Nashville, and Urban Housing Solutions. Organizations represented in the 2022 Rutherford County organizational Interviews included Age Well, Elmahaba Center, End Slavery, Greater Nashville Regional Counsel, Habitat for Humanity, Middle Tennessee State University, Prevention Coalition for Success, Safety Net Consortium, TennCare (Medicaid), Tennessee Bureau of Investigation- Human Trafficking, Tennessee Department of Health, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Public Health Association, The Hispanic Family Foundation, TN Commission on Children and Youth, TN Primary Care Association, and United Way of Rutherford and Cannon Counties. Organizations represented in the 2022 Williamson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Elmahaba Center, End Slavery of Middle Tennessee, Franklin Justice and Equity Collaborative, Greater Nashville Regional Council, Mental Health Cooperative, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, One Gen Away, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation- Human Trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, Williamson County Chamber of Commerce, Williamson County Health Department, Williamson County Homeless Alliance, and Williamson County School System. Populations served by these organizations include people from racial and ethnic minority groups, individuals seeking social services such as housing, transportation, or food assistance, youth placed at a higher risk of experiencing disadvantage, those experiencing homelessness, Latinx and immigrant communities, those with limited access to healthcare and health insurance, those experiencing symptoms of mental illness or addiction, people who have experienced human trafficking, economically marginalized individuals and children, historically marginalized groups and other populations.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt Bedford County Hospital. For the 2022 CHNA, Vanderbilt Bedford County Hospital conducted a community health needs assessment in partnership with Vanderbilt University Medical Center's affiliated hospital, Vanderbilt Stallworth Rehabilitation Hospital, as well as Vanderbilt Tullahoma-Harton Hospital and Vanderbilt University Hospitals.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt Bedford County Hospital. Vanderbilt Bedford County Hospital identified four significant health needs in the 2022 Community Health Needs Assessment (CHNA). The four significant health needs identified are :1) Access to Care, 2) Equity, 3) Chronic Disease and Preventative Care, and 4) Social Drivers of Health. VUMC addresses all four needs within the 2022 Implementation Strategy (IS). The 2022 IS includes a multitude of actions aimed at addressing needs identified by the community. VUMC's plan to evaluate impact is embedded within each action. A few specific actions are described in detail below. VUMC's Office of Health Equity (OHE) released a Request for Proposals for community projects addressing one or more CHNA priority areas, specifically soliciting proposals addressing health equity and broader policy, environmental, or systems change. Organizations were selected to receive these awards after a competitive review with a committee of academic and community reviewers. The grantees received up to $10,000 to complete their work over 12 months. The VUMC's OHE is currently planning for the seventh cycle of this mini-grant program. To date, the program has supported 51 community projects. The VUMC's OHE continues to support local health departments and health councils in all five counties in developing their Community Health Improvement Plans (CHIP), which outline their strategies to address the health needs identified through the Community Health Assessment. The team also participates in health council meetings to develop goals, objectives, and evaluation metrics for the CHIP. VUMC's participation in this work allows the OHE to bring VUMC resources and valuable community health data to address health disparities in the community and align the priorities identified in the CHNA with the CHIP objectives. In Davidson County, VUMC is involved in collaboratives focused on the four prioritized needs. The Safety Net Consortium of Middle Tennessee (SNC), which focuses on access to and quality of care for groups that lack access to healthcare and health insurance, continues to meet monthly and launched My Health Care Home. This web-based tool facilitates finding and accessing federally qualified health centers and faith-based and charitable clinics that serve groups lacking healthcare and health insurance access. Leaders from the Office of Population Health, the Meharry-Vanderbilt Alliance, and the Office of Health Equity participate in SNC meetings. The VUMC's OHE is actively engaged with the Healthy Nashville Leadership Council, and the Associate Vice President Chairs this mayoral-appointed committee. The workgroup's focus is to educate the community on topics related to addressing health inequities, strengthening capacity, and advancing equity for minority-led non-profit organizations that are on the front lines of promoting health equity and well-being in marginalized and minoritized communities. VUMC's OHE has increased its knowledge of health equity by presenting Seeds of Equity training internally and externally. The team will have presented the Seeds of Equity training (created by the Healthy Nashville Leadership Council) 8 times during tax year 2022 to audiences of about 10 to 100 persons. While this training is specific to Nashville, the VUMC's OHE is working with community partners in other counties of focus to expand the reach of the training. VUMC staff has also participated in the opioid task force (currently known as WE CARE Coalition) spear-headed by Saint Thomas Rutherford, the Prevention Coalition for Success, and the Patterson Park Coalition. VUMC's OHE also participates in the Rutherford County Wellness Council. In Williamson County, VUMC's OHE also participates in local community groups such as the Anti-Drug Coalition, Franklin Justice, Equity Coalition, and the Williamson County Health Council, which promotes community health and equity improvements. The OHE has addressed the Williamson Health Council meeting to share the four priorities and data from the CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt Bedford Hospital. In addition to notification on the website, or patient request, Vanderbilt Bedford Hospital ("VBCH") patients are notified of available assistance under federal, state or local government programs or under the organization's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital based clinics; brochures available at registration points; and language included on all billing statements mailed to patients advising that VBCH has a financial assistance program if help is needed paying medical bills. Pre-admitting, registration, or billing personnel may refer uninsured or low income patients to financial counseling personnel to discuss qualifications for free or discounted care.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>Vanderbilt Stallworth Rehabilitation Hospital's (Stallworth) 2022 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. In 2022, the CHNA prioritization of significant health needs involved multiple phases. VUMC and its partners gathered and analyzed primary data from various community members and partners. Additionally, VUMC reviewed over 100 health indicators from publicly available secondary data sources and conducted an environmental scan in each county representing the community served. In each of the five counties the 2022 CHNA focused on (Bedford, Coffee, Davidson, Rutherford, and Williamson Counties), VUMC convened prioritization meetings, which included local health departments, community leaders representing several sectors and various organizations, community members, as well as individuals who participated in interviews. The results of VUMC's health assessment were presented in the prioritization meetings, and participants were asked to prioritize their communities' most pressing health needs through interactive exercises-each county's prioritization process generated prioritized needs with commonalities across counties. Individual county needs are described at length in VUMC's 2022 CHNA. VUMC grouped the identified needs into four overarching categories to serve as its prioritized needs: Access to Care, Equity, Chronic Disease and Preventative Care, and Social Drivers of Health.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. Input from people representing the broad interests of the community, including those with expertise in public health, was obtained through interviews, surveys, and listening sessions for Vanderbilt Stallworth Rehabilitation Hospital's CHNA. Interviews in Davidson, Rutherford, and Williamson County occurred from August 2021 to April 2022. Prioritization meetings were held in January 2022. Interviews in Bedford and Coffee Counties occurred from February 2022 to July 2022. Listening sessions took place in August 2022. Prioritization meetings were held in August and September 2023. During the 2022 CHNA, Vanderbilt Stallworth Rehabilitation Hospital identified leaders in public health, government, education, the faith community, private foundations, community organizations, and academia, among others, as interviewees. Interviewees in each county were selected based on their understanding of the broad interests of the community, with a focus on individuals from historically marginalized groups. Interviewees also included health department directors from the community served and community-based organizations with special public health knowledge and expertise. In all, 80 organizational interviews were conducted with a special focus on groups with limited access to healthcare and health insurance and historically marginalized groups. Organizations represented in the 2022 Bedford County organizational interviews included the Bedford County Chamber of Commerce, Bedford County Health Department, Bedford County Schools, Boys and Girls Club of Middle Tennessee, Cedar Recovery, Community Clinic of Shelbyville and Bedford County, Open Hands/Castle Ministries, Shelbyville Police Department, Shelbyville Senior Citizens Center Shelbyville-Bedford Partnership, St. William of Montevergine Catholic Church, Tennessee Immigrant and Refugee Rights Coalition, and Tyson. Organizations represented in the 2022 Coffee County organizational interviews included AmeriCorps, Coffee County Alderman, Coffee County Health Department, Coffee County Mayors' Office, First Christian Church/Better Together, Manchester City Schools, Mt. Zion Missionary Baptist Church- Tullahoma, NAMI, Partners for Healing, Salvation Army, South Central Coordinated School Health, Tennessee Immigrant and Refugee Rights Coalition, Tullahoma Chamber of Commerce, Tullahoma City Planning Office, Tullahoma Literacy Council, and the Tullahoma Sheriff's Office. Organizations represented in the 2022 Davidson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Climate Change Lobby, Congregational Health and Education Network, Davidson County Chamber of Commerce, Davidson County Mayor's Office, Elmahaba Center, End Slavery of Middle Tennessee, Greater Nashville Regional Council, Hispanic Family Foundation, Homeland Heart Maternal, Meharry Dental Clinic, Meharry Medical College, Mental Health Cooperative, Metro Nashville Police Department, Metro Nashville Public Health Department, Metro Social Services, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, Mt. Carmel MBC and G.A.N.G., NAEYC - Nashville, Nashville Chamber of Commerce, One Gen Away, P.A.T.H.E, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation-Human trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, The Nashville Food Project, United Way of Middle Tennessee - Greater Nashville, and Urban Housing Solutions. Organizations represented in the 2022 Rutherford County organizational Interviews included Age Well, Elmahaba Center, End Slavery, Greater Nashville Regional Counsel, Habitat for Humanity, Middle Tennessee State University, Prevention Coalition for Success, Safety Net Consortium, TennCare (Medicaid), Tennessee Bureau of Investigation- Human Trafficking, Tennessee Department of Health, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Public Health Association, The Hispanic Family Foundation, TN Commission on Children and Youth, TN Primary Care Association, and United Way of Rutherford and Cannon Counties. Organizations represented in the 2022 Williamson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Elmahaba Center, End Slavery of Middle Tennessee, Franklin Justice and Equity Collaborative, Greater Nashville Regional Council, Mental Health Cooperative, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, One Gen Away, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation- Human Trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, Williamson County Chamber of Commerce, Williamson County Health Department, Williamson County Homeless Alliance, and Williamson County School System. Populations served by these organizations include people from racial and ethnic minority groups, individuals seeking social services such as housing, transportation, or food assistance, youth placed at a higher risk of experiencing disadvantage, those experiencing homelessness, Latinx and immigrant communities, those with limited access to healthcare and health insurance, those experiencing symptoms of mental illness or addiction, people who have experienced human trafficking, economically marginalized individuals and children, historically marginalized groups and other populations.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. For the 2022 CHNA, Vanderbilt Stallworth Rehabilitation Hospital conducted a health needs assessment in partnership with its affiliated health system, Vanderbilt University Hospitals, Vanderbilt Tullahoma-Harton Hospital, and Vanderbilt Bedford County Hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. Vanderbilt Stallworth Rehabilitation Hospital (Stallworth) identified four significant health needs in the 2022 Community Health Needs Assessment (CHNA). The four significant health needs identified are - alphabetically - 1) Access to Care, 2) Equity, 3) Chronic Disease and Preventative Care, and 4) Social Drivers of Health. Stallworth addresses all four needs within the 2022 Implementation Strategy (IS). The 2022 IS includes a multitude of actions aimed at addressing needs identified by the community. Stallworth's plan to evaluate impact is embedded within each action. A few specific actions are described in detail below. Stallworth holds monthly grand rounds for members of the medical community to discuss topics that have an impact on rehabilitation and post-acute care. Stallworth collaborates with the Trauma Survivors Network, which provides free resources to help patients and families cope with the challenges of trauma recovery. Stallworth also convenes several monthly support groups to assist with the navigation of resources. These groups include patient/caregiver support groups for traumatic brain injuries, amputees, spinal cord injuries, and strokes. Stallworth expanded hours for its psychologist's contract to provide a resource for the inpatient population. In addition, the Spinal Cord Injury Peer Mentor Program, held monthly, includes training for peer mentor volunteers who help patients make significant life changes often associated with trauma recovery. Finally, housing evaluations are done during pre-admission to assess home readiness after a traumatic injury. Once an individual is admitted as an inpatient at Stallworth, a recurring housing assessment is done, and Stallworth staff often connect patients with community resources to assist in the transition. Through ongoing partnerships and engagement of key community partners, Stallworth will continue to collaborate to meet the needs identified in the most recent needs assessment.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - VANDERBILT STALLWORTH REHABILITATION HOSPITAL. Patients are notified of available assistance under federal, state or local government programs or under Stallworth's charity care policy via signage at the front desk, in the main elevator to the patient care units &amp; along the back hallway of the hospital. Pamphlets regarding this information are distributed upon admission and a statement is included on any patient bills. In addition, pre-admitting, registration, case management or billing personnel may refer uninsured or low income patients to financial personnel to discuss qualifications for free or discounted care.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>Tennova Healthcare - Clarksville's 2022 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. The needs assessment analyzed data, demographics, socio-economic factors and health service utilization, and were conducted in association with multiple community stakeholders.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Tennova Healthcare - Clarksville. The Montgomery County Health Department, in conjunction with Tennova Healthcare - Clarksville, conducted a Community Health Needs Assessment for the county and published the results of the study in a 2023 report. The Montgomery County Health Department relied heavily on input from the Montgomery County Health Council, which includes members from Family and Children's Services; the Martha O'Bryan Center; TN Voices; Centerstone; Youth Villages; Catholic Charities; and Meae Wellness. Medically underserved members of the community were represented by Family and Children's Services; TN Voices; and Centerstone. Low-income members of the community were represented by the Martha O'Bryan Center and Youth Villages, and marginalized members of the community were represented by Meae Wellness. Community meetings were conducted quarterly over the period of July 1, 2021 through June 30, 2023.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Tennova Healthcare - Clarksville. Tennova Healthcare - Clarksville completed its CHNA in conjunction with the Montgomery County Health Department.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Tennova Healthcare - Clarksville. Tennova Healthcare - Clarksville identified four significant health needs in the 2022 Community Health Needs Assessment (CHNA). The four significant health needs identified are - alphabetically - 1) Health Equity; 2) Heart Health: 3) Mental Health and Wellness, and 4) Poor or Fair Health Days. With respect to addressing the identified need of Health Equity, Tennova Healthcare - Clarksville participates in the Delta Sigma Theta Alumnae Chapter Community Health Fair, including serving as the sole sponsor in 2024. The Delta Sigma Theta Alumnae Chapter Community Health Fair brings healthcare providers together in the community to provide health information and access concerning health issues prevalent in African American populations. Tennova Healthcare - Clarksville participates in two annual programs: National Night Out held at Austin Peay University, sponsored by Clarksville Police Department and United Way, and Back to School Bash, sponsored by and held at the public housing authority in Montgomery County, to provide school supplies, health information and resources to students and to the parents and guardians of incoming students, as well as resources for dissemination and use at local schools. With respect to addressing the identified need of Heart Health, Tennova Healthcare - Clarksville ran a Healthy Heart Challenge which provided free resources and an opportunity for the community to receive free daily heart health alerts through various social media platforms and email communications. The Healthy Heart Challenge has been continued in 2024 with the theme "Leap into Heart Health," with free resources provided to community members that choose to sign up, as well as frequent social media posts with heart healthy tips. Tennova Healthcare - Clarksville promotes Heart Healthy Living and Hands Only CPR at community events. In 2022 alone, over 10,000 Montgomery County residents were trained in Hands Only CPR. With respect to addressing the identified need of Mental Health and Wellness, Tennova Clarksville Volunteer Auxiliary, composed of Tennova Healthcare - Clarksville hospital volunteers, has fully funded operations for Tennova Hospice Camp Willow Creek since 2000. Tennova Hospice Camp Willow Creek offers a grief camp that includes counseling services to young persons who have lost a family member in the preceding three years. Camp Willow Creek is a place where children and teens can find comfort and hope after the death of a loved one. The camp is staffed by trained volunteers through Tennova Healthcare - Clarksville Hospice. More than 60 children attend camp each year at no cost to them. With respect to addressing the identified need of Poor or Fair Health Days, Tennova Healthcare - Clarksville partners with several local charities to collect food, clothing and basic necessities for residents in Montgomery County. Past donations drives have included, canned goods and Jars of Love Peanut Butter drives, in which we collected 1,588 jars of nut butters,donated to Urban Ministries, a nonprofit organization that operates a food distribution center in Montgomery County, Stuff the Bus school item collection drive, Socktober drive, in which we donated over 1,200 pairs of socks to Old Firehouse Day Shelter, Winter clothing drive donated to Manna Cafe Ministries, and Operation Toy Soldier, in which we collected over 60 toys for children of deployed soldiers, and a canned goods drive donated to Loaves and Fishes, which is a nonprofit organization that operates a "soup kitchen food distribution center in Clarksville, TN.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Tennova Healthcare - Clarksville. IN ADDITION TO NOTIFICATION ON THE WEBSITE, OR PATIENT REQUEST, Tennova Healthcare - Clarksville PATIENTS ARE NOTIFIED OF AVAILABLE ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S CHARITY CARE POLICY VIA SIGNAGE POSTED IN THE PATIENT CARE REGISTRATION POINTS INCLUDING HOSPITALS, EMERGENCY DEPARTMENTS, AND HOSPITAL BASED CLINICS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>34</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Ambulatory Surgery Center of Cool Springs LLC dba Vanderbilt Surgery Center</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>Cool Springs</BusinessNameLine2Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2009 Mallory Lane Suite 100</AddressLine1Txt>
