﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2018v3.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2019-11-12T15:05:44-06:00</ReturnTs>
    <TaxPeriodEndDt>2018-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmName>
        <BusinessNameLine1Txt>BDO USA LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>100 PARK AVENUE</AddressLine1Txt>
        <CityNm>NEW YORK</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>100175001</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2018-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>237297651</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>PROJECT ORBIS INTERNATIONAL INC</BusinessNameLine1Txt>
      </BusinessName>
      <InCareOfNm>% DANUSIA DZIERZBINSKI</InCareOfNm>
      <BusinessNameControlTxt>PROJ</BusinessNameControlTxt>
      <PhoneNum>6466745500</PhoneNum>
      <USAddress>
        <AddressLine1Txt>520 8TH AVENUE 12TH FLOOR</AddressLine1Txt>
        <CityNm>NEW YORK</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>10018</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>DANUSIA DZIERZBINSKI</PersonNm>
      <PersonTitleTxt>CFO</PersonTitleTxt>
      <PhoneNum>6466745517</PhoneNum>
      <SignatureDt>2019-11-12</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Paul Hammerschmidt</PreparerPersonNm>
      <PTIN>P01384178</PTIN>
      <PhoneNum>2128858000</PhoneNum>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>64.238.131.34</IPv4AddressTxt>
      </IPAddress>
      <FederalOriginalSubmissionId>26308920193165000019</FederalOriginalSubmissionId>
      <FederalOriginalSubmissionIdDt>2019-11-12</FederalOriginalSubmissionIdDt>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>7A09D87DFB4197FECD83FF23FA2E591689F028E1</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>0250A0117BBBF50B142145F0ADF59CAFA50564D7</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2018</TaxYr>
    <BuildTS>2020-03-31 21:24:44Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>ORBIS</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>Bob Ranck</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>520 8TH AVENUE 12TH FL</AddressLine1Txt>
        <CityNm>NEW YORK</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>10018</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>247414019</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.ORBIS.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1973</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>ORBIS'S VISION IS TO TRANSFORM LIVES THROUGH THE PREVENTION AND TREATMENT OF BLINDNESS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>16</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>15</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>97</TotalEmployeeCnt>
      <TotalVolunteersCnt>199</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>61897</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>210058086</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>243412945</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>0</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>0</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>509393</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>673189</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>2122502</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>1080676</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>212689981</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>245166810</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>14560561</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>9571420</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>15376960</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>18689194</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>8727515</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>179175698</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>215391746</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>209113219</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>243652360</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>3576762</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>1514450</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>64589676</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>65469262</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>3205107</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>3797199</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>61384569</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>61672063</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>WITH ITS NETWORK OF PARTNERS, ORBIS MENTORS, TRAINS AND INSPIRES LOCAL TEAMS SO THEY CAN PREVENT AND TREAT AVOIDABLE BLINDNESS AND SAVE SIGHT IN THEIR COMMUNITIES.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>227024112</ExpenseAmt>
      <GrantAmt>9571420</GrantAmt>
      <RevenueAmt>0</RevenueAmt>
      <Desc>1. Training projects through the Flying Eye Hospital, local partner institutions, and our telemedicine platform, Cybersight: With donor support and the help of our expert volunteer faculty, Orbis provided high-quality training to all types of eye care professionals in 2018, from doctors to nurses to community health workers. These trainings were delivered in partnership with local hospitals, agencies, and governments, and were tailored to each regions needs as part of a long-term eye health strategy. In 2018, a total of 63,063 in-person trainings were completed by doctors, nurses, and other eye health workers through our in-country programs and on board the Orbis Flying Eye Hospital, a fully-accredited teaching hospital housed on an MD-10 aircraft. Additionally, 5,872 eye health professionals in 165 countries were trained through Cybersight (cybersight.org), our online telemedicine platform. 2. Pediatric eye screening and care in India: India is home to the largest population of blind children (270,000) in any one country. Because sight could be restored in over 50 percent of these cases with early intervention and timely comprehensive treatment, Orbis conducted eight REACH (Refractive Error Among Children) projects in India in 2018, along with three Comprehensive Childhood Blindness projects, plus quality improvement and advocacy initiatives. Our work to reduce blindness and visual impairment among children in India included training local workers on screening and eye health, providing equipment, developing outreach plans for screenings, and developing quality educational materials on eye health. Results in 2018 included 1,887,469 screenings/examinations on children; 70,873 eyeglass prescriptions for children; and 25,420 trainings completed by doctors, nurses, and other eye health workers who will go on to serve their local communities for years to come. 3. Integrated eye care in an emergency setting: The Rohingya are a stateless minority population widely regarded as one of the most persecuted ethnic groups in the world. Approximately 1.2 million Rohingya have taken refuge in the Coxs Bazar district of Bangladesh, a country where Orbis has maintained an ongoing presence for 20 years. In 2018, Orbis responded to this major global humanitarian crisis by working to integrate eye care services in the Rohingya camps and in the surrounding host community. Specific activities included conducting outreach at the camps Child Friendly Spaces and on mobile eye care centers; providing training for doctors and health professionals; providing equipment and building the capacity of local hospitals; and establishing community-based primary eye care facilities. As a result of this work, over 57,000 people received eye screenings; 4,261 people received free spectacles; 10,493 people received free medicine; and 1,178 people received sight-saving surgeries.</Desc>
