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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>154888</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>13418</TotalAmt>
        <ManagementAndGeneralAmt>13418</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>19128532</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1935927</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>387569</TotalAmt>
        <ProgramServicesAmt>110993</ProgramServicesAmt>
        <ManagementAndGeneralAmt>276576</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>1397105</TotalAmt>
        <ProgramServicesAmt>327423</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1069682</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ManagementAndGeneralAmt>1459482</ManagementAndGeneralAmt>
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        <TotalAmt>779068</TotalAmt>
        <ManagementAndGeneralAmt>779068</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>246559</TotalAmt>
        <ManagementAndGeneralAmt>246559</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TECHNICAL SUPPLIES</Desc>
        <TotalAmt>656567</TotalAmt>
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        <ManagementAndGeneralAmt>1253</ManagementAndGeneralAmt>
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        <Desc>IP COSTS</Desc>
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        <ManagementAndGeneralAmt>115221</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>248213</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>POSTAGE AND SHIPPING COSTS</Desc>
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        <ProgramServicesAmt>221431</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>277794</ManagementAndGeneralAmt>
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        <EOYAmt>1475000</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2672853</EOYAmt>
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      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>45902</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1466962</BOYAmt>
        <EOYAmt>2718755</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>6915083</EOYAmt>
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        <EOYAmt>6915083</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-6045585</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-714362</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="22016089" softwareVersionNum="2022v5.0">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1303325</OtherCostOrOtherBasisAmt>
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        <DepreciationAmt>971827</DepreciationAmt>
        <BookValueAmt>2248110</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>136691</DepreciationAmt>
        <BookValueAmt>156789</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3561015</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RESTRICTED CASH</Desc>
        <BookValueAmt>1475000</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>1475000</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LONG-TERM DEFERRED RENT</Desc>
        <Amt>45902</Amt>
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      <TotalLiabilityAmt>45902</TotalLiabilityAmt>
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        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
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      <AccountActivitiesOutsideUSGrp>
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        <SpecificServicesProvidedTxt>RESEARCH</SpecificServicesProvidedTxt>
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      <AccountActivitiesOutsideUSGrp>
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        <EmployeeCnt>1</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>RESEARCH</SpecificServicesProvidedTxt>
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        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>RESEARCH</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>168392</RegionTotalExpendituresAmt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>7</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>RESEARCH</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>303492</RegionTotalExpendituresAmt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America (Canada &amp; Mexico only)</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>5</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>RESEARCH</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>276677</RegionTotalExpendituresAmt>
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      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>33</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>33</TotalEmployeeCnt>
      <SubtotalSpentAmt>5223552</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>5223552</TotalSpentAmt>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>EAST ASIA AND THE PACIFI; EUROPE (INCLUDING ICELAND AND GREENLAND; MIDDLE EAST AND NORTH AFRIC; NORTH AMERICA (CANADA &amp; MEXICO ONLY; SOUTH AMERIC; SOUTH ASI; SUB-SAHARAN AFRIC</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>GHL HAS THREE CLASSES OF MEMBERS, EACH WITH THE POWER TO APPOINT ONE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>GHL HAS THREE CLASSES OF MEMBERS, EACH WITH THE POWER TO APPOINT ONE DIRECTOR. IN ADDITION TO THE POWER TO APPOINT DIRECTORS, THE MEMBERS HAVE THE POWERS GENERALLY RESERVED TO THEM UNDER THE GENERAL CORPORATION LAW OF THE STATE OF DELAWARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>GHL HAS THREE CLASSES OF MEMBERS, EACH WITH THE POWER TO APPOINT ONE DIRECTOR. IN ADDITION TO THE POWER TO APPOINT DIRECTORS, THE MEMBERS HAVE THE POWERS GENERALLY RESERVED TO THEM UNDER THE GENERAL CORPORATION LAW OF THE STATE OF DELAWARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DRAFT RETURN IS REVIEWED BY SR.FINANCE MANAGER AND LEGAL COUNSEL. TREASURY APPROVES THE RETURN. A FINAL VERSION OF THE FORM IS MADE AVAILABLE TO THE BOARD BEFORE FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ON ANNUAL BASIS SECRETARY PROVIDES A COPY OF POLICY TO ALL DIRECTORS AND OFFICERS, REQUIRES DISCLOSURE OF ANY CONFLICTS, AND SIGNING OF DECLARATION, ALL OF WHICH IS MAINTAINED AS NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2022 WE USE RADFORD AND MERCER FOR EXTERNAL SALARY BENCHMARKING SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2022 WE USE RADFORD AND MERCER FOR EXTERNAL SALARY BENCHMARKING SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE DOCUMENTS ARE NOT PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Contractors &amp; Consultants - Total Expense: 1739041, Program Service Expense: 1202340, Management and General Expenses: 536701, Fundraising Expenses: ; Consulting - Total Expense: 1640605, Program Service Expense: 1427685, Management and General Expenses: 212920, Fundraising Expenses: ; Machine Shop - Total Expense: 2301559, Program Service Expense: 1440954, Management and General Expenses: 860605, Fundraising Expenses: ; Manufacturing - Total Expense: 4086484, Program Service Expense: 4078111, Management and General Expenses: 8373, Fundraising Expenses: ; Professional Services - Total Expense: 6155102, Program Service Expense: 5843048, Management and General Expenses: 312054, Fundraising Expenses: ; Consulting for Manufacturing - Total Expense: 1162875, Program Service Expense: 1162875, Management and General Expenses: , Fundraising Expenses: ; Professional Svcs Ultrasound - Total Expense: 1320000, Program Service Expense: 1320000, Management and General Expenses: , Fundraising Expenses: ; Research and Development - Total Expense: 2581140, Program Service Expense: 2581140, Management and General Expenses: , Fundraising Expenses: ; Honorarium - Total Expense: 5274, Program Service Expense: , Management and General Expenses: 5274, Fundraising Expenses: ; Facility Usage - Total Expense: 72379, Program Service Expense: 72379, Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSING OF PREVIOUSLY CAPITALIZED ASSETS - -714362;</ExplanationTxt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>TOKITAE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>14360 SE EASTGATE WAY</AddressLine1Txt>
          <CityNm>BELLEVUE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98007</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>HOLD IP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>GHL INC</BusinessNameLine1Txt>
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</Return>