            <CityNm>Franklin</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37067</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Surgery Treatment Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Spring Hill Surgery Center LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1003 Reserve Blvd Suite 210</AddressLine1Txt>
            <CityNm>Spring Hill</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37174</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Surgery Treatment Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt-Maury Radiation Oncology LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1003 Reserve Boulevard</AddressLine1Txt>
            <CityNm>Spring Hill</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37174</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>One Hundred Oaks Imaging LLC (dba Vanderbilt Imaging Services One Hundred O</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>aks)</BusinessNameLine2Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>719 Thompson Lane</AddressLine1Txt>
            <CityNm>Nashville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37204</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Diagnostic Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt Health &amp; Williamson Medical Center Clinics and Services LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>134 Pewitt Drive</AddressLine1Txt>
            <CityNm>Brentwood</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37027</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Spring Hill Imaging Center LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5421 Main Street</AddressLine1Txt>
            <CityNm>Spring Hill</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37174</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Diagnostic Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Williamson Imaging LLC (dba Vanderbilt Imaging Services Cool Springs)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2009 Mallory Lane Suite 150</AddressLine1Txt>
            <CityNm>Franklin</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37067</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Diagnostic Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt Health &amp; Williamson Medical Center Clinics and Services LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>919 Murfreesboro Pike</AddressLine1Txt>
            <CityNm>Franklin</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37064</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt-Ingram Cancer Center at Tennova Healthcare - Clarksville</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>375 Alfred Thun Road</AddressLine1Txt>
            <CityNm>Clarksville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37040</ZIPCd>
          </USAddress>
          <FacilityTxt>Oncology Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt-Ingram Cancer Center Franklin</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2107 Edward Curd Lane</AddressLine1Txt>
            <CityNm>Franklin</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37067</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Surgery Treatment Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt Imaging Services LLC (dba Vanderbilt Imaging Services Belle Mead</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>e)</BusinessNameLine2Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4525 Harding Road Suite 102</AddressLine1Txt>
            <CityNm>Nashville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37232</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Diagnostic Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt Imaging Services LLC (dba Vanderbilt Imaging Services Hillsboro)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1909 Acklen Avenue</AddressLine1Txt>
            <CityNm>Nashville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37212</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Diagnostic Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt Health &amp; Williamson Medical Center Clinics and Services LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1834 West McEwen Dr Suite B</AddressLine1Txt>
            <CityNm>Franklin</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37067</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt Health &amp; Williamson Medical Center Clinics and Services LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3098 Campbell Station Pkwy</AddressLine1Txt>
            <CityNm>Spring Hill</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37174</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt Health &amp; Williamson Medical Center Clinics and Services LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>940 Oldham Drive</AddressLine1Txt>
            <CityNm>Nolensville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37135</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7601 Highway 70 S</AddressLine1Txt>
            <CityNm>Bellevue</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37221</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1954 Madison Street</AddressLine1Txt>
            <CityNm>Clarksville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37043</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9100 Carothers Pkwy</AddressLine1Txt>
            <CityNm>Franklin</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37067</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>585 Nashville Pike</AddressLine1Txt>
            <CityNm>Gallatin</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37066</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>198 E Main Street</AddressLine1Txt>
            <CityNm>Hendersonville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37075</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>400 Tulip Grove Road</AddressLine1Txt>
            <CityNm>Hermitage</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37076</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5000 Murfreesboro Road</AddressLine1Txt>
            <CityNm>Lavergne</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37086</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1303 W Main Street</AddressLine1Txt>
            <CityNm>Lebanon</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37087</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2401 Old Fort Pkwy</AddressLine1Txt>
            <CityNm>Murfreesboro</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37128</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3500 Gallatin Pike</AddressLine1Txt>
            <CityNm>Nashville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37216</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5555 Edmondson Pike</AddressLine1Txt>
            <CityNm>Nashville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37211</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>518 Donelson Pike</AddressLine1Txt>
            <CityNm>Nashville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37214</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4243 Harding Pike</AddressLine1Txt>
            <CityNm>Nashville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37205</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>400 Sam Ridley Pkwy</AddressLine1Txt>
            <CityNm>Smyrna</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37167</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt Home Dialysis Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2906 Foster Creighton Drive Suite</AddressLine1Txt>
            <CityNm>Nashville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37204</ZIPCd>
          </USAddress>
          <FacilityTxt>End Stage Renal Dialysis</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt Dialysis Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2906 Foster Creighton Drive Suite</AddressLine1Txt>
            <CityNm>Nashville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37214</ZIPCd>
          </USAddress>
          <FacilityTxt>End Stage Renal Dialysis</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt University Medical Center Dialysis Clinic-East</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>20 Rachel Drive</AddressLine1Txt>
            <CityNm>Nashville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37214</ZIPCd>
          </USAddress>
          <FacilityTxt>End Stage Renal Dialysis</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt Birth Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3212 West End Ave Suite 100</AddressLine1Txt>
            <CityNm>Nashville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37203</ZIPCd>
          </USAddress>
          <FacilityTxt>Birthing Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt Imaging Services LLC (dba Vanderbilt Imaging Services Midtown)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>337 22nd Avenue North</AddressLine1Txt>
            <CityNm>Nashville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37203</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Diagnostic Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt Integrated Pediatrics - Tullahoma</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1440 Cedar Lane Suite 100</AddressLine1Txt>
            <CityNm>Tullahoma</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37388</ZIPCd>
          </USAddress>
          <FacilityTxt>Pediatrics clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt Integrated Providers - Hopkinsville</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4235 Fort Campbell Blvd</AddressLine1Txt>
            <CityNm>Hopkinsville</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>42240</ZIPCd>
          </USAddress>
          <FacilityTxt>Pediatrics clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1751 Tiny Town Rd</AddressLine1Txt>
            <CityNm>Clarksville</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37042</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7k VANDERBILT UNIVERSITY MEDICAL CENTER HOSPITALS</FormAndLineReferenceDesc>
        <ExplanationTxt>Column (f) Community Benefit Expense: The total community benefit expense using Part I, Line 7, Column (c) (before direct offsetting revenue) as a percentage of total expenses is 37.33%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20 Extraordinary Collection Actions</FormAndLineReferenceDesc>
        <ExplanationTxt>The VUMC, VWCH, VTHH, and VBCH Financial Assistance Policy permits the use of ECAs. However, VUMC, VWCH, VTHH, and VBCH did not engage in any ECAs during FY2022. The Stallworth Financial Assistance Policy explicitly forbids the use of ECAs. The Tennova Healthcare - Clarksville Financial Assistance Policy permits the use of ECAs. However, the Financial Assistance Policy forbids the use of any ECAs prior to making reasonable efforts to determine the individual's eligibility under the facility's Financial Assistance Policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>Not applicable.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 7 Medicare Shortfall</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount reported as Medicare shortfall on Schedule H, Part III, line 7 does not include Medicare Managed programs. If Medicare Managed programs were included in Schedule H, Medicare costs reported on line 6 would be an additional $696M and Medicare revenue reported on line 5 would be an additional $368M, for a net increase in the Medicare shortfall of $329M. If VUMC includes traditional Medicare and Medicare Managed programs, the Medicare shortfall is $624M for the fiscal year ended June 30, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED TO CALCULATE CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COSTS REPORTED WAS BASED ON AN OVERALL COST-TO-CHARGE RATIO FOR ALL PATIENT POPULATIONS. THE COST TO CHARGE RATIO WAS CALCULATED USING IRS WORKSHEET 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>The costing methodology used to calculate bad debt expense reported in Part III, Lines 2 and 3 was based on an overall cost-to-charge ratio for all patient populations. Discounts and payments on accounts considered as bad debt offset the total bad debt expense recorded. Process to determine amount of bad debt attributable to individuals eligible for financial assistance - The accounts that have not been paid are first reviewed under a presumptive charity policy. For those accounts that do not meet presumptive eligibility criteria, it is estimated that 3% of the balances are attributable to individuals who would qualify for financial assistance. This estimate is based on experience of patient accounting management as well as a methodical review of outstanding patient accounts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Due to the adoption of ASC 606, the audited financial statements of VUMC no longer disclose the consolidated amount of bad debt expense.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>Costing Methodology - Medicare Allowable Costs: The methodology for determining Medicare allowable costs consisted of applying an overall hospital cost-to charge ratio to gross Medicare charges from the hospital billing system. The resulting shortfall is entirely deemed as community benefit because the cost of providing related care consistently exceeds reimbursement from Medicare. The hospital accepts all Medicare patients with the knowledge that there may be shortfalls and operates to promote the health of the community. The organization believes the Medicare shortfall should be treated as a community benefit because Medicare does not fully compensate hospitals for the cost of providing hospital care to Medicare beneficiaries. In FY23, such shortfalls amounted to 295,649,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Collection Practices: Although Vanderbilt University Medical Center's policies do not contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance, in practice, if a patient qualifies for a 100% charity care write off, the account is closed and no further collection efforts are made. If a patient qualifies for a partial charity care write off, the account is reduced for the applicable charity discount and normal collection efforts are made. Although no extraordinary collection actions were taken in FY23, the extraordinary collection actions that may be taken, after reasonable efforts are made to ensure a patient is not eligible for financial assistance on the remaining balance, include: * Attachment or seizure of a bank account or other personal property * Commencement of a civil action against an individual * Wage garnishment Written approval must be obtained from VUMC before any of the above ECAs can take place.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Vanderbilt University Medical Center Hospitals: Line 16a URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Wilson County Hospital: Line 16a URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Tullahoma-Harton Hospital: Line 16a URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Bedford Hospital: Line 16a URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16a URL: https://encompasshealth.com/locations/vanderbiltstallworth/financial-assistance; - Tennova Healthcare - Clarksville: Line 16a URL: https://www.tennovaclarksville.com/hospital-501-r-information;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Vanderbilt University Medical Center Hospitals: Line 16b URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Wilson County Hospital: Line 16b URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Tullahoma-Harton Hospital: Line 16b URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Bedford Hospital: Line 16b URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16b URL: https://encompasshealth.com/locations/vanderbiltstallworth/financial-assistance; - Tennova Healthcare - Clarksville: Line 16b URL: https://www.tennovaclarksville.com/hospital-501-r-information;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Vanderbilt University Medical Center Hospitals: Line 16c URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Wilson County Hospital: Line 16c URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Tullahoma-Harton Hospital: Line 16c URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Bedford Hospital: Line 16c URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16c URL: https://encompasshealth.com/locations/vanderbiltstallworth/financial-assistance; - Tennova Healthcare - Clarksville: Line 16c URL: https://www.tennovaclarksville.com/hospital-501-r-information;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>Vanderbilt University Medical Center (including Vanderbilt University Hospitals, Vanderbilt Bedford County Hospital, and Vanderbilt Tullahoma-Harton Hospital) and Vanderbilt Stallworth Rehabilitation Hospital (Stallworth) continually assess the healthcare needs of the communities served. The Patient and Family Advisory Council, consisting of dedicated community volunteers, collaborates closely with VUMC's healthcare providers and leadership to thoroughly assess community needs and appraise the services and programs' effectiveness. VUMC and Stallworth have also formed the Community Health Improvement Working Group, an internal committee of program managers and other leadership roles that meet regularly to make recommendations related to the community's needs. Additionally, VUMC and Stallworth have convened the Community Health and Health Equity Advisory Committee (CHHEAC), a committee comprised of executive leaders who meet continually to assess the community's needs and drive improvements in care and processes for the communities they serve. To gain a deeper understanding of the unique needs of specific populations, VUMC collaborated with the Vanderbilt Program for LGBTQ Health, which conducted additional interviews within the Middle Tennessee LGBTQIA+ community to determine how their experiences align with the broad categories of needs identified in the 2022 CHNA and what strategies will best address the community's needs. VUMC further assesses the healthcare needs of its communities by playing an active role in groups such as the Bedford, Coffee, and Williamson Health Councils, the Healthy Nashville Leadership Council, and the Rutherford County Wellness Council. VUMC reviews the many needs assessments published by these local groups (Alignment Nashville, Saint Thomas Health, Nashville Area Chamber of Commerce, Metro Social Services, Healthy Nashville, and the TN Department of Health, among others) to help gauge the needs and resources within the community. For the 2022 CHNA, VUMC completed a systematic review of 61 recent assessments completed by community partners across the five counties, highlighting populations served, the geographic area covered, and themes highlighted in the report. In addition, VUMC has developed partnerships with the state Department of Health to stay abreast of important community health needs. An internal multidisciplinary team comprising members from Women's Health, the Office of Health Equity, the Office of Patient Affairs, and nursing sought to understand the inequities within obstetrics using a patient-centered approach from the Black birthing persons perspective. The Black Women's Health Listening Session explored the perspectives of Black birthing people regarding racial bias and the quality of care received during their most recent delivery at VUMC. The team piloted a virtual listening session with six women who recently delivered at VUMC. The VUMC Office of Health Equity recruited participants in partnership with Homeland Heart, a local Doula organization that provides care to Black families and their newborns. The team and leadership from the Department of Obstetrics and Gynecology reviewed themes from the listening session to identify opportunities to address the concerns of Black birthing people at VUMC and improve the quality of care and health outcomes. The five program goals identified were organized into a Health Equity Impact Plan to improve patient satisfaction and promote equitable intrapartum and postpartum care for Black birthing people who deliver at VUMC. Additionally, VUMC's Office of Health Equity partnered with Elevate Consulting to conduct facilitated planning sessions to address nutrition security and immigrant and refugee health among VUMC patients and families. The objective of these sessions was to convene various collaborators within the VUMC network, as well as partners within the community, to build shared understanding, prioritize strategies, define action steps, develop milestones, and more. The nutrition security session prompted participants to consider ways to increase nutrition security among families experiencing food insecurity at Monroe Carell Jr. Children's Hospital at Vanderbilt. This resulted in discussions about providing meals