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        <ExpensesAndContributionsAmt>4367112</ExpensesAndContributionsAmt>
        <ProgramRelatedInvstTotalAmt>0</ProgramRelatedInvstTotalAmt>
        <CharitableAssetsAcquisPaidAmt>0</CharitableAssetsAcquisPaidAmt>
        <SetAsideSuitabilityTestAmt>0</SetAsideSuitabilityTestAmt>
        <SetAsideCashDistriTestAmt>0</SetAsideCashDistriTestAmt>
        <QualifyingDistributionsAmt>4367112</QualifyingDistributionsAmt>
      </PFQualifyingDistributionsGrp>
      <UndistributedIncomeGrp>
        <DistributableAsAdjustedAmt>3345465</DistributableAsAdjustedAmt>
        <PriorYear1Yr>2019</PriorYear1Yr>
        <PriorYear2Yr>2018</PriorYear2Yr>
        <PriorYear3Yr>2017</PriorYear3Yr>
        <ExcessDistributionCyovYr5Amt>3102200</ExcessDistributionCyovYr5Amt>
        <ExcessDistributionCyovYr4Amt>3099326</ExcessDistributionCyovYr4Amt>
        <ExcessDistributionCyovYr3Amt>3682781</ExcessDistributionCyovYr3Amt>
        <ExcessDistributionCyovYr2Amt>2541370</ExcessDistributionCyovYr2Amt>
        <ExcessDistributionCyovYr1Amt>3304096</ExcessDistributionCyovYr1Amt>
        <TotalExcessDistributionCyovAmt>15729773</TotalExcessDistributionCyovAmt>
        <QualifyingDistributionsAmt>4367112</QualifyingDistributionsAmt>
        <AppliedToCurrentYearAmt>3345465</AppliedToCurrentYearAmt>
        <RemainingDistriFromCorpusAmt>1021647</RemainingDistriFromCorpusAmt>
        <TotalCorpusAmt>16751420</TotalCorpusAmt>
        <UndistributedIncomeCYAmt>0</UndistributedIncomeCYAmt>
        <ExcessDistriCyovFromYr5Amt>3102200</ExcessDistriCyovFromYr5Amt>
        <ExcessDistriCyovToNextYrAmt>13649220</ExcessDistriCyovToNextYrAmt>
        <ExcessFromYear4Amt>3099326</ExcessFromYear4Amt>
        <ExcessFromYear3Amt>3682781</ExcessFromYear3Amt>
        <ExcessFromYear2Amt>2541370</ExcessFromYear2Amt>
        <ExcessFromYear1Amt>3304096</ExcessFromYear1Amt>
        <ExcessFromCurrentYearAmt>1021647</ExcessFromCurrentYearAmt>
      </UndistributedIncomeGrp>
      <PrivateOperatingFoundationsGrp></PrivateOperatingFoundationsGrp>
      <SupplementaryInformationGrp>
        <ContributingManagerNm>NA</ContributingManagerNm>
        <OnlyContriToPreselectedInd>X</OnlyContriToPreselectedInd>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>A-Z CHILDREN LIMITED - NURTURE AFRICA</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientForeignAddress>
            <AddressLine1Txt>54 PEMBROKE RD</AddressLine1Txt>
            <CityNm>DUBLIN</CityNm>
            <ProvinceOrStateNm>BALLSBRIDGE</ProvinceOrStateNm>
            <CountryCd>EI</CountryCd>
            <ForeignPostalCd>4</ForeignPostalCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Upgrade health centre, develop roadside outreach services and provide training &amp; resources</GrantOrContributionPurposeTxt>
          <Amt>105302</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>ADVANCIUM HEALTH NETWORK INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>345 PARK AVE S 12TH FL</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10010</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>NC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Expenditure Responsibility Grant</GrantOrContributionPurposeTxt>
          <Amt>50000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>AMERICAN INDIA FOUNDATION</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>211 EAST 43RD ST SUITE 1900</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10017</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>350</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>CHILDRENS BRAIN TUMOR FOUNDATION INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1460 BROADWAY</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10036</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>CLEAN AIR TASK FORCE INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>114 STATE ST 6TH FL</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02109</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>105</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>COALITION FOR THE HOMELESS INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>129 FULTON ST</AddressLine1Txt>
