﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2023v5.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-09-30T12:34:01-05:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>871353108</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>EISNER ADVISORY GROUP LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>733 THIRD AVENUE</AddressLine1Txt>
        <CityNm>NEW YORK</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>100172703</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>383110993</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>SEPSIS ALLIANCE INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>SEPS</BusinessNameControlTxt>
      <PhoneNum>6192320300</PhoneNum>
      <USAddress>
        <AddressLine1Txt>3180 UNIVERSITY AVENUE STE 310</AddressLine1Txt>
        <CityNm>SAN DIEGO</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>92104</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>THOMAS N HEYMANN</PersonNm>
      <PersonTitleTxt>CHIEF EXECUTIVE OFFICER</PersonTitleTxt>
      <PhoneNum>6192320300</PhoneNum>
      <SignatureDt>2024-09-28</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>0</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>WILLIAM EPSTEIN</PreparerPersonNm>
      <PTIN>P01307171</PTIN>
      <PhoneNum>2129498700</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-10-15 13:58:12Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <AddressChangeInd>X</AddressChangeInd>
      <PrincipalOfficerNm>THOMAS N HEYMANN</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>3180 UNIVERSITY AVENUE</AddressLine1Txt>
        <CityNm>SAN DIEGO</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>92104</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>3578104</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.SEPSIS.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>2007</FormationYr>
      <LegalDomicileStateCd>MI</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO SAVE LIVES AND REDUCE SUFFERING BY EDUCATING THE PUBLIC (CONTINUED ON SCHED O) (CONTINUED FROM PG 1, PART 1, LINE 1) AND LEADING AN ALLIANCE OF PATIENTS, HEALTHCARE PROFESSIONALS, AND PARTNERS COMMITTED TO PREVENTING AND CURING SEPSIS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>20</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>17</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>15</TotalEmployeeCnt>
      <TotalVolunteersCnt>27</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>2380372</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2180561</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>0</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>0</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>-33160</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>35371</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>13224</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>11173</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>2360436</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>2227105</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1904521</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>2114553</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>319509</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>555870</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>619987</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>2460391</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>2734540</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-99955</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-507435</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1766599</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1504712</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>207848</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>469119</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>1558751</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>1035593</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO SAVE LIVES AND REDUCE SUFFERING BY EDUCATING THE PUBLIC AND LEADING AN ALLIANCE OF PATIENTS, HEALTHCARE PROFESSIONALS, AND PARTNERS COMMITTED TO PREVENTING AND CURING SEPSIS.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>528276</ExpenseAmt>
      <RevenueAmt>8366</RevenueAmt>
