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        <TotalAmt>73851</TotalAmt>
        <ProgramServicesAmt>73813</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Education</Desc>
        <TotalAmt>7917</TotalAmt>
        <ProgramServicesAmt>6705</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1212</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Membership</Desc>
        <TotalAmt>7867</TotalAmt>
        <ProgramServicesAmt>4371</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3496</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Equipment Lease &amp; Maint</Desc>
        <TotalAmt>7553</TotalAmt>
        <ManagementAndGeneralAmt>7553</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>3462</ProgramServicesAmt>
        <ManagementAndGeneralAmt>721</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>1482548</ProgramServicesAmt>
        <ManagementAndGeneralAmt>175022</ManagementAndGeneralAmt>
        <FundraisingAmt>64</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>697627</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>351681</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>390</EOYAmt>
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        <EOYAmt>1049698</EOYAmt>
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        <EOYAmt>159007</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>527</BOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>170423</BOYAmt>
        <EOYAmt>159791</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>332892</BOYAmt>
        <EOYAmt>318798</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>391110</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>376186</BOYAmt>
        <EOYAmt>339790</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>649774</BOYAmt>
        <EOYAmt>730900</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>982666</BOYAmt>
        <EOYAmt>1049698</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>81126</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>1022854</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1122193</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1540966</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1731278</CurrentTaxYearAmt>
        <TotalAmt>6371917</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>954626</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1022854</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1122193</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1540966</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1731278</CurrentTaxYearAmt>
        <TotalAmt>6371917</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>180621</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>6191296</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>7054</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4783</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5244</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7114</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3552</CurrentTaxYearAmt>
        <TotalAmt>27747</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>6399664</TotalSupportAmt>
      <PublicSupportCY170Pct>0.96740</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98320</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Management Service Provider</Desc>
        <Amt>159791</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>159791</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>1738760</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1738760</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1738760</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1657634</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>1657634</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>1657634</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization qualified as an organization exempt from federal income tax under Internal Revenue Code Section 501(c)(3) of the internal revenue code and files a Form 990. With few exceptions, the Organization is no longer subject to U.S. federal income tax exampinations for years before 2021 due to statute of limitations. The Organization has adopted the provisions of FASB ASC, Income Taxes. Management of the Organization believes it has no material uncertain tax positions and, accordingly it will not recognize any liability for unrecognized tax benefits.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MCD Global Health provides adminstrative, human resource, and technology support for HCCA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Any individual who lives, works, worships, or goes to school within the HCCA service area, and who supports the mission of HCCA, and completes a membership enrollment form is an HCCA member.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Election of the Officers is conducted at the first meeting of the Board of Directors following the Annual Meeting, in which the members approved the slate of Directors. The Directors elect the Officers. The Board of Directors is responsible for filling vacancies on the board between elections.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Members approve the slate of Directors at the Annual Meeting of the membership.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is presented first to the finance committee for review. The finance committee then presents to the full board with highlights about any changes since the previous year. The board is given the opportunity to review ahead of time and to ask any questions before voting to approve (or not), then the Chair signs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>COI policy is reviewed annually by key management and Board of Directors, any conflicts disclosed are reviewed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Director is evaluated by the Board of Directors and a service management organization (MCD) which uses a salary range that has been established at the senior program director level. Other key employees are subject to the same salary scale as the Executive Director.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization maintains files at their office that contain the most current Form 990, most current set of financial statements, bylaws, and the conflict of interest policy that can be reviewed upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Consultants: Program service expenses 138,919. Management and general expenses 8,770. Fundraising expenses 0. Total expenses 147,689. Subcontractors: Program service expenses 1,135,470. Management and general expenses 1,276. Fundraising expenses 0. Total expenses 1,136,746.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>This process has not changed from the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>