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        <Desc>REPORTING FEES</Desc>
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        <ManagementAndGeneralAmt>2153</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6260142</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <DonorRestrictionNetAssetsGrp>
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      <NetUnrlzdGainsLossesInvstAmt>-2790459</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Association of Clinicians for the Underserved</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>1575 I St NW Suite 300</AddressLine1Txt>
          <CityNm>washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <RecipientEIN>611298728</RecipientEIN>
        <CashGrantAmt>458191</CashGrantAmt>
        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Children's Care Corner</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 161</AddressLine1Txt>
          <CityNm>Howard</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57349</ZIPCd>
        </USAddress>
        <RecipientEIN>820557761</RecipientEIN>
        <CashGrantAmt>166381</CashGrantAmt>
        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Horizon Health Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>Howard</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57349</ZIPCd>
        </USAddress>
        <RecipientEIN>812678046</RecipientEIN>
        <CashGrantAmt>1000000</CashGrantAmt>
        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Community Health &amp; Social Services Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5635 W Fort St</AddressLine1Txt>
          <CityNm>detroit</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48209</ZIPCd>
        </USAddress>
        <RecipientEIN>383094394</RecipientEIN>
        <CashGrantAmt>1166381</CashGrantAmt>
        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Intercare Community Health Network</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>50 Industrial Pk Dr</AddressLine1Txt>
          <CityNm>banger</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49013</ZIPCd>
        </USAddress>
        <RecipientEIN>382009364</RecipientEIN>
        <CashGrantAmt>1166381</CashGrantAmt>
        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>National Health Care for the Homeless Council</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 Powell Pl 1558</AddressLine1Txt>
          <CityNm>nashville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37204</ZIPCd>
        </USAddress>
        <RecipientEIN>621475145</RecipientEIN>
        <CashGrantAmt>458191</CashGrantAmt>
        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Needs Based Learning</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1007 S Montezuma Lane</AddressLine1Txt>
          <CityNm>Phoenix</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85003</ZIPCd>
        </USAddress>
        <RecipientEIN>454422921</RecipientEIN>
        <CashGrantAmt>250000</CashGrantAmt>
        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>St Joseph Baptist Church Agape Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>36 Dr Martin Luther King Jr Dr</AddressLine1Txt>
          <CityNm>St Helena Island</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29920</ZIPCd>
        </USAddress>
        <RecipientEIN>570870201</RecipientEIN>
        <CashGrantAmt>174957</CashGrantAmt>
        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Penn Center Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>16 Penn Center Cir West St</AddressLine1Txt>
          <CityNm>Helena Island</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29920</ZIPCd>
        </USAddress>
        <RecipientEIN>570324930</RecipientEIN>
        <CashGrantAmt>116638</CashGrantAmt>
        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Beaufort-Jasper-Hampton Comp HS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>721 North Okatie Hwy 170</AddressLine1Txt>
          <CityNm>Okatie</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29909</ZIPCd>
        </USAddress>
        <RecipientEIN>570523586</RecipientEIN>
        <CashGrantAmt>874786</CashGrantAmt>
        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>National Breast Center Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>277 S Washington St 210</AddressLine1Txt>
          <CityNm>Alexandria</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22314</ZIPCd>
        </USAddress>
        <RecipientEIN>473171009</RecipientEIN>
        <CashGrantAmt>250000</CashGrantAmt>
        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Community Health Care Association of NY State</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3186</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10008</ZIPCd>
        </USAddress>
        <RecipientEIN>132690296</RecipientEIN>
        <CashGrantAmt>29706</CashGrantAmt>