      <TotalProgramServiceExpensesAmt>227024112</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="IRS990ScheduleA">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="IRS990ScheduleD">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="IRS990ScheduleD">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="IRS990ScheduleD">false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="IRS990ScheduleD">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="IRS990ScheduleD">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="IRS990ScheduleD">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="IRS990ScheduleD">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="IRS990ScheduleD">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>true</ForeignOfficeInd>
      <ForeignActivitiesInd referenceDocumentId="IRS990ScheduleF">true</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd referenceDocumentId="IRS990ScheduleF">true</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd referenceDocumentId="IRS990ScheduleF">true</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="IRS990ScheduleG">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="IRS990ScheduleG">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="IRS990ScheduleG">true</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="IRS990ScheduleM">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="IRS990ScheduleM">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <InfoInScheduleOPartVInd>X</InfoInScheduleOPartVInd>
      <IRPDocumentCnt>24</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>97</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>true</ForeignFinancialAccountInd>
      <ForeignCountryCd>BG</ForeignCountryCd>
      <ForeignCountryCd>CH</ForeignCountryCd>
      <ForeignCountryCd>ET</ForeignCountryCd>
      <ForeignCountryCd>HK</ForeignCountryCd>
      <ForeignCountryCd>IN</ForeignCountryCd>
      <ForeignCountryCd>SF</ForeignCountryCd>
      <ForeignCountryCd>VM</ForeignCountryCd>
      <ForeignCountryCd>ZA</ForeignCountryCd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>true</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>true</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>16</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>15</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>AL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>AK</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>CT</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>FL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>GA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>HI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>IL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>KS</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>KY</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MN</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MS</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NH</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NJ</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NM</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>ND</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>OR</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>PA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>RI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>SC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>TN</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>UT</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>VA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WV</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WI</StatesWhereCopyOfReturnIsFldCd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>DANUSIA DZIERZBINSKI</PersonNm>
        <PhoneNum>6466745500</PhoneNum>
        <USAddress>
          <AddressLine1Txt>520 8TH AVENUE 12TH FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10018</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <InfoInScheduleOPartVIIInd>X</InfoInScheduleOPartVIIInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>Bob Ranck</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>394298</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46731</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kevin G McAllister</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
        <AverageHoursPerWeekRt>10.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James R Parker</PersonNm>
        <TitleTxt>Vice-Chairman</TitleTxt>
        <AverageHoursPerWeekRt>10.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Diana L Wheeler</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <AverageHoursPerWeekRt>7.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Peter Allen</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>7.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sharon Dogonniuck</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Pravin Dugel</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Forbes</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dr David S Friedman</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David L Gitlin</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gregory Hall</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ted Hartley thru 518</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Howitt</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ambassador Patricia Moller</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Adrian L Paull</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dato' Kulasegaran Sabaratnam</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Charles Vyvyan</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Bruce N Whitman thru 1018</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kristie DeKoker</PersonNm>