            <CityNm>NEW YORK CITY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10038</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>80000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>FAMILY CENTER INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>493 NOSTRAND AVE STE 3</AddressLine1Txt>
            <CityNm>BROOKLYN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11216</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>100000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>GILDAS CLUB WESTCHESTER INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>80 MAPLE AVE</AddressLine1Txt>
            <CityNm>WHITE PLAINS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10601</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Youth programmming for children, teens and families impacted by cancer</GrantOrContributionPurposeTxt>
          <Amt>47500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>HEALTH EQUITY INTERNATIONAL</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>40 GLEN AVE</AddressLine1Txt>
            <CityNm>NEWTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02459</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Support maternal, child and neonatal health services &amp; earthquake relief efforts</GrantOrContributionPurposeTxt>
          <Amt>125000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>HIGH &amp; MIGHTY THERAPEUTIC RIDING AND DRIVING CENTE</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>71 COUNTY RTE 21C</AddressLine1Txt>
            <CityNm>GHENT</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12075</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>INSTITUTE FOR LIFE CHANGING MEDICINES</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>345 PARK AVE S 12TH FL</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10010</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>333333</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>INTEGRATE HEALTH INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>16 GRANITE ST</AddressLine1Txt>
            <CityNm>MEDWAY</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02053</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>250000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>INTERNATIONAL RESCUE COMMITTEE INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 6068</AddressLine1Txt>
            <CityNm>ALBERT LEA</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>56007</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>155</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>LEUKEMIA &amp; LYMPHOMA SOCIETY INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>3 INTERNATIONAL DR STE 200</AddressLine1Txt>
            <CityNm>RYE BROOK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10573</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>LITTLE SISTERS OF THE ASSUMPTION FAMILY HEALTH SER</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>333 E 115TH ST</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10029</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>180000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>LWALA COMMUNITY ALLIANCE INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 60688</AddressLine1Txt>
            <CityNm>NASHVILLE</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37206</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>To support increase in access to life saving interventions; OHI expansion; national policy change</GrantOrContributionPurposeTxt>
          <Amt>300000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>MANJUSHREE CHARITABLE SOCIETY</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientForeignAddress>
            <AddressLine1Txt>MANJUSHREE VIDYAPITH SCHOOL AND ORP</AddressLine1Txt>
            <CityNm>LOHIT VALLEY ITTANAGAR</CityNm>
            <ProvinceOrStateNm>TAWANG</ProvinceOrStateNm>
            <CountryCd>IN</CountryCd>
            <ForeignPostalCd>790104</ForeignPostalCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>To improve quality of life, healthcare and education for children living at Manjushree</GrantOrContributionPurposeTxt>
          <Amt>300000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>MANY HOPES INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>255 W 93RD ST 1N</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10025</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Healthy Children at Home and School Program</GrantOrContributionPurposeTxt>