      <Desc>PUBLIC AWARENESS, EDUCATION, &amp; SUPPORT:SEPSIS ALLIANCE MAINTAINED THE SEPSIS.ORG WEBSITE SERVING MORE THAN 2 MILLION VISITORS WITH RELIABLE AND ACCURATE INFORMATION. PROGRAMMATIC WORK INCLUDED THE TRANSLATION OF SEVERAL ANTIMICROBIAL RESISTANCE AND INFECTION PREVENTION RELATED SEPSIS INFORMATION GUIDES TO SPANISH, TRADITIONAL CHINESE AND TAGALOG. ADDITIONAL PROGRAMMATIC WORK INCLUDED DEVELOPING INFECTION PREVENTION EDUCATION MATERIALS FOR PATIENTS RECEIVING AT HOME ANTI-INFECTIVE INFUSIONS IN ENGLISH AND SPANISH AND A COVID-19 EDUCATION PROGRAM TO REACH UNDER-VACCINATED AND UNDERSERVED COMMUNITIES. OTHER 2023 PROGRAMS INCLUDED A SEPSIS AND FLU EDUCATIONAL CAMPAIGN TO ADDRESS FLU PREVENTION, TREATMENT, AND MYTHS VS FACTS, AND THE DEVELOPMENT OF PATIENT EDUCATION (CONTINUED SCHEDULE O)(CONTINED FROM PART III, 4A) FOR CHILDREN AND ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (IDD) INCLUDING A SEPSIS AND PAGE, A TEXT GUIDE, VISUAL GUIDE, AND COMPANION HEALTHCARE PROVIDER GUIDE. ADDITIONAL ACCOMPLISHMENTS INCLUDED CONDUCTING A PATIENT SURVEY TO BETTER UNDERSTAND THE PATIENT DIAGNOSTIC JOURNEY. MORE THAN 1,500 PATIENTS AND FAMILY MEMBERS PARTICIPATED IN THE SURVEY. SEPSIS ALLIANCE CELEBRATED THE ONE-YEAR ANNIVERSARY OF SEPSIS ALLIANCE CONNECT, A VIRTUAL SUPPORT COMMUNITY FOR SEPSIS SURVIVORS, CAREGIVERS, AND THOSE WHO HAVE LOST LOVED ONES AND LAUNCHED FIRST SEPSIS ALLIANCE CONNECT AFFINITY GROUP, WHICH WILL CREATE SPACE SPECIFICALLY FOR YOUNG ADULTS IN THE COMMUNITY.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>763996</ExpenseAmt>
        <Desc>PROVIDER EDUCATION &amp; TRAINING:SEPSIS ALLIANCE CONTINUED TO HOST LIVE AND ENDURING COURSES VIA SEPSIS ALLIANCE INSTITUTE UTILIZING A NEW PLATFORM WITH OVER 40,000 TOTAL LEARNERS TO DATE. OFFERINGS INCLUDED 245 TOTAL COURSES, OF WHICH 185 ARE COURSES WITH CNE (CONTINUED NURSING EDUCATION) CREDIT. SEPSIS ALLIANCE ALSO ADDED SEVEN CONTINUING EDUCATION WEBINARS INCLUDING A MATERNAL SEPSIS &amp; EQUITY WEBINAR AND RECORDED OVER 4,300 RESOURCE LIBRARY DOCUMENTS DOWNLOADS IN 2023, WHICH WAS AN INCREASE OF 332% OVER THE PRIOR YEAR. THE ORGANIZATION HOSTED THE FOURTH ANNUAL SEPSIS ALLIANCE SUMMIT AND ANNUAL AMR (ANTIMICROBIAL RESISTANCE) CONFERENCES.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>324284</ExpenseAmt>
        <Desc>ADVOCACY:SEPSIS ALLIANCE CONTINUED LEGISLATIVE EFFORTS TO CREATE A NATIONAL SEPSIS DATA TRUST AND A NATIONAL SEPSIS ACTION PLAN. ACTIVITIES INCLUDED MEETING WITH MORE THAN TWO DOZEN CONGRESSIONAL OFFICES IN SUPPORT OF THE PASSAGE OF LULU'S LAW AND SUBMITTING LULU'S LAW FUNDING REQUESTS TO CONGRESSIONAL OFFICES IN SUPPORT OF APPROPRIATIONS ($5 MILLION) FOR STATE SEPSIS DATA TRUSTS. SEPSIS ALLIANCE ALSO WORKED WITH ADVOCATES TO HAVE REQUESTS SUBMITTED TO APPROXIMATELY 100 CONGRESSIONAL OFFICES. OTHER ACTIVITIES INCLUDED PLANNING AND EXECUTING AN IN-PERSON LOBBYING EVENT/RECEPTION IN WASHINGTON, D.C. ON WORLD SEPSIS DAY, AND CONTINUED SUPPORT OF SEP-1 (THE SEVERE SEPSIS AND SEPTIC SHOCK MANAGEMENT BUNDLE), A KEY (CONTINUED SCHEDULE O)(CONTINED FROM PART III, 4C) CMS (CENTER FOR MEDICARE AND MEDICAID SERVICES) PROCESS MEASURE THAT DRIVES HOSPITAL FOCUS ON THE EARLY RECOGNITION, DIAGNOSIS AND TREATMENT OF SEPSIS. ADDITIONAL ENDEAVORS INVOLVED AN AMPLIFIED PATIENT ADVOCACY VOICE DURING NATIONAL QUALITY FORUM (NQF) MAP COORDINATING COMMITTEE REVIEW MUC MEETING, WHICH RESULTED IN THE SEP-1 MEASURE'S ENDORSEMENT STATUS BEING UPHELD. THIS WORK CULMINATED IN THE CMS (CENTER FOR MEDICARE AND MEDICAID SERVICES) ANNOUNCEMENT THAT SEP-1 WILL BE INCLUDED IN THE VBP (VALUE BASED PURCHASING) PROGRAM BEGINNING IN THE FY2026 PROGRAM YEAR.SEPSIS ALLIANCE REMAINED AN ACTIVE PARTICIPANT IN AMR (ANTIMICROBIAL RESISTANCE) COALITIONS, PROVIDING INFORMATION AND TALKING POINTS ON SEPSIS TO MEMBERS OF CONGRESS AHEAD OF AMR-RELATED HEARINGS TO ENCOURAGE DISCUSSION OF SEPSIS IN THE CONTEXT OF AMR. PARTICIPATION ALSO INCLUDED IN AN IN-PERSON AMR/PASTEUR ADVOCACY DAY, ORGANIZED BY IDSA (INFECTIOUS DISEASES SOCIETY OF AMERICA) AND OTHER LEADERS IN THE AMR SPACE, IN WASHINGTON D.C. ON SEPTEMBER 12, 2023.SEPSIS ALLIANCE CONTINUED TO FOCUS ON SEPSIS AWARENESS MONTH A SEPSIS ALLIANCE INITIATED OBSERVANCE THAT DRIVES ENGAGEMENT ON SEPSIS. ACCOMPLISHMENTS INCLUDED COMPLETION OF THREE ADVOCACY TRAINING WEBINARS THE APPROPRIATIONS PROCESS, SEPSIS AWARENESS MONTH ENGAGEMENT, AND SEPSIS AND ANTIMICROBIAL RESISTANCE. ADDITIONAL INVOLVEMENT INCLUDED WORK ALONGSIDE PARTNERS AT CDC TO CHAMPION ITS ROLLOUT OF THE SEPSIS CORE ELEMENTS PROGRAM WHICH OUTLINES STRUCTURAL AND PROCEDURAL COMPONENTS THAT ARE ASSOCIATED WITH THE MULTIDISCIPLINARY EXPERTISE REQUIRED TO SUPPORT THE CARE OF PATIENTS WITH SEPSIS.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>440868</ExpenseAmt>
        <Desc>INNOVATION:SEPSIS ALLIANCE CONTINUED WORK ON THE IMSCC (INFECTION MANAGEMENT/SEPSIS COLLABORATIVE COMMUNITY) FUNDED THROUGH A COOPERATIVE AGREEMENT WITH ASPR (THE ADMINISTRATION FOR STRATEGIC PREPAREDNESS AND RESPONSE). ACCOMPLISHMENTS INCLUDED THE IMSCC OFFICIAL RECOGNITION BY FDA (U.S. FOOD AND DRUG ADMINISTRATION) AS ONE OF THEIR COLLABORATIVE COMMUNITIES WITH TWO FEDERAL LIAISONS AND CREATED TWO IMSCC VOLUNTEER MEMBER WORKGROUPS TO EXECUTE ASPR-FUNDED PROJECTS; RECRUITED OVER 40 VOLUNTEER SUBJECT MATTER EXPERTS AND C-SUITE LEVEL OFFICERS TO STAFF WORKGROUPS. ADDITIONAL EFFORTS IN 2023 INCLUDED WORK ON TWO PROJECTS: 1) UNDERSTANDING AND MEASURING THE PATIENT EXPERIENCE IN DIAGNOSING SEPSIS AND 2) DE-RISKING THE PRODUCT DESIGN AND REGULATORY PROCESS FOR INFECTION MANAGEMENT AND SEPSIS-RELATED DEVICES. SEPSIS ALLIANCE ESTABLISHED A MEMBER COMMUNITY WITHIN SIC (SEPSIS INNOVATION COLLABORATIVE) TO FOSTER COLLABORATION AND INNOVATION AMONG DIVERSE STAKEHOLDERS TO ADVANCE THE AVAILABILITY AND QUALITY OF DATA-DRIVEN SOLUTIONS TO IMPROVE SEPSIS OUTCOMES, ENHANCE PATIENT CARE, AND PROMOTE THE WELL-BEING OF SEPSIS SURVIVORS. ADDITIONALLY, SEPSIS ALLIANCE CONVENED A ROUNDTABLE TO ADVANCE THE RECOMMENDATIONS OF THE 2022 ROUNDTABLE ON SEPSIS DATA BY ESTABLISHING A STAKEHOLDER-LED PROCESS FOR ADDRESSING OPERATIONAL QUESTIONS CRITICAL TO A DATA TRUST; INITIATING A PROCESS TO DEVELOP AND PRIORITIZE USE CASES; AND HARMONIZING DATA VOCABULARIES AND DEFINITIONS BY EXPLORING A PARTNERSHIP WITH HEALTH LEVEL SEVEN INTERNATIONAL (HL7).