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      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
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      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
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        <PersonNm>Julius Mbeya</PersonNm>
        <TitleTxt>Co-CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>180000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3697</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18347</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2362</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>219406</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ashley Rogers</PersonNm>
        <TitleTxt>Co-CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>181662</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5450</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8356</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>210468</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>Communications &amp; Development Manager Katelin Gray received a nonfixed payment in the form of a discretionary bonus set and approved by Co-CEO Ashley Rogers. Co-CEOs Ashley Rogers and Julius Mbeya received nonfixed payments in the form of a discretionary bonus set and approved by the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="24020961" softwareVersionNum="2024v5.1">
      <DrugsAndMedicalSuppliesGrp>
        <ContributionCnt>5</ContributionCnt>
        <NoncashContributionsRptF990Amt>106779</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Drugs and medical supplies - Medical Supplies The number of contributions represent the number of contributions received, not the number of items donated.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a-4c Description of program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 1,731,428 including grants of $ 0)(Revenue $ 0) External Affairs: Through bottom-up innovation, Lwala incubates and measures new programs that improve health outcomes. As a result, we have been called upon by the national Ministry of Health (MOH) to provide technical expertise to national policies, guidelines, and curricula. As these national documents are finalized, Lwala then works with the MOH to pilot, evaluate, and scale-up these approaches. We use the set policies and guidelines to strengthen the county health system and build its ability to deliver healthcare for all.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a-4c Description of program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 1,051,008 including grants of $ 0)(Revenue $ 0) Clinical Training: The community of Lwala village donated land and resources to bring health care to their community and constructed the area's first health clinic.Today, the Lwala Community Hospital provides care to more than 80,000 patient visits a year.We test innovations at the Lwala hospital which we then use to improve care in hundreds of health facilities across the health system. Examples include Obstetric Hemorrhage bundle with the Non-pneumatic Antishock Garment (NASG) and neonatal resuscitation (Helping Babies Breathe) that is informing emergency obstetric care practices across Kenya.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee consists of 4 board members: the Board Chair, Vice Chair, Treasurer, and Secretary along with both of the organization's Co-CEOs . The committee shall have the powers granted to it by the By-Laws and/or as delegated to it by the Board of Directors and is intended to fulfill nominating and governance responsibilities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>Fred Ochieng and Milton Ochieng - Family relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is prepared by an independent CPA firm and reviewed in detail by the finance committee, the Treasurer of the organization and other board members who have expertise in tax related matters. A copy of the return is provided to the board prior to filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Interested persons, including board members, principal officers, or member of a committee with governing board delegated powers must annually disclose any interest that could give rise to conflicts. The Board Chair compiles conflict of interest statements. The Vice Chair and Co-CEO review all the statements, including the Board Chair's statement. The Board Chair reviews the Vice Chair and Co-CEO's statements. If a situation were to arise involving a conflict of interest, the Board Chair shall appoint a disinterested person to investigate alternatives to the proposed transaction or arrangement. If a more advantageous transaction or arrangement is not reasonably possible, the governing board will determine by majority vote of the disinterested directors if the transaction or arrangement is in the organization's best interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 15a: The compensation Co-CEO's is reviewed by the Board and a Compensation Committee. The organization uses the CNM nonprofit compensation survey as well as the Form 990 for other organizations as a guide to set the target salary range for the Co-CEO. The organization contemporaneously substantiates the deliberation and the decisions. Line 15b: The organization does not compensate any other officers or key employees. Therefore, this line was answered no in accordance with the instructions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy and financial statements are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Translation Adjustment - 477288; Exchange Loss - 22187; Total - 499475;</ExplanationTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Lwala Community Health Centre</BusinessNameLine1Txt>
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        <ForeignAddress>
          <AddressLine1Txt>PO Box 24</AddressLine1Txt>
          <CityNm>North Kamagambo</CityNm>
          <ProvinceOrStateNm>Rongo</ProvinceOrStateNm>
          <CountryCd>KE</CountryCd>
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        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>KE</LegalDomicileForeignCountryCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Lwala Community Alliance</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
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      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
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      <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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>In order to operate under the laws in Kenya, Lwala Community Alliance established a foreign non-governmental organization (NGO), Lwala Community Health Centre. 100% of Lwala Community Health Centre's board members, including one Kenyan board member as required by Kenyan law, also serve on the board of the filing organization. Its operations represent Lwala Community Alliance's operations in Kenya under Lwala Community Alliance's Board's supervision. Per our interpretation of the Form 990 instructions Lwala Community Health Centre is seen as an extension of US operations and, therefore, in order to file a complete and accurate return, its activity is included on this Form 990 and the NGO is reported in Schedule R, Part II as a related tax-exempt organization.</ExplanationTxt>
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