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        <AddressLine1>PO BOX 13950</AddressLine1>
        <City>RESEARCH TRIANGLE PARK</City>
        <State>NC</State>
        <ZIPCode>27709</ZIPCode>
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      <Name>ROBERT MURPHY</Name>
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      <Form990PartVIISectionA>
        <NamePerson>ROBERT S MURPHY</NamePerson>
        <Title>CHIEF COMPLIANCE OFFICER</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MANISHA BHARTI</NamePerson>
        <Title>SR VP STRATEGIC DVLP COMUN</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>231514</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>35326</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID MEIN</NamePerson>
        <Title>VP ADMINISTRATION &amp; OPS SUPPORT</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>223588</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>27470</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DR TIMOTHY D MASTRO</NamePerson>
        <Title>VP HEALTH &amp; DVLP SCIENCES</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>218346</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>28087</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LAURA KAYSER</NamePerson>
        <Title>VP GLOBAL PORTFOLIO MGMNT</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>190210</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>37979</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAMELA MYERS</NamePerson>
        <Title>VP HR AND ORG DVLPMNT</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>180263</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>35635</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DR EDWARD DENNISON</NamePerson>
        <Title>VP BUSINESS DVLPMNT</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>158598</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>33190</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARIE F PORTER</NamePerson>
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        <AverageHoursPerWeek>40</AverageHoursPerWeek>
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        <ReportableCompFromOrganization>95541</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>17060</OtherCompensation>
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      <Form990PartVIISectionA>
        <NamePerson>SUSAN T CARLSON</NamePerson>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CATHERINE THOMPSON</NamePerson>
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        <OtherCompensation>32834</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NZAPFURUNDI CHABIKULI</NamePerson>
        <Title>DIR NIGERIA</Title>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>34677</OtherCompensation>
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      <Form990PartVIISectionA>
        <NamePerson>ANTHONY BONDURANT</NamePerson>
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        <OtherCompensation>30310</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NANCY LAMSON</NamePerson>
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        <OtherCompensation>31326</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PETER COWLEY</NamePerson>
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        <AverageHoursPerWeek>40</AverageHoursPerWeek>
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        <OtherCompensation>31385</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT MAGNANI</NamePerson>
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        <ReportableCompFromOrganization>246958</ReportableCompFromOrganization>
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        <OtherCompensation>32664</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GITA PILLAI</NamePerson>
        <Title>INDIA PROJ DIR</Title>
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        <OtherCompensation>19785</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLIAM O'CALLAGHAN</NamePerson>
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        <ReportableCompFromOrganization>233569</ReportableCompFromOrganization>
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        <OtherCompensation>27642</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GARY WEST</NamePerson>
        <Title>TECH DIR APRO RGN</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
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        <ReportableCompFromOrganization>230000</ReportableCompFromOrganization>
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        <OtherCompensation>40433</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SHEILA MITCHEL</NamePerson>
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        <OtherCompensation>28103</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL WELSH</NamePerson>
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        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Former>X</Former>
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        <OtherCompensation>29972</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>5761531</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>148060</TotalReportableCompFrmRltdOrgs>
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      <NumberIndividualsGT100K>136</NumberIndividualsGT100K>
      <FormersListed>1</FormersListed>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ERNST AND YOUNG LLP</BusinessNameLine1>
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        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4130 PARK LAKE</AddressLine1>
            <City>RALEIGH</City>
            <State>NC</State>