onsite and upon discharge and connecting patients and families to ongoing food resources. The immigrant and refugee health session prompted participants to brainstorm and prioritize areas of impact for a roadmap that guides community-informed health equity initiatives at VUMC. Both sessions led to the development of Health Equity Impact Plans that are currently underway to begin addressing these needs through community collaboration. Vanderbilt Wilson County Hospital (VWCH) continually assesses the healthcare needs of the communities it serves. In October 2021, VWCH convened its Patient and Family Advisory Council to improve patient experience. The Patient and Family Advisory Council, consisting of dedicated community volunteers, collaborates closely with VWCH's healthcare providers and leadership to thoroughly assess community needs and appraise the services and programs' effectiveness. Vanderbilt University Medical Center (VUMC) formed the Community Health and Health Equity Advisory Committee (CHHEAC), which includes executive leadership from VUMC, Stallworth and VWCH. The CHHEAC senior leaders meet continually to assess community needs and drive improvements in care and processes for the communities they serve. The Community Health Improvement Working Group, an internal committee of program managers, also meets regularly to make recommendations to CHEEAC and assess needs of the communities served. VWCH further assesses the health care needs of the communities it serves by playing an active role in groups such as the Wilson County Health Council, the Mental Health and Substance Use Health Council Subcommittee, and Drug-Free Wilco to help gauge the needs and resources within the community. For the 2021 CHNA, VWCH completed a systematic review of six recent assessments by community partners highlighting populations served, the geographic area covered, and themes highlighted in the report. In addition, VWCH has developed partnerships with the state Department of Health to stay abreast of important community health needs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>VUMC, VWCH, VTHH, AND VBCH patients are notified of available assistance under Federal, State or local government programs or under VUMC's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital-based clinics; brochures available at registration points; and language included on all statements mailed to patients advising that VUMC has a financial assistance program if help is needed paying medical bills. Pre-Admitting, Registration, or Billing personnel may refer uninsured or low-income patients to financial counseling personnel to discuss qualifications for free or discounted care. Stallworth patients are notified of available assistance under Federal, State or local government programs or under Stallworth's charity care policy via signage posted at various locations within the hospital. Pamphlets regarding this information are distributed upon admission and a statement is included on any patient bills. In addition, pre-Admitting, Registration, Case Management or Billing personnel may refer uninsured or low-income patients to financial personnel to discuss qualifications for free or discounted care. TENNOVA HEALTHCARE - CLARKSVILLE PATIENTS ARE NOTIFIED OF AVAILABLE ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S CHARITY CARE POLICY VIA the facility's website, by patient request, and via SIGNAGE POSTED IN THE PATIENT CARE REGISTRATION POINTS INCLUDING HOSPITALS, EMERGENCY DEPARTMENTS, AND HOSPITAL BASED CLINICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>Vanderbilt University Medical Center, one of eight hospitals located in Nashville, Tennessee, serves primarily Tennessee, northern Alabama and southern Kentucky. Vanderbilt University Medical Center owns the Vanderbilt University Hospital, the Monroe Carell Jr. Children's Hospital at Vanderbilt, and Vanderbilt Psychiatric Hospital. These facilities operate under one hospital license as Vanderbilt University Medical Center (VUMC). VUMC (excludes Vanderbilt Health Services, LLC and subsidiaries) have approximately 78,000 annual discharges. VUMC also provides approximately 3 million annual outpatient visits, including 204,000 to the emergency departments. Vanderbilt University Medical Center Hospitals provide critical and often unique health care resources to the community and provide broad access to care. The majority of VUMC's patients live in four Tennessee counties: Davidson, Williamson, Rutherford and Montgomery. Vanderbilt Wilson County Hospital is a two-campus 245-bed facility located in Mount Juliet, Tennessee and is the sole provider of inpatient and outpatient medical services in Wilson County. Vanderbilt Tullahoma-Harton Hospital is a 135-bed facility located in Tullahoma, Tennessee and is one of two hospitals serving Coffee County, Tennessee. Vanderbilt Bedford Hospital is a 60-bed facility located in Shelbyville, Tennessee and is the sole provider of inpatient and outpatient medical services in Bedford County, Tennessee. Vanderbilt Stallworth Rehabilitation Hospital, the only standalone rehabilitation hospital located in Nashville, Tennessee, serves middle Tennessee, southern Kentucky and the northern parts of Mississippi, Alabama and Georgia. This 80-bed hospital is a joint venture between Vanderbilt University Medical Center and Encompass Health and offers comprehensive acute rehabilitation services. Annually, Vanderbilt Stallworth Rehabilitation Hospital has approximately 1,280 discharges. The majority of Stallworth's patients live in four Tennessee counties - Davidson, Williamson, Rutherford and Montgomery. Tennova Healthcare - Clarksville is a 270-bed facility located in Clarksville, Tennessee and is the sole provider of inpatient and outpatient medical services in Montgomery County, Tennessee. Tennova Healthcare - Clarksville is a joint venture between Vanderbilt University Medical Center and Community Health Systems, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>For information on how VUMC promotes the health of the community please see: "Facts About Vanderbilt University Medical Center" as found at: https://www.vumc.org/about/vanderbilt-university-medical-center (Please use lowercase to access the website) "Economic Impact Report" as found at: https://www.vanderbilt.edu/reports/2019-economic-impact-report/ (Please use lowercase to access the website)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>VANDERBILT UNIVERSITY MEDICAL CENTER OWNS THE VANDERBILT UNIVERSITY HOSPITAL, THE MONROE CARELL JR. CHILDREN'S HOSPITAL AT VANDERBILT, AND VANDERBILT PSYCHIATRIC HOSPITAL. THESE FACILITIES OPERATE UNDER ONE HOSPITAL LICENSE AS VANDERBILT UNIVERSITY MEDICAL CENTER (VUMC). ADDITIONALLY, VUMC OWNS VANDERBILT WILSON COUNTY HOSPITAL, VANDERBILT TULLAHOMA-HARTON HOSPITAL, AND VANDERBILT BEDFORD HOSPITAL WHICH EACH OPERATE UNDER THEIR OWN RESPECTIVE HOSPITAL LICENSES. VUMC ALSO HAS OWNERSHIP INTEREST IN SEVERAL AFFILIATED ENTITIES, WHICH PROVIDE CLINICAL SERVICES. VUMC'S HOSPITALS, CLINICS, AND AFFILIATED ENTITIES PROVIDE THE FOLLOWING HEALTHCARE SERVICES TO THE COMMUNITIES IT SERVES: EMERGENCY CARE, INPATIENT HOSPITAL CARE, OUTPATIENT TREATMENT, DIAGNOSTIC TESTING, ANCILLARY CARE, PRIMARY CARE SERVICES, AND HOME HEALTH CARE. VUMC PROVIDES A NUMBER OF CLINICAL SERVICES UNIQUE TO ITS REGION INCLUDING: A LEVEL 1 TRAUMA CENTER, A LEVEL 1 PEDIATRIC TRAUMA CENTER, A COMPREHENSIVE REGIONAL BURN CENTER, A LEVEL 4 NEONATAL INTENSIVE CARE UNIT, TENNESSEE'S ONLY COMPREHENSIVE SOLID ORGAN TRANSPLANT CENTER, THE VANDERBILT-ESKIND DIABETES CENTER, AND THE VANDERBILT-INGRAM CANCER CENTER, THE ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER IN TENNESSEE TO TREAT BOTH ADULT AND PEDIATRIC CANCER PATIENTS. IN ADDITION, VUMC'S HEALTH CARE SYSTEM INCLUDES THE VANDERBILT HEALTH AFFILIATED NETWORK, AN AFFILIATED NETWORK OF DOCTORS, REGIONAL HEALTH SYSTEMS AND OTHER HEALTH CARE PROVIDERS THAT COLLABORATE TO PROVIDE COORDINATED AND COST-EFFECTIVE HEALTH CARE SERVICES TO THE COMMUNITIES SERVED. THESE ARE CONTRACTUAL AFFILIATE RELATIONSHIPS ONLY WITH NO OWNERSHIP INTEREST IN THE FACILITIES OR PHYSICIAN PRACTICES. VUMC ALSO COLLABORATES WITH OTHER HOSPITAL SYSTEMS IN THE REGION, PROVIDING HEALTH CARE AND/OR RESEARCH AND ACADEMIC SUPPORT. FOR A LIST OF ALL ORGANIZATIONS RELATED TO VANDERBILT UNIVERSITY MEDICAL CENTER AND THE PRIMARY ACTIVITY OF EACH, PLEASE REFER TO SCHEDULE R.</ExplanationTxt>
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        <CashGrantAmt>269657</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BAYLOR RESEACH INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1950 Stemmons Freeway Ste 5010</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75207</ZIPCd>
        </USAddress>
        <RecipientEIN>751921898</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>514000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BAYSTATE MEDICAL CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>759 Chestnut St</AddressLine1Txt>
          <CityNm>Springfield</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01199</ZIPCd>
        </USAddress>
        <RecipientEIN>042790311</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>384344</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Shaunna Spears</AddressLine1Txt>
          <AddressLine2Txt>1500 East Duarte Road</AddressLine2Txt>
          <CityNm>Duarte</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91010</ZIPCd>
        </USAddress>
        <RecipientEIN>953432210</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>23083</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BETH ISRAEL DEACONESS MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>330 Brookline Ave</AddressLine1Txt>
          <AddressLine2Txt>E BR 259</AddressLine2Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02215</ZIPCd>
        </USAddress>
        <RecipientEIN>042103881</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>986825</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BIOFOURIS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>33 Arch St 17th Floor</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02110</ZIPCd>
        </USAddress>
        <RecipientEIN>320581876</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>155554</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOARD OF REGENTS OF THE UNIVERSITY OF WISCONSIN-MADISON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Office for Research Sponsored</AddressLine1Txt>
          <AddressLine2Txt>Programs</AddressLine2Txt>
          <CityNm>Milwaukee</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53278</ZIPCd>
        </USAddress>
        <RecipientEIN>396006492</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>311832</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOARD OF REGENTS OF UNIV WISCONSIN SYSTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Office for Research and Sponsored</AddressLine1Txt>
          <AddressLine2Txt>Programs</AddressLine2Txt>
          <CityNm>Milwaukee</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53278</ZIPCd>
        </USAddress>
        <RecipientEIN>391805963</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>526117</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOARD OF TRUSTEES FOR THE UNIVERSITY OF ALABAMA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Box 870136</AddressLine1Txt>
          <CityNm>Tuscaloosa</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35487</ZIPCd>
        </USAddress>
        <RecipientEIN>636001138</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>84290</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 44253</AddressLine1Txt>
          <AddressLine2Txt>Stanford University</AddressLine2Txt>
          <CityNm>San Francisco</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94144</ZIPCd>
        </USAddress>
        <RecipientEIN>941156365</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>702732</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOSTON MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Madeline Gallo</AddressLine1Txt>
          <AddressLine2Txt>660 Harrison Ave</AddressLine2Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02118</ZIPCd>
        </USAddress>
        <RecipientEIN>043314093</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>180796</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOSTON UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Grants Receivable</AddressLine1Txt>
          <AddressLine2Txt>PO Box 28763</AddressLine2Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10087</ZIPCd>
        </USAddress>
        <RecipientEIN>042103547</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>542405</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BRIGHAM &amp; WOMENS HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Bank of America</AddressLine1Txt>
          <AddressLine2Txt>PO Box 3887</AddressLine2Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02241</ZIPCd>
        </USAddress>
        <RecipientEIN>042312909</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>458718</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BRIGHAM YOUNG UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Grants and Contracts Accounting</AddressLine1Txt>
          <AddressLine2Txt>A-261 ASB</AddressLine2Txt>
          <CityNm>Provo</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84602</ZIPCd>
        </USAddress>
        <RecipientEIN>870217280</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>48755</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CARNEGIE MELLON UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 371032</AddressLine1Txt>
          <CityNm>Pittsburgh</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15250</ZIPCd>
        </USAddress>
        <RecipientEIN>250969449</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>185553</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CAROLINA HEALTH CENTERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>313 Main Street</AddressLine1Txt>
          <AddressLine2Txt>Suite B</AddressLine2Txt>
          <CityNm>Greenwood</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29646</ZIPCd>
        </USAddress>
        <RecipientEIN>570650154</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CASE WESTERN RESERVE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10900 Euclid Ave</AddressLine1Txt>
          <AddressLine2Txt>Nord Hall Ste 615</AddressLine2Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44106</ZIPCd>
        </USAddress>
        <RecipientEIN>341018992</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>431957</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CEDARS-SINAI MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8700 Beverly Blvd 65-WIL</AddressLine1Txt>
          <AddressLine2Txt>Ste 1150</AddressLine2Txt>
          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90048</ZIPCd>
        </USAddress>
        <RecipientEIN>951644600</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>333864</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDREN'S HEALTHCARE OF ATLANTA INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Office of Grants Accounting</AddressLine1Txt>
          <AddressLine2Txt>Corp Finance</AddressLine2Txt>
          <CityNm>Atlanta</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30329</ZIPCd>
        </USAddress>
        <RecipientEIN>582367819</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>21057</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDRENS HOSPITAL MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Accounting Office MLC 4900</AddressLine1Txt>
          <AddressLine2Txt>3333 Burnet Ave</AddressLine2Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <RecipientEIN>310833936</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>14234</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDREN'S HOSPITAL MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Accounting Office MLC4900</AddressLine1Txt>
          <AddressLine2Txt>3333 Burnet Ave</AddressLine2Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <RecipientEIN>310833936</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>36764</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CITY OF HOPE NATIONAL MEDICAL CLINICAL MOLECULAR DIAGNOSTICS LAB</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1500 E Duarte Rd</AddressLine1Txt>
          <CityNm>Duarte</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91010</ZIPCd>
        </USAddress>
        <RecipientEIN>951683875</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>66731</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CLINICAL RESEARCH SEQUENCING PLATFORM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>415 MAIN ST</AddressLine1Txt>
          <CityNm>Cambridge</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02142</ZIPCd>
        </USAddress>
        <RecipientEIN>352469571</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>109568</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COUNCIL ON AGING OF GREATER NASHVILLE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>95 White Bridge Rd</AddressLine1Txt>
          <AddressLine2Txt>Ste 250</AddressLine2Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37205</ZIPCd>
        </USAddress>
        <RecipientEIN>620476667</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>82807</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CUMBERLAND FAMILY MEDICAL CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>404 Steve Dr</AddressLine1Txt>
          <AddressLine2Txt>PO Box 2399</AddressLine2Txt>
          <CityNm>Russell Springs</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42642</ZIPCd>
        </USAddress>
        <RecipientEIN>203131989</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>60000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DELTA HEALTH CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>702 Martin Luther King Rd</AddressLine1Txt>
          <CityNm>Mound Bayou</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>38762</ZIPCd>
        </USAddress>
        <RecipientEIN>640443928</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DENVER HEALTH AND HOSPITAL AUTHORITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Post Office Box 17093</AddressLine1Txt>
          <AddressLine2Txt>UMB Bank of Colorado Denver CO</AddressLine2Txt>
          <CityNm>Denver</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>802170093</ZIPCd>
        </USAddress>
        <RecipientEIN>841343242</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>324220</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DENVER RESEARCH INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3401 Quebec St</AddressLine1Txt>
          <AddressLine2Txt>Ste 5000</AddressLine2Txt>
          <CityNm>Denver</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80207</ZIPCd>
        </USAddress>
        <RecipientEIN>841392442</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>58952</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DEPT OF VETERAN AFFAIRS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Dannette Woodard</AddressLine1Txt>
          <AddressLine2Txt>Research Dvelopment Service 151</AddressLine2Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37212</ZIPCd>
        </USAddress>
        <RecipientEIN>620484828</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>137985</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DHR HEALTH INSTITUTE FOR RESEARCH AND DEVELOPMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5323 S McColl Rd</AddressLine1Txt>
          <CityNm>Edinburg</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78539</ZIPCd>
        </USAddress>
        <RecipientEIN>833783071</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>98199</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DIGNITY HEALTH ST JOSEPH'S HOSP &amp; MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>File 57431</AddressLine1Txt>
          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90074</ZIPCd>
        </USAddress>
        <RecipientEIN>860096787</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>377348</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DUKE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Duke University Accounts Receivable</AddressLine1Txt>
          <AddressLine2Txt>Lockbox</AddressLine2Txt>
          <CityNm>Charlotte</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28260</ZIPCd>
        </USAddress>
        <RecipientEIN>560532129</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>1350725</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EAST ARKANSAS FAMILY HEALTH CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>900 N 7th St</AddressLine1Txt>
          <CityNm>West Memphis</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>72301</ZIPCd>
        </USAddress>
        <RecipientEIN>237128104</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>18435</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EAST CAROLINA UNIVERSITY FINANCIAL SERVICES (MS203)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>209 East 5th St MS 211</AddressLine1Txt>
          <CityNm>Greenville</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27858</ZIPCd>
        </USAddress>
        <RecipientEIN>566000403</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>10575</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EAST TENNESSEE STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Bursar Financial Services</AddressLine1Txt>
          <AddressLine2Txt>PO Box 70732</AddressLine2Txt>
          <CityNm>Johnson City</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37614</ZIPCd>
