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        <PersonNm>SHERYL SMITH</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHANDRA JONES</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY MAY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY THOMAS</PersonNm>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>KHOU</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 637386</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>LABCORP</PersonNm>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ANCHOR COMMERCIAL BULDERS</PersonNm>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>REV77</PersonNm>
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          <USAddress>
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          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
            <AddressLine1Txt>Two Technology Drive</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
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      <TotalContributionsAmt>10703940</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>53753653</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>Research</Desc>
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      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <NetIncomeFromGamingGrp>
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        <BusinessCd>900099</BusinessCd>
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      <BenefitsToMembersGrp>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>48563</ManagementAndGeneralAmt>
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      <FeesForServicesProfFundraising>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>999900</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>707192</ProgramServicesAmt>
        <ManagementAndGeneralAmt>345609</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>635149</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174762</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2120910</ProgramServicesAmt>
        <ManagementAndGeneralAmt>166134</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>15664</ProgramServicesAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>57129</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>42177461</ProgramServicesAmt>
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        <FundraisingAmt>29385</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>42419</ManagementAndGeneralAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>461622</EOYAmt>
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        <EOYAmt>4842240</EOYAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>240634</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES ARE DETERMINED IN THE SAME MANNER AS OVERALL COMPENSATION. A COMMITTEE OF THE BOARD OF DIRECTORS COMPILES AND REVIEWS INFORMATION FROM OTHER ORGANIZATION'S FORM 990s, LOCAL INDEPENDENT COMPENSATION STUDIES, AND THE CHIEF EXECUTIVE OFFICER'S PERFORMANCE OF THE PAST TWELVE MONTHS, ASSISTED BY A LOCAL INDEPENDENT CONSULTANT, TO SET COMPENSATION. THE ASSESSMENT IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AND A LEVEL OF COMPENSATION IS RECOMMENDED. BOARD MEMBERS ARE NOT COMPENSATED. THE COMPENSATION IS RECORDED IN THE BOARD MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF FORM 990 IS FIRST REVIEWED IN DETAIL BY TOP MANAGEMENT AND RECOMMENDATIONS FOR CHANGES ARE MADE. ONCE CHANGES ARE MADE, THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FORM 990 (WITH CHANGES, IF REQUIRED). ONCE FINAL CHANGES ARE MADE, THE FINAL FORM 990 IS SUBMITTED TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICTS ARE EVALUATED MONTHLY DURING RISK MANAGEMENT MEETINGS BY THE RISK MANAGEMENT COMMITTEE. ANNUALLY, BOARD MEMBERS ARE REQUIRED TO REVIEW AND SIGN THE CONFLICTS OF INTEREST AGREEMENT. BOARD MEMBERS ARE REQUIRED TO DECLARE WHEN A CONFLICT OF INTEREST MAY BE PRESENT DURING ANY BOARD MEETING. THE BOARD EVALUATES THE EXPRESSED CONFLICT AND DOCUMENTS IN THE MINUTES ITS DECISION REGARDING THE CONFLICT. THE BOARD REVIEW PERCEIVED CONFLICTS DURING ITS NORMAL BOARD MEETINGS AND DOCUMENT ACTIONS TAKEN, IF ANY, WITHIN THE MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO DETERMINE CEO COMPENSATION: A COMMITTEE OF THE BOARD OF DIRECTORS COMPILES AND REVIEWS INFORMATION FROM OTHER ORGANIZATION'S FORM 990s, LOCAL INDEPENDENT COMPENSATION STUDIES, AND THE CHIEF EXECUTIVE OFFICER'S PERFORMANCE OF THE PAST TWELVE MONTHS, ASSISTED BY A LOCAL INDEPENDENT CONSULTANT, TO SET COMPENSATION. THE ASSESSMENT IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AND A LEVEL OF COMPENSATION IS RECOMMENDED. BOARD MEMBERS ARE NOT COMPENSATED. THE COMPENSATION IS RECORDED IN THE BOARD MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO DETERMINE OTHER OFFICIALS AND KEY EMPLOYEES: THE CEO AND BOARD MEMBERS REVIEW LOCAL ORGANIZATION'S COMPENSATION LEVELS FOR COMPARABLE POSITIONS, HEALTHCARE INDUSTRY PUBLIC DATA, LOCAL INDEPENDENT COMPENSATION STUDIES, AND JOB RESPONSIBILITIES TO DETERMINE COMPENSATIONS LEVELS FOR KEY EMPLOYEES. THE EMPLOYEE'S JOB PERFORMANCE IS REVIEWED TO COME TO A COMPENSATION PACKAGE FOR EACH EMPLOYEE. THE COMPENSATION INFORMATION IS REVIEWED BY AN INDEPENDENT CONSULTANT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICTS ARE EVALUATED MONTHLY DURING RISK MANAGEMENT MEETINGS BY THE RISK MANAGEMENT COMMITTEE. ANNUALLY, BOARD MEMBERS ARE REQUIRED TO REVIEW AND SIGN THE CONFLICTS OF INTEREST AGREEMENT. BOARD MEMBERS ARE REQUIRED TO DECLARE WHEN A CONFLICT OF INTEREST MAY BE PRESENT DURING ANY BOARD MEETING. THE BOARD EVALUATES THE EXPRESSED CONFLICT AND DOCUMENTS IN THE MINUTES ITS DECISION REGARDING THE CONFLICT. THE BOARD REVIEW PERCEIVED CONFLICTS DURING ITS NORMAL BOARD MEETINGS AND DOCUMENT ACTIONS TAKEN, IF ANY, WITHIN THE MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS NOT UNDERGONE THE REQUIRED AUDIT, SCHEDULED TO BEGIN JANUARY 2024, DUE TO YEAR 2020 AUDIT REPORT DELAY AND TIMELINESS TO SECURE NEW AUDITORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
