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      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
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        <FundraisingAmt>50519</FundraisingAmt>
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        <ManagementAndGeneralAmt>48713</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>52041</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>4846</ManagementAndGeneralAmt>
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        <Desc>DIRECT MAIL</Desc>
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        <FundraisingAmt>466322</FundraisingAmt>
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        <Desc>MEMBERSHIPS AND REGISTR</Desc>
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        <FundraisingAmt>55931</FundraisingAmt>
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        <FundraisingAmt>25372</FundraisingAmt>
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      <DonorRestrictionNetAssetsGrp>
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      <TotalNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>-3659618</ReconcilationRevenueExpnssAmt>
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      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>22545202</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11423617</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>5960053</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>12431432</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5960053</CurrentTaxYearAmt>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>32441</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>46604</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus3YearsAmt>13321</CurrentTaxYearMinus3YearsAmt>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
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      <OtherAssetsOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AMREF/KENYA</Desc>
        <Amt>377195</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <OtherRevenueAmt>181284</OtherRevenueAmt>
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      <RevenueSubtotalAmt>5884669</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>5884669</TotalRevenuePerForm990Amt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS REVIEWED THE TAX POSITIONS FOR EACH OF THE OPEN TAX YEARS (2021-2023) OR EXPECTED TO BE TAKEN IN THE ORGANIZATION'S 2024 TAX RETURN AND HAS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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        <TypeOfActivitiesConductedTxt>GRANTS TO RECIPIENTS</TypeOfActivitiesConductedTxt>
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      <ContinuationSpentAmt>0</ContinuationSpentAmt>
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      <GrantsToOrgOutsideUSGrp>
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        <PurposeOfGrantTxt>GENERAL SUPPORT TO AFRICAN MEDICAL &amp; RESEARCH FOUNDATION - KENYA.</PurposeOfGrantTxt>
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        <MannerOfCashDisbursementTxt>WIRE TRANFER.</MannerOfCashDisbursementTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RECEIVES QUARTERLY REPORTS FROM THE OFFICE/PROGRAM RECEIVING THE FUNDS DETAILING HOW THE FUNDS WERE EXPENDED. EMPLOYEES OF THE ORGANIZATION CONDUCT ON-SITE VISITS, REVIEW, AND VERIFY THAT THE PROGRAMS RECEIVING THE FUNDS ARE BEING MANAGED IN ACCORDANCE WITH THE GRANT AGREEMENTS. THE FINANCE DIRECTOR OF THE ORGANIZATION CONDUCTS ON-SITE VISITS, ON A ROTATING BASIS, TO VERIFY THAT THE FUNDS ARE BEING EXPENDED IN ACCORDANCE WITH GRANT AGREEMENTS. THE AFFILIATE OF AMREF USA IN AFRICA RETAINS AN INDEPENDENT AUDITOR TO CONDUCT AN ANNUAL AUDIT, WHICH INCLUDES INTERNAL CONTROL.</ExplanationTxt>
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        <CharitableContriEvent1Amt>328035</CharitableContriEvent1Amt>
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        <OthDirectExpnssTotalEventsAmt>62449</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>62449</DirectExpenseSummaryEventsAmt>
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      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>21610</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>363843</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DRAFT OF THE 990 IS PROVIDED FOR REVIEW TO THE DIRECTORS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS CIRCULATED TO ALL DIRECTORS AND EMPLOYEES. DIRECTORS AND EMPLOYEES ARE INSTRUCTED TO REPORT ANY CONFLICTS OF INTEREST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE REVIEWS SALARY SURVEYS AND INFORMATION REPORTED ON THE 990'S OF OTHER ORGANZIATIONS AND SETS COMPENSATION LEVELS FOR ALL EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>LINKS TO THE AUDITED FINANCIAL STATEMENTS AND IRS FORM 990 ARE ON THE WEBSITE. GOVERNING DOCUMENTS AND THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE BY REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>