        </USAddress>
        <RecipientEIN>626021046</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>114706</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ELEVATE CONSULTING</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 76</AddressLine1Txt>
          <CityNm>Mount Juliet</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37121</ZIPCd>
        </USAddress>
        <RecipientEIN>814214232</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>26250</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EMORY UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>615 Michael St Ste 205</AddressLine1Txt>
          <CityNm>Atlanta</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30322</ZIPCd>
        </USAddress>
        <RecipientEIN>580566256</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>991632</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FLORIDA HEALTH SCIENCES CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Office of Clinical Research</AddressLine1Txt>
          <AddressLine2Txt>5 Tampa General Cir</AddressLine2Txt>
          <CityNm>Tampa</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33606</ZIPCd>
        </USAddress>
        <RecipientEIN>593458145</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6825</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FORT SANDERS REGIONAL MEDICAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Stephanie Hale</AddressLine1Txt>
          <AddressLine2Txt>1420 Centerpoint Blvd Bldg C</AddressLine2Txt>
          <CityNm>Knoxville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37932</ZIPCd>
        </USAddress>
        <RecipientEIN>620528340</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>21973</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>G A CARMICHAEL FAMILY HEALTH CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1668 W Peace St</AddressLine1Txt>
          <CityNm>Canton</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>39046</ZIPCd>
        </USAddress>
        <RecipientEIN>640580940</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>26489</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEISINGER CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 N Academy Ave</AddressLine1Txt>
          <CityNm>Danville</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <RecipientEIN>236291113</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>319728</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>12902 Magnolia Dr</AddressLine1Txt>
          <AddressLine2Txt>MRC RES ADM</AddressLine2Txt>
          <CityNm>Tampa</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33612</ZIPCd>
        </USAddress>
        <RecipientEIN>592451713</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>57228</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HARTFORD HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>80 Seymour Street</AddressLine1Txt>
          <CityNm>Hartford</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06102</ZIPCd>
        </USAddress>
        <RecipientEIN>060646668</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>118554</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTH RESEARCH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 2966</AddressLine1Txt>
          <CityNm>Buffalo</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14240</ZIPCd>
        </USAddress>
        <RecipientEIN>141402155</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>5274</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTHFIRST BLUEGRASS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>450 Southland Dr</AddressLine1Txt>
          <AddressLine2Txt>Ste E</AddressLine2Txt>
          <CityNm>Lexington</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40503</ZIPCd>
        </USAddress>
        <RecipientEIN>452710251</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>40000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEART CENTER RESEARCH LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Charlene Sullivan</AddressLine1Txt>
          <AddressLine2Txt>105 Rands Ave SE</AddressLine2Txt>
          <CityNm>Huntsville</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35801</ZIPCd>
        </USAddress>
        <RecipientEIN>271088752</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>62185</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1414 E Maple Rd</AddressLine1Txt>
          <CityNm>Troy</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48083</ZIPCd>
        </USAddress>
        <RecipientEIN>381357020</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>414254</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOSPITAL AUTHORITY OF METRO NASHVILLE &amp; DAVIDSON COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Nashville General Hospital</AddressLine1Txt>
          <AddressLine2Txt>Medical Staff Office</AddressLine2Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37208</ZIPCd>
        </USAddress>
        <RecipientEIN>202844893</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>37986</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Evelina Burman</AddressLine1Txt>
          <AddressLine2Txt>1st Floor Room 15 75</AddressLine2Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10029</ZIPCd>
        </USAddress>
        <RecipientEIN>136171197</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>353950</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IHC HEALTH SERVICES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 57828</AddressLine1Txt>
          <CityNm>Salt Lake City</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84157</ZIPCd>
        </USAddress>
        <RecipientEIN>942854057</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>790919</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ILLUMINA INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>12864 Collections Center Dr</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60693</ZIPCd>
        </USAddress>
        <RecipientEIN>330804655</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>355235</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IMAGINE PHARMA LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>20 S Waterloo Rd</AddressLine1Txt>
          <CityNm>Devon</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19333</ZIPCd>
        </USAddress>
        <RecipientEIN>812652235</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>10200</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INDIANA UNIVERSITY HEALTH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Dept 78867</AddressLine1Txt>
          <AddressLine2Txt>PO Box 78000</AddressLine2Txt>
          <CityNm>Detroit</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48278</ZIPCd>
        </USAddress>
        <RecipientEIN>351955872</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>9200</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INDIANA UNIVERSITY TRUSTEES OF INDIANA UNIV</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Dept 78867</AddressLine1Txt>
          <AddressLine2Txt>PO Box 78000</AddressLine2Txt>
          <CityNm>Detroit</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48278</ZIPCd>
        </USAddress>
        <RecipientEIN>356001673</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>663145</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IPSOS PUBLIC AFFAIRS LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 360609</AddressLine1Txt>
          <CityNm>Pittsburgh</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15251</ZIPCd>
        </USAddress>
        <RecipientEIN>362061602</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>39022</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JACKSON MADISON COUNTY GENERAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>620 Skyline Dr</AddressLine1Txt>
          <CityNm>Jackson</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38301</ZIPCd>
        </USAddress>
        <RecipientEIN>626010402</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>84583</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JEFFERSON COMPREHENSIVE HEALTH CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>405 Main St</AddressLine1Txt>
          <CityNm>Fayette</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>39069</ZIPCd>
        </USAddress>
        <RecipientEIN>640667610</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JOHNS HOPKINS UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>12529 Collections Center Dr</AddressLine1Txt>
          <AddressLine2Txt>Bank of America</AddressLine2Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60693</ZIPCd>
        </USAddress>
        <RecipientEIN>520595110</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>2138403</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KAISER FOUNDATION HEALTH PLAN OF WASHINGTON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1800 Harrison St 16th Fl</AddressLine1Txt>
          <CityNm>Oakland</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94612</ZIPCd>
        </USAddress>
        <RecipientEIN>910511770</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>298892</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KAISER FOUNDATION RESEARCH INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1800 Harrison St</AddressLine1Txt>
          <AddressLine2Txt>17th Floor</AddressLine2Txt>
          <CityNm>Oakland</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94612</ZIPCd>
        </USAddress>
        <RecipientEIN>941105628</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>74628</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KENNELL AND ASSOCIATES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3130 Fairview Park Dr</AddressLine1Txt>
          <AddressLine2Txt>Ste 450</AddressLine2Txt>
          <CityNm>Falls Church</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22042</ZIPCd>
        </USAddress>
        <RecipientEIN>541771141</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>106108</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KOOTENAI HOSPITAL DISTRICT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 W IRONWOOD DR STE 359</AddressLine1Txt>
          <CityNm>Coeur d Alene</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83814</ZIPCd>
        </USAddress>
        <RecipientEIN>820231746</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>12900</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LA JOLLA INSTITUTE FOR IMMUNOLOGY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9420 Athena Cir</AddressLine1Txt>
          <CityNm>La Jolla</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92037</ZIPCd>
        </USAddress>
        <RecipientEIN>330328688</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>35399</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LAHEY CLINIC INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>41 Mall Rd</AddressLine1Txt>
          <CityNm>Burlington</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01805</ZIPCd>
        </USAddress>
        <RecipientEIN>042704683</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>141937</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LEGACY EMANUEL HOSPITAL &amp; HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1225 NE 2nd Ave</AddressLine1Txt>
          <CityNm>Portland</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97232</ZIPCd>
        </USAddress>
        <RecipientEIN>930386823</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6867</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LIPSCOMB UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 University Park Dr</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37204</ZIPCd>
        </USAddress>
        <RecipientEIN>620485733</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>160479</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LSU HEALTH SCIENCE CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Accounts Receivable</AddressLine1Txt>
          <AddressLine2Txt>Room 519</AddressLine2Txt>
          <CityNm>New Orleans</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70112</ZIPCd>
        </USAddress>
        <RecipientEIN>726087770</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>133654</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARK SCHWEIZER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8111 NW 95th Ln</AddressLine1Txt>
          <CityNm>Tamarac</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33321</ZIPCd>
        </USAddress>
        <RecipientEIN>814286681</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>47683</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARSHFIELD CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1000 North Oak Ave</AddressLine1Txt>
          <AddressLine2Txt>Marshfield Clinic Research Inst</AddressLine2Txt>
          <CityNm>Marshfield</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54449</ZIPCd>
        </USAddress>
        <RecipientEIN>812822823</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>31450</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MASONIC MEDICAL RESEARCH LABORATORY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2150 Bleecker St</AddressLine1Txt>
          <CityNm>Utica</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13501</ZIPCd>
        </USAddress>
        <RecipientEIN>135648611</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>79171</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MASSACHUSETTS EYE &amp; EAR INFIRMARY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>243 Charles St</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02114</ZIPCd>
        </USAddress>
        <RecipientEIN>042103591</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50963</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MASSACHUSETTS GENERAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Bank of America N A</AddressLine1Txt>
          <AddressLine2Txt>PO Box 3829</AddressLine2Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02241</ZIPCd>
        </USAddress>
        <RecipientEIN>041564655</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>21837</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MASSACHUSETTS INSTITUTE OF TECHNOLOGY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>77 Massachusetts Ave</AddressLine1Txt>
          <AddressLine2Txt>16-429</AddressLine2Txt>
          <CityNm>Cambridge</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02139</ZIPCd>
        </USAddress>
        <RecipientEIN>042103594</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>65489</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAYO CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 860334</AddressLine1Txt>
          <CityNm>Minneapolis</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55486</ZIPCd>
        </USAddress>
        <RecipientEIN>593337028</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>56175</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAYO CLINIC ARIZONA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Research Finance Arizona</AddressLine1Txt>
          <AddressLine2Txt>PO Box 860334</AddressLine2Txt>
          <CityNm>Minneapolis</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55486</ZIPCd>
        </USAddress>
        <RecipientEIN>860800150</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>8751</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAYO CLINIC ROCHESTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Research Finance</AddressLine1Txt>
          <AddressLine2Txt>PO Box 4006</AddressLine2Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55903</ZIPCd>
        </USAddress>
        <RecipientEIN>416011702</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>396291</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MD ANDERSON MEDICAL CENTER UNIVERSITY OF TEXAS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Grants and Contracts</AddressLine1Txt>
          <AddressLine2Txt>M D Anderson Cancer Center</AddressLine2Txt>
          <CityNm>Houston</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77210</ZIPCd>
        </USAddress>
        <RecipientEIN>746001118</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>155128</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEDICAL COLLEGE OF WISCONSIN INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8701 Watertown Plank Rd</AddressLine1Txt>
          <CityNm>Milwaukee</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53226</ZIPCd>
        </USAddress>
        <RecipientEIN>390806261</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>311685</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEDICAL UNIVERSITY OF SOUTH CAROLINA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 S Park Cir</AddressLine1Txt>
          <AddressLine2Txt>MUSC Grants Contracts Accounting</AddressLine2Txt>
          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29407</ZIPCd>
        </USAddress>
        <RecipientEIN>576000722</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>99641</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEDSTAR HEALTH RESEARCH INSTITUTE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 418223</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02241</ZIPCd>
        </USAddress>
        <RecipientEIN>526056274</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6197</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEHARRY MEDICAL COLLEGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1005 D B Todd Jr Blvd</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37208</ZIPCd>
        </USAddress>
        <RecipientEIN>620488046</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>3402810</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEMORIAL SLOAN-KETTERING CANCER CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 29049</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10087</ZIPCd>
        </USAddress>
        <RecipientEIN>131924236</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>63000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEMPHIS CENTER FOR REPRODUCTIVE HEALTH CHOICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1203 Poplar Ave</AddressLine1Txt>
          <CityNm>Memphis</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38104</ZIPCd>
        </USAddress>
        <RecipientEIN>620931089</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>17500</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>METHODIST HOSPITAL RESEARCH INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Office of Grants and Contracts</AddressLine1Txt>
          <AddressLine2Txt>PO Box 4805</AddressLine2Txt>
          <CityNm>Houston</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77210</ZIPCd>
        </USAddress>
        <RecipientEIN>870721923</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>125312</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MIDDLE TENNESSEE RESEARCH INSTITUE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1310 24th Ave S</AddressLine1Txt>
          <AddressLine2Txt>Room F-201</AddressLine2Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37212</ZIPCd>
        </USAddress>
        <RecipientEIN>621387860</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>54997</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MIDDLE TENNESSEE STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Office of Business Finance</AddressLine1Txt>
          <AddressLine2Txt>103 Cope Administration Building</AddressLine2Txt>
          <CityNm>Murfreesboro</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37132</ZIPCd>
        </USAddress>
        <RecipientEIN>626005794</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>41992</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MINNEAPOLIS MEDICAL RESEARCH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>701 Park Ave</AddressLine1Txt>
          <AddressLine2Txt>PP7 700</AddressLine2Txt>
          <CityNm>Minneapolis</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55415</ZIPCd>
        </USAddress>
        <RecipientEIN>411677920</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>280000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MJD WELLNESS &amp; COMMUNITY CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>822 NE 125th St Ste 103</AddressLine1Txt>
          <CityNm>Miami</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33161</ZIPCd>
        </USAddress>
        <RecipientEIN>815404209</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MONTGOMERY AIDS OUTREACH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 11087</AddressLine1Txt>
          <CityNm>Montgomery</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36111</ZIPCd>
        </USAddress>
        <RecipientEIN>630959628</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>36406</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MOREHOUSE SCHOOL OF MEDICINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Accounts Receivable Cashier</AddressLine1Txt>
          <AddressLine2Txt>720 WESTVIEW DR SW</AddressLine2Txt>
          <CityNm>Atlanta</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30310</ZIPCd>
        </USAddress>
        <RecipientEIN>581438873</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>260836</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NASHVILLE CARES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>633 Thompson Ln</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37204</ZIPCd>
        </USAddress>
        <RecipientEIN>621274532</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>42250</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW ENGLAND RESEACH INSTITUTES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>C/O Healthcore Inc</AddressLine1Txt>