</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>440868</TotalOtherProgSrvcExpenseAmt>
      <TotalProgramServiceExpensesAmt>2057424</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039600001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039600001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039600001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">1</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">0</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc1042800001">0</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc1042800001">0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc1042800001">0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>1</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>27</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>15</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>20</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>17</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>FL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>IL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>KS</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MN</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NJ</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>OH</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>PA</StatesWhereCopyOfReturnIsFldCd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>THOMAS N HEYMANN</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>6192320300</PhoneNum>
        <USAddress>
          <AddressLine1Txt>3180 UNIVERSITY AVENUE</AddressLine1Txt>
          <CityNm>SAN DIEGO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92104</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <InfoInScheduleOPartVIIInd>X</InfoInScheduleOPartVIIInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>CINDY HOU</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>3750</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KARIN MOLANDER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE SIMPSON</PersonNm>
        <TitleTxt>BOARD CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>15.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL EPNER</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>15.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THERESA BROWN</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>8.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JILL GRESS</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>15.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIN BORGER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL BURTON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDY CAYO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIKA COLLINS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARL FLATLEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATY GRAINGER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>15.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LUKAS HAYNES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIDORI LAWLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNE LYNCH</PersonNm>
        <TitleTxt>DIRECTOR (THRU 3/9/2023)</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CATRIONA MACDONALD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HARI MENON</PersonNm>
        <TitleTxt>DIRECTOR (THRU 5/3/2023)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM MOONEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>6.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM O'BRIEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RANGARAJAN SAMPATH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER TAPPER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK WEINSTEIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS HEYMANN</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>308898</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12669</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAVANNAH STARK</PersonNm>
        <TitleTxt>VP DEVELOPMENT &amp; OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>134400</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHION CHANG</PersonNm>