          <Amt>143515</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>MERCY CORPS</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 37800</AddressLine1Txt>
            <CityNm>BOONE</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>50037</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>200</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>MOTT HAVEN ACADEMY CHARTER SCHOOL</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>170 BROWN PL</AddressLine1Txt>
            <CityNm>BRONX</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10454</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>tp provide School-based health care to students and their families</GrantOrContributionPurposeTxt>
          <Amt>200000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>MUSO INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>3254 19TH ST 2ND FLOOR</AddressLine1Txt>
            <CityNm>SAN FRANCISCO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94110</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>100000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>MYASWAN INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1448 TWELVE OAKS CT</AddressLine1Txt>
            <CityNm>ALAMO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94507</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>342000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>NORTHSIDE CENTER FOR CHILD DEVELOPMENT INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>1301 FIFTH AVE 1ST FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10029</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Support of Mental Health Clinic</GrantOrContributionPurposeTxt>
          <Amt>200000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>NYAYA HEALTH NEPAL</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientForeignAddress>
            <AddressLine1Txt>NYACHHYON GRIHA</AddressLine1Txt>
            <CityNm>KUPONDOLE LALITPUR</CityNm>
            <CountryCd>NP</CountryCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>NC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Expenditure Responsibility Grant</GrantOrContributionPurposeTxt>
          <Amt>125000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>PARTNERS IN HEALTH A NONPROFIT CORPORATION</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 996</AddressLine1Txt>
            <CityNm>FREDERICK</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21705</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>to provide treatment and support</GrantOrContributionPurposeTxt>
          <Amt>135000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>PARTNERS IN HEALTH A NONPROFIT CORPORATION</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 996</AddressLine1Txt>
            <CityNm>FREDERICK</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21705</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Haiti Earthquake Relief Fund</GrantOrContributionPurposeTxt>
          <Amt>15000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>PARTNERS IN HEALTH A NONPROFIT CORPORATION</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 996</AddressLine1Txt>
            <CityNm>FREDERICK</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21705</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>150000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>RED DOOR COMMUNITY INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>195 W HOUSTON ST</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10014</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>General &amp; Unrestricted</GrantOrContributionPurposeTxt>
          <Amt>126152</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>SAVE THE CHILDREN FEDERATION INC</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>501 KINGS HWY EAST STE 400</AddressLine1Txt>
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        <ContributorNum>31</ContributorNum>
        <ContributorPersonNm>Wang Elise</ContributorPersonNm>
        <ContributorUSAddress>
          <AddressLine1Txt>345 PARK AVENUE SOUTH</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10010</ZIPCd>
        </ContributorUSAddress>