            <ZIPCode>27612</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>AUDITING</DescriptionOfServices>
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      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>TATUM LLC</BusinessNameLine1>
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        <AddressOfContractor>
          <AddressUS>
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            <City>ATLANTA</City>
            <State>GA</State>
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          </AddressUS>
        </AddressOfContractor>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>LOGENIX</BusinessNameLine1>
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        <AddressOfContractor>
          <AddressUS>
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            <City>ALEANDRIA</City>
            <State>VA</State>
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          </AddressUS>
        </AddressOfContractor>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>BUSINESS TRANSFORMATION SOLUTIONS</BusinessNameLine1>
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          <AddressUS>
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            <City>RALEIGH</City>
            <State>NC</State>
            <ZIPCode>27614</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
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      <FederatedCampaigns>0</FederatedCampaigns>
      <MembershipDues>0</MembershipDues>
      <FundraisingEvents>0</FundraisingEvents>
      <RelatedOrganizations>7232078</RelatedOrganizations>
      <GovernmentGrants>0</GovernmentGrants>
      <AllOtherContributions>315561</AllOtherContributions>
      <NoncashContributions>0</NoncashContributions>
      <TotalContributions>7547639</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PUBLIC HEALTH RESEARCH USG</Description>
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        <TotalRevenueColumn>403709219</TotalRevenueColumn>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PUBLIC HEALTH RSH OTHER</Description>
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        <RelatedOrExemptFunctionIncome>63128332</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>466837551</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>66867</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>66867</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
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        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
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        <Personal>0</Personal>
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        <Real>716774</Real>
        <Personal>0</Personal>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
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        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
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        <ExclusionAmount>-22072</ExclusionAmount>
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      <GainOrLoss>
        <Securities>0</Securities>
        <Other>0</Other>
      </GainOrLoss>
      <CntrbtnsRprtdFundraisingEvents>0</CntrbtnsRprtdFundraisingEvents>
      <TotalOtherRevenue>0</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>474429985</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>466837551</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
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      <GrantsToDomesticOrgs>
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        <ProgramServices>383417</ProgramServices>
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      <ForeignGrants>
        <Total>1768559</Total>
        <ProgramServices>1768559</ProgramServices>
      </ForeignGrants>
      <CompCurrentOfficersDirectors>
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        <ProgramServices>1078916</ProgramServices>
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      <CompDisqualPersons>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>66465166</Total>
        <ProgramServices>40568583</ProgramServices>
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      <PensionPlanContributions>
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      <OtherEmployeeBenefits>
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        <ProgramServices>3792131</ProgramServices>
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      </OtherEmployeeBenefits>
      <PayrollTaxes>
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        <ProgramServices>2566804</ProgramServices>
        <ManagementAndGeneral>1712632</ManagementAndGeneral>
        <Fundraising>3038</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>648530</Total>
        <ProgramServices>325620</ProgramServices>
        <ManagementAndGeneral>322654</ManagementAndGeneral>
        <Fundraising>256</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>1063973</Total>
        <ProgramServices>430649</ProgramServices>
        <ManagementAndGeneral>633324</ManagementAndGeneral>
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      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
        <Fundraising>0</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>24539463</Total>
        <ProgramServices>20710183</ProgramServices>
        <ManagementAndGeneral>3775652</ManagementAndGeneral>
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      <Advertising>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OfficeExpenses>
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      <InformationTechnology>
        <Total>3198978</Total>
        <ProgramServices>1571926</ProgramServices>