        <TitleTxt>PROGRAM SUPERVISOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>114502</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3887</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>562050</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>16556</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>407027</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1773534</AllOtherContributionsAmt>
      <TotalContributionsAmt>2180561</TotalContributionsAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>37253</TotalRevenueColumnAmt>
        <ExclusionAmt>37253</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1346118</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1348000</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-1882</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1882</TotalRevenueColumnAmt>
        <ExclusionAmt>-1882</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <GrossSalesOfInventoryAmt>11365</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>2999</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>8366</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8366</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2807</TotalRevenueColumnAmt>
        <ExclusionAmt>2807</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2807</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2227105</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8366</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>38178</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>327919</TotalAmt>
        <ProgramServicesAmt>253509</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40034</ManagementAndGeneralAmt>
        <FundraisingAmt>34376</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1607600</TotalAmt>
        <ProgramServicesAmt>1238639</ProgramServicesAmt>
        <ManagementAndGeneralAmt>200078</ManagementAndGeneralAmt>
        <FundraisingAmt>168883</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>28907</TotalAmt>
        <ProgramServicesAmt>22579</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3427</ManagementAndGeneralAmt>
        <FundraisingAmt>2901</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>150127</TotalAmt>
        <ProgramServicesAmt>117265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17797</ManagementAndGeneralAmt>
        <FundraisingAmt>15065</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>43918</TotalAmt>
        <ProgramServicesAmt>21959</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21959</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>97453</TotalAmt>
        <ProgramServicesAmt>97453</ProgramServicesAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>90000</TotalAmt>
        <ProgramServicesAmt>90000</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>40831</TotalAmt>
        <ProgramServicesAmt>7076</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33755</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>56554</TotalAmt>
        <ProgramServicesAmt>9821</ProgramServicesAmt>
        <FundraisingAmt>46733</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>30967</TotalAmt>
        <ProgramServicesAmt>16831</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7706</ManagementAndGeneralAmt>
        <FundraisingAmt>6430</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>26905</TotalAmt>
        <ProgramServicesAmt>21523</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2691</ManagementAndGeneralAmt>
        <FundraisingAmt>2691</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>10100</TotalAmt>
        <ProgramServicesAmt>6060</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1010</ManagementAndGeneralAmt>
        <FundraisingAmt>3030</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>45015</TotalAmt>
        <ProgramServicesAmt>32045</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12470</ManagementAndGeneralAmt>
        <FundraisingAmt>500</FundraisingAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1160</TotalAmt>
        <ManagementAndGeneralAmt>1160</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>27247</TotalAmt>
        <ProgramServicesAmt>9860</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12457</ManagementAndGeneralAmt>
        <FundraisingAmt>4930</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>119356</TotalAmt>
        <ProgramServicesAmt>112804</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3063</ManagementAndGeneralAmt>
        <FundraisingAmt>3489</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FUNDRAISING FEES</Desc>
        <TotalAmt>30481</TotalAmt>
        <FundraisingAmt>30481</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2734540</TotalAmt>
        <ProgramServicesAmt>2057424</ProgramServicesAmt>
        <ManagementAndGeneralAmt>357607</ManagementAndGeneralAmt>
        <FundraisingAmt>319509</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>712831</BOYAmt>
        <EOYAmt>1293620</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>229333</BOYAmt>