          <AddressLine2Txt>123 Justison St Ste 200</AddressLine2Txt>
          <CityNm>Wilmington</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19801</ZIPCd>
        </USAddress>
        <RecipientEIN>042919509</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>9223</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW YORK UNIVERSITY LANGONE MEDICAL CTR</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>57 Old Forge Rd</AddressLine1Txt>
          <CityNm>Tuxedo Park</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10987</ZIPCd>
        </USAddress>
        <RecipientEIN>135562308</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>261437</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEWTON WELLESLEY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>C/O Andrea Sentovich</AddressLine1Txt>
          <AddressLine2Txt>Office of Clinical Research</AddressLine2Txt>
          <CityNm>Newton Lower Falls</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02462</ZIPCd>
        </USAddress>
        <RecipientEIN>042103611</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>139142</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTHERN ARIZONA UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 4080</AddressLine1Txt>
          <CityNm>Flagstaff</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>86011</ZIPCd>
        </USAddress>
        <RecipientEIN>742579628</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>28845</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTHERN CALIFORNIA INSTITUTE FOR RESEARCH AND EDUCATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4150 Clement Street 151NC</AddressLine1Txt>
          <CityNm>San Francisco</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94121</ZIPCd>
        </USAddress>
        <RecipientEIN>943084159</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>98114</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTHWESTERN UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>633 Clark St</AddressLine1Txt>
          <AddressLine2Txt>Acct Svcs for Rsch and Spsd Prgms</AddressLine2Txt>
          <CityNm>Evanston</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60208</ZIPCd>
        </USAddress>
        <RecipientEIN>362167817</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>827850</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OHIO STATE UNIV RESEARCH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1960 Kenny Rd</AddressLine1Txt>
          <AddressLine2Txt>Accounting Dept 4th Floor</AddressLine2Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43210</ZIPCd>
        </USAddress>
        <RecipientEIN>316401599</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>218000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OREGON HEALTH &amp; SCIENCE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Office of Proposal Award</AddressLine1Txt>
          <AddressLine2Txt>P O box 3003</AddressLine2Txt>
          <CityNm>Portland</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97208</ZIPCd>
        </USAddress>
        <RecipientEIN>931176109</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>1119838</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OUR LADY OF THE LAKE HOSPITAL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Office of Research - OLOL</AddressLine1Txt>
          <AddressLine2Txt>7556 Hennessy Blvd</AddressLine2Txt>
          <CityNm>Baton Rouge</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70808</ZIPCd>
        </USAddress>
        <RecipientEIN>720423651</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PALO ALTO VETERANS INST FOR RESERACH PAVIR</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box V-38</AddressLine1Txt>
          <CityNm>Palo Alto</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94304</ZIPCd>
        </USAddress>
        <RecipientEIN>770207331</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>80371</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PHDS CO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Accounting</AddressLine1Txt>
          <AddressLine2Txt>3011 Amherst Rd</AddressLine2Txt>
          <CityNm>Knoxville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37921</ZIPCd>
        </USAddress>
        <RecipientEIN>680625833</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>42504</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PHYSICIANS CARE OF CLARKE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>24B Camden Byp</AddressLine1Txt>
          <CityNm>Camden</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36726</ZIPCd>
        </USAddress>
        <RecipientEIN>832589567</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>77500</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PREMIER MOBILE HEALTH SERVICES CORP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3903 Dr Martin Luther King Jr Blvd</AddressLine1Txt>
          <AddressLine2Txt>Ste K</AddressLine2Txt>
          <CityNm>Fort Myers</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33916</ZIPCd>
        </USAddress>
        <RecipientEIN>825372657</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PRESIDENT AND FELLOWS OF HARVARD COLLEGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 415649</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02241</ZIPCd>
        </USAddress>
        <RecipientEIN>042103580</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>44299</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PRESIDENTS &amp; TRUSTEES OF WILLIAMS COLLEG WILLIAMS COLLEGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 67</AddressLine1Txt>
          <CityNm>Williamstown</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01267</ZIPCd>
        </USAddress>
        <RecipientEIN>042104847</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>9071</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PROVIDENCE PORTLAND MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>LB 1133 PO Box 35143</AddressLine1Txt>
          <CityNm>Seattle</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98124</ZIPCd>
        </USAddress>
        <RecipientEIN>930386906</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>7545</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENSTRIEF INSTITUTE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1101 W 10th St</AddressLine1Txt>
          <CityNm>Indianapolis</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46202</ZIPCd>
        </USAddress>
        <RecipientEIN>300007730</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6004</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENTS OF NEW MEXCIO STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>P O Box 30002 MSC SPA</AddressLine1Txt>
          <CityNm>Las Cruces</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88003</ZIPCd>
        </USAddress>
        <RecipientEIN>856000401</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>23699</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENTS OF THE UNIV OF CALIFORNIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Ashley Harlow 0737</AddressLine1Txt>
          <CityNm>La Jolla</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92093</ZIPCd>
        </USAddress>
        <RecipientEIN>946036494</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>71660</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENTS OF THE UNIVERSITY OF CALIFORNIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9500 Gillman Dr</AddressLine1Txt>
          <AddressLine2Txt>MC 0009</AddressLine2Txt>
          <CityNm>La Jolla</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92093</ZIPCd>
        </USAddress>
        <RecipientEIN>956006144</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>762087</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENTS OF THE UNIVERSITY OF CALIFORNIA DAVIS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>UC Davis AR Lockbox</AddressLine1Txt>
          <AddressLine2Txt>PO Box 741816</AddressLine2Txt>
          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90074</ZIPCd>
        </USAddress>
        <RecipientEIN>946036494</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>588016</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 741539</AddressLine1Txt>
          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90074</ZIPCd>
        </USAddress>
        <RecipientEIN>956006144</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>85511</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENTS OF THE UNIVERSITY OF CALIFORNIA UNIVERSITY OF CALIFORNIA BERKELEY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1608 Fourth St Ste 201</AddressLine1Txt>
          <CityNm>Berkeley</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94710</ZIPCd>
        </USAddress>
        <RecipientEIN>946002123</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>202592</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENTS OF THE UNIVERSITY OF COLORADO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Grants Contracts 211583-AD</AddressLine1Txt>
          <AddressLine2Txt>PO Box 910238</AddressLine2Txt>
          <CityNm>Denver</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80291</ZIPCd>
        </USAddress>
        <RecipientEIN>846000555</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>2105262</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENTS OF THE UNIVERSITY OF MICHIGAN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Box 223131</AddressLine1Txt>
          <CityNm>Pittsburgh</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15251</ZIPCd>
        </USAddress>
        <RecipientEIN>386006309</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>1671811</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENTS OF THE UNIVERSITY OF MINNESOTA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>NW 5957</AddressLine1Txt>
          <AddressLine2Txt>PO Box 1450</AddressLine2Txt>
          <CityNm>Minneapolis</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55485</ZIPCd>
        </USAddress>
        <RecipientEIN>416007513</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>75319</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RENBIO INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>30-02 48TH AVE STE 340</AddressLine1Txt>
          <CityNm>Long Island City</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11101</ZIPCd>
        </USAddress>
        <RecipientEIN>465353064</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>1486356</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RESEARCH TRIANGLE INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 900002</AddressLine1Txt>
          <CityNm>Raleigh</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27675</ZIPCd>
        </USAddress>
        <RecipientEIN>560686338</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>28920</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RHODE ISLAND HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Coro E Ste 1A</AddressLine1Txt>
          <AddressLine2Txt>Room 170</AddressLine2Txt>
          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02903</ZIPCd>
        </USAddress>
        <RecipientEIN>050258954</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>24615</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROCKEFELLER UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1230 York Ave</AddressLine1Txt>
          <AddressLine2Txt>Box 259</AddressLine2Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10065</ZIPCd>
        </USAddress>
        <RecipientEIN>131624158</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>82952</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RURAL HEALTH CARE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>105 Whitehall Dr Ste 109</AddressLine1Txt>
          <CityNm>Saint Augustine</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32084</ZIPCd>
        </USAddress>
        <RecipientEIN>591792958</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>80000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RURAL HEALTH SERVICES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1000 Clyburn Pl</AddressLine1Txt>
          <CityNm>Aiken</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29801</ZIPCd>
        </USAddress>
        <RecipientEIN>237085643</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>42500</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RUSH UNIVERSITY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1653 W Congress Pkwy</AddressLine1Txt>
          <AddressLine2Txt>Ste 810 Jones</AddressLine2Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60612</ZIPCd>
        </USAddress>
        <RecipientEIN>362174823</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>721433</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RUTGERS THE STATE UNIVERSITY OF NEW JER RUTGERS BIOMEDICAL AND HEALTH SCIEN</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>CES</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Division of Grants Contract</AddressLine1Txt>
          <AddressLine2Txt>Accounting</AddressLine2Txt>
          <CityNm>Piscataway</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08854</ZIPCd>
        </USAddress>
        <RecipientEIN>462354111</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>335972</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAINT THOMAS HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Dictate ADH Mark Aaron MD PI</AddressLine1Txt>
          <AddressLine2Txt>4220 Harding Rd</AddressLine2Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37205</ZIPCd>
        </USAddress>
        <RecipientEIN>581716804</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6843</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SANFORD RESEACH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 5064</AddressLine1Txt>
          <CityNm>Sioux Falls</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57104</ZIPCd>
        </USAddress>
        <RecipientEIN>460450378</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>418050</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SARAH CANNON RESEARCH INSTITUTE LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 27025</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23261</ZIPCd>
        </USAddress>
        <RecipientEIN>201557751</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>28970</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SCHEPENS EYE RESEARCH INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>20 Staniford St</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02114</ZIPCd>
        </USAddress>
        <RecipientEIN>042129889</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>188047</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SENTARA HOSPITALS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>835 Glenrock Rd Ste 220</AddressLine1Txt>
          <CityNm>Norfolk</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23502</ZIPCd>
        </USAddress>
        <RecipientEIN>541547408</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST JUDES CHILDREN RESEARCH HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 1000</AddressLine1Txt>
          <AddressLine2Txt>Dept 949</AddressLine2Txt>
          <CityNm>Memphis</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38148</ZIPCd>
        </USAddress>
        <RecipientEIN>620646012</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>71381</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST LUKES HOSPITAL OF KANSAS CITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 505335</AddressLine1Txt>
          <CityNm>Saint Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63150</ZIPCd>
        </USAddress>
        <RecipientEIN>440545297</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>64980</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STANFORD UNIVERSITY BOARD OF TRUSTEES OF THE LELAND STAN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 20410</AddressLine1Txt>
          <CityNm>Palo Alto</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94309</ZIPCd>
        </USAddress>
        <RecipientEIN>941156365</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>1906458</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STATE OF MISSISSIPPI - UNIV OF MS MEDICAL CENTER - UNIVERSITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2500 North State Street</AddressLine1Txt>
          <CityNm>Jackson</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>39216</ZIPCd>
        </USAddress>
        <RecipientEIN>646008520</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>121541</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2500 N State St</AddressLine1Txt>
          <CityNm>Jackson</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>39216</ZIPCd>
        </USAddress>
        <RecipientEIN>646008520</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>196777</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STATE UNIVERSITY OF IOWA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Grant Accounting Office</AddressLine1Txt>
          <AddressLine2Txt>2410 UCC</AddressLine2Txt>
          <CityNm>Iowa City</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52242</ZIPCd>
        </USAddress>
        <RecipientEIN>426004813</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>305173</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TCHWD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5201 Virginia Way</AddressLine1Txt>
          <CityNm>Brentwood</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37027</ZIPCd>
        </USAddress>
        <RecipientEIN>620534232</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6130</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Temple University Resear</AddressLine1Txt>
          <AddressLine2Txt>Administration Post Award</AddressLine2Txt>
          <CityNm>Brooklyn</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11245</ZIPCd>
        </USAddress>
        <RecipientEIN>231365971</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>308908</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENNESSEE ALLIANCE FOR LEGAL SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>50 VANTAGE WAY STE 250</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37228</ZIPCd>
        </USAddress>
        <RecipientEIN>620979831</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>42272</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENNESSEE STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3500 John A Merritt Blvd</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37209</ZIPCd>
        </USAddress>
        <RecipientEIN>620786119</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>63393</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE BOARD OF TRUSTEES UNIVERSITY OF ILLINOIS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>28392 Network Pl</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60673</ZIPCd>
        </USAddress>
        <RecipientEIN>376000511</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>544245</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE BROAD INSTITUTE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>415 Main St</AddressLine1Txt>
          <CityNm>Cambridge</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02142</ZIPCd>
        </USAddress>
        <RecipientEIN>263428781</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>914723</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE CARLE FOUNDATION HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>611 W Park St</AddressLine1Txt>
          <CityNm>Urbana</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61801</ZIPCd>
        </USAddress>
        <RecipientEIN>371119538</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>67698</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE CHILDREN'S HOSPITAL OF PHILADELPHIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Lockbox 1457</AddressLine1Txt>
          <AddressLine2Txt>PO Box 8500</AddressLine2Txt>
          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19178</ZIPCd>
        </USAddress>
        <RecipientEIN>231352166</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>3038804</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE CLEVELAND CLINIC FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>C/O DEBORA BORK</AddressLine1Txt>
          <AddressLine2Txt>PO BOX 931531</AddressLine2Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44193</ZIPCd>
        </USAddress>
        <RecipientEIN>340714585</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>534995</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE COOPER HEALTH SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>One Cooper Plaza</AddressLine1Txt>
          <CityNm>Camden</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08103</ZIPCd>
        </USAddress>
        <RecipientEIN>210634462</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>12164</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE CORPORATION OF MERCER UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1501 Mercer University Dr</AddressLine1Txt>
          <CityNm>Macon</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31207</ZIPCd>
        </USAddress>
        <RecipientEIN>580566167</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>39661</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE FOUNDATION FOR AIDS RESEARCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>amfAR</AddressLine1Txt>
