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      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>1597750</TotalContributionsAmt>
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        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>624310</BusinessCd>
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      <TotalProgramServiceRevenueAmt>3659159</TotalProgramServiceRevenueAmt>
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        <ExclusionAmt>980261</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-275</TotalRevenueColumnAmt>
        <ExclusionAmt>-275</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>137371</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>20300</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>91836</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>45535</TotalRevenueColumnAmt>
        <ExclusionAmt>45535</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>SEMINARS &amp; WORKSHOPS</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>46858</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1901</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <ExclusionAmt>1025521</ExclusionAmt>
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        <ProgramServicesAmt>18593</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>176730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>584025</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>20165</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>43140</ManagementAndGeneralAmt>
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        <Desc>GROCERIES</Desc>
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      <OtherExpensesGrp>
        <Desc>EMPLOYEE RECRUITMENT</Desc>
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      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
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      <OtherExpensesGrp>
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        <CurrentTaxYearMinus1YearAmt>1594153</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1597750</CurrentTaxYearAmt>
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      <Form990ScheduleAPartVIGrp>
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        <ExplanationTxt>SPECIAL EVENT AND MISCELLANEOUS INCOME - 2019 AMOUNT: $ 28,546. 2020 AMOUNT: $ 55,772. 2021 AMOUNT: $ 28,432. 2022 AMOUNT: $ 17,743. 2023 AMOUNT: $ 1,901.</ExplanationTxt>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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        <EndYearBalanceAmt>4447546</EndYearBalanceAmt>
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        <AdministrativeExpensesAmt>105703</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>5522029</EndYearBalanceAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>SPECIAL EVENT EXPENSES 91,836. INVESTMENT EXPENSES INCLUDED IN INVESTMENT INCOME ON THE FINANCIAL STATEMENT -43,140.</ExplanationTxt>
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        <EmployeeCnt>0</EmployeeCnt>
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      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>18593</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>18593</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL,</RegionTxt>
        <PurposeOfGrantTxt>SUPPORT OF OPERATIONS</PurposeOfGrantTxt>
        <CashGrantAmt>18593</CashGrantAmt>
        <MannerOfCashDisbursementTxt>CASHIER CHECK</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
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      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENTITY THAT GUEST HOUSE SUBSIDIZES AND ISSUES GRANTS TO WILL SUBMIT A MONTHLY REPORT OF CASH NEEDS, THEN THE REPORT IS APPROVED BY THE PRESIDENT AND COO, AND ACCOUNTING PROCESSES THE DISBURSEMENT AND MAINTAINS THE RECORDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
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        <FoodAndBeverageEvent1Amt>6447</FoodAndBeverageEvent1Amt>
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        <Event2Nm>GOLF OUTING</Event2Nm>
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        <CharitableContriEvent2Amt>4100</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>58114</GrossRevenueEvent2Amt>
        <CashPrizesEvent2Amt>100</CashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>17956</RentFacilityCostsEvent2Amt>
        <OtherDirectExpensesEvent2Amt>2733</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>157671</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>20300</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>137371</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>100</CashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>64344</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>6447</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>20945</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>91836</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>45535</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY BERGER</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompensationFlngOrgAmt>7585</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>235104</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY HENRICH</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVE ANDERSON</PersonNm>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19125</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>154742</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 PROVIDED FOR FULL BOARD VIA A MEETING OR EMAIL TO REVIEW AND RESPOND PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEWED ANNUALLY AT BOARD MEETING - ETHICS AND CONFLICTS OF INTEREST STATEMENTS SIGNED BY ALL MANAGEMENT AND BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO COMPENSATION PACKAGE IS DETERMINED BY THE BOARD AND CURRENTLY HAS A THREE YEAR CONTRACT. FOR ALL OTHER EMPLOYEES THE HR DIRECTOR PROVIDED CEO WITH SALARY SURVEYS OF LIKE KIND BUSINESS' TO PROVIDE RANGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>