        <ManagementAndGeneral>1627052</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </InformationTechnology>
      <Royalties>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <Occupancy>
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        <ProgramServices>8243860</ProgramServices>
        <ManagementAndGeneral>5640460</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
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        <ProgramServices>25149687</ProgramServices>
        <ManagementAndGeneral>3942270</ManagementAndGeneral>
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      </Travel>
      <TravelEntrtnmntPublicOfficials>
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        <ProgramServices>0</ProgramServices>
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      </TravelEntrtnmntPublicOfficials>
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        <ProgramServices>13044788</ProgramServices>
        <ManagementAndGeneral>1011339</ManagementAndGeneral>
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        <ProgramServices>3584</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <PaymentsToAffiliates>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PaymentsToAffiliates>
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      </DepreciationDepletion>
      <Insurance>
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        <ProgramServices>288475</ProgramServices>
        <ManagementAndGeneral>639539</ManagementAndGeneral>
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      </Insurance>
      <OtherExpenses>
        <Description>SUB AWARD CONTRACT PAYMENTS</Description>
        <Total>187503972</Total>
        <ProgramServices>187476224</ProgramServices>
        <ManagementAndGeneral>27748</ManagementAndGeneral>
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      </OtherExpenses>
      <OtherExpenses>
        <Description>FIELD OFFICE STAFF COMPENSATION</Description>
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        <ProgramServices>72254656</ProgramServices>
        <ManagementAndGeneral>2200502</ManagementAndGeneral>
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      </OtherExpenses>
      <OtherExpenses>
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        <Total>6703558</Total>
        <ProgramServices>6505990</ProgramServices>
        <ManagementAndGeneral>197568</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>FIELD OFFICE ADVANCES</Description>
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        <ProgramServices>525184</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
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        <ProgramServices>1327524</ProgramServices>
        <ManagementAndGeneral>663596</ManagementAndGeneral>
        <Fundraising>327</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>472087074</Total>
        <ProgramServices>409265020</ProgramServices>
        <ManagementAndGeneral>62700388</ManagementAndGeneral>
        <Fundraising>121666</Fundraising>
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      <SavingsAndTempCashInvestments>
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        <EOY>21990158</EOY>
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      <PledgesAndGrantsReceivable>
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        <EOY>282464</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
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        <EOY>89000433</EOY>
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      <ReceivablesFromOfficersEtc>
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        <EOY>0</EOY>
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        <EOY>0</EOY>
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      <OtherNotesLoansReceivableNet>
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        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
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        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>1961952</BOY>
        <EOY>6510542</EOY>
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      <LandBuildingsEquipmentBasis>16927522</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>5105229</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2243333</BOY>
        <EOY>11822293</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
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        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>0</BOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>10100629</BOY>
        <EOY>28587025</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>78323925</BOY>
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      <OtherAssets>
        <Description>INVESTMENT TO ACQUIRE ASSETS TO CREATE LLC ORGS</Description>
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      <OtherAssets>
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      <OtherLiabilities>
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      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
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        <ReturnReference>Schedule D, Part X, Line 2</ReturnReference>
        <Explanation>FHI ADOPTED THE PROVISIONS OF FIN 48 EFFECTIVE OCTOBER 1, 2009 AND THE ADOPTION OF THIS GUIDANCE DID NOT HAVE A MATERIAL IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS.</Explanation>
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    </IRS990ScheduleD>
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        <NumberOfEmployees>119</NumberOfEmployees>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>Conduct research, program management and business development activities as directed by US Headquarters.</SpecificServicesProvided>