        <TotalContributionsAmt>30000</TotalContributionsAmt>
        <PersonContributionInd>X</PersonContributionInd>
      </ContributorInformationGrp>
      <ContributorInformationGrp>
        <ContributorNum>32</ContributorNum>
        <ContributorPersonNm>Wheeler Cameron</ContributorPersonNm>
        <ContributorUSAddress>
          <AddressLine1Txt>345 PARK AVENUE SOUTH</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10010</ZIPCd>
        </ContributorUSAddress>
        <TotalContributionsAmt>25000</TotalContributionsAmt>
        <PersonContributionInd>X</PersonContributionInd>
      </ContributorInformationGrp>
      <NonCashPropertyContributionGrp>
        <ContributorNum>1</ContributorNum>
        <NoncashPropertyDesc>ISHARES S&amp;P 1500 INDEX FD ITOT, 49 sh.</NoncashPropertyDesc>
        <FairMarketValueAmt>5086</FairMarketValueAmt>
        <ReceivedDt>2021-12-21</ReceivedDt>
      </NonCashPropertyContributionGrp>
      <NonCashPropertyContributionGrp>
        <ContributorNum>20</ContributorNum>
        <NoncashPropertyDesc>IHS MARKIT LTD INFO, 34 sh.</NoncashPropertyDesc>
        <FairMarketValueAmt>4057</FairMarketValueAmt>
        <ReceivedDt>2021-08-05</ReceivedDt>
      </NonCashPropertyContributionGrp>
      <NonCashPropertyContributionGrp>
        <ContributorNum>20</ContributorNum>
        <NoncashPropertyDesc>AMERICAN WATER WORKS COMPANY INC AWK, 6 sh.</NoncashPropertyDesc>
        <FairMarketValueAmt>1068</FairMarketValueAmt>
        <ReceivedDt>2021-08-05</ReceivedDt>
      </NonCashPropertyContributionGrp>
      <NonCashPropertyContributionGrp>
        <ContributorNum>20</ContributorNum>
        <NoncashPropertyDesc>THE BLACKSTONE GROUP INC CL A BX, 35 sh.</NoncashPropertyDesc>
        <FairMarketValueAmt>5096</FairMarketValueAmt>
        <ReceivedDt>2021-11-24</ReceivedDt>
      </NonCashPropertyContributionGrp>
    </IRS990ScheduleB>
    <CompensationExplanation documentId="CompensationExpl">
      <CompensationExplanationGrp>
        <PersonNm>Andrew ElBardissi</PersonNm>
        <ShortExplanationTxt>*Removed from position in 2021</ShortExplanationTxt>
      </CompensationExplanationGrp>
      <CompensationExplanationGrp>
        <PersonNm>Kerri Seacord</PersonNm>
        <ShortExplanationTxt>*Removed from board in 2021</ShortExplanationTxt>
      </CompensationExplanationGrp>
    </CompensationExplanation>
    <DepreciationSchedule documentId="DepreciationSch" />
    <ExpenditureResponsibilityStmt documentId="ExpdturResponbltStmt">
      <ExpenditureResponsibilityGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MIFAN MAMA</BusinessNameLine1Txt>
        </BusinessName>
        <ForeignAddress>
          <AddressLine1Txt>1533 HUQINGPING ROAD HOUSE NO 28</AddressLine1Txt>
          <CityNm>SHANGHAI</CityNm>
          <ProvinceOrStateNm>QINGPU DISTRICT</ProvinceOrStateNm>
          <CountryCd>CH</CountryCd>
        </ForeignAddress>
        <GrantDt>2018-12-04</GrantDt>
        <GrantAmt>25000</GrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT THE ENHANCED OUTREACH EYE CARE PROJECT</PurposeOfGrantTxt>
        <ExpendedByGranteeAmt>25000</ExpendedByGranteeAmt>
        <AnyDiversionByGranteeTxt>NO</AnyDiversionByGranteeTxt>
        <DatesOfReportsByGranteeTxt>7/23/2019, 1/24/2021</DatesOfReportsByGranteeTxt>
        <ResultsOfVerificationTxt>NONE NECESSARY</ResultsOfVerificationTxt>
      </ExpenditureResponsibilityGrp>
      <ExpenditureResponsibilityGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Nyaya Health Nepal</BusinessNameLine1Txt>
        </BusinessName>
        <ForeignAddress>
          <AddressLine1Txt>Nyachhyon Griha</AddressLine1Txt>
          <CityNm>Kupondole</CityNm>
          <ProvinceOrStateNm>Lalitpur</ProvinceOrStateNm>
          <CountryCd>NP</CountryCd>
        </ForeignAddress>
        <GrantDt>2021-08-11</GrantDt>
        <GrantAmt>125000</GrantAmt>
        <PurposeOfGrantTxt>Strengthening and Sustaining Municipal Integrated Health Care Model in Achham District</PurposeOfGrantTxt>
        <ExpendedByGranteeAmt>125000</ExpendedByGranteeAmt>
        <AnyDiversionByGranteeTxt>NO</AnyDiversionByGranteeTxt>
        <DatesOfReportsByGranteeTxt>7/8/2022</DatesOfReportsByGranteeTxt>
        <ResultsOfVerificationTxt>NONE NECESSARY</ResultsOfVerificationTxt>
      </ExpenditureResponsibilityGrp>