        <EOYAmt>72238</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>7256</BOYAmt>
        <EOYAmt>7283</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>45486</BOYAmt>
        <EOYAmt>39150</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>9566</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>9566</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1160</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>768530</BOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>2003</BOYAmt>
        <EOYAmt>92421</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1766599</BOYAmt>
        <EOYAmt>1504712</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>110161</BOYAmt>
        <EOYAmt>246369</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>97687</BOYAmt>
        <EOYAmt>222750</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>207848</BOYAmt>
        <EOYAmt>469119</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>933368</BOYAmt>
        <EOYAmt>605283</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>625383</BOYAmt>
        <EOYAmt>430310</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1558751</BOYAmt>
        <EOYAmt>1035593</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1766599</BOYAmt>
        <EOYAmt>1504712</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-507435</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>3470</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-19193</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1012300</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1713052</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2231896</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2380372</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2180561</CurrentTaxYearAmt>
        <TotalAmt>9518181</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1012300</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1713052</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2231896</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2380372</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2180561</CurrentTaxYearAmt>
        <TotalAmt>9518181</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>608445</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>8909736</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus3YearsAmt>158</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4073</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8124</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>37253</CurrentTaxYearAmt>
        <TotalAmt>49608</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>2042</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2673</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1191</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1600</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2807</CurrentTaxYearAmt>
        <TotalAmt>10313</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>9578102</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>201166</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.93020</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.92370</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2019 AMOUNT: $ 2,042. 2020 AMOUNT: $ 2,673. 2021 AMOUNT: $ 1,191. 2022 AMOUNT: $ 1,600. 2023 AMOUNT: $ 2,807.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalGrassrootsLobbyingGrp>
        <FilingOrganizationsTotalAmt>11729</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>110287</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>122016</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>1935408</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>2057424</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>252871</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>63218</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus2Amt>242369</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>273020</CurrentYearMinus1Amt>
        <CurrentYearAmt>287120</CurrentYearAmt>
        <TotalAmt>802509</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>1203764</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus2Amt>6083</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>13810</CurrentYearMinus1Amt>
        <CurrentYearAmt>110287</CurrentYearAmt>
        <TotalAmt>130180</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus2Amt>60592</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>68255</CurrentYearMinus1Amt>
        <CurrentYearAmt>71780</CurrentYearAmt>
        <TotalAmt>200627</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>300941</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearAmt>11729</CurrentYearAmt>
