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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      <NetIncomeFromGamingGrp>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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      <AdvertisingGrp>
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      <InformationTechnologyGrp>
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      <OtherExpensesGrp>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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      <ReconcilationRevenueExpnssAmt>8824741</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
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        <CurrentTaxYearMinus4YearsAmt>2271759</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8400372</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9245549</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11660073</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17523779</CurrentTaxYearAmt>
        <TotalAmt>49101532</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TaxRevLeviedOrgnztnlBnft170Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2271759</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8400372</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9245549</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11660073</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17523779</CurrentTaxYearAmt>
        <TotalAmt>49101532</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>12190171</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>36911361</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <TotalAmt>0</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <TotalAmt>0</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <TotalAmt>0</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>49101532</TotalSupportAmt>
      <PublicSupportCY170Pct>0.75174</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.77085</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" />
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>836880</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>201684</DepreciationAmt>
        <BookValueAmt>635196</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp />
      <TotalBookValueLandBuildingsAmt>635196</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <TotalLiabilityAmt>0</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>17523779</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>17523779</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>17523779</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>8699038</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>8699038</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>8699038</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Under ASC 740, an organization must recognize the financial statement effects of a tax position taken for tax return purposes when it is more likely than not that the position will not be sustained upon examination by a taxing authority. The 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 Organization has filed for and received income tax exemptions in the jurisdictions where it is required to do so. Additionally, the Organization has filed IRS Form 990 information returns, as required, and all other applicable returns in jurisdictions where so required. For the years ended June 30, 2018 and 2017, there were no interest or penalties recorded or included in the statements of activities.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>4</OfficesCnt>
        <EmployeeCnt>142</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>HEALTHCARE</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>7274170</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>4</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>142</SubtotalEmployeesCnt>
      <TotalOfficeCnt>4</TotalOfficeCnt>
      <TotalEmployeeCnt>142</TotalEmployeeCnt>
      <SubtotalSpentAmt>7274170</SubtotalSpentAmt>
      <TotalSpentAmt>7274170</TotalSpentAmt>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
    </IRS990ScheduleF>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <SeverancePaymentInd>false</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>Rajesh Panjabi</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>193930</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1511</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>195441</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Amy Walburn</PersonNm>
        <TitleTxt>Chief Development Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>103206</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31799</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>135005</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>the compensation of the ceo is PAID BY BRIGHAM AND WOMEN'S HOSPITAL, AN UNRELATED ORGANIZATION AND determined by the executive committee of the board of directors OF LAST MILE HEALTH, all of whom are independent of the ceo. the compensation is determined by reference to comparability data. the ceo's compensation is reviewed and potentially adjusted annually upon board approval. the organization maintains contemporaneous documentation of the deliberation and decision.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>annual financial statements and tax returns are prepared by an independent outside auditing firm and reviewed by the finance committee. the form 990 is electronically transmitted to the organization's board of directors prior to finalization and filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>form 990, part vi, section b, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>last mile health, lmh, regularly and consistently monitors and enforces compliance with the conflict of interest policy which covers all staff, and board of directors. in doing so, all decisions (financial and non-financial) are scrutinized to ensure that they are not line 12c self-serving with respect to lmh personnel or members of the board of directors. human resources decides if a conflict of interest exists for lhm personnel and elevates the matter to the executive managing director or the chairman of the board of directors as appopriate. each board member completes a conflict of interest form annually which is then shared with the full board. any conflicted individual is prohibited from voting or making any decisions related to the matter.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>form 990, part vi, section b, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>the compensation of the ceo is PAID BY BRIGHAM AND WOMEN'S HOSPITAL, AN UNRELATED ORGANIZATION AND determined by the executive committee of the board of directors OF LAST MILE HEALTH, all of whom are independent of the ceo. the compensation is determined by reference to comparability data. the ceo's compensation is reviewed and potentially adjusted annually upon board approval. the organization maintains contemporaneous documentation of the deliberation and decision. compensation for other officers is determined by the executive managing director. such compensation is similarly determined by reference to comparability data.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>form 990, part vi, section c, line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>the organization makes its 990 available for public inspection via the organization's website, another's website and also upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>form 990, part vi, section c, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>the organization makes its governing documents, conflict of interst policy and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>