      <ExpenditureResponsibilityGrp>
        <BusinessName>
          <BusinessNameLine1Txt>ADVANCIUM HEALTH NETWORK INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>345 PARK AVE SOUTH 12TH FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10010</ZIPCd>
        </USAddress>
        <GrantDt>2021-12-02</GrantDt>
        <GrantAmt>50000</GrantAmt>
        <PurposeOfGrantTxt>SUPPORTING STARTUP EXPENSES</PurposeOfGrantTxt>
        <AnyDiversionByGranteeTxt>NO</AnyDiversionByGranteeTxt>
        <DatesOfReportsByGranteeTxt>EXPECTED IN 2022</DatesOfReportsByGranteeTxt>
        <ResultsOfVerificationTxt>NONE NECESSARY</ResultsOfVerificationTxt>
      </ExpenditureResponsibilityGrp>
    </ExpenditureResponsibilityStmt>
    <GeneralExplanationAttachment documentId="GeneralExplAttach">
      <GeneralExplanationGrp>
        <IdentifierTxt>PART I LINE 6A (990-PF)</IdentifierTxt>
        <FormAndLineReferenceDesc>(990-PF) - RECONCILIATION OF NET GAIN/(LOSS)</FormAndLineReferenceDesc>
        <MediumExplanationTxt>RECONCILIATION OF NET GAIN/(LOSS) FROM SALES OF ASSETS NOT INCLUDED IN PART IV TOTAL INCLUDED IN PART IV: (DETAILS BELOW) NET GAIN/(LOSS): $6,590,353 TOTAL NOT INCLUDED IN PART IV: PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - UBI NET GAIN/(LOSS): $5 TOTAL PART I, LINE 6A: $6,590,358 DETAILS OF ASSETS INCLUDED IN PART IV: PUBLICLY-TRAIDED SECURITIES GROSS SALES PRICE: $19,621 BOOK BASIS: $20,038 NET GAIN/(LOSS): $(417) PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - NON UBI NET GAIN/(LOSS): $6,590,770</MediumExplanationTxt>
      </GeneralExplanationGrp>
    </GeneralExplanationAttachment>
    <InvestmentsOtherSchedule2 documentId="InvOtherSch2">
      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>CORVENT MEDICAL, INC</CategoryOrItemTxt>
        <BookValueAmt>500000</BookValueAmt>
        <EOYFMVAmt>500000</EOYFMVAmt>
      </InvestmentsOtherGrp>
      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>CORVENT MEDICAL, INC SERIES SE</CategoryOrItemTxt>
        <BookValueAmt>120000</BookValueAmt>
        <EOYFMVAmt>120000</EOYFMVAmt>
      </InvestmentsOtherGrp>
      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>DEERFIELD EMPLOYEES DP LLC</CategoryOrItemTxt>
        <BookValueAmt>4636102</BookValueAmt>
        <EOYFMVAmt>4636100</EOYFMVAmt>
      </InvestmentsOtherGrp>
      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>DEERFIELD HEALTHCARE INNOVATIO</CategoryOrItemTxt>
        <BookValueAmt>1267245</BookValueAmt>
        <EOYFMVAmt>48401005</EOYFMVAmt>
      </InvestmentsOtherGrp>
      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>DEERFIELD MGMT HIF II, LP</CategoryOrItemTxt>
        <EOYFMVAmt>2019402</EOYFMVAmt>
      </InvestmentsOtherGrp>
      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>DEERFIELD MGMT III LP</CategoryOrItemTxt>
        <BookValueAmt>1500178</BookValueAmt>
        <EOYFMVAmt>2320842</EOYFMVAmt>
      </InvestmentsOtherGrp>
      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>DEERFIELD MGMT IV LP</CategoryOrItemTxt>
        <BookValueAmt>350910</BookValueAmt>
        <EOYFMVAmt>5303091</EOYFMVAmt>
      </InvestmentsOtherGrp>
      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>DEERFIELD MGMT LP</CategoryOrItemTxt>
        <BookValueAmt>4592387</BookValueAmt>
        <EOYFMVAmt>4652928</EOYFMVAmt>
      </InvestmentsOtherGrp>
      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>DEERFIELD MGMT V LP</CategoryOrItemTxt>
        <EOYFMVAmt>203167</EOYFMVAmt>
      </InvestmentsOtherGrp>
    </InvestmentsOtherSchedule2>
    <LegalFeesSchedule documentId="LegalFeesSch">
      <LegalFeesGrp>
        <CategoryTxt>Document Review/Drafting</CategoryTxt>
        <LegalFeesAmt>23279</LegalFeesAmt>
        <NetInvestmentIncomeAmt>3577</NetInvestmentIncomeAmt>
        <DisbursementsCharitablePrpsAmt>19702</DisbursementsCharitablePrpsAmt>
      </LegalFeesGrp>
      <LegalFeesGrp>
        <CategoryTxt>General Consultations</CategoryTxt>
        <LegalFeesAmt>91342</LegalFeesAmt>
        <DisbursementsCharitablePrpsAmt>91342</DisbursementsCharitablePrpsAmt>
      </LegalFeesGrp>
    </LegalFeesSchedule>
    <OtherExpensesSchedule documentId="OtherExpensesSch">
      <OtherExpensesScheduleGrp>
        <Desc>Administrative Fees</Desc>