        <TitleTxt>Chief Development Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>238279</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24098</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Paul Forrest THRU 0318</PersonNm>
        <TitleTxt>Chief Development Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>79038</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6878</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Hill</PersonNm>
        <TitleTxt>CHIEF FINANCIAL &amp; ADMIN. OFF.</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>275483</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33288</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Danny Haddad</PersonNm>
        <TitleTxt>Chief of Program</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>295733</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18017</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Louise Harris</PersonNm>
        <TitleTxt>Chief, global comm.&amp;marketing</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>264328</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30616</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>George Smith</PersonNm>
        <TitleTxt>Director, North Asia</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>255600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31592</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Vincent Lo thru 718</PersonNm>
        <TitleTxt>Dep. Exec. Dir. - Hong Kong</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>436218</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28204</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David Hunter Cherwek</PersonNm>
        <TitleTxt>VP OF CLINICAL SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>232034</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18061</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2471011</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>237485</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>24</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BDO USA LLP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 Park Avenue</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Audit/Tax Services</ServicesDesc>
        <CompensationAmt>102870</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Grant Thornton LLP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>757 Third Avenue</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Internal audit svcs</ServicesDesc>
        <CompensationAmt>100886</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>1175186</FundraisingAmt>
      <GovernmentGrantsAmt>194562732</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>47675027</AllOtherContributionsAmt>
      <NoncashContributionsAmt>196303372</NoncashContributionsAmt>
      <TotalContributionsAmt>243412945</TotalContributionsAmt>
      <TotalProgramServiceRevenueAmt>0</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>183005</TotalRevenueColumnAmt>
        <ExclusionAmt>183005</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1886890</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1396706</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>490184</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>490184</TotalRevenueColumnAmt>
        <ExclusionAmt>490184</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>581770</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>1175186</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>753646</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-171876</TotalRevenueColumnAmt>
        <ExclusionAmt>-171876</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>1108009</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>96857</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>1011152</TotalRevenueColumnAmt>
        <ExclusionAmt>1011152</ExclusionAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>241400</TotalRevenueColumnAmt>
        <ExclusionAmt>241400</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>241400</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>245166810</TotalRevenueColumnAmt>
        <ExclusionAmt>1753865</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>9571420</TotalAmt>
        <ProgramServicesAmt>9571420</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1098092</TotalAmt>
        <ProgramServicesAmt>574568</ProgramServicesAmt>
        <ManagementAndGeneralAmt>298963</ManagementAndGeneralAmt>
        <FundraisingAmt>224561</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>14884338</TotalAmt>
        <ProgramServicesAmt>7799538</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3984384</ManagementAndGeneralAmt>
        <FundraisingAmt>3100416</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>593806</TotalAmt>
        <ProgramServicesAmt>306652</ProgramServicesAmt>
        <ManagementAndGeneralAmt>185783</ManagementAndGeneralAmt>
        <FundraisingAmt>101371</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1461808</TotalAmt>
        <ProgramServicesAmt>754903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>457353</ManagementAndGeneralAmt>
        <FundraisingAmt>249552</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>651150</TotalAmt>
        <ProgramServicesAmt>336265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>203724</ManagementAndGeneralAmt>
        <FundraisingAmt>111161</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>66815</TotalAmt>
        <ManagementAndGeneralAmt>66815</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>158296</TotalAmt>
        <ManagementAndGeneralAmt>158296</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1901156</TotalAmt>
        <ProgramServicesAmt>981392</ProgramServicesAmt>
        <ManagementAndGeneralAmt>390433</ManagementAndGeneralAmt>
        <FundraisingAmt>529331</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>1637254</TotalAmt>
        <ProgramServicesAmt>366896</ProgramServicesAmt>
        <ManagementAndGeneralAmt>102890</ManagementAndGeneralAmt>
        <FundraisingAmt>1167468</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>3399946</TotalAmt>
        <ProgramServicesAmt>740938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>453522</ManagementAndGeneralAmt>
        <FundraisingAmt>2205486</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>242434</TotalAmt>
        <ProgramServicesAmt>111897</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70183</ManagementAndGeneralAmt>
        <FundraisingAmt>60354</FundraisingAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>2180664</TotalAmt>
        <ProgramServicesAmt>1238928</ProgramServicesAmt>
        <ManagementAndGeneralAmt>589801</ManagementAndGeneralAmt>
        <FundraisingAmt>351935</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>755194</TotalAmt>
        <ProgramServicesAmt>752759</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2435</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>3001654</TotalAmt>