          <AddressLine2Txt>120 Wall St 13th Floor</AddressLine2Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10005</ZIPCd>
        </USAddress>
        <RecipientEIN>133163817</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>60792</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE GENERAL HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Research Cores Analyst</AddressLine1Txt>
          <AddressLine2Txt>399 Revolution Dr Ste 750</AddressLine2Txt>
          <CityNm>Somerville</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02145</ZIPCd>
        </USAddress>
        <RecipientEIN>042697983</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>456845</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE GEORGE WASHINGTON UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 829896</AddressLine1Txt>
          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19182</ZIPCd>
        </USAddress>
        <RecipientEIN>530196584</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>79548</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE NUMOURS FOUNDATION NEMOURS CHILDRENS HOSPITAL FLORIDA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ATTN Grant Dept 3 East</AddressLine1Txt>
          <AddressLine2Txt>10140 Centurion Pkwy North</AddressLine2Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32256</ZIPCd>
        </USAddress>
        <RecipientEIN>590634433</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>28753</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE OHIO STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>AttnMichael Adkins</AddressLine1Txt>
          <AddressLine2Txt>Office of Sponsored ProgramsOBIC</AddressLine2Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43210</ZIPCd>
        </USAddress>
        <RecipientEIN>316025986</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>180146</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE PENNSYLVANIA STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Eriee Meyers</AddressLine1Txt>
          <AddressLine2Txt>Controllers Office MCH 157</AddressLine2Txt>
          <CityNm>Hershey</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17033</ZIPCd>
        </USAddress>
        <RecipientEIN>246000376</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>11300</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE RAND CORPORATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2138</AddressLine1Txt>
          <CityNm>Santa Monica</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90407</ZIPCd>
        </USAddress>
        <RecipientEIN>951958142</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>11019</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE RECTOR AND VISITIORS OF THE UNIVERSITY OF VIRGINIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1001 N Emmet St</AddressLine1Txt>
          <CityNm>Charlottesville</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22903</ZIPCd>
        </USAddress>
        <RecipientEIN>546001796</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>663157</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE REGENTS OF THE UNIV OF CAL UCSF OFFICE OF SPONSORED RESEARCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 748872</AddressLine1Txt>
          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90074</ZIPCd>
        </USAddress>
        <RecipientEIN>946036493</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>139233</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>UCSF Main Depository</AddressLine1Txt>
          <AddressLine2Txt>PO Box 748872</AddressLine2Txt>
          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90074</ZIPCd>
        </USAddress>
        <RecipientEIN>946036493</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>107016</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE REGENTS OF THE UNIVERSITY OF MICHIGANELSO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 223131</AddressLine1Txt>
          <CityNm>Pittsburgh</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15251</ZIPCd>
        </USAddress>
        <RecipientEIN>386006309</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>224199</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE RESEARCH FOUNDATION FOR THE CITY UNIVERSITY OF NEW YORK</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>230 W 41st St 7th Fl</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10036</ZIPCd>
        </USAddress>
        <RecipientEIN>131988190</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>45778</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 9</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12201</ZIPCd>
        </USAddress>
        <RecipientEIN>141368361</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>56364</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Dept 781653</AddressLine1Txt>
          <AddressLine2Txt>PO Box 78000</AddressLine2Txt>
          <CityNm>Detroit</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48278</ZIPCd>
        </USAddress>
        <RecipientEIN>316056230</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>22834</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE TRUSTEES OF COLUMBIA UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 29789</AddressLine1Txt>
          <AddressLine2Txt>General Post Office</AddressLine2Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10087</ZIPCd>
        </USAddress>
        <RecipientEIN>135598093</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>538378</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Sponsored Projects Finance</AddressLine1Txt>
          <AddressLine2Txt>PO Box 29789</AddressLine2Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10087</ZIPCd>
        </USAddress>
        <RecipientEIN>135598093</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>1532077</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF AKRON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>302 BUCHTEL COMMON</AddressLine1Txt>
          <CityNm>Akron</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44325</ZIPCd>
        </USAddress>
        <RecipientEIN>346002924</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>6459</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF ARIZONA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Sponsored Projects Contracting</AddressLine1Txt>
          <AddressLine2Txt>Services</AddressLine2Txt>
          <CityNm>Tucson</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85717</ZIPCd>
        </USAddress>
        <RecipientEIN>866004791</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>237875</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TENNESSEE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>910 Madison Ave</AddressLine1Txt>
          <AddressLine2Txt>Ste 823</AddressLine2Txt>
          <CityNm>Memphis</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38163</ZIPCd>
        </USAddress>
        <RecipientEIN>626001636</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>117877</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Grants Contracts</AddressLine1Txt>
          <AddressLine2Txt>PO Box 4266</AddressLine2Txt>
          <CityNm>Houston</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77210</ZIPCd>
        </USAddress>
        <RecipientEIN>746001118</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>69036</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CNETER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Lockbox 842265</AddressLine1Txt>
          <AddressLine2Txt>1950 N Stemmons Hwy</AddressLine2Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75207</ZIPCd>
        </USAddress>
        <RecipientEIN>756002868</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>391086</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE VANDERBILT UNIVERSITY CONTRACT &amp; GRANT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PMB 401591</AddressLine1Txt>
          <AddressLine2Txt>2301 Vanderbilt Place</AddressLine2Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37240</ZIPCd>
        </USAddress>
        <RecipientEIN>620476822</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>13726545</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THERADEX SYSTEMS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4365 ROUTE 1 S STE 101</AddressLine1Txt>
          <CityNm>Princeton</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08540</ZIPCd>
        </USAddress>
        <RecipientEIN>222418075</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>150000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THOMAS JEFFERSON UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ATTN STEPHANIE KOVACS</AddressLine1Txt>
          <AddressLine2Txt>JEFFERSON CLINICAL RESEARCH</AddressLine2Txt>
          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19107</ZIPCd>
        </USAddress>
        <RecipientEIN>231352651</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>12045</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRANSLATIONAL GENOMICS RESEARCH INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>445 N Fifth St</AddressLine1Txt>
          <AddressLine2Txt>Ste 100</AddressLine2Txt>
          <CityNm>Phoenix</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85004</ZIPCd>
        </USAddress>
        <RecipientEIN>753065445</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>132950</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRUSTEES OF PURDUE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>23510 Network Pl</AddressLine1Txt>
          <AddressLine2Txt>Sponsored Program Services</AddressLine2Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60673</ZIPCd>
        </USAddress>
        <RecipientEIN>356002041</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>182592</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Penn Arts Sciences</AddressLine1Txt>
          <AddressLine2Txt>420 Walnut St</AddressLine2Txt>
          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19106</ZIPCd>
        </USAddress>
        <RecipientEIN>231352685</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>1392928</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TUSKEGEE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1200 W Montgomery Rd</AddressLine1Txt>
          <CityNm>Tuskegee</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>36088</ZIPCd>
        </USAddress>
        <RecipientEIN>630288878</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>19851</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF ALABAMA AT BIRMINGHAM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1720 2nd Ave S</AddressLine1Txt>
          <AddressLine2Txt>AB 990</AddressLine2Txt>
          <CityNm>Birmingham</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35294</ZIPCd>
        </USAddress>
        <RecipientEIN>636005396</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>1923275</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF CHICAGO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6054 S Drexel Ave</AddressLine1Txt>
          <AddressLine2Txt>Ste 300</AddressLine2Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60637</ZIPCd>
        </USAddress>
        <RecipientEIN>362177139</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>34301</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF CINCINNATI</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 210222</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45221</ZIPCd>
        </USAddress>
        <RecipientEIN>316000989</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>573252</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF CONNECTICUT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>438 Whitney Rd Extension</AddressLine1Txt>
          <AddressLine2Txt>Unit 1133</AddressLine2Txt>
          <CityNm>Storrs Mansfield</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06269</ZIPCd>
        </USAddress>
        <RecipientEIN>060772160</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>101011</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF DELAWARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ATTN CASHIERS OFFICE</AddressLine1Txt>
          <AddressLine2Txt>30 LOVETT AVE</AddressLine2Txt>
          <CityNm>Newark</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19716</ZIPCd>
        </USAddress>
        <RecipientEIN>516000297</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>67474</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF FLORIDA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>CFO- Contracts Grants</AddressLine1Txt>
          <AddressLine2Txt>PO Box 113001</AddressLine2Txt>
          <CityNm>Gainesville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32611</ZIPCd>
        </USAddress>
        <RecipientEIN>596002052</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>1002218</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF HAWAII</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2440 Campus Rd</AddressLine1Txt>
          <AddressLine2Txt>Box 368</AddressLine2Txt>
          <CityNm>Honolulu</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96822</ZIPCd>
        </USAddress>
        <RecipientEIN>996000354</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>55825</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF HOUSTON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>University of Houston System</AddressLine1Txt>
          <AddressLine2Txt>Treasurers Office</AddressLine2Txt>
          <CityNm>Houston</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77001</ZIPCd>
        </USAddress>
        <RecipientEIN>746001399</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>24660</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF KENTUCKY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PNC Bank</AddressLine1Txt>
          <AddressLine2Txt>PO Box 931113</AddressLine2Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44193</ZIPCd>
        </USAddress>
        <RecipientEIN>616001218</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>30700</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>201 Kinkead Hall</AddressLine1Txt>
          <CityNm>Lexington</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40506</ZIPCd>
        </USAddress>
        <RecipientEIN>616033693</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>267947</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF LOUISVILLE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Controllers Office</AddressLine1Txt>
          <AddressLine2Txt>223 Service Complex</AddressLine2Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40292</ZIPCd>
        </USAddress>
        <RecipientEIN>611029626</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>220801</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF LOUISVILLE CONTROLLERS OFFICE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2301 S Third St</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40208</ZIPCd>
        </USAddress>
        <RecipientEIN>611014882</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>113888</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF MEMPHIS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 1000</AddressLine1Txt>
          <AddressLine2Txt>Dept 313</AddressLine2Txt>
          <CityNm>Memphis</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38148</ZIPCd>
        </USAddress>
        <RecipientEIN>620648618</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>90030</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF MIAMI OFFICE OF RESEARCH ADMINISTRATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Office of Research Administration</AddressLine1Txt>
          <AddressLine2Txt>1320 S Dixie Hwy</AddressLine2Txt>
          <CityNm>Miami</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33146</ZIPCd>
        </USAddress>
        <RecipientEIN>590624458</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>2765350</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF MISSOURI</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Columbia AR</AddressLine1Txt>
          <AddressLine2Txt>PO Box 807012</AddressLine2Txt>
          <CityNm>Kansas City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64180</ZIPCd>
        </USAddress>
        <RecipientEIN>436003859</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>66280</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF NEBRASKA BOARD OF REGENTS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Accounts Receivable</AddressLine1Txt>
          <AddressLine2Txt>985045 Nebraska Medical Center</AddressLine2Txt>
          <CityNm>Omaha</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68198</ZIPCd>
        </USAddress>
        <RecipientEIN>470049123</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>93635</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF NEBRASKA MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>985045 Nebraska Medical Center</AddressLine1Txt>
          <CityNm>Omaha</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68198</ZIPCd>
        </USAddress>
        <RecipientEIN>911858433</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>129266</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF NEW MEXICO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 University of New Mexico</AddressLine1Txt>
          <AddressLine2Txt>MSCO9 5225</AddressLine2Txt>
          <CityNm>Albuquerque</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87131</ZIPCd>
        </USAddress>
        <RecipientEIN>856000642</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>438453</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2101 MCGAVRAN GREENBERG</AddressLine1Txt>
          <AddressLine2Txt>CB 7435</AddressLine2Txt>
          <CityNm>Chapel Hill</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27599</ZIPCd>
        </USAddress>
        <RecipientEIN>566001393</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>1736239</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF NORTH CAROLINA-CHARLOTTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Grants Contracts Admin</AddressLine1Txt>
          <AddressLine2Txt>9201 University City Blvd</AddressLine2Txt>
          <CityNm>Charlotte</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28223</ZIPCd>
        </USAddress>
        <RecipientEIN>560791228</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>201290</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF PITTSBURGH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn 371220</AddressLine1Txt>
          <AddressLine2Txt>500 Ross St 154 0455</AddressLine2Txt>
          <CityNm>Pittsburgh</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15262</ZIPCd>
        </USAddress>
        <RecipientEIN>250965591</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>6279957</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF SOUTH CAROLINA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1600 Hampton St</AddressLine1Txt>
          <AddressLine2Txt>Room 612</AddressLine2Txt>
          <CityNm>Columbia</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29208</ZIPCd>
        </USAddress>
        <RecipientEIN>576001153</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>363468</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF SOUTH FLORIDA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>USF Business Payments</AddressLine1Txt>
          <AddressLine2Txt>PO Box 947568</AddressLine2Txt>
          <CityNm>Atlanta</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30394</ZIPCd>
        </USAddress>
        <RecipientEIN>593102112</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>163276</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF SOUTHERN CALIFORNIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3500 S Figueroa St</AddressLine1Txt>
          <AddressLine2Txt>Ste 102</AddressLine2Txt>
          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90089</ZIPCd>
        </USAddress>
        <RecipientEIN>951642394</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>3454851</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF TENNESSEE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Bursars Office</AddressLine1Txt>
          <AddressLine2Txt>210 Student Services Building</AddressLine2Txt>
          <CityNm>Knoxville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37996</ZIPCd>
        </USAddress>
        <RecipientEIN>626001636</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>19484</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF TEXAS AT AUSTIN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Attn Contract Grants</AddressLine1Txt>
          <AddressLine2Txt>Office Of Accounting</AddressLine2Txt>
          <CityNm>Austin</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78713</ZIPCd>
        </USAddress>
        <RecipientEIN>746000203</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>262713</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF TEXAS HEALTH SCIENCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Center at San Antonio</AddressLine1Txt>
          <AddressLine2Txt>PO Box 1898</AddressLine2Txt>
          <CityNm>San Antonio</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78297</ZIPCd>
        </USAddress>
        <RecipientEIN>741586031</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>187651</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Financial Admin Support</AddressLine1Txt>
          <AddressLine2Txt>PO Box 301418</AddressLine2Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75303</ZIPCd>
        </USAddress>
