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        <ProgramServicesAmt>191612</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>STAFF TRAINING</Desc>
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        <ProgramServicesAmt>64294</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
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        <ManagementAndGeneralAmt>32389</ManagementAndGeneralAmt>
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        <EOYAmt>1037764</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <OrgDoesNotFollowSFAS117Ind>X</OrgDoesNotFollowSFAS117Ind>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <RtnEarnEndowmentIncmOthFndsGrp>
        <BOYAmt>894142</BOYAmt>
        <EOYAmt>1037764</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>894142</BOYAmt>
        <EOYAmt>1037764</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>894142</BOYAmt>
        <EOYAmt>1037764</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>86681</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>56941</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>80863</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5897</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>188572</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>569067</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1495140</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1757871</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2202115</CurrentTaxYearAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>649930</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1501037</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1757871</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2202115</CurrentTaxYearAmt>
        <TotalAmt>6834797</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
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      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
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      <PublicSupportTotal509Amt>6834797</PublicSupportTotal509Amt>
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        <CurrentTaxYearMinus3YearsAmt>1754</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>983</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>794</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>544</CurrentTaxYearAmt>
        <TotalAmt>5366</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>1754</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>983</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>794</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>544</CurrentTaxYearAmt>
        <TotalAmt>5366</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>651684</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1502020</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1758665</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2202659</CurrentTaxYearAmt>
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      <PublicSupportPY509Pct>0.99910</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00080</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00090</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleF documentId="RetDoc1040500001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>RUSSIA AND NEIGHBORING STATES</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>53</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES AND GRANTS TO RECIPIENTS LOCATED IN REGION</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>MEDICAL RELATED SERVICES</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>2115978</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>1</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>53</SubtotalEmployeesCnt>
      <ContinutationTotalOfficeCnt>0</ContinutationTotalOfficeCnt>
      <ContinutationTotalEmployeeCnt>0</ContinutationTotalEmployeeCnt>
      <TotalOfficeCnt>1</TotalOfficeCnt>
      <TotalEmployeeCnt>53</TotalEmployeeCnt>
      <SubtotalSpentAmt>2115978</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>2115978</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>RUSSIA AND NEIGHBORING STATES</RegionTxt>
        <PurposeOfGrantTxt>FINANCING THE ACTIVITY OF THE TIHES CLINIC TO PROVIDE MEDICAL CARE FOR DIPLOMATES AND EXPATRIATES LIVING AND WORKING IN UZBEKISTAN AND OTHER PROGRAMS RELATED TO THE MISSION OF TIHES CLINIC.</PurposeOfGrantTxt>
        <CashGrantAmt>426300</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
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      <Total501c3OrgCnt>0</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF ACCOUNTANT AT THE TASHKENT INTERNATIONAL CLINIC CALCULATES THE MONTHLY AMOUNT NEEDED TO FUND THE CLINIC, AND REQUESTS THIS AMOUNT FROM TIMC, LTD. TWO TRANSFERS PER MONTH ARE MADE, AND THE AMOUNTS REQUESTED AND SPENT ARE REVIEWED BY THE BUSINESS MANAGER AND EXECUTIVE DIRECTOR MONTHLY. THEY THEN REPORT TO THE BOARD ON THE CASH FLOWS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR WILL REVIEW THE 990 AND MAKE IT AVAILABLE TO THE ENTIRE BOARD BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CONFLICT OF INTEREST POLICY PROHIBITS THE PURCHASE OF GOODS OR SERVICES FROM A COMPANY IN WHICH THE ORGANIZATION OR BOARD MEMBER HAS ANY FINANCIAL INTEREST, RESTRICTS HIRING OF IMMEDIATE FAMILY MEMBERS, EXPECTS BOARD MEMBERS TO RECUSE THEMSELVES FROM VOTING ON ISSUES AND NOT TAKE PART IN ANY DISCUSSIONS FOR WHICH THEY HAVE A CONFLICT OF INTEREST, AND REQUIRES THAT BOARD MEMBERS INFORM THE BOARD OF ANY CONFLICT OF INTEREST ISSUES. FORM 990, PART VI, SECTION B, LINE 13: THE ORGANIZATION HAS THE POLICY IN DRAFT, AND THE POLICY WILL BE EFFECTIVE LATER 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSET ADJUSTMENTS 56,941.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>