        <ProgramServicesAmt>2446451</ProgramServicesAmt>
        <ManagementAndGeneralAmt>288359</ManagementAndGeneralAmt>
        <FundraisingAmt>266844</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>0</TotalAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2560274</TotalAmt>
        <ProgramServicesAmt>2428858</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97090</ManagementAndGeneralAmt>
        <FundraisingAmt>34326</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>681195</TotalAmt>
        <ProgramServicesAmt>469470</ProgramServicesAmt>
        <ManagementAndGeneralAmt>133411</ManagementAndGeneralAmt>
        <FundraisingAmt>78314</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>195558560</TotalAmt>
        <ProgramServicesAmt>195558560</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>AIRCRAFT OPERATIONS &amp; FUEL</Desc>
        <TotalAmt>1784534</TotalAmt>
        <ProgramServicesAmt>1784499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL &amp; MAINT.</Desc>
        <TotalAmt>1014469</TotalAmt>
        <ProgramServicesAmt>593645</ProgramServicesAmt>
        <ManagementAndGeneralAmt>360305</ManagementAndGeneralAmt>
        <FundraisingAmt>60519</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSES</Desc>
        <TotalAmt>449301</TotalAmt>
        <ProgramServicesAmt>206473</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56951</ManagementAndGeneralAmt>
        <FundraisingAmt>185877</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>243652360</TotalAmt>
        <ProgramServicesAmt>227024112</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7900733</ManagementAndGeneralAmt>
        <FundraisingAmt>8727515</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>372806</BOYAmt>
        <EOYAmt>323896</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>12467970</BOYAmt>
        <EOYAmt>12803071</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>4219471</BOYAmt>
        <EOYAmt>6708500</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>2088247</BOYAmt>
        <EOYAmt>2502725</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1073017</BOYAmt>
        <EOYAmt>1317774</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>43912920</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8779263</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>37391720</BOYAmt>
        <EOYAmt>35133657</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>6271852</BOYAmt>
        <EOYAmt>6019516</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>566544</BOYAmt>
        <EOYAmt>540967</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>138049</BOYAmt>
        <EOYAmt>119156</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>64589676</BOYAmt>
        <EOYAmt>65469262</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2975424</BOYAmt>
        <EOYAmt>3584960</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>229683</BOYAmt>
        <EOYAmt>212239</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>3205107</BOYAmt>
        <EOYAmt>3797199</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>47456154</BOYAmt>
        <EOYAmt>48800429</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>13928415</BOYAmt>
        <EOYAmt>12871634</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>61384569</BOYAmt>
        <EOYAmt>61672063</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>64589676</BOYAmt>
        <EOYAmt>65469262</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1514450</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-544924</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-682032</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>148863054</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>162444210</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>214794650</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>210058087</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>243412945</CurrentTaxYearAmt>
        <TotalAmt>979572946</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TaxRevLeviedOrgnztnlBnft170Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>148863054</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>162444210</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>214794650</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>210058087</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>243412945</CurrentTaxYearAmt>
        <TotalAmt>979572946</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>979572946</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>141311</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>139870</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>170091</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>160696</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>183005</CurrentTaxYearAmt>
        <TotalAmt>794973</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>2470947</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2065888</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1737402</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1171750</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>839276</CurrentTaxYearAmt>
        <TotalAmt>8285263</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>96016</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>75470</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>634562</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>950752</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>241400</CurrentTaxYearAmt>
        <TotalAmt>1998200</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>990651382</TotalSupportAmt>
      <PublicSupportCY170Pct>0.98882</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98618</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>508296</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>341919</DepreciationAmt>
        <BookValueAmt>166377</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>43404624</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8437344</DepreciationAmt>
        <BookValueAmt>34967280</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp />
      <TotalBookValueLandBuildingsAmt>35133657</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <TotalLiabilityAmt>0</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>246716443</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-544924</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>2094557</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>1549633</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>245166810</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>245166810</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>245746917</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>2094557</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>2094557</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>243652360</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>243652360</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDER ASC 740, "INCOME TAXES", AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. PROJECT ORBIS INTERNATIONAL, INC. (THE "REPORTING ORGANIZATION") DOES NOT BELIEVE IT HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE REPORTING ORGANIZATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE JURISDICTIONS IT IS REQUIRED TO DO SO. ADDITIONALLY, THE REPORTING ORGANIZATION HAS FILED IRS FORM 990 INFORMATION RETURNS AS REQUIRED AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHERE SO REQUIRED. FOR THE YEAR ENDED DECEMBER 31, 2018, THERE WERE NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE STATEMENT OF ACTIVITIES. THE REPORTING ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY A TAXING AUTHORITY. AS OF DECEMBER 31, 2018, THE REPORTING ORGANIZATION WAS NOT SUBJECT TO ANY EXAMINATION BY A TAXING AUTHORITY. Management believes it is no longer subject to income tax examinations for the years prior to 2015.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <OfficesCnt>2</OfficesCnt>
        <EmployeeCnt>26</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>TO FIGHT BLINDNESS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>2817193</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <OfficesCnt>2</OfficesCnt>
        <EmployeeCnt>38</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>TO FIGHT BLINDNESS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>5472741</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>3</OfficesCnt>
        <EmployeeCnt>87</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>TO FIGHT BLINDNESS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>202744182</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>TO FIGHT BLINDNESS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>490438</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>294801</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>2339188</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>5045963</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>1891468</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>7</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>151</SubtotalEmployeesCnt>
      <TotalOfficeCnt>7</TotalOfficeCnt>
      <TotalEmployeeCnt>151</TotalEmployeeCnt>
      <SubtotalSpentAmt>221095974</SubtotalSpentAmt>
      <TotalSpentAmt>221095974</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>23989</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>11097</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>18370</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>56687</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>13743</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>40676</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>28401</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>9983</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>19740</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>14452</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>16009</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>43661</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>17568</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>47616</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>54451</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>139866</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>104391</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>17950</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>28045</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>52832</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>67706</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>85909</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>216466</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>127060</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>37871</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>103791</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>133433</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>25761</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>86118</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>5908</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>10709</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>6162</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>27807</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>41491</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>104116</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>10206</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>39897</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>11552</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>97328</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>124909</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>14510</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>6019</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>18890</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>27338</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>33014</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>24561</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>15347</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>13195</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>98641</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>206724</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>224525</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>224459</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>180785</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>6438</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>17851</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>12310</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>222253</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>214412</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>457848</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>87384</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>28183</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>33269</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>52069</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>65998</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>180933</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>77733</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>87924</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>25184</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>53539</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>48588</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>198843</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>208873</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>45084</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>100162</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>34473</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>14142</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>30592</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>21780</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>55016</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>12458</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>77896</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>70650</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>32848</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUP.</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>86472</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>19371</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUP.</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>14781</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>90370</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>611458</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>6793</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>medical sup.</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>fmv</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>63527</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>2870</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>medical sup.</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>fmv</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>154152</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>programs supplies/EQ.</PurposeOfGrantTxt>
        <CashGrantAmt>2565806</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>29110</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>medical sup.</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>fmv</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>89</Total501c3OrgCnt>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>FELLOWSHIPS</TypeOfAssistanceTxt>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <RecipientCnt>21</RecipientCnt>
        <CashGrantAmt>61381</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>FELLOWSHIPS</TypeOfAssistanceTxt>
        <RegionTxt>South Asia</RegionTxt>
        <RecipientCnt>33</RecipientCnt>
        <CashGrantAmt>51185</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>887</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>AIRFARE</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>FELLOWSHIPS</TypeOfAssistanceTxt>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <RecipientCnt>5</RecipientCnt>
        <CashGrantAmt>5068</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>FELLOWSHIPS</TypeOfAssistanceTxt>
        <RegionTxt>South America</RegionTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>5773</CashGrantAmt>
        <MannerOfCashDisbursementTxt>wire</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROJECT ORBIS INTERNATIONAL, INC. MONITORS THE USE OF GRANTS FUNDS OUTSIDE THE UNITED STATES THROUGH THE COMBINATION OF SITE VISITS IN WHICH THE ORGANIZATION MONITORS THE PROGRESS OF THE GRANTS AND FINAL FINANCIAL AND PROGRAMMATIC REPORTS AS SPECIFIED IN THE DONOR AGREEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <FundraisingEventInformationGrp>
        <Event1Nm>NIGHTWALK</Event1Nm>
        <GrossReceiptsEvent1Amt>507208</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>507208</CharitableContriEvent1Amt>
        <OtherDirectExpensesEvent1Amt>251644</OtherDirectExpensesEvent1Amt>
        <Event2Nm>NY Gala</Event2Nm>
        <GrossReceiptsEvent2Amt>481165</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>430670</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>50495</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>315611</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>3</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>768583</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>237308</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>531275</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>186391</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>1756956</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>1175186</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>581770</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>753646</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>753646</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-171876</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <GamingInformationGrp>
        <GrossRevenueOtherGamingAmt>1108009</GrossRevenueOtherGamingAmt>
        <OthDirectExpnssOtherGamingAmt>96857</OthDirectExpnssOtherGamingAmt>
        <GrossRevenueTotalGamingAmt>1108009</GrossRevenueTotalGamingAmt>
        <OthDirectExpnssTotalGamingAmt>96857</OthDirectExpnssTotalGamingAmt>
        <DirectExpenseSummaryGamingAmt>96857</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>1011152</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <LicensedInd>false</LicensedInd>
      <ExplanationIfNoTxt>N/A, Gaming was conducted outside the United States.</ExplanationIfNoTxt>
      <LicenseSuspendedEtcInd>false</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>false</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>false</MemberOfOtherEntityInd>
      <GamingOwnFacilityPct>1.00000</GamingOwnFacilityPct>
      <GamingOtherFacilityPct>0.00000</GamingOtherFacilityPct>
      <IndividualWithBooksNm>Alan Fung</IndividualWithBooksNm>
      <PersonsWithBooksForeignAddress>
        <AddressLine1Txt>Room C 5/F Cyber Press Center</AddressLine1Txt>
        <CityNm>Hung To Road Kwun Tong</CityNm>
        <ProvinceOrStateNm>Kowloon</ProvinceOrStateNm>
        <CountryCd>HK</CountryCd>
      </PersonsWithBooksForeignAddress>
      <CntrctWith3rdPrtyForGameRevInd>false</CntrctWith3rdPrtyForGameRevInd>
      <GamingManagerPersonNm>LEE TZE CHIU</GamingManagerPersonNm>
      <GamingManagerServicesProvTxt>PLANNING AND EXECUTION</GamingManagerServicesProvTxt>
      <GamingManagerIsEmployeeInd>X</GamingManagerIsEmployeeInd>
      <CharitableDistributionRqrInd>false</CharitableDistributionRqrInd>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Bob Ranck</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>394298</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19080</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27651</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>441029</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kristie DeKoker</PersonNm>