        <TotalAmt>11729</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I-A, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOBBYING ACTIVITIES IS TO SERVE AS THE LEADING SEPSIS ADVOCACY ORGANIZATION AND TRUSTED EXPERT ON LEGISLATION AND PUBLIC POLICY THAT IMPROVES SEPSIS AWARENESS, EDUCATION, DIAGNOSIS, TREATMENT, AND SURVIVOR CARE. TO EDUCATE POLICYMAKERS, ADVOCATES, HEALTHCARE PROFESSIONALS, AND THE GENERAL PUBLIC ABOUT LEGISLATION, REGULATIONS, AND PUBLIC POLICIES THAT DIRECTLY IMPACT SEPSIS PATIENTS, SURVIVORS, AND LOVED ONES INCLUDING THE NEED FOR BETTER CONNECTED SEPSIS DATA ON THE STATE AND FEDERAL LEVELS; THE IMPACT OF ANTIMICROBIAL RESISTANCE ON SEPSIS AND THEIR RELATIONSHIP; AND SEPSIS MANAGEMENT AND TREATMENT GUIDANCE AS STIPULATED BY FEDERAL REGULATORY AND CARE REIMBURSEMENT ENTITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>9566</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>9566</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
        <BookValueAmt>2003</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RETAINERS</Desc>
        <BookValueAmt>9618</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CAPITALIZED IMPLEMENTATION COSTS, NET</Desc>
        <BookValueAmt>80800</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>92421</TotalBookValueOtherAssetsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2238001</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>3470</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>7426</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>10896</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2227105</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2227105</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2761159</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>7426</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>19193</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>26619</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2734540</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2734540</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS SUBJECT TO THE PROVISIONS OF THE FINANCIAL ACCOUNTING STANDARDS BOARD'S (THE "FASB") ACCOUNTING STANDARDS CODIFICATION ("ASC") TOPIC 740, INCOME TAXES, AS IT RELATES TO ACCOUNTING AND REPORTING FOR UNCERTAINTY IN INCOME TAXES. FOR THE ORGANIZATION, THESE PROVISIONS COULD BE APPLICABLE TO THE INCURRENCE OF UNRELATED BUSINESS INCOME TAX ("UBIT") ON MERCHANDISE SALES. SINCE THE ORGANIZATION HAS ALWAYS RECORDED ANY POTENTIAL TAX AND DUE TO ITS GENERAL NOT-FOR-PROFIT STATUS, MANAGEMENT BELIEVES, ASC 740 HAS NOT HAD, AND IS NOT ANTICIPATED TO HAVE, A MATERIAL IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 19,193.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <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>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS HEYMANN</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>234898</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>74000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12669</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>321567</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES ARE ELIGIBLE TO RECEIVE EACH CALENDAR YEAR A PERFORMANCE-BASED BONUS AS DETERMINED BY THE BOARD BASED ON THE ACHIEVEMENT OF ESTABLISHED GOALS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CATRIONA MACDONALD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>90000</TransactionAmt>
        <TransactionDesc>LOBBYING</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE L, PART IV, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2023, SEPSIS ENGAGED LINCHPIN STRATEGIES LLC, OF WHICH BOARD MEMBER CATRIONA MACDONALD MAINTAINS AN OWNERSHIP INTEREST OF 35% OR MORE, TO CONDUCT LOBBYING ACTIVITIES</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINAL 990 IS REVIEWED AND APPROVED BY FINANCE COMMITTEE. THE 990 IS THEN SUBMITTED AFTER EVALUATING ALL COMMENTS BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY EACH MEMBER OF THE BOARD OF DIRECTORS IS REQUIRED TO SUBMIT A SIGNED COPY OF THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI LINE 15A COMPENSATION PROCESS FOR TOP OFFICIAL COMPENSATION IS REVIEWED BY THE COMPENSATION COMMITTEE. COMMITTEE PREPARES RECOMMENDATIONS AND PROVIDES TO THE BOARD OF DIRECTORS. FORM 990, PART VI LINE 15B COMPENSATION PROCESS FOR OFFICERS COMPENSATION IS REVIEWED BY THE COMPENSATION COMMITTEE. COMMITTEE PREPARES RECOMMENDATIONS AND PROVIDES TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCLOSURE OF GOVERNING DOCUMENTS, ETC. ARE PROVIDED UPON REQUEST AND APPROVAL OF THE BOARD OF DIRECTORS FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH UNDER IRC SECTION 6104(D).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII - COMPENSATION OF BOARD MEMBERS</FormAndLineReferenceDesc>
        <ExplanationTxt>NO MEMBER OF THE BOARD OF DIRECTORS IS COMPENSATED FOR THEIR SERVICE TO THE ORGANIZATION AS A BOARD MEMBER. SOME BOARD MEMBERS PROVIDE SERVICES TO THE ORGANIZATION BASED ON THEIR SCIENTIFIC CREDENTIALS AS PART OF THE ORGANIZATION'S PROGRAM SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE NOT REPORTED ON PART IX -19,193.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>