        <RevenueAndExpensesPerBooksAmt>62360</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>62360</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Bank Charges</Desc>
        <RevenueAndExpensesPerBooksAmt>1</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>1</NetInvestmentIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Foundation Dues &amp; Memberships</Desc>
        <RevenueAndExpensesPerBooksAmt>1530</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>1530</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>K-1 Exp DEERFIELD EMPLOYEES DP</Desc>
        <RevenueAndExpensesPerBooksAmt>597</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>589</NetInvestmentIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>K-1 Exp DEERFIELD EMPLOYEES DS</Desc>
        <RevenueAndExpensesPerBooksAmt>254</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>255</NetInvestmentIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>K-1 Exp DEERFIELD MGMT III LP</Desc>
        <RevenueAndExpensesPerBooksAmt>118246</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>118246</NetInvestmentIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>K-1 Exp DEERFIELD MGMT IV LP</Desc>
        <RevenueAndExpensesPerBooksAmt>16142</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>16096</NetInvestmentIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>K-1 Exp DEERFIELD MGMT LP</Desc>
        <RevenueAndExpensesPerBooksAmt>11314</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>11301</NetInvestmentIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>State or Local Filing Fees</Desc>
        <RevenueAndExpensesPerBooksAmt>750</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>750</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>TRAINING &amp; PROF. DEVELOPMENT</Desc>
        <RevenueAndExpensesPerBooksAmt>2956</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>2956</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
    </OtherExpensesSchedule>
    <OtherIncomeSchedule2 documentId="OtherIncomeSch2">
      <OtherIncomeDetail>
        <Desc>K-1 Inc/Loss DEERFIELD EMPLOYEES DP LLC</Desc>
        <RevenueAndExpensesPerBooksAmt>47376</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>47870</NetInvestmentIncomeAmt>
      </OtherIncomeDetail>
      <OtherIncomeDetail>
        <Desc>K-1 Inc/Loss DEERFIELD EMPLOYEES DSS LLC</Desc>
        <RevenueAndExpensesPerBooksAmt>4976</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>5033</NetInvestmentIncomeAmt>
      </OtherIncomeDetail>
      <OtherIncomeDetail>
        <Desc>K-1 Inc/Loss DEERFIELD MGMT III LP</Desc>
        <RevenueAndExpensesPerBooksAmt>412079</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>324236</NetInvestmentIncomeAmt>
      </OtherIncomeDetail>
      <OtherIncomeDetail>
        <Desc>K-1 Inc/Loss DEERFIELD MGMT IV LP</Desc>
        <RevenueAndExpensesPerBooksAmt>177038</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>186670</NetInvestmentIncomeAmt>
      </OtherIncomeDetail>
      <OtherIncomeDetail>
        <Desc>K-1 Inc/Loss DEERFIELD MGMT LP</Desc>
        <RevenueAndExpensesPerBooksAmt>241398</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>242241</NetInvestmentIncomeAmt>
      </OtherIncomeDetail>
    </OtherIncomeSchedule2>
    <OtherProfessionalFeesSchedule documentId="OthProfFeesSch">
      <OtherProfessionalFeesDetail>
        <CategoryTxt>EQUIVALENCY DETERMINATION</CategoryTxt>
        <Amt>1100</Amt>
        <DisbursementsCharitablePrpsAmt>1100</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
      <OtherProfessionalFeesDetail>
        <CategoryTxt>Philanthropic Consulting Srvcs</CategoryTxt>
        <Amt>131094</Amt>
        <DisbursementsCharitablePrpsAmt>131094</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
    </OtherProfessionalFeesSchedule>
    <TaxesSchedule documentId="TaxesSchedule">
      <TaxesDetail>
        <CategoryTxt>990-PF Estimated Tax for 2021</CategoryTxt>
        <Amt>47600</Amt>
      </TaxesDetail>
      <TaxesDetail>
        <CategoryTxt>990-PF Extension for 2020</CategoryTxt>
        <Amt>7380</Amt>
      </TaxesDetail>
      <TaxesDetail>
        <CategoryTxt>STATE INCOME TAX 2020</CategoryTxt>
        <Amt>250</Amt>
      </TaxesDetail>
    </TaxesSchedule>
  </ReturnData>
</Return>