        <TitleTxt>Chief Development Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>238279</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14297</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9801</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>262377</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Thomas Hill</PersonNm>
        <TitleTxt>CHIEF FINANCIAL &amp; ADMIN. OFF.</TitleTxt>
        <BaseCompensationFilingOrgAmt>275483</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24400</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8888</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>308771</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Danny Haddad</PersonNm>
        <TitleTxt>Chief of Program</TitleTxt>
        <BaseCompensationFilingOrgAmt>295733</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18017</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>313750</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Louise Harris</PersonNm>
        <TitleTxt>Chief, global comm.&amp;marketing</TitleTxt>
        <BaseCompensationFilingOrgAmt>264328</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11014</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19602</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>294944</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>George Smith</PersonNm>
        <TitleTxt>Director, North Asia</TitleTxt>
        <BaseCompensationFilingOrgAmt>255600</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7592</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>287192</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Vincent Lo thru 718</PersonNm>
        <TitleTxt>Dep. Exec. Dir. - Hong Kong</TitleTxt>
        <BaseCompensationFilingOrgAmt>206670</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>229548</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23964</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4240</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>464422</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Hunter Cherwek</PersonNm>
        <TitleTxt>VP OF CLINICAL SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>232034</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8359</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9702</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>250095</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, line 4a:</FormAndLineReferenceDesc>
        <ExplanationTxt>Vincent Lo, Dep. Exec. Dir. - Hong Kong thru 07/18, received a severance payment of $222,111. This amount is included in schedule J, Part II, column b(iii).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArtGrp />
      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>12</ContributionCnt>
        <NoncashContributionsRptF990Amt>352483</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET QUOTATION</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>347100</ContributionCnt>
        <NoncashContributionsRptF990Amt>194562732</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>pricing source input</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Supplies &amp; Equipment</Desc>
        <ContributionCnt>5</ContributionCnt>
        <NoncashContributionsRptF990Amt>1322868</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>food &amp; room</Desc>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>44812</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>travel</Desc>
        <ContributionCnt>25</ContributionCnt>
        <NoncashContributionsRptF990Amt>20477</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN B:</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, COLUMN B DATA IS A COMBINATION OF NUMBER OF CONTRIBUTIONS AND NUMBER OF ITEMS CONTRIBUTED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 7B AND PART V, LINE 3A:</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990-T WAS FILED EXCLUSIVELY TO REPORT QUALIFIED TRANSPORTATION AND PARKING FRINGE BENEFITS UNDER SECTION 512(A)(7) FOR THE PERIOD BEGINNING JANUARY 1, 2018 THRU DECEMBER 31, 2018. FORM 990, PART VI, SECTION B, LINE 11B: THE FORM 990 IS REVIEWED BY THE OFFICERS OF THE CORPORATION AND THEN PRESENTED TO the Audit and Finance Committees AND THE BOARD OF DIRECTORS FOR ENDORSEMENT BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors, Officers, and Key Employees as well as Board Committee members who are not Directors must complete the conflict of interest form annually. Newly appointed directors and officers as well as new key employees are also required to complete the conflict of interest form. The compliance department monitors and enforces compliance the conflict of interest policy. The General Counsel (in the case of employees) or the Audit Committee (in the case of Board Members and officers) will evaluate conflict disclosures and make other necessary inquiries to determine the extent and nature of any actual or potential conflict of interest and, if appropriate, investigate alternatives to the proposed transaction or arrangement. Board/Committee Members and Officers Only: In the case of Board/Committee Members and officers, after disclosure of all material facts in respect of such conflict of interest, and after answering any questions, the relevant Board/Committee Member or officer shall withdraw from deliberations and shall refrain from attempting to influence the General Counsel, Audit Committee or the Board, as the case may be, in connection with the conflict of interest under review. For Board Members, Orbis may enter into a Covered Transaction only if at a duly held meeting of the Board a majority of those Board Members (if a quorum is present at such time) who have no interest in the Covered Transaction approve the Covered Transaction after considering the above.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE PRESIDENT/CEO is REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. DOCUMENTATION OF DISCUSSIONS IN RELATION TO COMPENSATION IS RECORDED IN THE BOARD MINUTES AND IS ALSO DOCUMENTED WITH THE HUMAN RESOURCES DEPARTMENT. THIS PROCESS INVOLVES GATHERING AND ANALYZING COMPARABLE DATA, DELIBERATION AND DETERMINATION THAT IS CONDUCTED BY Human Resources Department. FORM 990, PART VI, SECTION B, LINE 15B: COMPENSATION FOR OTHER OFFICERS ARE DISCUSSED AND APPROVED BY THE FINANCE COMMITTEE. DOCUMENTATION OF DISCUSSIONS IN RELATION TO COMPENSATION IS RECORDED IN THE Finance Committee MINUTES AND IS ALSO DOCUMENTED WITH THE HUMAN RESOURCES DEPARTMENT. THIS PROCESS INVOLVES GATHERING AND ANALYZING COMPARABLE DATA, DELIBERATION AND DETERMINATION THAT IS CONDUCTED BY Human Resources Department.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOREIGN CURRENCY TRANSLATION LOSS..........$(336,907) REDUCTION IN VALUE OF INVENTORY DUE TO OBSOLESCENCE.........................$(345,125) ----------------------------------------------------- TOTAL......................................$(682,032)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>