        <RecipientEIN>741761309</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>37630</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF TEXAS MEDICAL BRANCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 660120</AddressLine1Txt>
          <AddressLine2Txt>Dept 750</AddressLine2Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75266</ZIPCd>
        </USAddress>
        <RecipientEIN>746000949</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>20306</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF UTAH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>201 S Presidents Cir</AddressLine1Txt>
          <AddressLine2Txt>Room 406</AddressLine2Txt>
          <CityNm>Salt Lake City</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84112</ZIPCd>
        </USAddress>
        <RecipientEIN>876000525</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>283157</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF VERMONT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>85 S Prospect St</AddressLine1Txt>
          <AddressLine2Txt>333 Waterman Building</AddressLine2Txt>
          <CityNm>Burlington</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05405</ZIPCd>
        </USAddress>
        <RecipientEIN>030179440</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>32881</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF WASHINGTON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 Rosedale Ave CB1034</AddressLine1Txt>
          <AddressLine2Txt>Sponsored Projects Accounting</AddressLine2Txt>
          <CityNm>Saint Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63112</ZIPCd>
        </USAddress>
        <RecipientEIN>430653611</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>842495</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF WASHINGTON DEPARTMENT OF LABORATORY MEDICINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Grant Contract Accounting</AddressLine1Txt>
          <AddressLine2Txt>12455 Collections Dr</AddressLine2Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60693</ZIPCd>
        </USAddress>
        <RecipientEIN>916000153</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>930205</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF WASHINGTON STUDENT FISCAL SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>12455 Collections Drive</AddressLine1Txt>
          <AddressLine2Txt>Grant and Contract Accounting</AddressLine2Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60693</ZIPCd>
        </USAddress>
        <RecipientEIN>916001537</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>860651</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VANDERBILT UNIVERSITY Sub Awards</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>VU Station B 35-1677</AddressLine1Txt>
          <AddressLine2Txt>2301 Vanderbilt Place</AddressLine2Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37235</ZIPCd>
        </USAddress>
        <RecipientEIN>620476822</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>2367100</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VIRGINIA COMMONWEALTH UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>800 EAST LEIGH ST STE 3100</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23298</ZIPCd>
        </USAddress>
        <RecipientEIN>546001758</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>474198</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAKE FOREST UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Financial Services</AddressLine1Txt>
          <AddressLine2Txt>Grants Management</AddressLine2Txt>
          <CityNm>Winston Salem</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27157</ZIPCd>
        </USAddress>
        <RecipientEIN>560532138</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>1265586</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAKE FOREST UNIVERSITY HEALTH SCIENCES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Financial Services</AddressLine1Txt>
          <AddressLine2Txt>Grants Management</AddressLine2Txt>
          <CityNm>Winston Salem</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27157</ZIPCd>
        </USAddress>
        <RecipientEIN>223849199</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>109845</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WASHINGTON UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 Rosedale Ave</AddressLine1Txt>
          <AddressLine2Txt>SponsoredProjects AccountingCB1034</AddressLine2Txt>
          <CityNm>Saint Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63112</ZIPCd>
        </USAddress>
        <RecipientEIN>430653611</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>4783195</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAYNE STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5057 Woodward Ave</AddressLine1Txt>
          <AddressLine2Txt>Ste 13000</AddressLine2Txt>
          <CityNm>Detroit</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <RecipientEIN>386028429</RecipientEIN>
        <IRCSectionDesc>GOVT</IRCSectionDesc>
        <CashGrantAmt>565546</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WEILL CORNELL MEDICAL COLLEGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Grants Contracts Accounting</AddressLine1Txt>
          <AddressLine2Txt>PO Box 22371</AddressLine2Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10087</ZIPCd>
        </USAddress>
        <RecipientEIN>131623978</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>368139</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WEST ALABAMA AIDS OUTREACH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2720 6th St</AddressLine1Txt>
          <CityNm>Tuscaloosa</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35401</ZIPCd>
        </USAddress>
        <RecipientEIN>630995963</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>40000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Instruction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WEST VIRGINIA UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>886 Chestnut Ridge Rd</AddressLine1Txt>
          <AddressLine2Txt>Second Floor Room 202</AddressLine2Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26506</ZIPCd>
        </USAddress>
        <RecipientEIN>550665758</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>274835</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WEST VIRGINIA UNIVERSITY RESEARCH CORP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Financial Services</AddressLine1Txt>
          <AddressLine2Txt>PO Box 6001</AddressLine2Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26506</ZIPCd>
        </USAddress>
        <RecipientEIN>556000842</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>19796</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YALE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>25 Science Park</AddressLine1Txt>
          <AddressLine2Txt>150 Munson St</AddressLine2Txt>
          <CityNm>New Haven</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06511</ZIPCd>
        </USAddress>
        <RecipientEIN>060646973</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>1159412</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YESHIVA UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1300 Morris Park Ave</AddressLine1Txt>
          <CityNm>Bronx</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10461</ZIPCd>
        </USAddress>
        <RecipientEIN>131624225</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>592182</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Alzheimers Tennessee Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5801 Kingston Pike</AddressLine1Txt>
          <CityNm>Knoxville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37919</ZIPCd>
        </USAddress>
        <RecipientEIN>621206312</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>63882</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research &amp; Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF KANSAS CENTER FOR RESEARCH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Mail Stop 1039</AddressLine1Txt>
          <AddressLine2Txt>3901 Rainbow Blvd</AddressLine2Txt>
          <CityNm>Kansas City</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66160</ZIPCd>
        </USAddress>
        <RecipientEIN>480680117</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>146441</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Research &amp; Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>A Vintage Affair</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>130 9th Ave South</AddressLine1Txt>
          <CityNm>Franklin</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37064</ZIPCd>
        </USAddress>
        <RecipientEIN>204442280</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ACOUTSTIC NEUROMA ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>600 Peachtree Pkwy</AddressLine1Txt>
          <AddressLine2Txt>Ste 108</AddressLine2Txt>
          <CityNm>Cumming</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30041</ZIPCd>
        </USAddress>
        <RecipientEIN>232170836</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>American Cancer Society</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2000 Charlotte Ave</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37221</ZIPCd>
        </USAddress>
        <RecipientEIN>131788491</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>American Heart Association</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7272 Greenville Ave</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75231</ZIPCd>
        </USAddress>
        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>290000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Centennial Park Conservancy</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 196340</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37219</ZIPCd>
        </USAddress>
        <RecipientEIN>581609026</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Children's Emergency Care Alliance</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3841 Green Hills Village Dr</AddressLine1Txt>
          <AddressLine2Txt>Ste 3045</AddressLine2Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37215</ZIPCd>
        </USAddress>
        <RecipientEIN>202802786</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>11000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cumberland Pediatric Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3102 West End Ave</AddressLine1Txt>
          <AddressLine2Txt>Ste 175</AddressLine2Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37203</ZIPCd>
        </USAddress>
        <RecipientEIN>621615913</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>18000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cumberland University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>One Cumberland Square</AddressLine1Txt>
          <CityNm>Lebanon</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37087</ZIPCd>
        </USAddress>
        <RecipientEIN>620599339</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6800</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EASTER SEALS TENNESSEE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3011 Armory Drive</AddressLine1Txt>
          <AddressLine2Txt>Suite 100</AddressLine2Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37204</ZIPCd>
        </USAddress>
        <RecipientEIN>620504893</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>12500</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FETAL HEART SOCIETY INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>14750 Sweitzer Ln</AddressLine1Txt>
          <AddressLine2Txt>Ste 100</AddressLine2Txt>
          <CityNm>Laurel</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20707</ZIPCd>
        </USAddress>
        <RecipientEIN>472144989</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Good Neighbor Festivals</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2817 West End Ave 126 439</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37203</ZIPCd>
        </USAddress>
        <RecipientEIN>463543791</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HANDS ON SCIENCE CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>101 MITCHELL BLVD</AddressLine1Txt>
          <CityNm>Tullahoma</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37388</ZIPCd>
        </USAddress>
        <RecipientEIN>582013875</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6467</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Heritage Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 723</AddressLine1Txt>
          <CityNm>Franklin</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37065</ZIPCd>
        </USAddress>
        <RecipientEIN>237042596</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JDRF Diabetes Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>105 Westpark Drive</AddressLine1Txt>
          <AddressLine2Txt>Suite 415</AddressLine2Txt>
          <CityNm>Brentwood</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37027</ZIPCd>
        </USAddress>
        <RecipientEIN>231907729</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Junior League of Nashville</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2202 Crestmoor Road</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37215</ZIPCd>
        </USAddress>
        <RecipientEIN>620476815</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>March of Dimes</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 673667</AddressLine1Txt>
          <CityNm>Marietta</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30006</ZIPCd>
        </USAddress>
        <RecipientEIN>131846366</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MATTHEW WALKER COMPREHENSIVE HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1035 14th Ave N</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37208</ZIPCd>
        </USAddress>
        <RecipientEIN>621035426</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Motlow College Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 8500 Dept 160</AddressLine1Txt>
          <CityNm>Lynchburg</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37352</ZIPCd>
        </USAddress>
        <RecipientEIN>237450071</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>9000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Nashville Symphony Orchestra</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 Symphony Place</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37201</ZIPCd>
        </USAddress>
        <RecipientEIN>620550979</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>17000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Operation Stand Down Tennessee</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1125 12th Ave S</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37203</ZIPCd>
        </USAddress>
        <RecipientEIN>621638832</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Partners for Healing</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>109 W Blackwell St</AddressLine1Txt>
          <CityNm>Tullahoma</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37388</ZIPCd>
        </USAddress>
        <RecipientEIN>621834800</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>8750</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Pilgrimage Presents LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>230 Franklin Road</AddressLine1Txt>
          <AddressLine2Txt>Suite 11HH-Studio 3</AddressLine2Txt>
          <CityNm>Franklin</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37064</ZIPCd>
        </USAddress>
        <RecipientEIN>473296867</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Pinson Hospital Hospitality House</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>207 24th Ave N</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37203</ZIPCd>
        </USAddress>
        <RecipientEIN>620909363</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>22500</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Porter's Call</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>228 2nd Ave S</AddressLine1Txt>
          <CityNm>Franklin</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37065</ZIPCd>
        </USAddress>
        <RecipientEIN>010690242</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Research America</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>241 18th St S</AddressLine1Txt>
          <AddressLine2Txt>Ste 501</AddressLine2Txt>
          <CityNm>Arlington</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22202</ZIPCd>
        </USAddress>
        <RecipientEIN>521609875</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Shelbyville-Bedford County Chamber of Commerce</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 N Cannon Blvd</AddressLine1Txt>
          <CityNm>Shelbyville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37160</ZIPCd>
        </USAddress>
        <RecipientEIN>620417185</RecipientEIN>
        <IRCSectionDesc>501(c)(6)</IRCSectionDesc>
        <CashGrantAmt>10500</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Sherry's Run</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 8</AddressLine1Txt>
          <CityNm>Lebanon</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37088</ZIPCd>
        </USAddress>
        <RecipientEIN>061799885</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Survivor Fitness Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 41434</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37204</ZIPCd>
        </USAddress>
        <RecipientEIN>461934408</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Tennessee Kidney Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>37 Peabody St Ste 206</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37210</ZIPCd>
        </USAddress>
        <RecipientEIN>270812507</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Tennessee State Museum Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>505 Deaderick St</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37243</ZIPCd>
        </USAddress>
        <RecipientEIN>510200584</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Joe Beretta Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>821 PLEASANT GROVE RD</AddressLine1Txt>
          <CityNm>Mount Juliet</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37122</ZIPCd>
        </USAddress>
        <RecipientEIN>813849103</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Marfan Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>22 Manhasset Ave</AddressLine1Txt>
          <CityNm>Port Washington</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11050</ZIPCd>
        </USAddress>
        <RecipientEIN>521265361</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Nashville Food Project</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5904 California Ave</AddressLine1Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37209</ZIPCd>
        </USAddress>
        <RecipientEIN>452905951</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The New Beginnings Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7277 Charlotte Pk</AddressLine1Txt>
          <AddressLine2Txt>332</AddressLine2Txt>
          <CityNm>Nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37209</ZIPCd>
        </USAddress>
        <RecipientEIN>900751722</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Tullahoma Area Chamber of Commerce</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>135 W Lincoln St</AddressLine1Txt>
          <CityNm>Tullahoma</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37388</ZIPCd>
        </USAddress>
        <RecipientEIN>620611533</RecipientEIN>
        <IRCSectionDesc>501(c)(6)</IRCSectionDesc>
        <CashGrantAmt>5656</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>United Healthcare Children's Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 860734</AddressLine1Txt>
          <CityNm>Minneapolis</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55486</ZIPCd>
        </USAddress>
        <RecipientEIN>522177891</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The University of Tennessee Foundation Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Office of Constituent Management</AddressLine1Txt>
          <AddressLine2Txt>1525 University Ave</AddressLine2Txt>
          <CityNm>Knoxville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37921</ZIPCd>
        </USAddress>
        <RecipientEIN>621844686</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Williamson Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4031 Aspen Grove Drive</AddressLine1Txt>
          <AddressLine2Txt>Suite 630</AddressLine2Txt>
          <CityNm>Franklin</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37067</ZIPCd>
        </USAddress>
        <RecipientEIN>364720381</RecipientEIN>
        <IRCSectionDesc>501(c)(6)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Wilson County Promotions Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>945 E Baddour Pkwy</AddressLine1Txt>
          <CityNm>Lebanon</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37087</ZIPCd>
        </USAddress>
        <RecipientEIN>621088535</RecipientEIN>
        <IRCSectionDesc>501(c)(4)</IRCSectionDesc>
        <CashGrantAmt>14190</CashGrantAmt>
        <ValuationMethodUsedDesc>Not applicable</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Not applicable</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>251</Total501c3OrgCnt>
      <TotalOtherOrgCnt>26</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Patient Assistance</GrantTypeTxt>