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      <AcctsActvsOutUSTable>
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        <SpecificServicesProvided>Conduct research, program management and business development activities as directed by US Headquarters</SpecificServicesProvided>
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      <AcctsActvsOutUSTable>
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      <AcctsActvsOutUSTable>
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        <NumberOfEmployees>238</NumberOfEmployees>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>Conducts research, program management and business development activities as directed by US Headquarters</SpecificServicesProvided>
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      <AcctsActvsOutUSTable>
        <Region>Sub-Saharan Africa</Region>
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        <SpecificServicesProvided>Conducts research, program management and business development activities as directed by US Headquarters. FHI 360 operates within South Africa as FHI South Africa and revenues during FY11 totaled $2,151,833. FHI 360 operations within Nigeria include activity of a local affiliate Achieving Health Nigeria Initiative (AHNI) with FY11 revenues of $4,340,562. FHI 360 operations within Kenya include a local organization Gold Star Kenya to supplement its operations and revenues during FY11 totaled $108,847. All revenues and expenditures of these organizations are include within the reported values of this return.</SpecificServicesProvided>
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      <AcctsActvsOutUSTable>
        <Region>South America</Region>
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      <GrantsToOrgsOutsideUS>
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      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
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      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
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      <GrantsToOrgsOutsideUS>
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        <MannerOfCashDisbursement>CHECK</MannerOfCashDisbursement>
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      <GrantsToOrgsOutsideUS>
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          <State>OR</State>
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          <State>WI</State>
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        <Explanation>EXPAT STAFF WHO ARE EMPLOYED OUTSIDE OF THE UNITED STATES HAVE LOCAL HOUSING COSTS PAID BY FHI 360 AND ARE ELIGIBLE FOR POST ALLOWANCE AND POST DIFFERENTIAL PAY AND DEPENDENT EDUCATION REIMBURSEMENTS</Explanation>
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        <Explanation>FHI 360'S AUDIT COMMITTEE OF THE BOARD OF DIRECTORS SERVES AS THE COMPENSATION COMMITTEE AND SETS THE CEO'S COMPENSATION BASED ON PERFORMANCE REVIEW AND COMPARABILITY DATA FOR BOTH NOT-FOR-PROFIT AND FOR PROFIT ORGANIZATIONS. FURTHER DETAILS OF THE COMMITTEE'S ACTIVITIES ARE RECORDED AS FHI 360'S RESPONSE TO PART VI LINE 15B.</Explanation>
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        <Identifier>F990_P04_S00_L12a</Identifier>
        <ReturnReference>Form 990, Part IV, Line 12a</ReturnReference>
        <Explanation>FORM 990 PART IV LINES 12a and 12b AND PART XII LINES 2a,b,d and 3a AND SCHEDULE D PART X LINE 2-THIS RETURN INCLUDES FAMILY HEALTH INTERNATIONAL AND ITS TWO LLC's. AT THIS TIME, THE AUDIT OF FAMILY HEALTH INTERNATIONAL HAS BEEN COMPLETED AND FINANCIAL STATEMENT RELEASED. THE TWO LLC'S HAVE NOT RECIEVED FINAL AUDITED STATEMENTS. ONCE THESE AUDITED STATEMENTS ARE RELEASED, FHI 360 WILL AMEND ITS FORM 990 IF NEEDED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>FORM 990 IS COMPLETED BY FHI 360'S FINANCE, ACCOUNTING, AND LEGAL TEAM IN CONSULTATION WITH ERNST &amp; YOUNG LLP. A FINAL REVIEW IS PERFORMED BY THE CFO, GENERAL COUNSEL, AND CEO. THE 990 IS THEN REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS WITH COPIES PROVIDED TO ALL BOARD MEMBERS. AFTER APPROVAL HAS BEEN OBTAINED, THE 990 IS SUBMITTED TO THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12a</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12a</ReturnReference>
        <Explanation>POLICIES RELATED TO LINES 12 THROUGH 16 APPLY TO ALL OF FHI 360 INCLUDING THE TWO DISREGARDED ENTITIES</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>FHI 360 POLICY 020 "CONFLICTS OF INTEREST" ADOPTED BY BOARD RESOLUTION IS APPLICABLE TO EACH BOARD MEMBER AS WELL AS EACH EMPLOYEE. A DISCLOSURE FORM IS COMPLETED BY EACH BOARD MEMBER AT THEIR TIME OF APPOINTMENT AND BY EVERY EMPLOYEE AT THE INITIATION OF THEIR EMPLOYMENT. STATEMENTS COMPLETED BY BOARD MEMBERS ARE FILED WITH THE BOARD CHAIR. STATEMENTS BY U.S. BASED EMPLOYEES ARE FILED WITH THE HUMAN RESOURCES DEPARTMENT. STATEMENTS BY NON U.S. BASED EMPLOYEES ARE FILED WITH THE RELATED COUNTRY DIRECTOR AND HR OFFICE. THE POLICY REQUIRES DISCLOSURE ON AN ONGOING BASIS OF ANY CONFLICTS AS THEY ARISE. ADDITIONALLY, IN JULY OF EACH YEAR, FHI'S ASSISTANT CORPORATE SECRETARY OBTAINS A DISCLOSURE STATEMENT FROM EACH BOARD MEMBER FOR FILING WITH THE BOARD CHAIR AND FROM ALL EMPLOYEES AT THE LEVEL OF DIRECTOR AND ABOVE WHICH IS FILED WITH THE CEO. FHI 360'S CODE OF ETHICS AND CONDUCT, WHICH REFERENCES AND SUMMARIZES THE CONFLICTS OF INTEREST POLICY AND OTHER EXPECTATIONS REGARDING CONDUCT AND ETHICAL STANDARDS, IS PROVIDED TO EACH BOARD MEMBER UPON APPOINTMENT AND TO EACH EMPLOYEE UPON EMPLOYMENT. EACH SIGNS A STATEMENT THAT THEY HAVE REVIEWED THE FHI 360 CODE OF CONDUCT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>BOTH