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      <InvestmentIncomePYPct>0.00110</InvestmentIncomePYPct>
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      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
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      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 2</FormAndLineReferenceDesc>
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          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60611</ZIPCd>
        </USAddress>
        <RecipientEIN>363097297</RecipientEIN>
        <NonCashAssistanceAmt>35649</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Northwestern University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>675 N St Clair Street Suite 14-100</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60611</ZIPCd>
        </USAddress>
        <RecipientEIN>362167817</RecipientEIN>
        <NonCashAssistanceAmt>33461</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Open Door Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>670 9th St Suite 203</AddressLine1Txt>
          <CityNm>Arcata</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95521</ZIPCd>
        </USAddress>
        <RecipientEIN>952671433</RecipientEIN>
        <NonCashAssistanceAmt>29716</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Pump Avenue Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9500 E Ironwood Sq Dr Suite 201</AddressLine1Txt>
          <CityNm>Scottsdale</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85258</ZIPCd>
        </USAddress>
        <RecipientEIN>842761286</RecipientEIN>
        <NonCashAssistanceAmt>87629</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>St Vincent Healthcare</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2900 12th Ave N Ste 160</AddressLine1Txt>
          <CityNm>Billings</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59101</ZIPCd>
        </USAddress>
        <RecipientEIN>810468034</RecipientEIN>
        <NonCashAssistanceAmt>32422</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Solano County FHS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1310 Club Drive</AddressLine1Txt>
          <CityNm>Vallejo</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94592</ZIPCd>
        </USAddress>
        <RecipientEIN>843416009</RecipientEIN>
        <NonCashAssistanceAmt>87017</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SUNY Health</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3229 E Genesee St</AddressLine1Txt>
          <CityNm>Syracuse</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13214</ZIPCd>
        </USAddress>
        <RecipientEIN>223285709</RecipientEIN>
        <NonCashAssistanceAmt>115267</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Stanford University School of Medicine</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1165 S Dora St Suite A1</AddressLine1Txt>
          <CityNm>Ukiah</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95482</ZIPCd>
        </USAddress>
        <RecipientEIN>946174066</RecipientEIN>
        <NonCashAssistanceAmt>10678</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Tallahassee Memorial Healthcare</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2633 Centennial Blvd Suite 100</AddressLine1Txt>
          <CityNm>Tallahassee</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32308</ZIPCd>
        </USAddress>
        <RecipientEIN>591917016</RecipientEIN>
        <NonCashAssistanceAmt>102628</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Texas Children's Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6701 Fannin St Ste 1020</AddressLine1Txt>
          <CityNm>Houston</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77030</ZIPCd>
        </USAddress>
        <RecipientEIN>741100555</RecipientEIN>
        <NonCashAssistanceAmt>27335</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Regents of The University of Colorado</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1775 Aurora Ct MS A140</AddressLine1Txt>
          <CityNm>Aurora</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80045</ZIPCd>
        </USAddress>
        <RecipientEIN>846000555</RecipientEIN>
        <NonCashAssistanceAmt>89409</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UBMB PediatricsPediatric Endocrinology</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1001 Main St 5th Floor</AddressLine1Txt>
          <CityNm>Buffalo</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14203</ZIPCd>
        </USAddress>
        <RecipientEIN>161238821</RecipientEIN>
        <NonCashAssistanceAmt>28132</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UCSF Benioff Children's Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>747 52nd St</AddressLine1Txt>
          <CityNm>Oakland</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94609</ZIPCd>
        </USAddress>
        <RecipientEIN>940382330</RecipientEIN>
        <NonCashAssistanceAmt>10481</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>U Mass (Milford Endocrinology)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>55 Lake Ave N Room AC4-127</AddressLine1Txt>
          <CityNm>Worcester</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01655</ZIPCd>
        </USAddress>
        <RecipientEIN>043358564</RecipientEIN>
        <NonCashAssistanceAmt>22673</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University Hospitals Cleveland Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11100 Euclid Ave Suite 737</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44106</ZIPCd>
        </USAddress>
        <RecipientEIN>341567805</RecipientEIN>
        <NonCashAssistanceAmt>12029</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UF Pediatric Diabetes Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1699 SW 16th Ave CMS Building A</AddressLine1Txt>
          <CityNm>Gainesville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32608</ZIPCd>
        </USAddress>
        <RecipientEIN>591943502</RecipientEIN>
        <NonCashAssistanceAmt>120530</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Iowa</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 Hawkins Drive BT 2001</AddressLine1Txt>
          <CityNm>Iowa City</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52242</ZIPCd>
        </USAddress>
        <RecipientEIN>420796760</RecipientEIN>
        <NonCashAssistanceAmt>25640</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UW Medicine</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>750 Republican St Building F Floor</AddressLine1Txt>
          <CityNm>Seattle</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98109</ZIPCd>
        </USAddress>
        <RecipientEIN>916001537</RecipientEIN>
        <NonCashAssistanceAmt>90062</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Wayne State University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6135 Woodward Ave</AddressLine1Txt>
          <CityNm>Detroit</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <RecipientEIN>386028429</RecipientEIN>
        <NonCashAssistanceAmt>12921</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Wendy Novak Diabetes Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>411 E Chestnut St 7th Floor</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40202</ZIPCd>
        </USAddress>
        <RecipientEIN>616027530</RecipientEIN>
        <NonCashAssistanceAmt>124864</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Endocrine Diabetes &amp; Metabolism University of Pennsylvania</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3400 Civic Center Blvd</AddressLine1Txt>
          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <RecipientEIN>231352685</RecipientEIN>
        <NonCashAssistanceAmt>19715</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical Supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Assistance</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>6</Total501c3OrgCnt>
      <TotalOtherOrgCnt>3</TotalOtherOrgCnt>
    </IRS990ScheduleI>
    <IRS990ScheduleL documentId="IRS990ScheduleL-01" softwareId="25022686">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Dr Mark Atkinson</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>President</RelationshipDescriptionTxt>
        <TransactionAmt>48162</TransactionAmt>
        <TransactionDesc>Compensation to family</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PartIV,Line1</FormAndLineReferenceDesc>
        <ExplanationTxt>Dr Atkinsons wife, is employed by the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM-01">
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="25022686">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Dr Mark Atkinson, President, is married to Mrs Carol Atkinson, Program Director.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 8a</FormAndLineReferenceDesc>
        <ExplanationTxt>All meetings of the governing body are documented contemporaneously.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of Form 990 is provided to the governing body for review before it is filed. When the governing body is satisfied with the Form 990, the authorization form is signed and sent to the tax preparer. At that time, the Form 990 is electronically filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>If a board member has a conflict of interest with regard to an issue under discussion or vote, then that member abstains from the discussion and/or vote related to that issue.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organizations governing documents, conflict of interest policy and financial statements are made available to the public upon request. The requested documents will be available in digital format unless otherwise specified.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>