        <RecipientCnt>378</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>118270</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Healthcare supplies &amp; medicine</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Patient Assistance</GrantTypeTxt>
        <RecipientCnt>102</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>5610</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Car Seats &amp; Home Safety Kits</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Patient Assistance</GrantTypeTxt>
        <RecipientCnt>17309</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>34220434</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Prescription drugs</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Patient Assistance</GrantTypeTxt>
        <RecipientCnt>160</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>326569</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Post acute care</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Awards and Research Grants</GrantTypeTxt>
        <RecipientCnt>515</RecipientCnt>
        <CashGrantAmt>7505934</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Patient Assistance</GrantTypeTxt>
        <RecipientCnt>15</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>79646</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>Assoc Professor, Ortho-Hand</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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          <BusinessNameLine1Txt>Paul Sternberg Jr MD</BusinessNameLine1Txt>
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        <TitleTxt>CMO &amp; VP Clinical Affairs</TitleTxt>
        <BaseCompensationFilingOrgAmt>1088216</BaseCompensationFilingOrgAmt>
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          <BusinessNameLine1Txt>Ashish S Shah MD FACS</BusinessNameLine1Txt>
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        <TitleTxt>Professor, Cardiac</TitleTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a First-class or charter travel</FormAndLineReferenceDesc>
        <ExplanationTxt>Vanderbilt University Medical Center excludes the benefits from taxable income when a documented business purpose is served. 1 officer received charter travel benefits that were not included in taxable compensation 2 officers and one key employee received first class travel benefits that were not included in taxable compensation</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Tax indemnification and gross-up payments</FormAndLineReferenceDesc>
        <ExplanationTxt>2 Officers RECEIVED TAX GROSS-UP PAYMENT BENEFITS THAT WERE INCLUDED IN TAXABLE COMPENSATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Personal services</FormAndLineReferenceDesc>
        <ExplanationTxt>One officer and one director received security service benefits not included in taxable compensation</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain individuals listed in Form 990, Schedule J, Part II participate in nonqualified deferred compensation plans. Amounts contributed to the plans include fixed percentages of annual bonus payments and fixed dollar amounts. CONTRIBUTIONS TO THE PLAN VEST ON THE FIRST DAY OF THE FOURTH PLAN YEAR FOLLOWING CONTRIBUTION, OR UPON OCCURRENCE OF OTHER EVENTS SPECIFIED IN THE PLAN (INCLUDING EXPIRATION OF THE PARTICIPANT'S EMPLOYMENT AGREEMENT, IF PARTICIPANT HAS REACHED AGE 65). Current year accruals of compensation associated with these plans are included in the amounts reported for each individual in Schedule J, Part II, Column (C). The payout of these amounts in future years will be included in the amounts reported in Schedule J, Part II, Column (B)(iii) for such individuals. Amounts accrued in prior years and previously reported in Schedule J, Part II, Column (C) are reported in Schedule J, Part II, Column (F). Payouts were made under these plans to 3 officers and 2 key employee during 2022. Jeffrey R. Balser received a payout totaling $593,908; C. Wright Pinson received a payout totaling $543,846; Cecelia B. Moore received a payout totaling $168,545; THOMAS S. NANTAIS received a payout totaling $331,107; and ZEENA M. ABDULAHAD received a payout totaling $111,332.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain individuals listed in Schedule J, Part II received variable incentive compensation based on the achievement of pre-established goals where judgment was determined by the Compensation Committee. Incentive payments are shown in Schedule J, Part II, Column B(ii).</ExplanationTxt>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <FormAndLineReferenceDesc>Schedule K, Part I, Column (f) Description of Purpose</FormAndLineReferenceDesc>
        <ExplanationTxt>Row (D) - The issue is financing various new capital projects for the medical center. Row (A), SERIES 2016A - The issue is financing a portion of the costs of acquiring the University's Clinical Services Operations, post-graduate training programs, and clinical research activities, along with related assets and liabilities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 11 Other Spent Proceeds</FormAndLineReferenceDesc>
        <ExplanationTxt>Column (c) - The other spent proceeds are the refunding proceeds no longer in escrow.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE</FormAndLineReferenceDesc>
        <ExplanationTxt>Column (a) (Series 2022AB) - THE DIFFERENCE IN THE ISSUE PRICE AND TOTAL PROCEEDS OF $1,904,602 IS DUE TO INVESTMENT EARNINGS OF THE PROJECT FUND. Column (D) - The difference in the issue price and total proceeds of $793,818 is due to investment earnings on the project fund. As of 6/30/2022 all proceeds were spent on capital projects for the issue and are included in the total amount spent on capital expenditures on line 10, as well as the total proceeds of line 3.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 3 Variable Rate Issue</FormAndLineReferenceDesc>
        <ExplanationTxt>Column (b) - The Series 2021A Bonds are currently in Long-Rate Mode, but may be reoffered at a fixed or variable rate on the Conversion Date.</ExplanationTxt>
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            <BusinessNameLine1Txt>Kaylee Lynch</BusinessNameLine1Txt>
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            <BusinessNameLine1Txt>Kathryn Elese Rush</BusinessNameLine1Txt>
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        <FormAndLineReferenceDesc>Schedule M, Part I Column (b) - Number of Contributions or Items Contributed</FormAndLineReferenceDesc>
        <ExplanationTxt>Column (b) reports the number of contributions made.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I, Line 5 Clothing and household goods</FormAndLineReferenceDesc>
        <ExplanationTxt>Donation of various household items for silent auction benefiting the Monroe Carell Jr. Children's Hospital at Vanderbilt.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I, Line 20 Drugs and medical supplies</FormAndLineReferenceDesc>
        <ExplanationTxt>DONATION OF VARIOUS HEARING AID SUPPLIES BENEFITING BILL WILKERSON CENTER PATIENTS AT VANDERBILT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I, Line 15 Real Estate -- Residential</FormAndLineReferenceDesc>
        <ExplanationTxt>VUMC conducted a raffle during fiscal year 2023 and anticipates holding this raffle annually going forward. VUMC awarded the grand prize, a house, to the winner and filed all applicable tax forms as required.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Vanderbilt University Medical Center ("VUMC") is one of the nation's longest serving and most prestigious academic medical centers. Through its historic bond with Vanderbilt University, VUMC cultivates distinguished research and educational programs to advance a clinical enterprise that provides compassionate and personalized care and support for millions of patients and family members each year. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries, transformational educational and clinical advancements across the entire spectrum of health and disease. The Medical Center's vision is to be the world leader in advancing personalized health while its mission is personalizing the patient experience through its caring spirit and remarkable capabilities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>4a. Patient Services - VUMC provides high quality medical and health care services regardless of race, creed, gender, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of VUMC, it is recognized that not all individuals possess the ability to purchase essential medical services, and further that part of VUMC's mission is to serve the community. Therefore, in keeping with VUMC's commitment to serve all members of its community, free care and/or subsidized care, care provided to persons covered by governmental programs at below cost, along with health activities and programs to support the community are provided where the need and/or an individual's inability to pay coexists. These activities include wellness programs, community education programs, special programs for the elderly, handicapped, medically underserved, and a variety of broad community support activities. Charity care is also provided through many reduced-price services and free programs offered throughout the year based upon activities and services which VUMC believes will serve a bona fide community health need. During its most recent fiscal year VUMC saw more than 3 million patient visits in over 180 ambulatory locations, performed 91,000 surgical operations and discharged 77,000 inpatients from its main-campus adult, children's, psychiatric and rehabilitation hospitals and three regional community hospitals. The Medical Center is the largest non-governmental employer of Middle Tennesseans, with over 30,000 staff, including more than 3,000 physicians, advanced practice nurses and scientists appointed to the Vanderbilt University faculty. VUMC's leadership in the delivery of academically based health care is recognized by the nation's most trusted advisory bodies and reporting organizations, including the National Academies, the American Nurses Association Magnet Recognition Program, U.S. News &amp; World Report, Becker's Hospital Review and others: * U.S. News &amp; World Report: for 2023 Vanderbilt University Medical Center was named to the 'Honor Roll' of the nation's top 22 hospitals, No. 1 hospital in Tennessee for the 12th consecutive year; No.1 in Metro Nashville; 9 adult clinical specialties ranked among the nation's best; Monroe Carell Jr. Children's Hospital at Vanderbilt was named as one of the elite children's hospital in the nation by U.S. News, and No. 1 in the Southeast and No. 1 in Tennessee with 10 out of 10 specialties nationally ranked in 2023. * Becker's Hospital Review: one of two Tennessee hospitals to make " Great Hospitals in America," in 2023 * National Institutes of Health: Vanderbilt University School of Medicine currently ranked 11th among the top grant awardees for medical research in the U.S. as of December 2022 * Magnet Designation from American Nurses Credentialing Center: Vanderbilt University Medical Center is the only organization in Middle Tennessee that has been Magnet-designated four consecutive times * For the 12th time, VUMC was named a Leader in LGBTQ Healthcare Equality by the Human Rights Campaign Healthcare Equality Index (HEI) in 2020. VUMC is the only healthcare organization in Tennessee to be similarly recognized for its commitment to adopting LGBTQ-inclusive patient, visitation and employment policies. Along with the various national rankings, there are several VUMC programs unique to Tennessee or the region, which include: * Only Level 1 (highest level) Trauma Center in Middle Tennessee * Only Level 4 (highest level) Neonatal Intensive Care Unit, as well as a dedicated pediatric emergency department and Level 1 pediatric trauma program * Vanderbilt-Ingram Cancer Center, the only National Cancer Institute-designated Comprehensive Cancer Center in Tennessee that conducts research and cares for both children and adults; also, a member of the elite National Comprehensive Cancer Network, a group of the nation's top 21 clinical cancer institutes * Only Joint Commission-accredited program for traumatic brain injury rehabilitation (one of seven nationally) * Dedicated regional burn center * LifeFlight, an integrated air and ground emergency patient transport system * Tennessee Poison Center * Tennessee's only comprehensive solid organ transplant center, serving both adult and pediatric patients For more information regarding health care at Vanderbilt University Medical Center, visit https://www.vanderbilthealth.com/patientandvisitorinfo/48538</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>4b. Academic and Scientific Research - VUMC is an internationally recognized research institution. A majority of VUMC's research funding, including substantial support from the National Institutes of Health, is received from the federal government. Funding is also received from foundations, associations, corporations, and other sources. VUMC's researchers are at the forefront of discovery and are posing innovative solutions to some of the most challenging questions about diseases affecting humankind. VUMC's programs in Graduate Medical Education are consistently among the most selective, and are nationally recognized for their diversity &amp; inclusion, innovation and capacity to transform the educational experience, while the breadth of the scientific discoveries we make are propelled by a research enterprise that is consistently ranked among the nation's top recipients in total federal funding. For more information regarding research at Vanderbilt University Medical Center visit: https://www.vumc.org/oor/ (Please use lowercase to access the website)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 59,404,784 including grants of $ 0)(Revenue $ 186,057,562) 4d. Other Program Services - Other program services include public health service, academic support, institutional support, and other auxiliary services. Vanderbilt University Medical Center engages in a variety of public service projects, including, but not limited to formulating new approaches to increase health, safety, quality and outcomes, while decreasing total costs; and many other sponsored community health and educational programs. To read more about VUMC's role in the community, visit https://www.vanderbilthealth.com/main/38766</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/Business Relationships Amongst Interested Parties</FormAndLineReferenceDesc>
        <ExplanationTxt>As a result of VUMC's continuing relationship with Vanderbilt University, Alexander C. Taylor, JOHN R. INGRAM, Makeba Boatwright Williams, and Daniel Diermeier serve on the Vanderbilt University Board of Trust and were appointed by Vanderbilt University to serve on the VUMC Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD OF THE DIRECTORS CONSISTS OF AT LEAST THREE DIRECTORS, INCLUDING THE BOARD CHAIRPERSON, THE CEO OF VUMC, AND THE CHANCELLOR OF VANDERBILT UNIVERSITY. THE EXECUTIVE COMMITTEE IS EMPOWERED TO EXERCISE ALL OF THE POWERS OF THE BOARD WHEN THE BOARD IS NOT IN SESSION, SUBJECT TO CERTAIN RESTRICTIONS INVOLVING MAJOR CORPORATE DECISIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>VUMC adopted amended bylaws in November 2022 to incorporate the following changes: Section 6.5 of the Amended and Restated Bylaws of VUMC was amended to authorize VUMC to advance expenses to employees who are entitled to indemnification pursuant to policies as adopted from time to time by the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Per Bylaws Article III, Section 3.2, certain proposed actions require a separate approval by Vanderbilt University, in addition to approval of the VUMC Board of Directors: - Any major transaction not within the ordinary scope of the Corporation's business; - Any change in the Corporation's federal tax-exempt, public charity status within the meaning of Section 501(c)(3) and 509(a) of the Code; - Any academic affiliation of the Corporation with any educational institution other than Vanderbilt University (unless it has been approved in writing in advance by the Chancellor of Vanderbilt University); - Any material change to the Corporation's purposes; - Any change in the fundamental nonprofit charitable tax-exempt mission of the Corporation; - Any action that would grant any entity or organization the right to appoint directors of the Corporation's joint operating agreement or similar arrangement under which the Corporation's governance is substantially subject to a board or similar body that it does not control; or - The sale or transfer of all or substantially all of the assets of the Corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by VUMC and provided to Ernst &amp; Young, VUMC's independent accounting firm for review. After review by Ernst &amp; Young, VUMC provides a draft copy of the Form 990 and all required schedules for review to all General Officers, which includes the Chief Executive Officer, Chief Financial Officer and Secretary. Once this review process is complete, the Audit and Compliance Committee is provided electronic access to the draft Form 990 and all required schedules for review. The final Form 990 and all required schedules are made available to the full Board of Directors for review prior to the filing of the return.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>VUMC has a conflict of interest ("COI") policy, which requires that all staff members and VUMC employed faculty complete a Conflict of Interest form annually, disclosing any potential conflicts of interest. If a conflict is disclosed by a staff member, the conflict is reviewed by the individual's supervisor and the COI director, in the Office of Legal Affairs, which reports to the VUMC General Counsel / Corporate Secretary. For VUMC employed faculty, disclosed conflicts are reviewed by the faculty member's department chair and the Associate Dean for Faculty Affairs. VUMC has a Conflict of Interest Committee which consists of representatives from relevant areas across VUMC and are appointed by the CEO upon the recommendation of the Chief of Clinical Staff. The Chief of Clinical Staff serves as chair of the committee. The Conflict of Interest Committee is responsible for reviewing conflict of interest cases of VUMC employees (including those holding VU faculty appointments) where a decision is not made after the initial review of the disclosure; and where VUMC as a party, or in which VUMC as an institution, is subject to a conflict of interest. Any reported conflict is managed or eliminated as appropriate. The Conflict of Interest Committee reports semiannually to the VUMC Board Audit &amp; Compliance Committee. Members of the Board of Directors also must complete annual Conflict of Interest Disclosures. Those with disclosed potential conflicts of interest are presented to the Audit and Compliance Committee of the Board of Directors, along with their respective management action plans, where applicable. Management plans may include restrictions on members, such as recusing themselves during deliberations and decisions in which a potential conflict may exist, with the minutes of the meeting reflecting their recusal.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, LINES 15A &amp; 15B - To ensure that VUMC is paying reasonable total compensation, is not violating the private inurement prohibition, which requires that none of the organization's income or assets unreasonably benefit any of its directors, officers, or key employees, and is in compliance with the intermediate sanctions provisions with respect to the general officers, VUMC's Board of Directors has designated the Management Development and Compensation Committee made up of outside, independent, board members to review and recommend to the Executive Committee of the Board of Directors the total compensation annually for the general officers. The committee utilizes an outside consulting firm to provide expert information regarding industry-wide compensation norms and compliance with all Internal Revenue Service rules concerning executive compensation, including the Internal Revenue Code provision related to intermediate sanctions, deferred compensation, and private inurement. The Management Development and Compensation Committee reviews the executive compensation philosophy and affirms that it is in line with the Board's expectation. Each year the total compensation review and recommendations are recorded in the minutes of the Management Development and Compensation Committee meetings. The full Board is informed annually of the total compensation of the general officers during private session.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>VUMC's governing documents are made available for public inspection upon request. VUMC's financial statements are posted to the EMMA (Electronic Municipal Market Access) website. The conflict of interest policy is available on the following website: https://www.vumc.org/faculty/policies-procedures (Please use lowercase to access the website).</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e UBI Taxes</FormAndLineReferenceDesc>
        <ExplanationTxt>Of the total $5,569,555 reported on Part IX, Line 24e as Other Expenses, UBI taxes comprise $826,002 of the amount reported in Column B.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Temporarily and Permanently Restricted Contributions - 60412407; Net Assets Released From Restrictions - -17231819; Endowment Appreciation - 6621123; Change in Non-Controlling Interest Net Assets - 1160799; Other Changes in Net Assets - -427445;</ExplanationTxt>
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