THE FHI 360 BYLAWS IN ESTABISHING THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS, AND THE CHARTER OF THE AUDIT COMMITTEE, PROVIDE THAT THE AUDIT COMMITTEE SHALL SERVE AS THE CORPORATE COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE CORPORATION'S PRINCIPAL OFFICERS. THE COMMITTEE IS INDEPENDENT OF THE COMPENSATED OFFICERS. ON AN ANNUAL BASIS, THE COMMITTEE OBTAINS COMPARABILITY DATA FOR THE POSITIONS REFLECTING A SAMPLE OF BOTH NOT-FOR-PROFIT AND COMMERCIAL ORGANIZATIONS, AND AN EXTERNAL COMPENSATION SURVEY OF DATA SUCH AS THE RADFORD LIFE SCIENCES SURVEY, WHICH PROVIDES COMPENSATION AND PRACTICES DATA FOR 650 MULTINATIONAL LIFE SCIENCES COMPANIES. PERIODICALY, THE COMMITTEE ENGAGES THE SERVICES OF AN EXTERNAL CONSULTANCY FIRM TO PROVIDE ADDITIONAL DATA AND INPUT. FOR EACH POSITION (EXCEPT THAT OF THE CEO) THE COMMITTEE REVIEWS THE CEO'S RECOMMENDATIONS AND ASSESSMENTS OF INDIVIDUAL PERFORMANCE DURING THE PRIOR YEAR. THEN, WITHOUT THE PRESENCE OF THE CEO, THE COMMITTEE MEETS TO (1) CONSIDER THE CEO'S PERFORMANCE DURING THE PRIOR YEAR; (2)CONSIDER THE CEO'S ASSESSMENT OF CORPORATE OFFICER PERFORMANCE AND RELATED RECOMMENDATIONS; (3) REVIEW THE RELEVANT COMPARABILITY DATA; (4) ESTABLISH OFFICER COMPENSATION LEVELS FOR THE COMING YEAR; AND (5) DOCUMENT THE COMMITTEE'S DELIBERATIONS AND DECISIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>FHI 360'S ORGANIZATIONAL CHARTER IS AVAILABLE THROUGH THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. FHI 360'S FORM 990, AUDITED FINANCIAL STATEMENTS AND CONFLICTS OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P07_S0A_L01b</Identifier>
        <ReturnReference>Form 990, Part VII, Section A, Line 1b</ReturnReference>
        <Explanation>HUBERT GRAVES WAS HIRED SEPTEMBER 1, 2010. HIS SERVICES PRIOR TO THAT TIME WERE PAID TO A MANAGEMENT SERVICES PROVIDER. THE VALUE PAID TO THE PROVIDER AS REPORTED ON FORM 1099 FOR THE YEAR ENDED DECEMBER 31, 2010 OF $295,500 IS INCLUDED IN HIS COMPENSATION VALUE. GREGORY NIBLETT, SUSAN CARLSON, AND ROBERT MURPHY WERE NOT EMPLOYEED BY FAMILY HEALTH INTERNTIONAL PRIOR TO JANUARY 1, 2011 THUS THERE IS NO COMPENSATION TO REPORT. SANDRA THURMAN BECAME OF MEMBER OF THE BOARD OF DIRECTORS IN THE FALL OF 2010 AND DID NOT RECEIVED ANY COMPENSATION PRIOR TO JANUARY 1, 2011 THUS THERE IS NOT COMPENSATION TO REPORT. DR. SIEMENS IS EMPLOYED AN AVERAGE OF 4 HOURS PER WEEK BY NOVELLA AND MR WHITEHORNE AVERAGES 3 HOURS PER WEEK BETWEEN NOVELLA AND THE FOUNDATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P11_S00_L05</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>FHI DEVELOPMENT 360 LLC (A DISREGARDED ENTITY) WHICH IS INCLUDED IN THIS RETURN BEGAN OPERATIONS ON JULY 1, 2011 AND THEREFORE HAD NO PRIOR YEAR RETURN. THE NET EQUITY ON JULY 1, 2011 MUST BE ADDED HERE TO BALANCE.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FHI DEVELOPMENT 360 LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2224 NC HWY 54</AddressLine1>
          <City>DURHAM</City>
          <State>NC</State>
          <ZIPCode>27713</ZIPCode>
        </AddressUS>
        <EIN>452459015</EIN>
        <PrimaryActivities>SOCIAL AND ECON DEVLP &amp; HEALTH</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <TotalIncome>98344760</TotalIncome>
        <EOYAssets>109384717</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>FAMILY HEALTH INTERNATIONAL</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FHI SOLUTIONS LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2224 NC HWY 54</AddressLine1>
          <City>DURHAM</City>
          <State>NC</State>
          <ZIPCode>27713</ZIPCode>
        </AddressUS>
        <EIN>452462813</EIN>
        <PrimaryActivities>NUTRITION</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <TotalIncome>5186649</TotalIncome>
        <EOYAssets>16904239</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>FAMILY HEALTH INTERNATIONAL</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>FAMILY HEALTH INTERNATIONAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 13950</AddressLine1>
          <City>RESEARCH TRIANGLE PARK</City>
          <State>NC</State>
          <ZIPCode>27709</ZIPCode>
        </AddressUS>
        <EIN>561719871</EIN>
        <PrimaryActivities>PROVIDE SUPPORT TO FHI360</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FAMILY HEALTH INTERNATIONAL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NOVELLA CLINICAL</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>SUITE 400 EMPEROR BLVD</AddressLine1>
          <City>DURHAM</City>
          <State>NC</State>
          <ZIPCode>27703</ZIPCode>
        </AddressUS>
        <EIN>562095062</EIN>
        <PrimaryActivity>CLINICAL TRIALS</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHI FOUNDATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>0</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>FAMILY HEALTH INTERNATIONAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>7025000</AmountInvolved>
        <MethodOfAmtDetermination>Donation of cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NOVELLA CLINICAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>1191590</AmountInvolved>
        <MethodOfAmtDetermination>FMV OF SERVICES</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NOVELLA CLINICAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>53010</AmountInvolved>
        <MethodOfAmtDetermination>FMV OF SERVICES</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>FAMILY HEALTH INTERNATIONAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>6149</AmountInvolved>
        <MethodOfAmtDetermination>FMV OF SERVICES</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
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