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        <ManagementAndGeneralAmt>4993</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>71045</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Business Fees &amp; License</Desc>
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        <ProgramServicesAmt>42659</ProgramServicesAmt>
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        <FundraisingAmt>707</FundraisingAmt>
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      <LandBldgEquipAccumDeprecAmt>10468</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>6686</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>4938087</EOYAmt>
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        <EOYAmt>227007</EOYAmt>
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        <EOYAmt>5729742</EOYAmt>
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        <EOYAmt>180862</EOYAmt>
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        <EOYAmt>3507319</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>50000</BOYAmt>
        <EOYAmt>50000</EOYAmt>
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        <EOYAmt>3738181</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>1188749</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>1991561</EOYAmt>
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        <EOYAmt>5729742</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>540678</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-11050</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <PublicOrganization170Ind>X</PublicOrganization170Ind>
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        <CurrentTaxYearMinus4YearsAmt>973585</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1548199</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1526737</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2934514</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3710808</CurrentTaxYearAmt>
        <TotalAmt>10693843</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>1548199</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1526737</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2934514</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3710808</CurrentTaxYearAmt>
        <TotalAmt>10693843</TotalAmt>
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        <CurrentTaxYearMinus4YearsAmt>-16866</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>223769</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>149125</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>62841</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>357718</CurrentTaxYearAmt>
        <TotalAmt>776587</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>11470430</TotalSupportAmt>
      <PublicSupportCY170Pct>0.93230</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.94380</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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        <ContributorBusinessName>
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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <DepreciationAmt>10468</DepreciationAmt>
        <BookValueAmt>6686</BookValueAmt>
      </EquipmentGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>3567344</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3567344</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3567344</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3026666</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3026666</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3026666</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation has been granted exemption from Federal income taxes by the United States Treasury Department under section 501(c)(3) of the Internal Revenue Code. The Foundation qualifies for the charitable contribution deduction under Section 170 and has also been classified as an entity that is not a private foundation within the meaning of Section 509(a). Management has evaluated the Foundation's tax positions and concluded the Foundation had taken no uncertain tax positions.</ExplanationTxt>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Dissemination of CATCH PE</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>270488</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>270488</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>270488</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Nairobi, Kenya</RegionTxt>
        <PurposeOfGrantTxt>Promote healthy practices</PurposeOfGrantTxt>
        <CashGrantAmt>10000</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire Transfer</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
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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 III Accounting Method:</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
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      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <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>Duncan Van Dusen MPH</PersonNm>
        <TitleTxt>Founder &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>164560</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>164560</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4567</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>4567</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>169127</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>169127</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO's total compensation is informed by market research by the Governance Committee of the board of directors, examining CEO salaries for similar sized nonprofits in the public health sector, reviewing CEO performance against board-approved goals, and is approved by a majority vote of the Governance Committee.</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is provided to all Board Members before filing for comments or questions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization monitors the conflict of interest policy through a regular survey of board members and officers.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO's total compensation is informed by market research by the Governance Committee of the board of directors, examining CEO salaries for similar sized nonprofits in the public health sector, reviewing CEO performance against board-approved goals, and is approved by a majority vote of the Governance Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Payroll service fees: Program service expenses 25,542. Management and general expenses 4,071. Fundraising expenses 3,252. Total expenses 32,865. Contractors: Program service expenses 4,500. Management and general expenses 7,500. Fundraising expenses 0. Total expenses 12,000. Marketing professional fees: Program service expenses 14,976. Management and general expenses 0. Fundraising expenses 0. Total expenses 14,976. Training professional fees: Program service expenses 49,356. Management and general expenses 0. Fundraising expenses 0. Total expenses 49,356. IT fees: Program service expenses 69,766. Management and general expenses 0. Fundraising expenses 0. Total expenses 69,766. Curriculum development: Program service expenses 16,445. Management and general expenses 0. Fundraising expenses 0. Total expenses 16,445. Other professional fees: Program service expenses 54,971. Management and general expenses 23,303. Fundraising expenses 30,000. Total expenses 108,274.</ExplanationTxt>
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</Return>