        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Association of Clinicians for the Underserved</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1575 1 STREET NW SUITE 300</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <RecipientEIN>611298728</RecipientEIN>
        <CashGrantAmt>29706</CashGrantAmt>
        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Virginia Community Healthcare AssocIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3831 WESTER PKWY</AddressLine1Txt>
          <CityNm>HENRICO</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23233</ZIPCd>
        </USAddress>
        <RecipientEIN>541230284</RecipientEIN>
        <CashGrantAmt>29706</CashGrantAmt>
        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Michigan Primary Care Association</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PMB346 5859 W SAGINAW</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48917</ZIPCd>
        </USAddress>
        <RecipientEIN>382294018</RecipientEIN>
        <CashGrantAmt>29706</CashGrantAmt>
        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Community Health Care Association of the Dakotas</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>196 e 6TH ST STE 200</AddressLine1Txt>
          <CityNm>SIOUX FALLS</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57104</ZIPCd>
        </USAddress>
        <RecipientEIN>362294018</RecipientEIN>
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        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>South Carolina Primary Healthcare Association</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>3 TECH CIR</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
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        </USAddress>
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        <PurposeOfGrantTxt>To support the furtherance of their charitable purpose activities as defined in the IRS 501 regulations.</PurposeOfGrantTxt>
      </RecipientTable>
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          <IRCSectionTxt>GOVERNMENT</IRCSectionTxt>
        </LiquidationOfAssetsDetail>
      </LiquidationOfAssetsTableGrp>
      <DirectorOfSuccessorInd>false</DirectorOfSuccessorInd>
      <EmployeeOfSuccessorInd>false</EmployeeOfSuccessorInd>
      <OwnerOfSuccessorInd>false</OwnerOfSuccessorInd>
      <ReceiveCompensationInd>false</ReceiveCompensationInd>
      <AssetsDistributedInd>true</AssetsDistributedInd>
      <RequiredToNotifyAGInd>true</RequiredToNotifyAGInd>
      <AttorneyGeneralNotifiedInd>true</AttorneyGeneralNotifiedInd>
      <LiabilitiesPaidInd>true</LiabilitiesPaidInd>
      <BondsOutstandingInd>false</BondsOutstandingInd>
      <DispositionOfAssetsDetail>
        <AssetsDistriOrExpnssPaidDesc>Investment in Community Health Ventures</AssetsDistriOrExpnssPaidDesc>
        <DistributionDt>2024-02-07</DistributionDt>
        <FairMarketValueOfAssetAmt>6709736</FairMarketValueOfAssetAmt>
        <EIN>522336224</EIN>
        <PersonNm>Community Health Ventures</PersonNm>
        <USAddress>
          <AddressLine1Txt>1520 Belle View Boulevard Suite 34</AddressLine1Txt>
          <CityNm>ALEXANDRIA</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22307</ZIPCd>
        </USAddress>
        <IRCSectionTxt>Corporation</IRCSectionTxt>
      </DispositionOfAssetsDetail>
      <DirectorOfSuccessor2Ind>false</DirectorOfSuccessor2Ind>
      <EmployeeOfSuccessor2Ind>false</EmployeeOfSuccessor2Ind>
      <OwnerOfSuccessor2Ind>false</OwnerOfSuccessor2Ind>
      <ReceiveCompensation2Ind>false</ReceiveCompensation2Ind>
    </IRS990ScheduleN>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DOCUMENTATION BY COMMITTEE</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ORGANIZATION'S FORM 990 REVIEW PROCESS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WILL BE EMAILED TO THE GOVERNING BOARD FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ENFORCEMENT OF CONFLICT POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS ENFORCED DURING THE ANNUAL BOARD OF DIRECTORS MEETING. APPROPRIATE DOCUMENTATION AND ACTIONS WOULD BE TAKEN DURING THAT TIME. TO DATE THERE HAVE BEEN NO CONFLICTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>GOVERNING DOCUMENTS PUBLIC DISCLOSURE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>OTHER CHANGES IN NET ASSETS</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT GAIN IN SUBSIDIARY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CHANGES IN FINANCIAL REVIEW PROCESS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED SINCE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH VENTURES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>12679 PERCHANCE TERRACE</AddressLine1Txt>
          <CityNm>WOODBRIDGE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22192</ZIPCd>
        </USAddress>
        <EIN>522336224</EIN>
        <PrimaryActivitiesTxt>FACILITATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <EntityTypeTxt>C CORPORATION</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>1263987</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>